By vgreene, 3 June, 2021 In pts w potential tick exposure in a Lyme dz endemic area who have 1 skin lesions suggestive of but atypical for EM consider Ab testing performed on acute phase serum sample followed by convalescent phase serum sample 2 3wk later if initial result is 2
By vgreene, 3 June, 2021 If EM like rash in area where Lyme and STARI are endemic and tick not ID d treat for Lyme w o testing2
By vgreene, 3 June, 2021 Assess for anaplasmosis and or babesiosis in pts w high fever or characteristic lab abnormalities in areas where these infxns are endemic5
By vgreene, 3 June, 2021 Consider testing in select circumstances treat for Lyme w o testing in pts w possible STARI in areas where Lyme is endemic
By vgreene, 3 June, 2021 If pt unable to take doxycycline or beta lactams use azithromycin as 2nd line choice 4 but monitor closely for response1
By vgreene, 3 June, 2021 Treat empirically w PO doxycycline or amoxicillin 1 3 cefuroxime axetil also a 1st line option1 2
