id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
work_bg6tl67zsbhk5k7ks2moqxsule	B. E. Salzman	Late Diagnosis of Early Disseminated Lyme Disease: Perplexing Symptoms in a Gardener	2008	3	.pdf	application/pdf	1986	394	72	The timely diagnosis of early disseminated Lyme disease presenting as multiple secondary erythema rash and flu-like symptoms led to several laboratory tests with no specific diagnosis. Lyme disease in the list of diagnoses pertaining to diffuse skin rashes in the febrile patient. This case describes a patient with secondary erythema migrans (EM) associated with early disseminated LD. occurs at the site of a tick bite.1 Primary EM lesions Salzman, MD, Department of Family and Community Medicine, Division of Geriatrics, Thomas Jefferson University, Philadelphia, PA Secondary EM lesions of early disseminated LD Patients with secondary EM may have more constitutional symptoms than those with primary EM lesions alone.5 Upper respiratory tract and gastrointestinal symptoms are typically absent.1 The differential diagnosis for a diffuse, patchy, erythematous rash associated with flu-like symptoms can patient's rash spared the palms and soles, unlike of patients with early disseminated LD. Early Lyme disease. function in early Lyme disease.	./cache/work_bg6tl67zsbhk5k7ks2moqxsule.pdf	./txt/work_bg6tl67zsbhk5k7ks2moqxsule.txt