An individual who has had Lyme disease but has not been treated with antibiotics may present with:
a. a generalized rash
b. swelling in only one joint
c. muscle laxity
d. neurological conditions such as facial palsy, meningitis, or encephalitis
D
For most individuals, the first symptom is a red rash called erythema migrans. It starts as a red spot at the site of the tick bite and expands, resembling a bull's eye. Other symptoms are headache, neck stiffness, fever, swelling in the knees and other large joints, and muscle pain. For those individuals untreated with antibiotics, arthritis (joint swelling and pain), fatigue, and neurological abnormalities such as facial palsy, meningitis, and encephalitis become evident.
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