usmlebuzz
Forum Elite
Topics: 93
Posts: 263
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26-year-old white female presents to the outpatient clinic complaining of an expanding rash. Her social history is significant for recent backpacking along the Appalachian Trail in New England. The rash is localized to her upper back, and it appears erythematous and circular with central clearing. The patient recalls no tick bite. Doxycycline is initiated. What is the make-up of the vaccine recommended in endemic areas?
A. Bacillus Calmette-Guerin (BCG)
B. Live, attenuated bacterium (acid-fast negative)
C. Outer-surface protein
D. Polysaccharide conjugated to toxoid
E. Toxoid
F. Vi capsular polysaccharide.
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| Yulia
Forum Elite
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c. outer surface protein
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| usmlebuzz
Forum Elite
Topics: 93
Posts: 263
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right but can u tell me what bug are we talking about???????? :roll:
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| Yulia
Forum Elite
Topics: 19
Posts: 240
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Yes, it's Lyme's disease caused by Borrelia Burgdorferi - there is a very characteristic rash. Patient probably just didn't notice the tick bite.
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| usmlebuzz
Forum Elite
Topics: 93
Posts: 263
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and I was so convinced that there is no tick bite ](*,)
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lyme disease
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erythema chronica migrans
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