CONCLUSION AND RESULTS
Following the course of treatment, the patient’s dermatologic symptoms
successfully resolved two weeks after presentation and his Bell’s palsy
successfully resolved 4 months after presentation. The patient did not
display any additional sequelae of Lyme disease.
Because of its constellations of non-specific findings, Lyme disease
remains a diagnosis that can be difficult to make without supporting lab
results. For any patients in Lyme-endemic areas, as well as patients
with recent travel to these, the differential diagnosis for a rash
should include Lyme. Given the debilitating consequences of Lyme
carditis and neuroborreliosis, prompt recognition and treatment of this
disease process is paramount.