TY - CHAP M1 - Book, Section TI - Lyme Disease A1 - Corson, Thomas J. A1 - Usatine, Richard P. A1 - Sabella, Camille A2 - Usatine, Richard P. A2 - Sabella, Camille A2 - Smith, Mindy Ann A2 - Mayeaux, E.J. A2 - Chumley, Heidi S. A2 - Appachi, Elumalai PY - 2015 T2 - The Color Atlas of Pediatrics AB - On a warm, summer afternoon an 11-year-old girl presents having had low-grade fevers for 4 days and a rash. On physical examination, the pediatrician notes annular eruptions with erythema on her shoulder and legs (Figure 183-1). The mother states that the rash has gotten progressively larger during the last 3 days and her daughter complains of intermittent joint pain. She does not recall being bitten by an insect. She denies taking medications within the last month and has no known allergies. When asked about recent travel, the mother admits to taking the family on a camping trip in eastern Massachusetts with a return of 5 days ago. The patient was diagnosed with Lyme borreliosis (acute Lyme disease) and started on doxycycline 100 mg twice daily for 14 days. She responded quickly to the antibiotics and never developed the late stage of Lyme disease. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/20 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1114878704 ER -