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Lyme disease - Treatment

Alternative Names

Borreliosis; Bannwarth syndrome

Treatment:

Anyone who has been bitten by a tick should be watched closely for at least 30 days.

A single dose of antibiotics may be offered to someone soon after being bitten by a tick, if all of the following are true:

  • The person has a tick that can carry Lyme disease attached to their body. This usually means that a nurse or physician has looked at and identified the tick.
  • The tick is thought to have been attached to the person for at least 36 hours.
  • The person can begin taking the antibiotics within 72 hours of removing the tick.
  • The person is over 8 years old and is not pregnant or breastfeeding.

A 2 - 4-week course of antibiotics is used to treat people who are diagnosed with Lyme disease. The specific antibiotic used depends on the stage of the disease and the symptoms.

Pain medications, such as ibuprofen, are sometimes prescribed to relieve joint stiffness.

Expectations (prognosis):

If diagnosed in the early stages, Lyme disease can be cured with antibiotics. Without treatment, complications involving the joints, heart, and nervous system can occur. However, these symptoms are still treatable.

Rarely, a person will continue having symptoms that can interfere with daily life even after they have been treated with antibiotics. Some people call this post-Lyme disease syndrome. The cause is unknown.

Complications:

Stage 3, or late disseminated, Lyme disease can cause long-term joint inflammation (Lyme arthritis) and heart rhythm problems. Brain and nervous system problems are also possible, and may include:

  • Decreased concentration
  • Memory disorders
  • Nerve damage
  • Numbness
  • Pain
  • Paralysis of the face muscles
  • Sleep disorders
  • Vision problems

Calling your health care provider:

Call your health care provider if you have:

  • A large, red, expanding rash that may look like a bull's eye
  • Had a tick bite and develop weakness, numbness, or tingling, or heart problems
  • Symptoms of Lyme disease, especially if you may have been exposed to ticks
  • Reviewed last on: 8/26/2011
  • A.D.A.M. Editorial: David Zieve, MD, MHA, and David R. Eltz. Previously reviewed by Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; and Jatin M. Vyas, MD, PhD, Instructor in Medicine, Harvard Medical School, Assistant in Medicine, Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital (3/11/2011).

References

Halperin JJ, Shapiro ED, Logigian 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.

Lyme disease. CDC. Page last updated April 12, 2011. Viewed August 24, 2011.

Steere AC. Borrelia burgdorferi (lyme disease, lyme borreliosis). In: Mandell GL, Bennett JE, Dolin R, eds. Principles and Practice of Infectious Diseases. 7th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2009:chap 242.

Wormser GP, Dattwyler RJ, Shapiro ED, 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(9):1089-1134.

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