The following image depicts infection by :-
- Coxsackievirus B
- Borrelia burgdoferi
- Rickettsia rickettsii
- Rickettsia prowazekii
View Explanation
IMAGE SHOWS = ERYTHEMA MIGRANS RASH + FACIAL PALSY + ASSYMMETRIC ARTHRITIS + TICK
LYME DISEASE
Early Signs and Symptoms (3 to 30 days after tick bite)
Fever, chills, headache, fatigue, muscle and joint aches, and swollen lymph nodes
Erythema migrans (EM) rash:
Occurs in approximately 70 to 80 percent of infected persons
Begins at the site of a tick bite after a delay of 3 to 30 days (average is about 7 days)
Expands gradually over a period of days reaching up to 12 inches or more (30 cm) across
May feel warm to the touch but is rarely itchy or painful
Sometimes clears as it enlarges, resulting in a target or “bull’s-eye” appearance
May appear on any area of the body
Later Signs and Symptoms (days to months after tick bite)
Severe headaches and neck stiffness
Additional EM rashes on other areas of the body
Arthritis with severe joint pain and swelling, particularly the knees and other large joints.
Facial or Bells palsy (loss of muscle tone or droop on one or both sides of the face)
Intermittent pain in tendons, muscles, joints, and bones
Heart palpitations or an irregular heart beat (Lyme carditis)
Episodes of dizziness or shortness of breath
Inflammation of the brain and spinal cord
Nerve pain
Shooting pains, numbness, or tingling in the hands or feet
Problems with short-term memory