An 18-year-old woman presents with 2 days of inability to close her right eye. She has a low-grade fever and rash. One month ago she went camping but has no memory of a tick bite. On examination, she has multiple erythematous skin lesions with central clearing and right-sided facial nerve palsy. What is the most likely diagnosis? Most appropriate treatment?

An 18-year-old woman presents with 2 days of inability to close her right eye. She has a low-grade fever and rash. One month ago she went camping but has no memory of a tick bite. On examination, she has multiple erythematous skin lesions with central clearing and right-sided facial nerve palsy. What is the most likely diagnosis? Most appropriate treatment?

An 18-year-old woman presents with 2 days of inability to close her right eye. She has a low-grade fever and rash. One month ago she went camping but has no memory of a tick bite. On examination, she has multiple erythematous skin lesions with central clearing and right-sided facial nerve palsy. What is the most likely diagnosis? Most appropriate treatment?



Answer: Lyme disease caused by B. burgdorferi. Treat with doxycycline.


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