Are the symptoms of Lyme disease in children the same as they are in adults?
No. Most frequently the symptoms of Lyme disease in children look quite a bit different than in adults. Children under the age of 15 account for 25% of reported cases of Lyme disease. While some children present with the more common features of Lyme disease in adults many of them present in ways that are much different than adults. Many children develop sleep problems, including nightmares. New onset bedwetting may also develop. Daytime urinary frequency is often seen. Some children present with odd skin sensations, others with discomfort when being touched. They often complain of headaches that can range from mild to debilitat- ing. Commonly, children present with isolated neuropsychiatric and gastrointestinal changes. This makes the diagnosis of Lyme disease in children more challenging as well as more crucial. Neuropsychiatric changes can range from mild to downright scary to parents and teachers. Children may experience acute changes in personality, abrupt behavioral changes, uncharacteristic outbursts, and trouble tolerating their normal environment. Some children have outbursts of rage; this is often directed at one fam- ily member or schoolmate. Children may also have problems with speech and motor skills leading to rapidly declining grades. Difficulty in processing auditory input or changes in the abil- ity to focus with the eyes often appears as a lack of focus leading a child to be misdiagnosed with attention deficit hyperactivity disorder (ADHD). Some children with Lyme disease develop problems with sensory integration and have a difficult time focusing when they are exposed to multiple stimuli at once. This leads to confusion and, in turn, poor behavior. Happy children may become irritable and sad. Children may
have an abrupt change in their mood to the point they are depressed, anxious, psychotic, and even suicidal. If this is the case, it is impor- tant to consider Lyme disease as well as co-infection with Bartonella henselae. Some previously outgoing and gregarious children become withdrawn or reluctant to play. Children may develop odd, repetitive behaviors and/or tics. When several of these symptoms are seen in the same child, they may be misdiagnosed with autism. Children and adolescents often exhibit Lyme disease symptoms
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