lyme disease - sith

[ArchivalUser]

A 35-year-old man comes to the hospital after an episode of syncope. There were no preceding symptoms, and the patient recovered rapidly and completely with no residual effects. The patient did not have seizure activity during the episode. There is no history of heart disease and no previous episodes of syncope. The patient lives in rural Connecticut. His only previous medical problem was bilateral facial palsy several months ago. Currently, the physical examination is normal, except for a heart rate of 52/min. His blood pressure is normal. An EKG shows a sinus rhythm with Mobitz II second-degree heart block with a PR interval of 0.34 seconds. Echocardiogram is normal. He has a positive VDRL and a negative FTA. What is the most appropriate management of this patient?

(A) Doxycycline in addition to electrophysiological studies
(B) Ceftriaxone in addition to pacemaker
© Ceftriaxone in addition to prednisone
(D) Ceftriaxone
(E) Doxycycline in addition to permanent pacemaker

[ArchivalUser]

E)

[ArchivalUser]

answer is B

[ArchivalUser]

I THINK CEFTRIXONE IS GIVEN FOR SEVERE NEUROLOGIC DISEASE
I FEEL AMIT IS CORRECT

[ArchivalUser]

alll patients with cardiac or neurological disease should be treated with ceftriaxone. All patients with mobitz type 2 or higher block should have permanent pacemaker.