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A patient was in the woods yesterday and today presents with erythema migrans. What is the most likely diagnosis?

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Final answer:

The most probable diagnosis for a patient with erythema migrans is Lyme disease, transmitted through tick bites and characterized by the distinctive bull's-eye rash. Lyme disease has a spectrum of symptoms and early treatment is essential.

Step-by-step explanation:

If a patient presents with erythema migrans, the most likely diagnosis is Lyme disease. This condition is caused by the Borrelia burgdorferi spirochete, which is transmitted to humans through the bite of infected ticks. Erythema migrans is a classic sign of Lyme disease and typically presents as a bull's-eye rash at the site of a tick bite. The rash often appears within 3 to 30 days after the tick bite and may also feel warm to the touch. Lyme disease symptoms can range from flu-like symptoms such as fever, fatigue, and headache in the early localized stage, to more serious problems like facial palsy, heart issues, and severe joint pain if the disease progresses. Early diagnosis and treatment with antibiotics like doxycycline are crucial to prevent the disease from advancing to the late stage, which can cause severe complications.

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