HomeAnswersGeneral Practitionerlyme diseaseI am a 23-year-old female who was bitten by bugs recently, and the bites appear similar to bull's eye rashes. Please help.

Do bull's eye rashes occur in Lyme disease?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Ivan Galic

Medically reviewed by

iCliniq medical review team

Published At August 16, 2023
Reviewed AtAugust 16, 2023

Patient's Query

Hello doctor,

I am a 23-year-old female. I woke up with two bug bites a few days back, and they appear like bull's eye rashes. Although, I do not have any symptoms besides the rash. Online search results indicate I have Lyme disease. When should I go to the doctor? Please help.

Thank you.

Answered by Dr. Ivan Galic

Hi,

Welcome to icliniq.com.

I have read your query, and I can understand your concern.

If it is a bull's eye rash, then it could be Lyme Disease. Lyme disease is caused by the bacteria Borrelia burgdorferi, and transmitted to humans by tick bite. The most common period when people get Lyme disease is the spring-to-fall period when the tick is most active. There are three stages of the disease, and your stage appears the mildest, earliest, and, if treated properly, resolves completely.

  1. Where are those rashes located on the body?

  2. How long have you had this rash?

  3. How large is it (centimeters)? What is the shape (oval, circle, irregular)?

  4. Which color is it?

  5. Has the rash changed size or shape over time?

  6. Do you have any other symptoms than rash?

  7. Are you experiencing headaches, fever, and flu-like symptoms?

  8. Have you been in the woods or outdoors the last few days, or do you live close to the woods?

It would be best if you could take a picture of the rash, so I can personally confirm. If it is Lyme disease, you should go to the emergency service to be examined by doctors. Lyme disease is treated with antibiotics. I would suggest the following treatment:

1. Tablet Doxycycline 100 mg twice a day for 14 to 21 days. The drug is not recommended for pregnant women or children under eight years old.

2. Tablet Amoxicillin 500 mg three times a day for 14 to 21 days.

3. Tablet Cefuroxime axetil 500 mg twice a day for 14 to 21 days.

Consult a specialist doctor and take medications with their consent.

I hope this information will help you.

Thank you.

The Probable causes

The probable cause for your condition is a tick bite or Lyme disease.

Investigations to be done

I would suggest inspection of rash, blood test, ELISA (enzyme-linked immunosorbent assay), and WB (western blot test) for Borrelia.

Differential diagnosis

The differential diagnosis for your condition can be any other bug bite.

Probable diagnosis

The probable diagnosis for your condition is Lyme disease.

Treatment plan

I suggest you the following treatment: 1. Tablet Doxycycline 100 mg twice a day for 14 to 21 days. The medication must not be given to pregnant women and children under eight years. 2. Tablet Amoxicillin 500 mg three times a day for 14 to 21 days. 3. Tablet Cefuroxime axetil 500 mg twice a day fo 14 to 21 days. Consult a doctor and take these medicines with their consent.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ivan Galic
Dr. Ivan Galic

General Practitioner

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