Lyme disease is the most common tick-borne disease in the United States. It was first identified in 1975 when a group of children in Old Lyme, Connecticut, had mysterious arthritis-like symptoms. Lyme disease is caused by the bacterium B. burgdorferi, which is carried by deer ticks. Not every bite from a deer tick causes Lyme disease. It is more likely to happen if the tick stays attached to your skin for 36 hours or more. Cases have been reported in nearly all states, and the disease is also on the rise in large areas of Asia and Europe. It is very important to get early treatment for Lyme disease, so if you have any symptoms, you should call your doctor immediately. Although symptoms may go away after a while, that does not mean the disease is gone. People who get early treatment with antibiotics usually get better without any complications. If it is not treated, Lyme disease can spread to the:
Signs and SymptomsLyme disease has three stages. Localized Early Stage A red rash appears within a few weeks of a tick bite, starting as a small red spot at the site of the bite. The spot gets bigger over time, making a circle or oval and sometimes looking like a bull's eye. The rash can range in size from that of a dime to the entire width of a person's back. As the infection spreads, rashes can show up at different places on the body. You may also have flu-like symptoms. Early Disseminated Stage The early disseminated stage includes:
Late Stage The late stage includes:
What Causes It?Deer ticks carrying the bacterium B. burgdorferi bite people. The bacteria get into the skin, after the infected tick has been in place for 36 to 48 hours. Who is Most At Risk?Your risk of Lyme disease may be higher if you:
What to Expect at Your Provider's OfficeLyme disease can be hard to diagnose because many of its symptoms look like those of other illnesses, and there is no definitive lab test for Lyme disease. About 20% of people with Lyme disease do not get a rash. Tell your doctor if you think you may have been bitten by a tick. Your doctor may order these tests:
Treatment OptionsPreventionThe best defense against Lyme disease is to guard against tick bites, such as:
Use an insect repellent with DEET. Wear light-colored clothing, which makes ticks easier to see, and inspect your body carefully after you have been outdoors. If you find a tick, remove it with tweezers, making sure to remove the head as well as the body. Seeing your doctor and taking antibiotics within 3 days of a tick bite may prevent Lyme disease. Drug TherapiesYour health care provider may prescribe the following medications:
Complementary and Alternative TherapiesYou should never treat Lyme disease with complementary therapies alone. Anyone who has Lyme disease needs to take antibiotics to cure the disease and avoid complications. Lyme disease does affect many parts of your body, so including complementary therapies along with standard treatment may help. Some people believe they have long-lasting complications from Lyme disease. Using CAM therapies to treat these long-lasting complications is controversial. Conventional doctors believing that CAM practitioners may be attributing too many random symptoms to Lyme disease. Make sure you see reputable doctors, whether conventional or CAM practitioners, and educate yourself so that you can be your own advocate. Always tell all of your doctors about the herbs and supplements you are using or considering using. Nutrition and Supplements
HerbsThe use of herbs is a time-honored approach to strengthening the body and treating disease. Herbs, however, can trigger side effects and interact with other herbs, supplements, or medications. For these reasons, you should take herbs with care, under the supervision of a health care provider. Some helpful herbs include:
HomeopathyFew studies have examined the effectiveness of specific homeopathic remedies. Professional homeopaths, however, may recommend treatments for Lyme disease based on their knowledge and clinical experience. Before prescribing a remedy, homeopaths take into account a person's constitutional type, including your physical, emotional, and intellectual makeup. In some cases, such as Lyme disease, a professional homeopath may prescribe specific remedies without considering the individual's constitutional state. Such remedies for Lyme disease include:
Prognosis and Possible ComplicationsMost people who are treated with antibiotics make a full recovery. Getting early treatment can help avoid complications. Following UpIf you have a severe and advanced case of Lyme disease with varied symptoms, your health care provider may want to see you regularly. Supporting ResearchAhlemeyer B, Krieglstein J. Neuroprotective effects of Ginkgo biloba extract. Cell Mol Life Sci. 2003;60(9):1779-92. Alao O, Decker C. Lyme Disease. Disease-a-Month. 2012; 58(6). Beers MH, Porter RS, et al. The Merck Manual of Diagnosis and Therapy. 18th ed. Whitehouse Station, NJ: Merck Research Laboratories; 2006:1478-1481. Bell DR, Gochenaur K. Direct vasoactive and vasoprotective properties of anthocyanin-rich extracts. J Appl Physiol. 2006;100(4):1164-70. Bope & Kellerman: Conn's Current Therapy 2014, 1st ed. Philadelphia, PA: Elsevier Saunders. 2013. Bratton RL, Whiteside JW, Hovan MJ, Engle RL, Edwards FD. Diagnosis and treatment of Lyme disease. Mayo Clin Proc. 2008 May;83(5):566-71. Burrascano JJ Jr. Advanced Topics in Lyme Disease: Diagnostic Hints and Treatment Guidelines for Tick Borne Illnesses. 13th ed. Accessed August 8, 2000. Cabrera C, Artacho R, Gimenez R. Beneficial effects of green tea -- a review. J Am Coll Nutr. 2006;25(2):79-99. Garcia Melendez ME, Skinner Taylor C, Salas Alanis JC, Ocampo Candiani J. Lyme disease: an update. Gac Med Mex. 2014; 150(1):84-95. Halperin JJ. Nervous system Lyme disease. Handb Clin Neurol. 2014; 121:1473-83 Heggers JP, Cottingham J, Gussman J, et al. The effectiveness of processed grapefruit-seed extract as an antibacterial agent: II. Mechanism of action and in vitro toxicity. J Altern Complement Med. 2002;8(3):333-40. Heitzman ME, Neto CC, Winiarz E, Vaisberg AJ, Hammond GB. Ethnobotany, phytochemistry and pharmacology of Uncaria (Rubiaceae). Phytochemistry. 2005;66(1):5-29. Katz TM, Miller JH, Hebert AA. Insect repellents: historical perspectives and new developments. J Am Acad Dermatol. 2008 May;58(5):865-71. LaValle JB, Krinsky DL, Hawkins EB, et al. Natural Therapeutics Pocket Guide. Hudson, OH: LexiComp; 2000: 452-454. Overstreet ML. Tick bites and Lyme disease: the need for timely treatment. Crit Care Nurs Clin North Am. 2013; 25(2):165-72. Peeters N, van der Kolk BY, Thijsen SF, Colnot DR. Lyme disease associated with sudden sensorineural hearing loss: case report and literature review. Otol Neurotol. 2013; 34(5):832-7. Rotsein OD. Oxidants and antioxidant therapy. Crit Care Clin. 2001;17(1):239-47. Seltzer EG, et al. Long-term outcomes of persons with Lyme disease. JAMA. 2000;283:609-616. Simopoulos AP. Omega-3 fatty acids in inflammation and autoimmune diseases. J Am Coll Nutr. 2002;21(6):495-505. Stjernberg L, Berglund J. Garlic as an insect repellent. JAMA. 2000 Aug 16;284(7):831. Wang HK. The therapeutic potential of flavonoids. Expert Opin Investig Drugs. 2000;9(9):2103-19. Yoon JH, Baek SJ. Molecular targets of dietary polyphenols with anti-inflammatory properties. Yonsei Med J. 2005;46(5):585-96.
Review Date:
12/9/2014 Reviewed By: Steven D. Ehrlich, NMD, Solutions Acupuncture, a private practice specializing in complementary and alternative medicine, Phoenix, AZ. Review provided by VeriMed Healthcare Network. Also reviewed by the A.D.A.M. Editorial team.
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