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OB: Lyme disease/tick biteFrom: Garry E. Siegel, M.D. (garrys@mindspring.com)Wed May 31 21:31:21 2006
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
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