rash (erythema migrans) - a circle or ring of inflamed skin surrounding the initial tick bite) or papular (raised) rash, fever, malaise, fatigue, headache, muscle
and joint aches in large joints, sore throat,
sinus infection, paralysis - usually associated with Lyme meningitis or Rocky Mountain spotted fever.
Traditional treatment of acute Lyme disease usually consists of a minimum two-week to one-month course of antibiotics, preferably doxycycline.