Lyme Disease, Erythema Migrans, Borrelia Burgdorferi Infection - DermAtlas

Contributor

Bernard Cohen, MD

Diagnosis

Lyme disease erythema migrans Borrelia burgdorferi infection

Body Site

hip thigh buttock

Age

16 years

Pigmentation

light

Organization

annular

Color

red

Morphology

plaqulous (plaque / nodule / tumor)

Pattern

Comments

A 16 year old boy developed a pruritic expanding indurated red plaque 3 days earlier. He also complained of fever, sore throat, headache, and other flu-like symptoms. The plaque continued to grow despite 1 day of oral augmentin and an additional day of oxacillin. In the hospital he developed a lymphangitic streak and left inguinal adenopathy. After 2 doses of doxycycline the lesion began to lighten and flatten. Within 2 days his symptoms resolved. Lyme titers are pending.

Description

large red target-like indurated plaque with central crust

Image Added

7/9/2001 22:44:05

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Other Resources

PubMed Medline Plus Medscape

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