By vgreene, 21 June, 2021 If persistent fever 1 day on abx assess for co infxn w A phagocytophilum or B microti in pts who live where these organisms are endemic1
By vgreene, 21 June, 2021 Lyme sx may persist for months after tx but observe for objective signs of reinfxn or tx failure consider concurrent anaplasmosis and or babesiosis in pts w persistent fever don t use long term abx for Post tx Lyme Dz Syndrome PTLDS
By vgreene, 21 June, 2021 NICE-recommended abx dosing/duration for Lyme involving peripheral nervous system:<sup>3</sup>
By vgreene, 21 June, 2021 NICE recommended abx dosing duration for Lyme involving peripheral nervous system 3
By vgreene, 21 June, 2021 If encephalitis or parenchymal infxn of spinal cord use IV abx per IDSA 2 NICE favors parenteral abx as well but considers PO doxycycline as 1st alternative 3 use PO abx for peripheral nervous system sx3
By vgreene, 21 June, 2021 Treat for neurologic Lyme in late disseminated dz although most pts respond well to abx and fully recover permanent nervous system damage may develop in those not treated in early dz stages and who develop late stage dz1
By vgreene, 21 June, 2021 NICE-recommended abx dosing/duration for acrodermatitis chronica atrophicans:<sup>2</sup>
By vgreene, 21 June, 2021 NICE recommended abx dosing duration for acrodermatitis chronica atrophicans 2
