I had some serious fatigue issues on my thru-hike this year and was diagnosed with ehrlichiosis in Hanover. It’s transmitted by ticks just as Lyme disease is, but the victim usually doesn’t exhibit the bullseye rash seen with Lyme.
I was prescribed an antibiotic (doxycycline) and a pain reliever (hydrocordone) even before the results came back, since my symptoms were so debilitating. I felt much better after 2-3 days, and was back to normal after a week or so. It was frustrating not to have been at 100% through the Whites, but I’m glad that I sought treatment so that it didn’t completely derail my hike.
I never wore long sleeves or pants in areas where ticks were known to be a problem and only rarely used DEET. I never noticed any ticks when I checked my skin at night, which is why I hesitated to seek treatment at first. I don’t think I’d change my approach, though, despite how sick I got; it’s just a risk I’m willing to take.
Pacer