Some patients report a burning or stinging sensation within the lesions. The rash usually fades in about 4 weeks but reportedly can last up to 14 months. Regional lymphadenopathy may be present. Early treatment is necessary in all cases of Lyme disease to prevent development of systemic sequelae. The diagnosis of Lyme disease is based on clinical history and objective findings on examination.
Careful history taking is vital.
Treatment Mild Lyme disease may be treated on an outpatient basis with oral antibiotics. In disseminated disease, intravenous antibiotics are necessary. The most effective prevention strategies are avoidance of tick-infested habitats, use of protective clothing and insect repellents, and early recognition and removal of ticks. The most common side effect of the vaccine is soreness at the injection site. References Asbrink E, Hovmark A. Lyme borreliosis.