| | | | | |

CMAJ: Lyme disease in a neonate complicated by the Jarisch–Herxheimer reaction

“A 21-day-old girl presented to the emergency department of an Ontario children’s hospital in early summer with a 1-day history of rash on the left arm and 3 days of decreased activity, poor feeding (not waking to feed, decreased volumes) and abdominal distension. She had no fever, weight loss, irritability, recent travel or known infectious…