Lyme Disease in Canada

We describe a phenomenon of disseminated Lyme with multiple rash complexes that is unrecognized by clinicians. A 65-year-old woman with no prior medical history presented with flu-like symptoms including headache, nausea, and arthralgias, as well as a nonpruritic rash on her lower limbs. On physical examination, multiple red, blanching patches with a diameter of up to 20 cm were seen.