Brief Communication: Erythema Migrans in Lyme Disease

Abstract

JD is a 44 year old White male who was seen in urgent care because of painful swelling behind his left knee for 2 days. He described the area as red and itchy for which he applied aquaphor. He had no history of insect bites or trauma and had no associated symptoms like fatigue, fever, chills, headache, dizziness, rhinorrhea, sore throat, cough, shortness of breath, abdominal pain, nausea, vomiting, muscle aches or joint aches. He had an uncomplicated vasectomy 1 week prior and otherwise had no health issues. His family history was unremarkable. He was not on any medications, both prescribed and over the counter. He never smoked or used illicit drugs. He consumed a drink or two of beer a week. He is married with 2 children, lives in a western suburb ofMassachusetts. He works as a software engineer and is otherwise very active. He is a volunteer for his son’s boys scout troop and just came from outdoor camping inNew Hampshire....