Monday, July 2, 2007

VizD Challenge Week of 7/2/2007

A 42-year-old man presents to your ED with the 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?


Winner receives $5
To submit your answer please click on comments below.
For more information about the contest, click here.


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.

17 comments:

Graham said...

Erythema migrans; Borrelia burgdorferi; Often a tetracycline or cephalosporin!

Steven Imboden said...

1) erythema migrans
2) Borrelia burgdorferi transmitted by tick bites
3) antibiotics for for 10-21 days
Steven Imboden
simbod2@uiuc.edu

RugbyGirlMD said...

1. Erythema chronicum migrans
2. Borrelia burgdorferi
3. Doxycycline 100mg PO q12hr x14-21d

RugbyGirlMD said...

1. Erythema chronicum migrans
2. Borrelia burgdorferi
3. Doxycyline 100mg PO q12h x14-21d

Justin said...

1) Lyme Disease.
2) bacterium Borrelia burgdorferi, which is carried primarily by deer ticks.
3) A 14- to 21-day course of antibiotics is recommended — usually doxycycline for adults and children older than 8, or amoxicillin or cefuroxime axetil for adults, younger children and pregnant or breast-feeding women. If the disease has progressed, a treatment with an intravenous antibiotic for 14 to 28 days may be recommended.

Xavier Emmanuelle said...

1. What is the name of this rash?
The rash is called erythema migrans. It is the rash characteristic of lyme disease.

2. Name the organism responsible for this condition?
Lyme disease is caused by Borrelia burgdorefi bacteria, which is transmitted to people via infected ticks.

3. What is the treatment for this condition?
The treatment is antibiotics taken orally (ceftin, amoxicillin, doxycycline, penicillin, or erythromycin).

GuitarGirlRN said...

1. Erythema Migrans

2. Borrelia burgdorferi (deer tick)

3. Oral antibiotics, such as penicillin, Ceftin, doxycycline, erythromycin.

idlehouse said...

1. multiforme migrans
2. borrelia burgdorferi (lyme disease)
3. doxycycline or amoxicillin

Jus said...

1) Lyme Disease.
2) Caused by the bacterium Borrelia burgdorferi, which is carried primarily by deer ticks.
3)A 14- to 21-day course of antibiotics, usually doxycycline for adults and children older than 8, or amoxicillin or cefuroxime axetil for adults, younger children and pregnant or breast-feeding women. If the disease has progressed, a treatment with an intravenous antibiotic for 14 to 28 days may be recommended.

Nurse K, Generic ER Nurse said...

1) Early Lyme's Disease rash 'Erythema migrans'
2) Borrelia borgdoferi with a black-legged tick as the vector
3) Doxycycline or amoxicillin (our docs usually use Doxy)

Anonymous said...

Erythema Migrans,
Borrelia Burgdorferi,
Doxycicline 100 mg bid

morningstar1089 said...

1. What is the name of this rash?
erythema migrans

2. Name the organism responsible The bacterium Borrelia burgdorferi, transmitted by an infected tick

3. What is the treatment for this condition?
Antibiotics such as doxycycline or amoxicillin for 2-3 weeks

Judy said...

1. Lyme disease

2. Borrelia burgdorferi

3. The doc gave my husband doxicycline to take for 3 weeks, although other antibiotics can also be effective.

Vitum Medicinus said...

A feeble first-year med student will venture a guess. Shame on you, by the way, for encouraging me to dig up my med micro text during my summer break!

a) Erythema migrans, or Bullseye rash, typical of a tick bite?
b) Borrelia burgdorferi, via the Ixoides tick?
c) Doxy to prevent onset of lyme disease?

Liana said...

1. What is the name of this rash?
2. Name the organism responsible for this condition?
3. What is the treatment for this condition?

1. Target lesion (erythema migrans), also known as bullseye lesion
2. Borrelia burgdorferi, transmitted by deer ticks.
3. Doxycycline, amoxicillin and ceftriaxone.

kielo said...

mosquito bite

kielo said...

mosquito bite