Im
HIV - 01-02-08 12:42
A 29-year-old man comes to see you because of difficulty with drooling and a unilateral dry eye. On physical examination, he has unilateral facial palsy. He lives in Massachusetts and frequently goes trekking in the mountains. His serologic test is positive for an IgM antibody to Borrelia burgdorferi. What is the most appropriate management?
(A) Repeat the serology in four weeks
(B) Perform a lumbar puncture
(C) Oral doxycycline for three weeks
(D) Intravenous ceftriaxone
HIV - 01-02-08 12:42
A 29-year-old man comes to see you because of difficulty with drooling and a unilateral dry eye. On physical examination, he has unilateral facial palsy. He lives in Massachusetts and frequently goes trekking in the mountains. His serologic test is positive for an IgM antibody to Borrelia burgdorferi. What is the most appropriate management?
(A) Repeat the serology in four weeks
(B) Perform a lumbar puncture
(C) Oral doxycycline for three weeks
(D) Intravenous ceftriaxone
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#4
Re: Im babbu5508 - 07-07-10 00:48 The antibiotics of choice are doxycycline (in adults), amoxicillin (in children), erythromycin (for pregnant women) and ceftriaxone, with treatment lasting 14 to 28 days
#5
Re: Im bingousmle - 07-12-10 05:47 treatment of lymes disease
1. rash, joint involvement, bells palsy: oral doxy/ amox
2. CNS or cardiac involvement: ceftriaxone.
3. pregnant: amox... pen allergy- erythromycin
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