Print this page
 Email this page

 Connect with UMMC on:
 Twitter
 Facebook
 YouTube
iPhone

 Share this page:

Bookmark and Share

Home > Medical Reference > Encyclopedia (English)

Toggle: English / Spanish

 

Video details

[ Flash player icon ] Please install flash player to see this video.

Hospital Virtual Tour

Click to take a virtual tour

Related Content


 

Lyme disease - primary - Treatment

Alternative Names

Early localized Lyme infection; Lyme borreliosis; Stage 1 Lyme disease; Lyme disease - primary

Treatment:

Antibiotics are used to treat Lyme disease. The type of antibiotic used depends on the stage of the disease and your symptoms. The most common choices are doxycycline for older children and non-pregnant adults. Amoxicillin or cefuoxime (Ceftin) is typically prescribed for younger children.

Antibiotics are given for 10 - 21 days.

Expectations (prognosis):

If diagnosed in the early stages, Lyme disease can be cured with antibiotics. The disease will usually get better in 3 - 4 weeks.

Without treatment, complications involving the joints, heart, and nervous system can occur.

Complications:

If untreated, Lyme disease can progress to the advanced stages. Complications related to advanced Lyme disease include long-term joint inflammation (Lyme arthritis) and heart rhythm problems.

Nervous system (neurological) problems are also possible, and may include:

  • Decreased concentration
  • Memory disorders
  • Nerve damage
  • Numbness
  • Pain
  • Paralysis of the facial muscles
  • Sleep disorders
  • Vision disturbances

Another complication is infection with bacteria that cause other tick-borne infections, such as ehrlichiosis or babesiosis.

Calling your health care provider:

Call for an appointment with your health care provider if you have:

  • A rash that looks like a bulls-eye
  • Had a tick bite and develop weakness, numbness or tingling, or heart problems
    • Symptoms of Lyme disease, particularly if you could have been exposed to ticks
  • Reviewed last on: 5/20/2008
  • Jantin M. Vyas, PhD, MD, Instructor in Medicine, Harvard Medical School, Assistant in Medicine, Division of Infectious Disease, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Feder HM Jr., Johnson BJ, O'Connell S, Shapiro ED, Steere AC, Wormser GP. Ad Hoc International Lyme Disease Group. A critical appraisal of "chronic Lyme disease." N Engl J Med. 2007; 357:1422-1430.

Halperin JJ, Shapiro ED, Logigan E, Belman AL, Dotevall L, Wormser GP, et al. Practice parameter: treatment of nervous system Lyme disease (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology. 2007;69:91-102.

Wormser GP, Dattwyler RJ, Shapiro ED, Halperin JJ, Steere AC, Klempner MS, et al. The clinical assessment, treatment, and prevention of Lyme disease, human granulocytic anaplasmosis, and babesiosis: clinical practice guidelines by the Infectious Diseases Society of America. Clin Infect Dis. 2006;43:1089-1134.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
adam.com