Lyme disease

The video shows a boy who has facial paralysis on one side of his face after being bitten by a tick. On the affected side of his face the boy is not able to smile, blow up his cheeks or frown. In the vast majority of children Lyme Disease paralysis subsides after a few days or weeks.

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What are tick-born diseases?

Tick-borne diseases are infections that ticks can spread to humans and animals.

Some but not all ticks can bite and infect people or animals. Both children and adults can get tick bites while spending time outdoors, especially in woods, bushes or high grass.

Two common infections spread by ticks are Lyme Disease and Rocky Mountain Spotted Fever.

What is Lyme Disease?

Lyme Disease is the most common tick-borne disease in the United States and is especially common in the northeast, upper Midwestern states, and the Pacific Northwest. It is caused by the bacteria Borrelia burgdorferi, which can be carried by deer ticks or western black-legged ticks.

About 15,000 cases of Lyme Disease are reported in the U.S. every year. This disease can cause inflammation in the skin, joints, heart muscle and central nervous system, as well as other organs. It goes through different stages and symptoms can appear several weeks or months after an infected tick has bitten a person.

Symptoms

Symptoms and signs

Many tick bites do not cause any symptoms. A tick bite that leads to Lyme Disease will cause the development of a ring-shaped rash in 80% of Lyme cases.

The rash normally starts at the site of the bite and may contain normal rings of skin within it, resembling a target. This rash, called erythema migrans, occurs 3-30 days after the bite. The rash is itchy, warm and usually lasts 3 weeks. In addition to the rash, the child may have flu-like symptoms, a mild fever, headache and sore throat.

Complications

The rash is the first stage of Lyme Disease.

If left untreated, Lyme Disease can affect the heart and central nervous system (Stage 2). This stage occurs in 15% of those who have not received treatment in the first stage, and the symptoms occur from 2 to 12 weeks after the tick bite.

If the central nervous system is infected, there may be neck stiffness (caused by meningitis, an inflammation of the coverings around the brain and spinal cord), paralyzed facial muscles on one side, and weakness of the muscles of the body.

If some of the face muscles are paralyzed (cannot move), your child will not be able to smile, blow out his/her cheek or wrinkle his/her forehead on the side of the body affected. In most children, the paralysis will disappear in a few days or weeks.

In Stage 3, which occurs 6 weeks to 2 years after the tick bite, there may be swelling of the joints, particularly the knee.

Home treatment

Treatment / What you should do

A tick that has bitten a person and is attached itself to the skin should be removed right away.

If the tick is removed within 24 hours, it probably will not cause an infection. Therefore, it is always important to do "tick checks" each day on yourself and especially your children.

Use fine-tipped tweezers to grab and then remove the tick with a steady pull.

When you have removed the tick, it can be a good idea to apply a little antibacterial ointment to the site of the bite, especially if the skin around it looks red and irritated.

Some people will have more symptoms after the tick bite. Consult your doctor if a ring-shaped rash appears at the site of the bite or elsewhere on the skin. You should also contact your doctor if your child has muscle and joint pain, headache or a mild fever.

See your doctor immediately if your child seems very sick especially if there is a high fever, stiff neck or unusual behavior, such as being very tired or lethargic. The doctor may test a blood sample and possibly a spinal fluid sample for antibodies, which fight the Borrelia bacterium.

If your child has Lyme disease, he will be treated with antibiotics.

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Lyme disease
Lyme disease
Lyme disease
Lyme disease

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