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- First you get a lump at the site of the site, a rash that is centrally sparing called erythema migrans.
- In the second stage, you get a fever, with malaise and headache. About 60% get a monoarticular arthritis (a single joint arthritis), affecting large joints.
- If you don't treat it, you go on to get recurrent arthritis, with peripheral neuropathy and encephalopathy.
Going camping, walking through long grass, or generally being in the countryside in Europe, Northern America or Russia.
Serology, with a positive immunoblot.