Enfermedad de Lyme aguda en Costa Rica: Descripción del primer caso autóctono

this is the case of a 44-year-old patient, who lives in santa teresa, puntarenas; with acute onset of fever, chills, severe arthralgias and malaise, 15 days after a tick bite. the indirect fluorescent antibody test for lyme was positive and the patient improved with doxycicline for 14 days.other infectious and noninfectious diseases were ruled out; we consider this case as the first autochtonous case of lyme disease in costa rica.