Lyme disease mimics postoperative cellulitis

40-year-old patient presented to the emergency department with redness, swelling, and pain surrounding her umbilical incision 6 weeks after a laparoscopic left salpingo-oophorectomy and treated with cephalexin. Two days later, she was switched to trimethoprim/sulfamethoxazole (TMP/SMX) due to worsening redness. Initially, the area improved, but day 9 of TMP/SMX, she noticed expanding abdominal erythema and patches of erythema on left inguinal fold and right forearm. Over the next 24 hours, there was rapid expansion of abdominal redness and patchy areas of redness on left groin and right forearm.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: IMAGES IN Gynecological Surgery Source Type: research