So we just assume all women of childbearing age are pregnant? I knew amoxicillin is 2nd line treatment, but chose propranolol because I knew stage 2 lyme has cardiac manifestations, I just couldn't remember what they were (AV block, by the way -- improves with antibiotics).
I suppose it's just safer to treat with amoxicillin than doxycycline just in case she's pregnant. ยฏ\(ใ)/ยฏ
bluebulI didn't even get that far. Only way to prevent long term complications is with abx and we know metro isn't an option. Leaves only Amox. +4
machetebettyI know that both Sketchy and Divine agree with doxy-except-when-pregnant-or-pediatric, but fwiw, to the extent the CDC is a "source of truth" for the USMLEs, they seem to regard them as equivalent (for this scenario). https://www.cdc.gov/lyme/treatment/index.html
...This also helps me feel less perturbed about the possible [ridiculous] assume-she's-pregnant thing, to @derpymd's point!!+
Young patient with headache, arthritis, fever several weeks after a red rash who has IgM antibodies (indicator of recent infection) positive for Borrelia burgdorferi, most consistent with Lyme disease
Lyme disease often treated with doxycycline, but in pregnant women and children it is often treated with amoxicillin or cefuroxime (due to teratogenic effects of doxycycline)
submitted by โderpymd(20)
So we just assume all women of childbearing age are pregnant? I knew amoxicillin is 2nd line treatment, but chose propranolol because I knew stage 2 lyme has cardiac manifestations, I just couldn't remember what they were (AV block, by the way -- improves with antibiotics).
I suppose it's just safer to treat with amoxicillin than doxycycline just in case she's pregnant. ยฏ\(ใ)/ยฏ