>>865103little brother got it in North Carolina. Also tested positive for lyme. Had a ton of symptoms like: migraines, mood disturbance, generally not growing at all (this confused the hell out of Duke, but so does anything even slightly weird), various hormone abnormalities, lots of fatigue, tons of stomach issues. Etc etc.
Fortunately he turned a corner after about 6 months of oral antibiotics. Was on them for over a year after that to make sure it stayed gone. It's been years since then and he's doing great.