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This led to &gt;24 medical visits, multitudes of tests and examinations, and exploratory surgery over the next 3\u2005years. In 2011, a Lyme-literate medical doctor (LLMD) diagnosed me with chronic Lyme disease. I started taking doxycycline 100\u2005mg by mouth every 12\u2005hours, leading to atypical sequences of events deemed a Jarisch-Herxheimer reaction by a LLMD. This case highlights the unique clinical expression of chronic Lyme disease and the Jarisch-Herxheimer response to doxycycline.<\/jats:p>","DOI":"10.1136\/bcr-2013-009433","type":"journal-article","created":{"date-parts":[[2016,7,20]],"date-time":"2016-07-20T10:53:19Z","timestamp":1469011999000},"page":"bcr2013009433","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Unique expression of chronic Lyme disease and Jarisch-Herxheimer reaction to doxycycline therapy in a young adult"],"prefix":"10.1136","volume":"2016","author":[{"given":"Chad","family":"Haney","sequence":"first","affiliation":[{"name":"Ohio State University, Columbus, Ohio, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Milap C","family":"Nahata","sequence":"additional","affiliation":[{"name":"College of Pharmacy, Ohio State University, Columbus, Ohio, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2016,7,20]]},"reference":[{"key":"2025082707402713000_2016.jul20_1.bcr2013009433.1","unstructured":"Center for Disease Control and Prevention [Internet]. 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