Tick-Borne Disease Information

When Should You See a Doctor?

Most tick bites do not cause illness. But some symptoms need quick care.
Know the warning signs and when to act.

See Warning Signs

Know the Signs

Warning Signs to Watch For

If you notice any of these after a tick bite, contact a doctor right away.

Skin Rash

A rash near the bite, or anywhere on your body, can appear days after the bite. A bullseye rash can be a warning sign for Lyme disease.

Fever

A fever that starts in the days or weeks after a tick bite should be checked by a doctor.

Headache or Muscle Aches

Unusual headache, body aches, or tiredness that does not get better with rest can be a warning sign.

Swollen Joints

Swelling or pain in joints, especially the knees, can start weeks or months after the bite.

Neurological Symptoms

Numbness, weakness, facial drooping, or memory problems are less common but serious symptoms.

Very High Fever or Rash Early

Rocky Mountain spotted fever can start within 2 to 3 days. A rash with high fever may need emergency care.

Know the Diseases

Tick-Borne Diseases in NC

These are the most common diseases spread by ticks in North Carolina.

Bacterial Infection

Lyme Disease

Spread by the blacklegged tick. The most well-known tick-borne disease. A bull's-eye rash, fever, and fatigue are common early signs. Treated with antibiotics.

Bacterial Infection

Rocky Mountain Spotted Fever

Spread by American dog and brown dog ticks. Can be serious very fast. High fever, headache, and rash often starting on wrists and ankles. Needs urgent treatment.

Bacterial Infection

Ehrlichiosis

Spread by the lone star tick. Causes fever, headache, and muscle aches. Treated with antibiotics. Most people recover fully with early treatment.

Bacterial Infection

Anaplasmosis

Spread by the blacklegged tick. Similar to ehrlichiosis. Fever, headache, and chills. Treatable with antibiotics.

Allergy-related Condtion

Alpha-Gal Syndrome

Spread by the lone star tick. Can cause a meat allergy that starts hours after eating red meat. This is a lifelong condition for some people.

Parasitic Infection

Babesiosis

Spread by the blacklegged tick. Infects red blood cells. Often mild, but can be serious in older adults or people with weak immune systems.

What to Tell Your Doctor

When you call or visit, tell them:

  • Z
    When the tick bite happened (date)
  • Z
    Where you were outdoors
  • Z
    How long the tick may have been attached
  • Z
    What the tick looked like, or bring the bag
  • Z
    Any symptoms you have noticed

Your Questions Answered

Clear answers about tick-borne disease and when to seek care.

How soon do I need to see a doctor after a tick bite?

You do not need to go right away unless you feel very sick now. Watch for symptoms for 30 days. If a rash or fever starts, call your doctor that day.

Will I need antibiotics?

Not always. Your doctor will decide based on what tick bit you, how long it was attached, and your symptoms. Do not take leftover antibiotics on your own.

Can I get tested for Lyme disease right away?

Early tests can be inaccurate. Your doctor will decide the best time to test. Symptoms are often more useful than an early test result.

Is Lyme disease common in NC?

Yes. North Carolina reports many Lyme disease cases each year. The blacklegged tick is present across the state.

Need The Next Step?

Lower Your Risk

Learn how to prevent tick bites before you go outside, or identify the tick to know what to watch for.

Prevention Help

Prevent Tick Bites

Learn simple steps to lower your risk before, during, and after outdoor time.

Go To Prevention Guide

Tick Identification

Identify the Tick

Compare common ticks in North Carolina and learn what each one may carry.

Go To Identification Guide