Most cases of tickborne Lyme disease consist of fever, headache, fatigue, and the characteristic “bull's eye” skin rash. But now, scientists have reported a mysterious outbreak in the upper Midwest of a neuroinvasive form of the disease that can cause muscle weakness and facial paralysis.

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Most cases of tickborne Lyme disease consist of fever, headache, fatigue, and the characteristic “bull's eye” skin rash. But now, scientists have reported a mysterious outbreak in the upper Midwest of a neuroinvasive form of the disease that can cause muscle weakness and facial paralysis.