A 17-year-old white male comes to your office worried about Lyme disease. He recently returned from a camp in the Upper Peninsula of Michigan where he went hiking in the woods. He recalls no tick bite, but about 1 week after returning home he developed a low-grade fever, myalgias, and fatigue. He has had these symptoms for 1 week when he comes in to see you. A physical examination is completely normal.
The single most important diagnostic clue in establishing the diagnosis of Lyme disease is:
A) new-onset bundle-branch block.
B) nuchal rigidity compatible with meningitis.
C) high, spiking fevers.
D) erythema migrans.
E) acute arthritis of a large joint.
Answer
Category:
Infectious Diseases MCQs
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