The patient was treated symptomatically with 975mg of acetaminophen, 15mg of ketorolac, and 4mg of ondansetron. At this point, the decision was made with the patient to empirically begin a course of 100mg of doxycycline twice daily for 10 days with the first dose given in the emergency department (standard treatment for uncomplicated Lyme disease), and the patient discharged with strict return precautions. This was based on a characteristic (albeit variant) rash, laboratory tests, and regional epidemiology that supports this diagnosis.