Southern Tick-Associated Rash Illness in Pediatric Patient, New York, USA, 2025.
Andrew S Handel, Sophia Ahmed, Ilia Rochlin et al.
✦ AI-curated · Sources linked
Case in brief
A pediatric patient in New York presented with a skin lesion resembling erythema migrans following a bite from an Amblyomma americanum tick. The diagnosis of Southern tick-associated rash illness (STARI) was made, and Borrelia lonestari was identified in the tick, suggesting a potential link to the illness. The case highlights the need for awareness of STARI in similar clinical presentations.
Diagnostic / clinical pearl
Clinicians should consider Southern tick-associated rash illness in pediatric patients presenting with erythema migrans-like lesions, especially following tick bites.
Why it matters
This case underscores the importance of recognizing STARI as a potential diagnosis in areas where Amblyomma americanum ticks are prevalent.