Excerpt:

PURPOSE OF REVIEW: Lyme borreliosis is the most common
vector-borne bacterial infection in temperate areas of the
northern hemisphere. It has been perceived as difficult to
diagnose and treat, but much is now known about its clinical
presentations, which largely fall into well defined categories in
both adults and children. This review features recent
publications on clinical diagnosis and management. 

RECENT FINDINGS: The reported incidence of Lyme borreliosis has
increased markedly in many countries. Many recent publications
have focused on clinical and laboratory aspects of paediatric and
adult neuroborreliosis, and there is now strong evidence for the
efficacy of oral doxycycline for most presentations of
neuroborreliosis. Serological tests have improved significantly.
Several studies have confirmed that patients treated for early
Lyme borreliosis have good overall long-term outcomes. Studies of
patients with persistent symptoms following treatment have not
shown evidence for active infection or for sustained benefit from
prolonged antibiotic treatment. 

A non-traumatic, blue-purple auricle: case report.

Sewnaik A, Kamarashev J, Peters NS, van Rijswijk JB.

Department of Otorhinolaryngology, Head and Neck Surgery, Erasmus
Medical Center Rotterdam, The Netherlands.