Background. During the course of a rain-soaked high school football game at a US military base in Europe, several players noted the sensation of cutaneous burning and discomfort beneath their uniforms. After the game, the coach of the visiting team noted that approximately 75% of his players had what appeared to be burns on their bodies, some with blistering. Players on the home team were also affected.
The physician at the local base clinic, where most of the players were seen, noted the presence of skin injuries consistent with burns. The distribution was predominantly on the torso, buttocks, and proximal lower extremities of the players. On follow-up, it was evident that most of the players had sustained second- and third-degree burns over 2% to 4% of their body surface area. The players who had played the most minutes generally had the most severe and extensive burns. A representative injury is pictured in Figure 1.
Baker JG, Tarantino, Jr DA, Miller ML. Lime Disease?. Arch Dermatol. 2000;136(10):1277-1278. doi: