Lyme disease - early disseminated

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Lyme disease - secondary or stage 2; Stage 2 Lyme disease

• headache
• fatigue
• general discomfort, uneasiness, or ill feeling (malaise)
• lethargy
• muscle pains
• stiff neck
• joint inflammation in the knees and other large joints
• heart palpitations
• fainting
• blurred vision

Additional symptoms that may be associated with this disease:

• speech impairment
• numbness and tingling
• nausea and vomiting
• muscle function/feeling loss
• movement, dysfunctional
• hallucinations
• facial paralysis (also called Bell's Palsy)
• eyelid drooping
• consciousness, decreased
• confusion
• abnormal sensitivity to light

• a physical examination to reveal signs of neurologic or cardiac involvement
• ELISA test to screen for antibodies to Borrelia burgdorferi
• Western blot to confirm the presence of antibodies to Borrelia burgdorferi
• tests that detect cardiac abnormalities
  • ECG (also called EKG)
  • chest x-ray may show heart failure
  • CSF analysis may show inflammation

Review Date: 02/13/2006
Reviewed By: Monica Gandhi, M.D., M.P.H., Assistant Professor, Division of Infectious Diseases, UCSF, San Francisco, CA. Review provided by VeriMed Healthcare Network.