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Enfermedad de Lyme de diseminación temprana - Treatment

Nombres alternativos

Enfermedad de Lyme secundaria o en etapa 2; Enfermedad de Lyme en etapa 2; Síndrome de Bannwarth

Tratamiento:

El objetivo del tratamiento es eliminar la infección con antibióticos. Los medicamentos se administran hasta por 28 días y se puede necesitar una segunda ronda de antibióticos. Los antibióticos que se usan con mayor frecuencia son doxiciclina, amoxicilina, cefuroxima y ceftriaxona.

Los antibióticos administrados por vía intravenosa se necesitan para pacientes que desarrollan complicaciones graves relacionadas con el sistema nervioso o artritis que no mejora con los medicamentos orales.

Pronóstico:

Es posible que los síntomas de la artritis no respondan al tratamiento, pero otros síntomas deben mejorar con éste.

En muy pocas ocasiones, una persona continuará teniendo síntomas que algunas veces pueden interferir con las actividades diarias. Algunas personas llaman a esto síndrome posterior a la enfermedad de Lyme, para el cual no hay ningún tratamiento eficaz.

Posibles complicaciones:

Las complicaciones abarcan enfermedad de Lyme crónica y persistente.

Cuándo contactar a un profesional médico:

Consulte con el médico si presenta síntomas de este trastorno.

  • Reviewed last on: 3/17/2009
  • Jatin 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.

Referencias

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.

Bratton RL, Whiteside JW, Hovan MJ, Engle RL, Edwards FD. Diagnosis and treatment of Lyme disease. Mayo Clinic Proc. 2008;83:566-571.

Clark RP, Hu LT. Prevention of Lyme disease and other tick-borne infections. Infect Dis Clin North Am. 2008;22:381-396.

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