TY - CHAP M1 - Book, Section TI - Chapter 218. Lyme Disease A1 - Usatine, Richard P. A1 - Smith, Mindy A. A1 - Chumley, Heidi S. A1 - Mayeaux, E.J. Y1 - 2013 N1 - T2 - The Color Atlas of Family Medicine, 2e AB - On a warm, summer afternoon a 32-year-old woman presents having had low-grade fevers for 5 days and a rash. On physical examination, the physician notes a large, erythematous, annular patch with central clearing on her back (Figure 218-1). The patient states that the rash has gotten progressively larger during the last 3 days and she has had a recent onset 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, she admits to a camping trip in eastern Massachusetts, which she returned from 4 days ago. The patient was diagnosed with Lyme borreliosis and started on doxycycline 100 mg twice daily for 14 days. She responded quickly to the antibiotics and never developed the persistent stage of Lyme disease. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/03/28 UR - accessmedicine.mhmedical.com/content.aspx?aid=57685011 ER -