Borreliose - www.infektionsschutz.de (2024)

Die meisten Infektionen mit Borrelien verlaufen unbemerkt. Falls es jedoch zu Beschwerden kommt, sind diese sehr unterschiedlich und können zu verschiedenen Zeitpunkten einzeln oder in Kombination auftreten. Dadurch ist eine Borreliose nicht immer leicht zu erkennen.

Ein typisches Zeichen, das bei etwa 90% der Fälle auftritt, ist die sogenannte Wanderröte (Erythema migrans). Dabei handelt es sich um eine mindestens 5 cm große ringförmige Hautrötung, die üblicherweise in der Mitte blasser ist als am Rand und sich über Tage langsam nach außen verbreitet. Die Wanderröte entwickelt sich drei bis 30 Tage nach dem Zeckenstich im Bereich der Einstichstelle. Sie kann aber auch an anderen Körperstellen, wie Beinen, Kopf oder Hals, auftreten. Fieber, Lymphknotenschwellungen, Muskel- und Gelenkschmerzen sind im weiteren Verlauf der Erkrankung zusätzlich möglich. Wesentlich seltener und überwiegend bei Kindern kommt es zu knötchenartigen oder blauroten Schwellungen der Haut. Diese Hautveränderungen finden sich vor allem am Ohr, an den Brustwarzen oder im Genitalbereich.

In Einzelfällen kann es zu einer chronischen Entzündung der Haut (Acrodermatitis chronica atrophicans) kommen. Dabei verändert sich die Haut an den Innenseiten von Armen, Beinen, Fingern oder Zehen und wird im Verlauf papierdünn und bläulich.

Wenn die Borrelien das Nervensystem befallen, spricht man von einer Neuroborreliose. Diese tritt etwa bei drei von 100 Erkrankten auf. Beschwerden einer Neuroborreliose beginnen meist wenige Wochen bis Monate nach dem Zeckenstich. Typisch sind brennende Nervenschmerzen, die sich vor allem nachts verschlimmern. Oft gehen damit ein- oder beidseitige Gesichtslähmungen einher. Auch entzündliche Nervenreizungen sind möglich, die zu Taubheitsgefühlen, Seh- oder Hörstörungen und in seltenen Fällen zu Lähmungen des Rumpfes, der Arme oder der Beine führen. Bei Kindern äußert sich die Neuroborreliose häufiger in Form einer nichteitrigen Hirnhautentzündung, die mit starken Kopfschmerzen oder plötzlichen Gesichtslähmungen einhergehen kann. Sehr selten kann sich auch über Monate bis Jahre eine späte Neuroborreliose entwickeln.

Bei etwa fünf von 100 Erkrankten treten Gelenkentzündungen (Lyme-Arthritis) auf. Sie betreffen am häufigsten die Kniegelenke, seltener Sprung- oder Ellenbogengelenke und verlaufen in der Regel schubweise und wiederkehrend.

Sehr selten kann im Verlauf der Erkrankung auch das Herz betroffen sein, wobei es zu Entzündungen oder Rhythmusstörungen des Herzens kommt.

Borreliose - www.infektionsschutz.de (2024)

FAQs

What are the symptoms of a Borrelia infection? ›

Typical symptoms include fever, headache, fatigue, and a characteristic skin rash called erythema migrans. If left untreated, infection can spread to joints, the heart, and the nervous system. Lyme disease is diagnosed based on symptoms, physical findings (e.g., rash), and the possibility of exposure to infected ticks.

Can your body fight Lyme on its own? ›

Many people infected with the Lyme bacteria will never have symptoms and may cure it on their own without treatment. Lyme disease, if symptomatic, usually starts with a rash that is often described as a "bullseye."

How does your body get rid of Lyme disease? ›

Lyme disease is caused by infection with the bacterium Borrelia burgdorferi. Although most cases of Lyme disease can be cured with a 2- to 4-week course of oral antibiotics, patients can sometimes have symptoms of pain, fatigue, or difficulty thinking that last for more than 6 months after they finish treatment.

What percentage of tick bites result in Lyme disease? ›

Since the deer tick that transmits Lyme disease typically feeds for >36 hours before transmission of the spirochete, the risk of acquiring Lyme disease from an observed tick bite, for example, is only 1 to 3 percent, even in an area where the disease is common.

What does Borrelia bacteria look like? ›

The Borrelia are spiral-shaped organisms that collectively belong to a group of bacteria known as spirochetes. These bacteria have been placed taxonomically into the order Spirochaetales, which includes two families: Spirochaetaceae and Leptospiraceae.

What are the top 3 severe symptoms of Lyme disease? ›

Untreated Lyme disease can produce a wide range of symptoms, depending on the stage of infection. These include fever, rash, facial paralysis, and arthritis.

What's the worst that can happen with Lyme disease? ›

The first sign of Lyme disease is often an expanding round or oval red "bullseye" rash. If left untreated, people may develop neurological symptoms and heart problems, and have an approximately 60 percent chance of developing Lyme arthritis.

Does Lyme stay in your system forever? ›

Taking antibiotics for one to four weeks, as directed by a doctor, successfully kills all the Lyme-disease bacteria in the patient's body. Unfortunately, a small percentage of people continue to feel symptoms for many months or even years after these bacteria have been eliminated.

What happens if Lyme disease is left untreated for years? ›

If Lyme disease continues to be left untreated, it can become established in various parts of the body over months or years after the initial infection. Symptoms include: Joint pain and swelling (Lyme arthritis). Approximately 60% of people not treated with antibiotics will develop recurring attacks of arthritis.

Why do doctors ignore Lyme disease? ›

“We often hear about delayed diagnosis, and doctors will tell patients, 'You can't possibly have Lyme disease. There's no Lyme disease in California,'” she said. “California has high diversity in its ecology and what that means is that strains causing Lyme disease can be different than they are on the East Coast.”

What foods should be avoided with Lyme disease? ›

Foods to avoid
  • foods with added sugar.
  • foods containing extra salt.
  • excess alcohol.
  • processed carbs, such as baked goods, white pasta, and white bread.
May 31, 2022

How long is too late for Lyme disease? ›

Late Lyme disease usually develops 6-36 months after a person first receives the causal infectious tick bite.

Why did my tick bite turn into a hard lump? ›

The reaction to a tick bite may persist for several months to several years and can sometimes cause histopathological granuloma. The long-term reaction to salivary extracts from the tick could be responsible for development of granuloma in our patient.

How soon after a tick bite do you need antibiotics? ›

Prophylaxis can be started within 72 hours of tick removal. The patient has no contraindication to doxycycline.

How soon after a tick bite do you get sick? ›

Onset of symptoms is three to 14 days (average seven days) after tick bite. Initial symptoms may include: high fever, severe headache, muscle aches, nausea, vomiting and loss of appetite. Later symptoms: rash (two to six days after onset of fever), abdominal pain, joint pain and diarrhea.

What is the first stage of Lyme borreliosis? ›

Stage 1, or early localized Lyme disease, occurs within one month of the tick bite. You may have an expanding, circular red rash (erythema migrans), and/or flu-like symptoms. Some people do not have symptoms. Stage 2, or early disseminated infection, can develop days to weeks after you become infected.

What is the characteristic symptom of early Lyme disease Borrelia? ›

Lyme disease rash

People with Lyme disease might get a bull's-eye rash. The rash gradually spreads over a period of days. Early symptoms of Lyme disease usually happen within 3 to 30 days after a tick bite.

What is the difference between Lyme disease and Borrelia? ›

Borreliosis, also known as Lyme disease, is caused by the bacterium Borrelia burgdorferi and is transmitted to humans by the bite of infected ticks. Ticks become infected when they feed on birds or mammals that carry the bacterium in their blood.

What can happen if left untreated infection by Borrelia burgdorferi? ›

If Lyme disease continues to be left untreated, it can become established in various parts of the body over months or years after the initial infection. Symptoms include: Joint pain and swelling (Lyme arthritis). Approximately 60% of people not treated with antibiotics will develop recurring attacks of arthritis.

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