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a 31yr old homosexual presents with fever headache malaise..on examination he had concentric ring rash on his left calf...wats the investigation of choice?????
a.pcr
b.elisa
c.northern blot
d.southern blot
i dnt know the answr..so plz post the answer with expaination
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harsh!
must be ELISA to detect antibodiies to Borrelia
calf--tick bite--rash--erythema chronicum migrans
CNS sympt typical of borrelia
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bt wats abt homosexuality here....n there is no history of rash in the question
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homo ..concentric ring rash .presumed viral illness, I will go for PCR.
senility, there is nothing in patient history to take to tick bite and Lyme
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that might be to distract u!
u did mention about rash!
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agreed okt3!
but rash only on left calf?
typical of bite than a viral rash which might be more generalized
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it seems kaposi sarcoma...in probably AIDS patient...