Borrelia​

Understanding Lyme Disease: Causes, Symptoms, and Treatment

Introduction to Lyme Disease

Lyme disease is an infection caused by bacteria transmitted through the bite of infected ticks. The disease is prevalent in certain areas and can lead to a range of symptoms. Recognizing the signs and seeking appropriate treatment is crucial for managing Lyme disease.

Causes of Lyme Disease

Lyme disease is caused by bacteria from the Borrelia species. These bacteria are carried by ticks, particularly species like Ixodes scapularis and Ixodes ricinus. When ticks feed on the blood of humans, they can transmit the bacteria into the body, causing infection. Ticks become infected by feeding on small rodents harboring the bacteria.

For infection to occur, the tick usually needs to be attached to the body for at least 24 hours. Lyme disease is also referred to as Borreliosis. The bacteria species that commonly cause Lyme disease in humans include Borrelia burgdorferi, Borrelia afzelii, and Borrelia garinii.

Geographical Distribution

Ticks that spread Lyme disease are commonly found in southern and central parts of Sweden, as well as along the Baltic and Bothnian coast. The prevalence of Lyme disease-carrying ticks is higher in these regions. In northern parts of Sweden, the risk of infection is lower.

Symptoms of Lyme Disease

Lyme disease can manifest with various symptoms, which can arise from different parts of the body. Early symptoms of Lyme disease include:

  • Erythema Migrans (EM): The most common early sign is a specific type of skin redness, known as erythema migrans. This rash often appears at the site of a tick bite and has the following characteristics:
    • Typically occurs between one to four weeks after the tick bite.
    • Gradually enlarges and can grow larger than 5 centimeters in diameter.
    • May resemble a ring or an oval shape with redness fading in the center.
    • May cause itching or numbness and other skin changes, such as blisters.

Additional early symptoms can include:

  • Multiple instances of skin redness.
  • Fever and chills.
  • Fatigue.
  • Headache.
  • Bluish-red lump on the skin, often seen on the earlobe or nipple (more common in children).

Further Symptoms

If Lyme disease affects the nervous system, known as neuroborreliosis, it can lead to symptoms such as:

  • Stiff neck.
  • Severe headache.
  • Pain in the neck, back, arms, or legs.
  • Loss of sensation.
  • Facial paralysis (typically partial).

Without treatment, Lyme disease can cause a range of symptoms affecting the muscles, bones, nervous system, and skin. Some individuals with Lyme disease may not display any symptoms, as their immune systems can clear the infection.

Prevention and Treatment

To prevent Lyme disease, individuals can take precautions to avoid tick bites. Removing a tick as soon as possible can reduce the risk of infection. If Lyme disease is diagnosed, antibiotics are the primary treatment. Most people recover fully with treatment, but delayed treatment may require a longer recovery period.

While research is ongoing for a Lyme disease vaccine, none is available yet.

When to Seek Medical Care

Seek emergency care if:

  • You experience stiffness in the neck, severe headache, and overall illness.
  • You develop facial paralysis or loss of sensation in any part of your body.

Also, seek medical care if:

  • You notice a redness of at least 5 centimeters in diameter that appears after a tick bite.
  • You experience symptoms like fever, headache, body aches, or fatigue after a tick bite.

Understanding the causes, symptoms, and appropriate actions for Lyme disease is essential for managing the condition effectively.