RT Book, Section
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
SR Print(0)
ID 1114878704
T1 Lyme Disease
T2 The Color Atlas of Pediatrics
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-176701-9
LK accesspediatrics.mhmedical.com/content.aspx?aid=1114878704
RD 2024/04/23
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.