Lyme disease is a vector-borne illness of North America and Europe transmitted by , over 30,000 cases are reported in the United States yearly. Patients typically present having early localized disease with fevers, headaches, myalgias, and a single erythema migrans. Usually, oral doxycycline is administered with a good disease prognosis but we report the case of a 58-year-old male who presented with Lyme disease diagnosed by immunoassay; he was treated with doxycycline but was refractory and saw an improvement in his symptoms with IV ceftriaxone.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8359626PMC
http://dx.doi.org/10.7759/cureus.16354DOI Listing

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