PMID: 9531233Apr 8, 1998Paper

Erythema migrans-like rash illness at a camp in North Carolina: a new tick-borne disease?

Archives of Internal Medicine
K B KirklandD T Dennis

Abstract

Borrelia burgdorferi, the causative agent of Lyme disease, has never been isolated from a patient thought to have acquired Lyme disease in any southeastern state. To investigate 14 cases of an erythema migrans (EM)-like rash illness that occurred during 2 summers at an outdoor camp in central North Carolina in an effort to determine the etiologic, epidemiological, and clinical aspects of this illness. Using active surveillance, we identified cases of clinically diagnosed EM in residents and staff of the camp. We collected clinical and demographic information; history of exposure to ticks; acute and convalescent serum antibodies to B. burgdorferi, Rickettsia rickettsii, and Ehrlichia chaffeensis; and cultures for spirochetes from biopsy specimens of skin lesions. Serum samples from a group of residents and staff who did not develop rashes were tested for the same antibodies. We speciated ticks removed from people and collected from vegetation. We identified 14 cases of EM-like rash illness during the 2 summers. Of the 14 case-patients, 10 had associated mild systemic symptoms and 1 had documented fever. All 14 case-patients had removed attached ticks, and 8 remembered having removed a tick from the site where the rash developed ...Continue Reading

Citations

Jan 26, 2005·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Gary P WormserIra Schwartz
May 12, 2010·Vector Borne and Zoonotic Diseases·Michael P SmithCharles S Apperson
Oct 20, 1999·Journal of the Mississippi State Medical Association·T P Forks
Jun 22, 2002·The Pediatric Infectious Disease Journal·Edwin Masters, Charles Crist
Nov 6, 2004·Journal of Clinical Microbiology·Kerry Clark
Mar 9, 2004·Journal of Clinical Microbiology·Andrea S VarelaSusan E Little
Nov 5, 2002·Annual Review of Entomology·James E Childs, Christopher D Paddock
Jun 1, 2001·Emerging Infectious Diseases·T R BurkotN S Zeidner
Jun 20, 2013·International Journal of Medical Sciences·Kerry L ClarkShirley Hartman
Aug 26, 1998·Lancet·R B Nadelman, G P Wormser
May 29, 2014·Vector Borne and Zoonotic Diseases·Marcia E Herman-Giddens
Aug 11, 2010·The American Journal of the Medical Sciences·Rachel M ClintonSusan E Little
Dec 19, 2003·Journal of Medical Entomology·Rendi Murphree BaconBarbara J B Johnson
Feb 25, 2003·Journal of Medical Entomology·T Stegall-FaulkS M Wright
Dec 5, 2008·Veterinary Parasitology·Jerome Goddard, Andrea S Varela-Stokes
May 3, 2008·Infectious Disease Clinics of North America·Patricia Dandache, Robert B Nadelman
Jun 2, 2000·Seminars in Cutaneous Medicine and Surgery·J W Melski
Mar 19, 2013·Zoonoses and Public Health·E Y Stromdahl, G J Hickling
Jan 30, 2013·Zoonoses and Public Health·Marcia E Herman-Giddens
May 26, 1999·Annals of Emergency Medicine·J A Edlow
May 23, 2015·Infectious Disease Clinics of North America·Robert B Nadelman
Aug 18, 2004·Journal of Medical Entomology·A S VarelaS E Little

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