One summer evening, a 63-year-old white man came to the emergency department of
ID: 221934 • Letter: O
Question
One summer evening, a 63-year-old white man came to the emergency department of a nearby hospital presenting with a 6-day history of fever, moderate headache, generalized myalgia, arthralgias, and fatigue. He had noticed a rash under the armpit that day that had spread rapidly, prompting him to seek medical attention. He had lived in Connecticut and had recently moved to a cottage in a wooded area outside of a small town. He noted multiple tick bites after his daily walks in the woods. He had otherwise maintained good health. His vital temperature of 38.8 degree c pulse 102/min, resting 14/min and blood pressure 134/82 mmHg. His physical exam noted an expanding erythematous skin lesion under the axilla that had a central area of clearing Laboratory studies showed normal blood gases and a normal differential with a white blood cell count of 7, 400/mu L. His hematocrit was 43% and his serum chemistries reported AST 156 U/L and ALT 189 U/L. No imaging studies were done. With what organism was he infected? What disease did he have? What in his history is suggestive of this disease? How is this disease transmitted? How, in the absence of a characteristic rash, is the diagnosis of this disease established? He was appropriately treated with antibiotics and did well. What complications can occur in patientsExplanation / Answer
Answer=1]
The organism with which the person was infected is Tick
the organism is = Borrelia burgdorferi
Name of disease is = Lyme disease
2] The history that he has history of fever ,moderate headache & rash under the armpit also expanding erythromatous skin lesions is suggestive of this Lyme disease
Lyme disease is transmitted through= a bite of infected blacklegged ticks
3] diagnosis of lyme is by physical analysis & by medical tests
Laboratory blood tests =performed who do not have symptoms typical of lyme disease
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