Usual state of good health

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Reference no: EM133821055

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A 39-year-old male was in his usual state of good health until mid-July, when he developed myalgias and fever. These symptoms resolved. Two weeks prior to evaluation, he developed large, erythematous, annular rashes on his right forearm, right hip, and left knee. He subsequently developed a left facial palsy. His history was notable only for travel to Connecticut and Rhode Island prior to the onset of symptoms. On physical examination, the patient was afebrile and had normal vital signs. A skin examination demonstrated the three skin lesions noted above, which had, according to the patient, faded significantly. A neurologic examination demonstrated left facial nerve weakness. The remainder of the examination was normal. A lumbar puncture was performed. His CSF contained 78 nucleated cells/mm3 with 88% lymphocytes and 12% monocytes. His CSF glucose level was 60mg/dl, and the protein level was 55mg/dl. The clinical diagnosis was confirmed serologically. Which laboratory studies are useful in establishing the diagnosis of this infection?

Reference no: EM133821055

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