Undetected Lyme Disease (LD) and Southern Tick-Associated Rash Illness (STARI) in Populations of Southwest Virginia, Leading to Delayed Treatment and an Increased Incidence of Chronic Infection

Back of 50 year old female patient from Southwest Virginia showing erythema migrans bulls-eye, the characteristic rash of Lyme disease; Note: the rash had decreased from the black outlined area to the reddened area measuring 11cm x 14cmatday 9 post infection following four full days of antibiotic treatment