People with Lyme disease are at risk of cognitive impairments. This symptom might occur in the initial phase of infection or months after contraction of the bacteria.
Problems with short-term memory and word retrieval are common. Concentration, alertness, and efficiency of mental processing may also develop. They usually occur in cases where the condition remains untreated for a long time. In cases where Lyme disease has long-term effects, cognitive problems are more subtle.

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