Atypical presentation of Lyme disease in a returning traveler: a case report
Lyme disease, caused by Borrelia burgdorferi and transmitted by Ixodes ticks, is rare in South America and is often misdiagnosed in returning travelers. We report the case of a 19-year-old Peruvian male who presented with pruritic erythematous maculopapular lesions and abdominal pain after travel to...
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| Lenguaje: | inglés |
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2025
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| author | Salcedo, Andrea S. Carreras, Xosse Saavedra, Joe Saldaña, Sandy Diaz Reyes, Nelson Fidel Gonzales-Zamora, Jose A. Alave Rosas, Jorge Luis |
| author_browse | Alave Rosas, Jorge Luis Carreras, Xosse Diaz Reyes, Nelson Fidel Gonzales-Zamora, Jose A. Saavedra, Joe Salcedo, Andrea S. Saldaña, Sandy |
| author_facet | Salcedo, Andrea S. Carreras, Xosse Saavedra, Joe Saldaña, Sandy Diaz Reyes, Nelson Fidel Gonzales-Zamora, Jose A. Alave Rosas, Jorge Luis |
| author_sort | Salcedo, Andrea S. |
| collection | Producción científica |
| description | Lyme disease, caused by Borrelia burgdorferi and transmitted by Ixodes ticks, is rare in South America and is often misdiagnosed in returning travelers. We report the case of a 19-year-old Peruvian male who presented with pruritic erythematous maculopapular lesions and abdominal pain after travel to Maryland, United State of America. His atypical cutaneous findings, including a crusted lesion with ill-defined borders and a maculopapular rash, were initially misinterpreted as bacterial cellulitis, resulting in multiple unsuccessful courses of antibiotics. Further evaluation, guided by his travel history, led to the diagnosis of Lyme disease through serological testing and histopathology. Treatment with doxycycline achieved complete resolution. This case illustrates the diagnostic challenges posed by atypical presentations of Lyme disease in nonendemic regions. Greater awareness among clinicians in South America is essential to recognize imported cases, facilitate early diagnosis, and prevent complications associated with delayed treatment. |
| format | Article |
| id | oai:cris.upeu.edu.pe:20.500.15037/145 |
| institution | UPeU |
| language | English |
| publishDate | 2025 |
| publishDateRange | 2025 |
| publishDateSort | 2025 |
| record_format | dspace |
| spelling | oai:cris.upeu.edu.pe:20.500.15037/1452026-11-02T12:57:04ZAtypical presentation of Lyme disease in a returning traveler: a case reportSalcedo, Andrea S.Carreras, XosseSaavedra, JoeSaldaña, SandyDiaz Reyes, Nelson FidelGonzales-Zamora, Jose A.Alave Rosas, Jorge LuisLyme diseaseBorrelia burgdorferiGlobal HealthTravel MedicineAtypical Skin LesionsLyme disease, caused by Borrelia burgdorferi and transmitted by Ixodes ticks, is rare in South America and is often misdiagnosed in returning travelers. We report the case of a 19-year-old Peruvian male who presented with pruritic erythematous maculopapular lesions and abdominal pain after travel to Maryland, United State of America. His atypical cutaneous findings, including a crusted lesion with ill-defined borders and a maculopapular rash, were initially misinterpreted as bacterial cellulitis, resulting in multiple unsuccessful courses of antibiotics. Further evaluation, guided by his travel history, led to the diagnosis of Lyme disease through serological testing and histopathology. Treatment with doxycycline achieved complete resolution. This case illustrates the diagnostic challenges posed by atypical presentations of Lyme disease in nonendemic regions. Greater awareness among clinicians in South America is essential to recognize imported cases, facilitate early diagnosis, and prevent complications associated with delayed treatment.Articlehttps://pubmed.ncbi.nlm.nih.gov/41219824https://tdtmvjournal.biomedcentral.com/counter/pdf/10.1186/s40794-025-00279-8https://doi.org/10.1186/s40794-025-00279-8PMC1260421710.1186/s40794-025-00279-8https://hdl.handle.net/20.500.15037/14541219824W4416102098enTropical Diseases Travel Medicine and Vaccines2055-09362025-11-112026-06-13T07:48:14Z2026-06-13T07:48:14Z |
| spellingShingle | Lyme disease Borrelia burgdorferi Global Health Travel Medicine Atypical Skin Lesions Salcedo, Andrea S. Carreras, Xosse Saavedra, Joe Saldaña, Sandy Diaz Reyes, Nelson Fidel Gonzales-Zamora, Jose A. Alave Rosas, Jorge Luis Atypical presentation of Lyme disease in a returning traveler: a case report |
| title | Atypical presentation of Lyme disease in a returning traveler: a case report |
| title_full | Atypical presentation of Lyme disease in a returning traveler: a case report |
| title_fullStr | Atypical presentation of Lyme disease in a returning traveler: a case report |
| title_full_unstemmed | Atypical presentation of Lyme disease in a returning traveler: a case report |
| title_short | Atypical presentation of Lyme disease in a returning traveler: a case report |
| title_sort | atypical presentation of lyme disease in a returning traveler a case report |
| topic | Lyme disease Borrelia burgdorferi Global Health Travel Medicine Atypical Skin Lesions |
| topic_facet | Lyme disease Borrelia burgdorferi Global Health Travel Medicine Atypical Skin Lesions |
| url | https://pubmed.ncbi.nlm.nih.gov/41219824 https://tdtmvjournal.biomedcentral.com/counter/pdf/10.1186/s40794-025-00279-8 https://doi.org/10.1186/s40794-025-00279-8 https://hdl.handle.net/20.500.15037/145 |
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