ARTHRITIS
No good level of evidence !
No neurological symptoms associated: oral therapy (cost/effectiveness)
First choice:
- Doxy bid (37 E)
- Amoxi tid (26 E)
- for 4 weeks
- Slow resolution
Second choice:
- Ceftriaxone 2g od for 2 weeks. (548,66 E) (75-100mg/kg od)
Recurrence (> 6-12 months):
- second course of treatment. (po or iv ceftriax. 2 weeks)
- no response: symptomatic/synovectomy (HLA, T cells response to OspA)