This is the case of a 44-year-old patient, who lives in Santa Teresa, Puntarenas; with acute onset of fever, chills, severe arthralgias and malaise, 15 days after a tick bite. The indirect fluorescent antibody test for Lyme was positive and the patient improved with doxycicline for 14 days.Other infectious and noninfectious diseases were ruled out; we consider this case as the first autochtonous case of Lyme disease in Costa Rica.
Lyme disease; Costa Rica