A 23-year-old woman was bitten by a tick during a camping trip in the Rocky Mountains. Upon return from the trip, she developed fever accompanied by migratory erythema

These symptoms subsided, but then she developed pains in both arms and legs, most prominently around the knee joints. The final diagnosis was made serologically. What is the most likely cause of this disease?
A. Borrelia burgdorferi
B. Brucella melitensis
C. Brucella suis
D. Brucella abortus
E. Mycobacterium marinum


A
This woman most likely has Lyme disease, a tick-borne spirochetal febrile disease that manifests with erythema migrans, arthritis, and neuromuscular disturbances. Brucella infections are usually acquired from farm animals, such as cows, pigs, sheep, and goats. Mycobacterium marinum infection is acquired from contaminated water in aquaria or swimming pools.

Health & Biomechanics

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