
By Riva Preil
After several months, the disease progresses to the third stage, late disseminated phase, if untreated. By this point, the disease has spread throughout the body and to multiple organs which severely impairs one’s ability to function. The joint pain intensifies and the neurological symptoms and pain (called Bannwarth syndrome) worsen. Permanent paresis may be present in the most severe cases. Cognitive changes such as short term memory loss and concentration difficulty may be present due to Lyme encephalopathy. Furthermore, personality changes, psychosis, anxiety, panic attacks, and depersonalization (a feeling of detachment from oneself) may occur.
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