Lyme disease - secondary

Alternative names:

early disseminated Lyme disease; stage 2 Lyme disease

Symptoms:

• 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
• syncope (passing out)
• blurred vision

Additional symptoms that may be associated with this disease:

• speech impairment
• numbness and tingling
• nausea & vomiting
• muscle pain
• muscle function/feeling loss
• movement, dysfunctional
• hallucinations
• facial paralysis
• eyelid drooping
• consciousness, decreased
• confusion
• abnormal sensitivity to light

Signs and tests:

• a physical examination to reveal facial asymmetry
• immunofluorescence (IFA) or ELISA test to show antibodies to B. Burgdorferi
• tests that detect cardiac abnormalities
  • ECG
  • nuclear ventriculography
  • chest X-ray may show heart failure
  • a CSF analysis to show inflammation

Update Date: 02/09/00
Updated by: J. Gordon Lambert, MD, Associate Medical Director, Utah Health Informatics and adam.com editorial