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lyme - elbamaritza
#1
the pt was prescribed doxyciline, but she did not complete the treatment, now few weeks later she is in your office with neurologic symptoms.
what is the treatment now.
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#2
yell at her for not completing treatment is the initial step
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#3
IV ceftriaxone after you're done yelling.
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#4
don't you just give the doxy again and administer steroids?
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#5

neurologic st....the pt has to be afor IV treatment specially we know that she is complaint.
Suppose that for some reason she can not get ceftraxone,....an alternative is IV penicillin G ( 20 million units for 10 - 20 days)
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