Abstract

Lyme disease is a multisystem infectious disease caused by spirochetes of the Borrelia burgdorferi, which are transmitted by Ixodes species of ticks. Clinical findings vary according to stage during the course of the infection. Early diagnosis of Lyme disease depend on recognized skin findings that about 80% of all cases represent skin manifestations. Principal cutaneous mark is erythema migrans. Serologic tests may be used to support the clinical diagnosis. Early diagnosis is crucial because untreated infection can result in advanced disease involving the heart, nervous system, or joints. First choice in the treatment are doxycycline and amoxicillin.

A 25 year-old-women was admitted to our clinic with redness on the left leg. The patient’s lesion which present tick bite history fifteen days ago, was consistent with erythema migrans and considered early localized Lyme disease. Diagnosis was supported with serologic and pathologic examinations. She’s complaint improved completely after treatment with doxycycline. We presented the case to attract the attention to Lyme disease, which is most common form of tick-borne disease in people lived in rural area.

Key Words: Lyme Disease; Erythema Migrans; Tick-Borne Diseases; Borrelia Burgdorferi.