Ecythma from infected tick bites on posterior thighs | Figure 1

Ecythma from infected tick bites on posterior thighs

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HOMECARE Case, 33 yo male, only significant pmh includes PTSD w associated anxiety and HSV 1. Area on midline back appeared 3 days ago, no hx of known bite and no puncture marks, no trauma/shearing, NKDA and no new products used. Area slightly tender first day, w some general malaise. No pruitis, drainage or growth of area over past 3 days. Almost perfectly circular, slight lighter area forming in center, area blanchable. Triamcinolone cream applied with no effects.

Tick bite/Lyme? Seems like an odd place for a contact dermatitis. Ideas please.](https://app.figure1.com/case-detail/06ca4860-55a9-4ae2-9db4-c646dfca68ac)



Classic Erythema Migrans. Tick bite 3 weeks prior.](https://app.figure1.com/case-detail/526add3e-bd12-4143-8d31-5b34023732c7)



finale, 21 years old, 7 days had a bite of tick And used neomicin. Contact dermatite of neomicin. She os better with betametasone cream.](https://app.figure1.com/case-detail/5879a3b4-cbf8-4fd1-91a8-c2cf02f1c14e)



This is a 30 yo female that noted a red macular area to the left inner elbow 3 days ago before it progressed to what you see above. She later developed a generalized pruritic rash over her body. The elbow itself is not significantly painful. Any ideas? Tentatively treating as a tick-borne illness...](https://app.figure1.com/case-detail/67e09919-8f95-4764-b412-e5e2a79c7bb9)

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A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis.
He had a history of hypertension, long-term smoking, and a sedentary lifestyle.
On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.](https://app.figure1.com/case-detail/ae0fe999-6875-4474-94f0-ad823dbb9b3a)



A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets.
Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.](https://app.figure1.com/case-detail/c271070f-2bc7-4052-9895-635277e1a7d5)



A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.](https://app.figure1.com/case-detail/48f41642-b9db-4089-b120-a94ee52328de)



patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?](https://app.figure1.com/case-detail/2af390e1-ace8-40ed-ba1c-98fb2d72f4c5)