title: Lyme Disease: A Case Report with Typical and Atypical Lesions.
abstract: Lyme disease is a multisystem infectious disease caused by the spirochete "Borrelia burgdorferi," which is transmitted by "Ixodes" tick, with skin being the most common and earliest organ to be affected. Diagnosis of erythema chronicum migrans (ECM), which is the characteristic lesion of early disease, may help in early treatment and prevention of complications. Here, we are reporting a case of Lyme disease in a 10-year-old young boy from a non-endemic zone of Himachal Pradesh, who presented with typical as well as atypical ECM lesions. The clinical diagnosis was confirmed serologically, and the child was treated successfully with doxycycline.
authors.affiliation: Department of Dermatology, Regional Hospital, Bilaspur, Himachal Pradesh, India.
authors.forename: Anuj
authors.initials: A
authors.lastname: Sharma
authors.affiliation: Department of Paediatrics, Regional Hospital, Bilaspur, Himachal Pradesh, India.
authors.forename: Sandesh
authors.initials: S
authors.lastname: Guleria
authors.affiliation: Department of Dermatology, Regional Hospital, Bilaspur, Himachal Pradesh, India.
authors.forename: Reena
authors.initials: R
authors.lastname: Sharma
authors.affiliation: Department of Anaesthesiology, Indira Gandhi Medical College, Himachal Pradesh, India.
authors.forename: Anita
authors.initials: A
authors.lastname: Sharma
keywords: Atypical erythema chronicum migrans; Lyme disease; erythema chronicum migrans