Question: My granddaughter age 10 two weeks ago started with a fever and no feeling well. Went to bed early. Next day she had a rash on both forearms, from wrist to elbow. She started complaining of not feeling well and being soooo tired. She had low grade fevers for about a week initially. No fevers now. However, the fatigue continues to plague her tremendously. Very little, if any, energy for anything else but laying in bed. She says her facial bones hurt and there is a slow growing red splotchy-ness to the left side of her face. Has increased slowly this week. Her most painful time was at the very beginning and her left ear was very painful with no reason seen on exam for pain. She had blood work done and her normal metabolic results were WNL. However, her Lyme Disease and her mono blood work both cam back positive. To topeverything off, she has been diagnosed with Bell's Palsy on her right side of face......which was evident within a couple of days of all this stuff showing up. I must inform you that she and I were in Costa Rica for a week swimming in hot pools and under waterfalls at resort. We also each got about 8-10 mosquito bites each. What are the chances of her having lyme disease, mono and Bell's Palsy all at once?? She is to begin Doxicycline tonight, taking two pills a day. HELP!!! Need advice. Our nearest large hospital is about 40 minutes away and is Hershey Medical Center. She is at the moment being seen locally in town by her pediatrician. Thank you.

We were in Costa Rica the end of March to first week in April 2016. Forgot to mention when it was we were traveling. We both did get some inoculations before going.