By vgreene, 3 June, 2021 Diagnose treat based on clinical finding of typical erythema migrans EM lesion testing necessary only if skin findings suggestive of EM but not typical
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 response per CDC1
By vgreene, 3 June, 2021 Tx empirically w PO doxycycline or amoxicillin 1 3 cefuroxime also a 1st line option per CDC IDSA1 2
By vgreene, 3 June, 2021 Diagnose treat based on clinical finding of typical erythema migrans EM lesion testing necessary only if skin findings suggestive of EM but not typical
By vgreene, 3 June, 2021 Pt w late disseminated Lyme sx chronic arthritis acrodermatitis chronica atrophicans encephalopathy polyneuropathy
