eISSN: 2299-0046
ISSN: 1642-395X
Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii
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SCImago Journal & Country Rank
2/2022
vol. 39
 
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Letter to the Editor

Skin ulceration and inguinal lymphadenopathy as a symptom of a rare tick-borne disease

Justyna Janocha-Litwin
1, 2, 3
,
Anna Szymanek-Pasternak
1, 2, 3
,
Katarzyna Zacharczuk
4
,
Natalia Wolaniuk
4
,
Magdalena Śliwińska
5
,
Krzysztof Simon
1, 2

  1. Department of Infectious Diseases and Hepatology, Wroclaw Medical University, Wroclaw, Poland
  2. 1st Department of Infectious Diseases, Regional Specialist Hospital, Wroclaw, Poland
  3. Novum Clinic, Kiełczów/Wroclaw, Poland
  4. Department of Bacteriology and Biocontamination Control, National Institute of Public Health – National Institute of Hygiene, Warsaw, Poland
  5. Department of Diagnostic Imaging and Radiology, Regional Specialist Hospital, Wroclaw, Poland
Adv Dermatol Allergol 2022; XXXIX (2): 407-409
Online publish date: 2022/05/09
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A 69-year-old man with suspected Lyme disease visited an infectious disease specialist in the outpatient clinic. 3 weeks earlier, he felt a painful bite in his left buttock, caused by a tick that was later removed. After several days, significant weakness, drowsiness, chills and muscle pains occurred, followed by a 2 cm red inflammatory infiltration appearing in the location of the bite with crust over the ulceration and enlarged left inguinal lymph nodes (Figure 1 A).
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