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Updated: May 3, 2026
07:20
Detecting the Lyme Disease Spirochete, Borrelia Burgdorferi, in Ticks Using Nested PCR
Published on: February 4, 2018
18.1K
Atypical Lyme Disease Rash: A Case Report
Selena Khanna1, Lynne J Goebel1
1Internal Medicine, Joan C. Edwards School of Medicine, Marshall University, Huntington, USA.
Cureus
|March 26, 2024
Summary
Lyme disease (LD) can present with unusual rashes beyond the typical bullseye. Recognizing these atypical presentations is vital for early diagnosis and treatment of this tick-borne illness.
Area of Science:
- Infectious Diseases
- Dermatology
- Public Health
Background:
- Lyme disease (LD) is a significant tick-borne illness in the United States, primarily caused by *Borrelia burgdorferi*.
- The classic erythema migrans (EM) rash is well-recognized, but LD manifests with diverse clinical presentations.
- Awareness of varied LD symptoms is crucial for timely medical intervention.
Observation:
- This report details a case of LD in a 69-year-old female.
- The patient presented with an atypical rash characterized by purplish discoloration.
- This rash lacked the typical outer ring or central clearing often associated with EM.
Findings:
- The case highlights that Lyme disease can manifest with non-classical skin findings.
- Atypical erythema migrans presentations may occur, challenging initial diagnosis.
- Prompt recognition of varied LD rash appearances is essential.
Implications:
- Healthcare providers must consider LD even in the absence of typical EM rash.
- Maintaining a high index of suspicion for LD is critical in endemic areas.
- Educating clinicians on diverse LD presentations can improve patient outcomes and public health.
Keywords:
atypical presentationborrelia burgdorferibullseye rasherythema migranshomogeneous purple rashlyme diseaseMore Related Videos
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