![]() ![]() Lyme disease is caused by pathogenic genospecies of B. ![]() The patient also had petechiae over the scapular regions and a few maculopapular lesions over the dorsum of the hands and ankle region. In addition, there was a lymphangitic streak on the inner aspect of the thigh. Induration and tenderness were present over the lesion, and local popliteal lymphadenopathy was seen. On examination, there was an erythematous annular plaque on the back of the left lower leg approximately 6 × 5 cm in size, with a central brownish fluid filled blister. He gave a history of visit to the nearby forest a few days before the appearance of the lesion. The child did not have fever or any other systemic complaints. ![]() A 10-year-old boy from a hilly village presented in April 2016 with a 3-day history of sudden appearance of a painful brownish raised lesion over the back of his left leg, associated with surrounding redness which was increasing progressively. ![]()
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