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Lyme Disease
Symptomatic

Symptomatic

Report treatment to CPHO 902-368-4996

Disease

Early localized disease (<30 days)
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  • Erythema migrans (see below for more information)
  • Low grade fever, fatigue, headache, neck stiffness, arthralgia, myalgia

Early disseminated disease (<3 months)
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  • Multiple erythema migrans (see below for more information)
  • Low grade fever, fatigue, headache, arthralgia
  • Bell's Palsy

Late disseminated disease (>3 months)
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  • Recurrent arthritis affecting large joints
  • Central nervous system manifestations - meningitis, encephalopathy

More Information

  • Single or multiple erythema migrans (EM) rash is present in most but not all cases (60-85% of cases).
  • EM begins as red macule/papule at site of tick bite. Rapidly enlarges to diameter ≥ 5 cm. Often develops central clearing (bull’s eye shape).

Example of an Erythema migrans (EM) rash

Example of an Erythema migrans (EM) rash