Fever, Rash, and Dizziness in a 32-Year-Old

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Authors: Aurianna M. Lajaunie, Baiju Patel, Preeti Malani
Cited by: 0
References: 9

Abstract

A patient in the upper Midwest had fever, rash, dizziness, multiple erythematous annular rashes on the back and lower extremities, and third-degree AV block. The patient reported frequently hiking outdoors but no recent travel, new medications, sick contacts, or ticks on the skin. What is the diagnosis and what would you do next?

Fields of Study & Subjects

Vector-borne infectious diseases Medical Case Reports and Studies Streptococcal Infections and Treatments

Publication details

Journal / source
JAMA
Volume
335
Issue
7
Pages
628–628
Publication date
14 January 2026
Language
EN