Mr. Martin's Lyme disease
 
Symptoms & History

Physical Findings

Stop & Think

Lab and X-Ray

Differential Diagnosis

The Disease

Treatment

Conclusions

Quiz & Evaluation

Treatment of active Lyme disease
 
    Stage    Drug     Adult Dose

Erythema migrans Doxycycline
or Amoxicillin
100 mg PO bid X 21 days
500 mg PO tid X 21 days
Neurological Disease
   Facial nerve palsy

   More serious CNS


Doxycycline
or Amoxicillin
Ceftriaxone

100 mg PO bid X 28 days
500 mg PO tid X 28 days
2 g/day IV for 14-28 days

Cardiac disease
   Mild (first degree
             AV block)
   More Serious
    

Doxycycline
or Amoxicillin
Ceftriaxone

    

100 mg PO bid X 28 days
500 mg PO tid X 28 days
2 g/day IV for 14-21 days


Arthritis
   oral

   Parenteral

  
  
Doxycycline
or Amoxicillin
Ceftriaxone
  
  
100 mg PO bid X 28 days
500 mg PO tid X 28 days
2 g/day IV for 14-28 days


Treatment conclusions                                                      Back
 

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