Answer: VizD Image Challenge Week of 7/2/2007

Congratulations to RugbyGirlMD - she is the first person to submit the correct answer to this week's VizD. Thank you to everybody who participated, there were many correct submissions but I can only pay one person a week!

To view RugbyGirlMD's answer, click here

RugbyGirlMD is the winner of $5.

Recap:
A 42-year-old man presents to your ED with lesion seen in the photograph below. He states that he was hiking in the woods of New Jersey last week. He noticed the lesion on his leg yesterday.

(click on image to enlarge)
Questions:
1. What is the name of this rash?
2. Name the organism responsible for this condition?
3. What is the treatment for this condition?

Answers:
1. Erythema migrans (the most common clinical manifestation of Lyme disease)
2. Borrelia burgdorferi (a spirochete - acquired from the bite of the Ixodes scapularis tick)
3. Antibiotics (doxycycline or amoxicillin)

Here is a link to an article from the New England Journal of Medicine on Lyme disease. (subscription to NEJM required)

The next VizD will be posted on Monday July 9.

VizD is a weekly contest of an interesting or pathognomonic image from emergency medicine. Its goal is to integrate learning into a fun and relaxed environment. All images are original and are posted with the consent of the patient. For more information please refer to the following link.