Health

Recurring Lyme Disease Rash Caused By Reinfection, Not Relapse

NPR | Nov. 14, 2012 3:31 p.m.

Contributed By:

Patti Neighmond

Lyme disease is spread by deer ticks like this one. A study finds that some people can be reinfected many times with the bacteria that cause the disease.

Lyme disease is spread by deer ticks like this one. A study finds that some people can be reinfected many times with the bacteria that cause the disease.

Lyme disease is spread by deer ticks like this one. A study finds that some people can be reinfected many times with the bacteria that cause the disease.

In recent years, a disease spread by ticks has become more common across the country.

Lyme disease causes a skin rash, and in some cases, more serious symptoms. The symptoms usually go away with antibiotics, but some people have symptoms that persist for months or years.

Now a study published the latest issue of The New England Journal of Medicine suggests those with chronic symptoms don’t have one long illness. Instead, they’re likely getting new infections from fresh tick bites.

Researchers recently conducted an experiment in which they examined Lyme disease-causing bacteria in the blood of 17 patients suffering from a recurrence of their symptoms. Then they compared these bacteria to a sample taken from the same patients during an earlier flare-up of Lyme symptoms.

If Lyme disease actually were a chronic condition, you’d expect the two bacteria samples to be identical. But they weren’t.

“These were different bacteria,” says Dr. Robert Nadelman, an infectious disease specialist at New York Medical College. “One can infer from that that these are different infections, and therefore caused by different tick bites, as opposed to people who possibly could have had relapses of infections that weren’t adequately treated.”

For many people, Nadelman says, it’s easy to get reinfected with Lyme disease — especially for those living in the Northeast.

“People still live in areas where there are deer ticks, or they work in areas where there are deer ticks, or they have recreation in areas where there are deer ticks,” he says. “And the tick bites themselves are … on body parts that you don’t see very well, such as the buttocks or behind the knee.”

Not every doctor agrees with the findings. Dr. Samuel Shor, a professor at George Washington University, says a study examining only 17 patients isn’t large enough to draw any conclusions.

Still, whether or not Lyme disease is a chronic condition, it is a very serious, potentially life-threatening condition.

Dr. Allen Steere, a rheumatologist at Massachusetts General Hospital who’s studied Lyme disease for decades, says without treatment Lyme disease can lead to abnormalities in the heart and brain within weeks of an infection.

He says patients at risk of contracting Lyme disease will notice a bug bite surrounded by a red rash that expands slowly and eventually grows to the size of a plate or even larger. Steere says, if patients see this and also feel stiff, achy or feverish, they should see a doctor immediately.

Copyright 2012 National Public Radio. To see more, visit http://www.npr.org/.

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