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is this tick bite infected

is this tick bite infected

6185886?1285587838
hi
my husband had a sheep tick bite last week on the back of his thigh, just below his buttocks and i managed to get the tick out completly with its head intact.  It then started to get the telltale bullseye rash so he went to the doctors (we are in uk) and the doctor he saw admitted she had never dealt with a tick bite and phoned our hospital...he was asked to go to the hospital to the infectious diseases clinic and went along, taking tick with him...He was examined and tick was examined and its a ixodes rinicus?? spelling.....well he was given DOXYCYCLINE 200mg 4 x a day and he has been taking them as described but he is complaining of pain the muscles in the front of his thigh and after looking at the pictures i took of the bite over the last 3 days, im not sure if it looks as it should or wether he needs to go back to the infectious clinic and get them to have another look???

Any advice would be greatly appreciated

ty
debi
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1453990_tn?1329235026
I'm not a Dr. so your milage may vary.

Ixodes rinicus, the wood tick or black-legged deer tick in know to be a primary carrier of Lyme's Disease.  Doxycycline is a pretty broad spectrum antibiotic that should cover Borrelia infection.  Other tick-borne infections may be transmitted simultaneously with Lyme, including Bartonella, Babesiosis, Ehrlichiosis, and Rickettsia.
Acute (early) symptoms: "bull's-eye" rash (erythema migrans) - a circle or ring of inflamed skin surrounding the initial tick bite) or papular (raised) rash, fever, malaise, fatigue, headache, muscle and joint aches in large joints, sore throat, sinus infection, paralysis - usually associated with Lyme meningitis or Rocky Mountain spotted fever.

Traditional treatment of acute Lyme disease usually consists of a minimum two-week to one-month course of antibiotics, preferably doxycycline.
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1268057_tn?1336996641
Please reconsult Infectious Disease for reassessment.
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1386405_tn?1291591400
I would go back and have them take another look
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1453990_tn?1329235026
It looks like a typical ECM lesion.  The Drs. already think it is infected, hence the doxycycline.  Even if it was a cellulitis, doxycycline would cove the common pathogens.

Bob
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