An unfortunate dermal exposure to an Ixodes tick infected with the spi
rochete Borrelia burgdorferi causes the multifaceted Lyme disease, Pat
ients with Lyme disease have dermatologic, arthritic, neurologic, and
cardiac abnormalities, Also, symptoms secondary to musculoskeletal inf
lammation may be present, A case of a 28-year-old man who presented wi
th flu-like symptoms and neck pain is presented. A Ga-67 scan revealed
marked symmetric increased posterior cervical muscular uptake in the
distribution of the splenius capitis and semispinalis muscles, which i
s most likely due to inflammation secondary to spirochete organisms wi
thin these tissues.