XXXX in Haryana, India.

@entity1 @entity2194 @entity3001 @entity115 @entity4409 @entity2069 @entity3403 @entity8831 @entity5864
@entity3001 is a multiorgan @entity4409 caused by the spirochete @entity2069 . This case series highlights its presence in Haryana, a nonendemic zone. The first case was a 27-year-old housewife who presented with an annular erythematous patch with a central papule following an insect bite on the left upper arm. The second case was a 32-year-old farmer who gave a history of insect bite on the right arm followed by the development of an erythematous patch with a central blister. The third case, a 17-year-old @entity1 presented with a history of @entity5864 over right thigh and a typical bull's @entity2194 with central ulceration. These cases were managed with oral @entity3403 100 mg twice daily for 14 days. The fourth case was a 7-year-old @entity1 with typical @entity8831 on the right check and neck while the fifth case, a 30-year-old housewife, presented with an erythematous patch with a central papule on the right buttock. These @entity1 were treated with oral @entity115 25 mg/kg, thrice daily for 14 days. All @entity1 showed IgM antibodies to @entity2069 . Treatment led to clearance of lesions in all the @entity1 . @entity3001 was diagnosed in these @entity1 based on the history of established exposure to tick bites, presence of classic signs and symptoms, serology and the response to treatment.
