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Lyme disease acquired in Europe and presenting in CONUS.

Lyme disease is recognized in many parts of the world, including large areas of North America, Europe, Asia and Australia. Diagnosis and treatment of the disease is essential to avoid the debilitating and potentially life-threatening long-term effects of the infection; however, many physicians may not be aware of the international scope of the disease. This is particularly important for military physicians whose patients may visit or live in endemic areas and whose activities may bring them in contact with the organism. We report here the case of a soldier with near-fatal Lyme carditis acquired in Europe and presenting in Massachusetts.