Fever, Rash, and Dizziness in a 32-Year-Old

A patient in the upper Midwest had fever, rash, dizziness, multiple erythematous annular rashes on the back and lower extremities, and third-degree AV block. The patient reported frequently hiking outdoors but no recent travel, new medications, sick contacts, or ticks on the skin. What is the diagnosis and what would you do next?

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Publication Details

Journal
JAMA
Published
2026-01-14
DOI
https://doi.org/10.1001/jama.2025.24574
Primary Topic
Fungal Infections and Studies
Type
article
Field-Weighted Citation Impact
0.00
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article

Fever, Rash, and Dizziness in a 32-Year-Old

Baiju M Patel, Preeti N. Malani, Aurianna M. Lajaunie
JAMA
Fungal Infections and Studies
article

Fever, Rash, and Dizziness in a 32-Year-Old

Baiju M Patel, Preeti N. Malani, Aurianna M. Lajaunie
article en

Abstract

A patient in the upper Midwest had fever, rash, dizziness, multiple erythematous annular rashes on the back and lower extremities, and third-degree AV block. The patient reported frequently hiking outdoors but no recent travel, new medications, sick contacts, or ticks on the skin. What is the diagnosis and what would you do next?

JAMAVol. 335(7)
University of Michigan (US)
Openalex Percentile: Top 88%
Fungal Infections and Studies
DOISourceOpenAlex
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Fever, Rash, and Dizziness in a 32-Year-Old — Baiju M Patel, Preeti N. Malani, et al. · JAMA (2026) | TGRS Research Map | TGRS