Tick Borne Diseases Flashcards
What is the first line treatment of Lyme disease?
Doxycycline (10 days)
What are two second line treatment options for Lyme disease?
Amoxicillin (14 days)
Cefuroxime (14 days)
What is the first line treatment for Lyme Arthritis?
Doxycycline (28 days)
What is the first line treatment for Cardiac Lyme disease?
Doxycycline - outpatient
Ceftriaxone (IV) - inpatient
Should you re-treat patients with Post or Chronic Lyme Syndrome?
No
What are the four major criteria for Lyme Prophylaxis?
- Ixodes scapularis attached for 36+ hours
- More than 20% of ticks in the area have Lyme
- No contraindication to Doxycycline
- Prophylaxis can be started within 72 hours of removal
What is the treatment for Lyme disease Prophylaxis?
Doxycycline (200mg)
Single Dose
Post-exposure prophylaxis treatment of Relapsing Fever in endemic areas.
Doxycycline (200mg) on the first day
+
Doxycycline (100mg) x4 days
How do you treat Relapsing Fever without central nervous involvement?
Penicillin G (IV)
Ceftriaxone (IV)
- both followed by Tetracycline for 10 days
What reaction is seen in about 50% of patients after starting antibiotics for Relapsing Fever?
Jarisch-Herxheimer Reaction
What may need to be done before a diagnosis of RMSF is confirmed?
Empiric Broad Spectrum Antibiotics
What is the drug of choice for treating Rocky Mountain Spotted Fever?
Doxycycline (100mg)
2x a day for 5 - 7 days
What drug is used to treat Rocky Mountain Spotted Fever in pregnant patients?
Chloramphenicol
Are prophylactic antibiotics recommended for Rocky Mountain Spotted Fever?
No
What is the primary treatment of Ehrlichiosis?
Doxycycline (100mg)
2x a day for 10 - 14 days
What is the alternative treatment for Ehrlichiosis in pregnant women?
Rifampin
