Patients with a dissemination of the disease may have cardiac problems as well, especially when their disease has not been correctly treated. In most cases, cardiac problems feature atrioventricular conduction abnormalities, and sometimes patients may even have a heart block that requires a device called pacemaker, a small device that sends a signal to regulate your heart’s beating.
In other cases, patients may also experience severe consequences such as cardiac tamponade, heart failure, myocarditis, and pericarditis. This is another reason why it is important to talk to your doctor if you suspect Lyme disease in yourself or any other family member. After treating the disease, the chance of having hematogenous dissemination to the heart and other structures is significantly reduced.
Besides Lyme disease, your doctor might need to rule out co-infection with other microorganisms such as Babesia microti and Ehrlichia spp. Around 15% of patients with Lyme disease have coinfection with one of these micro-organisms that are usually transmitted at the same time. This is especially the case when there are atypical manifestations such as very high fever with quick rises of temperature and severe shivering.
The majority of patients only experience symptoms of a stage 1 disease. Stage 2 Lyme disease and further stages are usually a result of a disseminated disease that becomes more difficult to eradicate. Thus, talk to your doctor right away, because sometimes patients with disseminated disease have some give-out signs and symptoms from the start, and your therapy might be able to address these issues before entering a stage 2 Lyme disease.
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