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Lyme disease - chronic persistent Health Article

Definition

Chronic persistent Lyme disease is a late stage of an inflammatory disease caused by Borrelia burgdorferi bacteria. It is also called Stage 3, or tertiary, Lyme disease.

See also:

Alternative Names

Tertiary Lyme disease; Stage 3 Lyme disease; Late persistent Lyme disease; Lyme arthritis

Causes, incidence, and risk factors

Lyme disease is transmitted by the bite of a deer tick.

Some people may not be treated for Lyme disease because they do not have any symptoms or their symptoms are mild. Stage 3 Lyme disease may develop months or even years after the Lyme disease infection.

Even people who were treated may develop Stage 3 Lyme disease.

Symptoms

Chronic, or Stage 3 Lyme disease can affect the skin, brain, and nervous system, and muscles, bones, and cartilage.

Symptoms include:

Other symptoms that may occur with this disease:

Signs and tests

A blood test can be done to check for antibodies to the bacteria that cause Lyme disease. The most common one used is the ELISA for Lyme disease test. A Western blot test is done to confirm ELISA results.

A spinal tap will be abnormal if you have central nervous system symptoms from the disease.

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Review Info

Jatin M. Vyas, PhD, MD, Instructor in Medicine, Harvard Medical School, Assistant in Medicine, Division of Infectious Disease, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc., 03/17/2009

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