Patient History: A 58-year-old woman was seen for a progressively enlarging erythematous lesion that had arisen on her cheek 7 days earlier. There were no associated symptoms. She had received topical antifungal treatment with no improvement, and she did not recall any trauma or insect bite. Physical Examination : Physical examination revealed an annular erythematous plaque on the patient's right cheek, with an elevated border and partial central clearing, with no flaking, hemorrhage, or necrosis (Image attached). Diagnostic Tests: Complete blood count and biochemistry were reported as normal.
Serology for Borrelia IgM antibodies was reported positive. Moreover, serology performed 3 weeks later showed the development of Borrelia IgG antibodies. Culture for fungi and bacteria was negative. What is your diagnosis and treatment for this patient? *This patient case is from Docplexus…
