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 .
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
21 subjects (7 females and 14 males) were diagnosed with early stage (Erythema migrans