Lyme Arthritis

Consult Infectious Diseases

This is a manifestation of late disseminated Lyme disease

Infection Prevention and Control

Routine Practices

Most Likely Pathogen

Borellia burgdorferi

Suggested Regimen

For patients greater than or equal to 8 years of age


For patients less than 8 years of age

There are limited safety data on the use of doxycycline for > 21 days in children < 8 years of age

Penicillin Allergy

Cefuroxime 30 mg/kg/24h PO divided q12h
Maximum: 1 gram /24h

Duration of therapy

28 days