Does Lyme disease always cause a fever?

NO. Early lyme disease often causes symptoms such as fever (usually mild), fatigue, headache, muscle/joint pains, swollen glands & a bulls-eye rash starting within 2 days to a few weeks after being infected, but these symptoms may be brief & not everyone will have a fever. Once this early stage resolves, many other symptoms eventually develop, but fever is not a common symptom of chronic lyme disease.

Related Questions

How long does it take for Lyme disease fever to go down with oral antibiotic therapy?

Depends. If you caught the disease early, in stage 1 with the initial fever and rash, fever should resolve within a couple of days of starting the antibiotic. If the disease had progressed further before treatment was initiated, it may take a lot longer to become fever free - even 10-14 days. Make sure you don't skip doses and let your doc know if any new symptoms or you're not feeling better. Read more...

Last year I was diagnosed with Lyme disease and Rocky Mountain spotted fever. The last few days both of my nipples are sore to the touch?

Sensitivity. I doubt one has anything to do with another. Have your doctor check your estrogen levels (which if your taking intramuscular testosterone for example...will convert excess androgen to the female hormone as well). If your hypothyroid..you may be getting too much thyroid replacement hormone. Flomax (tamsulosin) for prostate issues can also cause similar symptoms. See your doctor, have him evaluate you. Read more...

Diagnosed w/ Lyme disease, bartonella, & babesia. Have noticed increasingly stiff & painful neck w/ head pain & pressure for past 3 days w/ fever ranging btwn 99.6 & 100.5. Are these symptoms typical?

Neck pain h. Hopefully you are getting treatment for the disease if not i'd go to er or call pmd for urgent follow up. Read more...
YOU ARE NOT 15 MIN! I agree that you should not assume the neck pain is Lyme spasms, and get to ER. We would like to propose that while Babesia can raise temps, Bartonella can be immunosuppressive-floats in blood--you do not die. A fever with Bartonella I would take seriously. My wise MD friend is right. If 3 infections--missed one? ER. As Fallon, MD Columbia recently posted-ticks are infection bus-over 1-3 bugs. Read more...

5 days sore throat, severe body/joint ache & fever (100-102). Thought it was strep or virus, but today I find a bullseye-like bite on my trunk. Can it be Lyme disease? Is it too early for blood test?

See your doctor. Acute lyme disease can present with those symptoms and the rash like you described. You should see your physician for appropriate testing and medication. Read more...
Is good thought. This is referred to as erythema chronicum migrans, and is an early sign of lyme infection. Blood tests may not be positive early on but please don't wait because of this. Go see your doctor asap and get treated with antibiotics because early treatment gives the best chance for cure. Read more...
Epidemiology . When early lyme is suspected, the diagnosis is based on clinical grounds. Taking a picture of the rash & having a doctor examine it before it disappear is advisable. Other things can cause a bulls eye rash such as a fixed drug eruption, southern tick-associated rash illness, etc. Early recognition is very important. Its too early for an antibody blood test. Epidemiology will help your doc answer. Read more...