At the time of the baseline visit, none of the 52 patients with
erythema migrans had received antimicrobial drugs; 31 (59.6%) patients had 1
erythema migrans lesion, and 21 (40.4%) patients had multiple
erythema migrans lesions (Table 1).
Our patient was diagnosed with
erythema migrans about 2 weeks before the symptoms that started with back pain 1.5 months ago.
Maloney, "Evidence assessments and guideline recommendations in Lyme disease: the clinical management of known tick bites,
erythema migrans rashes and persistent disease," Expert Review of Anti-infective Therapy, vol.
In scenario 1, approximately 79% (n=26) of EmM clinicians, 67% (n=12) of FM clinicians and 53% (n=21) of IM clinicians correctly recognized the need to treat a patient presenting only with
erythema migrans. In scenario 2, 83% (n=15) of FM, 72% (n=24) EmM and 70% (n=28) IM clinicians correctly decided not to treat a patient with only a history of tick bite and no other symptoms but to continue follow-up care.
Because humans are much larger, they experience localized infections, as evidenced by
erythema migrans, and sometimes disseminated, but randomly multifocal infection through bacteremia, which may result in pauciarticular arthritis, secondary
erythema migrans, carditis, peripheral neuropathy, meningitis, and other objective clinical signs.
* Health Canada states that incidence of
ERYTHEMA MIGRANS occurs in 70-80% of cases, with the bull's eye occurring in 50% of those cases; some recent studies suggest that the bull's eye appearance occurs less frequently (Stonehouse et al.
Of cases with this information available, 69% were diagnosed during the months of June-August, and 42% patients had an accompanying
erythema migrans, a characteristic rash.
Geographic tongue (Benign migratory glossitis
erythema migrans) is an asymptomatic inflam- matory disorder of tongue of unknown etiology.
The characteristic lesions of
erythema migrans are seen on the anterior two thirds of the dorsal tongue mucosa [3].
The prevalence of
erythema migrans (EM) is similar in the USA and Northern Europe, but lower in Southern Europe [3-5].
Patients often cannot recall being bitten by a tick or if
erythema migrans has occurred.
21 subjects (7 females and 14 males) were diagnosed with early stage (
Erythema migrans - EM).
