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apsing fever (borreliosis)
Laboratory
– A s fo r L B R F , the d iagno sis is co nfirm ed by d etectio n o f Borrelia in the p atient‟s
blo o d .
– R ep eat the exam inatio n if the first sm ear is negative d esp ite stro ng clinical susp icio n.
Treatment
– Adoxnytcibyicolintiec PtheOrap y :
C hild ren o ver 8 y ears: 1 0 0 m g/ d ay in 2 d ivid ed d o ses fo r 5 d ay s
A d ults (excep t p regnant wo m en): 2 0 0 m g/ d ay in 2 d ivid ed d o ses fo r 5 d ay s
o r erythromycin P O
C hild ren und er 8 y ears: 5 0 m g/ k g/ d ay in 2 d ivid ed d o ses fo r 5 d ay s
P regnant wo m en: 2 g/ d ay in 2 d ivid ed d o ses fo r 5 d ay s
– T reatm ent o f p ain and fever ( p aracetam o l P O ) and p reventio n o r treatm ent o f
d ehy d ratio n in the event o f asso ciated d iarrho ea.
A ntibio tic therap y can trigger a Jarisch-H erxheim er reactio n with high fever, chills,
fall in blo o d p ressure and so m etim es sho ck . I t is reco m m end ed to m o nito r the
p atient fo r 2 h o urs after th e first d o se o f antib io tic, fo r o ccurrence and
m anagem ent o f severe J arisch - H erxheim er reactio n ( sy m p to m atic treatm ent o f
sho ck ). J arisch - H erxh eim er reactio n ap p ears to o ccur m o re frequently in L B R F
than in T B R F .
184
Laboratory
– A s fo r L B R F , the d iagno sis is co nfirm ed by d etectio n o f Borrelia in the p atient‟s
blo o d .
– R ep eat the exam inatio n if the first sm ear is negative d esp ite stro ng clinical susp icio n.
Treatment
– Adoxnytcibyicolintiec PtheOrap y :
C hild ren o ver 8 y ears: 1 0 0 m g/ d ay in 2 d ivid ed d o ses fo r 5 d ay s
A d ults (excep t p regnant wo m en): 2 0 0 m g/ d ay in 2 d ivid ed d o ses fo r 5 d ay s
o r erythromycin P O
C hild ren und er 8 y ears: 5 0 m g/ k g/ d ay in 2 d ivid ed d o ses fo r 5 d ay s
P regnant wo m en: 2 g/ d ay in 2 d ivid ed d o ses fo r 5 d ay s
– T reatm ent o f p ain and fever ( p aracetam o l P O ) and p reventio n o r treatm ent o f
d ehy d ratio n in the event o f asso ciated d iarrho ea.
A ntibio tic therap y can trigger a Jarisch-H erxheim er reactio n with high fever, chills,
fall in blo o d p ressure and so m etim es sho ck . I t is reco m m end ed to m o nito r the
p atient fo r 2 h o urs after th e first d o se o f antib io tic, fo r o ccurrence and
m anagem ent o f severe J arisch - H erxheim er reactio n ( sy m p to m atic treatm ent o f
sho ck ). J arisch - H erxh eim er reactio n ap p ears to o ccur m o re frequently in L B R F
than in T B R F .
184
