Updated
Updated · Philadelphia magazine · Jul 7
Dr. Michael Cirigliano Warns 20% to 30% of Lyme Cases Lack Bullseye Rash
Updated
Updated · Philadelphia magazine · Jul 7

Dr. Michael Cirigliano Warns 20% to 30% of Lyme Cases Lack Bullseye Rash

1 articles · Updated · Philadelphia magazine · Jul 7

Summary

  • Lyme disease is already endemic in the Philadelphia area, Cirigliano said, warning that rising tick activity makes bites a serious concern and that the illness can be missed when symptoms are subtle.
  • 70% to 80% of patients develop the classic bullseye rash, he said, but 20% to 30% do not, so diagnosis often depends on symptoms rather than a blood test, which can be negative early.
  • DEET, long sleeves and pants, and quick tick removal with tweezers are the main prevention steps; if a tick was attached for less than about 24 hours, some cases can be treated with a single dose.
  • Doxycycline is the usual treatment—amoxicillin for younger patients—while people with a rash may need 10 to 14 days of therapy and untreated infections can progress to heart, neurological, or joint problems.
  • Cirigliano also flagged fatigue, fever, joint pain, and swollen lymph nodes as warning signs, describing Lyme as a “great masquerader” and noting ticks can also trigger alpha-gal red-meat allergy.

Insights

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