Most children with borreliosis show cutaneous symptoms following a tick bite infected with Borrelia Burgdorferi. Erythema migrans is a classical skin lesion of early borreliosis characterized by a centrifugally expanding erythema at the site of the prior tick bite. After hematological spreading of the vector multiple erythemata migrantia occur with a very low incidence in Europe as described in the case of a 2 1/2 years old infant who was successfully treated with oral cephalosporine. One year follow-up revealed no further manifestations of borreliosis. This means an excellent prognosis for those children with borreliosis who are treated promptly. Discussion: For diagnosis of borreliosis the most frequently observed dermatological manifestations like erythema migrans, lymphocytosis cutis and acrodermatitis chronica atrophicans Herxheimer, as well as associated dermatosis like lichen sclerosis et atrophicus, granuloma anulare and morphea are reviewed. Clearing of the skin symptoms does not mean a healing of the infection, further laboratory tests are required.

Therapy Erythema migrans Borreliosis Borrelia burgdorferi Multiple erythemata migrantia

skin manifestation erythema borrelia burgdorferi case report tick bite cephalosporin derivative erythema chronicum migrans oral drug administration Borrelia infection Article follow up cefuroxime human Child Treatment Outcome