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Ticks Tick Borne Dis. 2019 Apr;10(3):694-696. doi: 10.1016/j.ttbdis.2019.02.015. Epub 2019 Feb 26.

A minority of children diagnosed with Lyme disease recall a preceding tick bite.

Author information

1
Division of Emergency Medicine, Boston Children's Hospital, Boston, MA, United States. Electronic address: Lise.nigrovic@childrens.harvard.edu.
2
Division of Emergency Medicine, Children's Hospital of Pittsburgh, Pittsburgh, PA, United States.
3
Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, United States.
4
Division of Emergency Medicine, A.I. Dupont Hospital for Children, Wilmington, DE, United States.
5
Pedaitric Emergency Medicine, Medical College of Wisconsin, Milwaukee, WI, United States.
6
Division of Emergency Medicine, Rhode Island Hospital, Providence, RI, United States.

Abstract

Of 1770 children undergoing emergency department evaluation for Lyme disease, 362 (20.5%) children had Lyme disease. Of those with an available tick bite history, only a minority of those with Lyme disease had a recognized tick bite (60/325; 18.5%, 95% confidence interval 14.6-23.0%). Lack of a tick bite history does not reliably exclude Lyme disease.

PMID:
30853264
DOI:
10.1016/j.ttbdis.2019.02.015
[Indexed for MEDLINE]

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