{"id":5465,"date":"2019-08-14T09:00:15","date_gmt":"2019-08-14T13:00:15","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=5465"},"modified":"2020-07-13T20:46:18","modified_gmt":"2020-07-14T00:46:18","slug":"atypical-lyme-disease-symptoms","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/atypical-lyme-disease-symptoms\/","title":{"rendered":"How to spot Lyme disease\u2014without the red bull\u2019s eye rash"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">When my son Evan was in sixth grade, he went on an overnight camping trip with his class. He had a great time with his friends and didn\u2019t recall being bitten by anything. Weeks and weeks later, we were down at the Delaware shore on vacation, and Evan began to complain of head and muscle aches. One evening as we drove out for ice cream, he told us that the cars\u2019 headlights were really bothering his eyes. All those symptoms seemed to add up to Lyme disease\u2014but he didn\u2019t have the infamous red bull\u2019s-eye rash.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The next morning, I called our pediatrician, Dr. Bruce Lockman of <\/span><a href=\"https:\/\/www.lockmanlubellpeds.com\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Lockman and Lubell Associates<\/span><\/a><span style=\"font-weight: 400;\"> in Fort Washington, Pennsylvania. He urged me to drive Evan home, where he was tested for Lyme. The test came back positive, and he was immediately put on a course of <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/tetracycline-hc\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">tetracycline<\/span><\/a><span style=\"font-weight: 400;\">. We concluded that he must have been infected for almost two months at this point (probably bitten by a deer tick on that campout), so the doctor kept him on antibiotics for six weeks. Eventually, the symptoms abated, and life returned to normal for Evan.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Some Lyme sufferers are not as lucky and endure serious long-term medical issues. This is more common the longer the disease goes untreated. There are several complicating factors that can lead to a delayed diagnosis. The deer tick itself is tiny (a \u201cnymph\u201d tick is the size of a poppy seed) and its bite often goes unnoticed. The bull\u2019s-eye rash is the commonly known Lyme disease symptom, but up to 30% of sufferers never get the rash at all. Thus, many infected people have no idea there\u2019s a problem until they\u2019ve had Lyme for weeks (or even months).\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The most common initial test to diagnose Lyme is an ELISA (<\/span><span style=\"font-weight: 400;\">enzyme-linked immunosorbent assay<\/span><span style=\"font-weight: 400;\">). It tests your blood for Lyme antibodies. Your immune system makes antibodies in response to Lyme infection. However, these antibodies often take weeks after the person becomes infected to show up in your blood. Therefore, interpreting the result can be tricky. <\/span><\/p>\n<h3><b>Atypical Lyme disease symptoms<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">If you\u2019ve been feeling under-the-weather after spending time outdoors, these are some lesser-known Lyme disease symptoms:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">headache<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">body aches<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">sensitivity to light<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">swollen lymph nodes<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">nerve pain<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">neck stiffness<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">short-term memory problems<\/span><\/li>\n<\/ul>\n<h3><b>Stages of Lyme disease<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">I spoke with Dr. Lockman who explained more about this worrisome illness. There are two stages of Lyme:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">localized (three to 30 days after infection)\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">disseminated (more than one month after infection)\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">In his suburban Philadelphia practice, Dr. Lockman says he sees \u201cquite a few children in the early, localized stage, and a short course of antibiotics [two to three weeks] is enough to knock it out of their systems.\u201d\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Lockman listed some of the possible complications of later stage disseminated Lyme. These include arthritis, with swollen joints. The heart can also be affected (inflammation causing heart rhythm problems). Neurologic symptoms may include Bell\u2019s palsy (paralysis of one side of the face), meningitis, and cognitive (thinking) problems. There can also be eye changes (red, inflamed iris or cornea) and liver and spleen inflammation. For disseminated Lyme, IV antibiotics are sometimes required for a longer time period. Although, Lockman added, there is a good bit of controversy in the medical profession about the patterns of later stage Lyme disease.<\/span><\/p>\n<h3><b>Where is Lyme disease found?<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">There are currently 330,000 cases of Lyme disease annually in the U.S. Eighty-five percent of these cases have been found in just 14 states, mostly in the Northeast (it was first discovered in Lyme, Connecticut), though cases also appear in California, Oregon, and Washington state. My son\u2014sleeping outdoors in southeastern Pennsylvania\u2014was a prime candidate for a Lyme-carrying deer tick bite.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cThe tick carrying Lyme disease has increased its range in North America due to reforestation [and] the explosion of the whitetail deer population,\u201d explains Dr. Patrick Gaffney of the College of Earth, Ocean and Environment<\/span> <span style=\"font-weight: 400;\">at the University of Delaware.<\/span><\/p>\n<h3><b>How to prevent Lyme disease<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">As of 2018, there have been Lyme cases in all 50 states. But that doesn\u2019t mean you\u2019re without a way to protect yourself. If you are going to be outdoors in wooded areas, minimize your skin\u2019s exposure to grasses by wearing long-sleeved pants and shirts, and use a tick repellent. Examine your skin thoroughly after being outdoors, and carefully remove any ticks immediately. (Read full details for tick removal <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/tick-bites-prevention-treatment\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">here<\/span><\/a><span style=\"font-weight: 400;\">.)\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Whether you were bitten by a tick or not, always pay attention to flu-like symptoms such as <\/span><span style=\"font-weight: 400;\">headaches, dizziness, fever, muscle pain, and tiredness,<\/span><span style=\"font-weight: 400;\"> which could be Lyme disease symptoms. And, of course, watch out for the bull\u2019s-eye rash. If you experience any of the above, see a doctor right away.\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>When my son Evan was in sixth grade, he went on an overnight camping trip with his class. He had a great time with his friends and didn\u2019t recall being bitten by anything. Weeks and weeks later, we were down at the Delaware shore on vacation, and Evan began to complain of head and muscle [&hellip;]<\/p>\n","protected":false},"author":85,"featured_media":8865,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8029],"tags":[790],"coauthors":[8370],"class_list":["post-5465","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-education","tag-chronic-disease","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Lyme disease symptoms: How to spot signs without the red bull\u2019s eye rash<\/title>\n<meta name=\"description\" content=\"Everyone knows the telltale red bull&#039;s-eye rash that signals a dangerous tick bite, but can you recognize lesser-known Lyme disease symptoms like headaches?\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.singlecare.com\/blog\/atypical-lyme-disease-symptoms\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Can you have Lyme disease without a bull&#039;s-eye rash?\" \/>\n<meta property=\"og:description\" content=\"30% of all sufferers don&#039;t have this tell-tale sign. 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