RT Journal Article
SR Electronic
T1 Late Diagnosis of Early Disseminated Lyme Disease: Perplexing Symptoms in a Gardener
JF The Journal of the American Board of Family Medicine
JO J Am Board Fam Med
FD American Board of Family Medicine
SP 234
OP 236
DO 10.3122/jabfm.2008.03.070196
VO 21
IS 3
A1 Brooke E. Salzman
A1 Amber Stonehouse
A1 James Studdiford
YR 2008
UL http://www.jabfm.org/content/21/3/234.abstract
AB The timely diagnosis of early disseminated Lyme disease presenting as multiple secondary erythema migrans lesions is sometimes delayed because this stage is infrequently encountered in a general practice. We report a case of a 60-year-old woman whose initial complaints of an erythematous, “burning” rash and flu-like symptoms led to several laboratory tests with no specific diagnosis. The correct diagnosis was only made after sorting through other possibilities in the differential diagnosis. By reproducing the medical images and reviewing the medical literature, we underscore the importance of including Lyme disease in the list of diagnoses pertaining to diffuse skin rashes in the febrile patient.