Case Challenge: A Spreading Summertime Rash

Neil Gaffin, MD

Disclosures

July 13, 2018

Summer Is Upon Us, and so Are the Ticks

As an infectious disease physician who practices in Northern New Jersey, I am routinely called to the emergency department to evaluate patients with a myriad of suspected illnesses. Summer is here and with that comes a need to enhance our vigilance for tick-transmitted infections, in particular those due to the black-legged deer tick.

This patient displays erythema migrans, and the presentation is consistent with disseminated cutaneous Lyme disease. In addition to having him follow up next week, what diagnostic testing is necessary to confirm this clinical impression, and how should he be managed?

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