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Re: OB: Lyme disease/tick bite From: Meenan, Anna (annam@uic.edu) Wed May 31 23:15:25 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Previous message: Garry E. Siegel, M.D.: "OB: Lyme disease/tick bite" In reply to: Garry E. Siegel, M.D.: "OB: Lyme disease/tick bite" Did she get a look at the tick? If she clearly identifies a deer tick (very small, reddish-brown) or if she can't identify, you're probably better off treating, just medico-legally and/or socially, if nothing else, because she will pester you or go somewhere else and get treated anyway. If it was clearly a dog tick, no need to treat. Most folks in Illinois are pretty good at telling the difference. Anna Meenan, MD >37 YO P2002 at 20-ish weeks called with a tick bite, removed after >around 4 hours, and a concern regarding Lyme disease. She has been >without symptoms, and this occurred around 3 weeks ago. > >After reviewing a summary article from the CDC, routine prophylaxis was >not recommended pretty much across the board. If the patient developed >any symptomatology, the treatment was indicated. > >Today, she called with a few small marks near the site and a sore >throat. > >Treatment of early disease is pregnant is with Amoxicillin for 14 to 28 >days (can't remember the exact regimen). > >At this point, it seems unlikely that anything on physical exam will >give a clear answer as to how to proceed, and serology is apparently not >that accurate. > >I've offered for her to see an Infectious Disease specialist, but my >instinct is to treat, since she now has some symptoms that MAY be >attributed to exposure. > >Any thoughts? > >Garry > >-- >Garry E. Siegel, M.D. >Private Practice >Roswell, GA Previous message: Garry E. Siegel, M.D.: "OB: Lyme disease/tick bite" In reply to: Garry E. Siegel, M.D.: "OB: Lyme disease/tick bite"

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