Loading...
The Infectious Diseases Society of America, American Academy of Neurology, and American College of Rheumatology have issued new draft guidelines on Lyme disease. Among the many recommendations:
Prophylactic antibiotics (a single dose of oral doxycycline) should be administered to patients within 72 hours of removing a tick after a high-risk bite, but not after lower-risk bites. High-risk bites must meet all of the following criteria: from an Ixodes tick, in a highly endemic area, and from a tick engorged and attached for 36 hours or more.
For erythema migrans, preferred treatments include 10 days of doxycycline or 14 days of amoxicillin, cefuroxime axetil, or phenoxymethylpenicillin.
For patients presenting with meningitis, painful radiculoneu…