On June 1, a 32-Year-Old Hiker Was Bitten by a Tick

question 34

Essay

On June 1, a 32-year-old hiker was bitten by a tick. After one week, he noticed an erythrematous ring at the location of the bite. Four weeks later, a physician found a large, macular, centrifugally spreading ring. During the next month, it expanded to 35 cm and faded. Over the next 2.5 years, the man experienced recurrent inflammation of a knee. Identify the periods of incubation, prodromal, illness, and decline. What is the etiology? What caused the symptoms? What treatment should have been administered in July? What treatment should be administered two years later?

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Definitions:

Wheel-turning Mudra

A symbolic hand gesture in Eastern religions, representing the movement and teaching of the dharma or cosmic law.

First Sermon

Refers to the initial public discourse given by a religious figure or leader, often marking the beginning of their spiritual mission.

Stupas

Buddhist architectural structures in dome or mound shape, containing relics, and used as a place of meditation or worship.

Astronomical Observatory

A facility equipped with telescopes and other instruments for observing celestial events and bodies.