A 46-year-old housewife from Connecticut presents with complaints - TopicsExpress

A 46-year-old housewife from Connecticut presents with complaints of malaise, arthritis, and a rash on her left thigh. ELISA and Western blot confirm infection with Borrelia burgdorferi. A 30-day course of oral doxycycline with follow-up in I week is prescribed. The patient cancels the follow-up appointment and returns 3 months later complaining of facial droop, confusion, daily fevers, and tingling in her hands and feet. She states that she felt markedly better after 2 weeks on the antibiotics and therefore discontinued her medication. Which of the following is the most appropriate next step in management? (A) A 14-day course of chloramphenicol (B) A 14-day course of N ceftriaxone (C) A 28-day course of N vancomycin (D) Prescribe a repeat 3-day course of oral doxycycline (E) Prescribe a 30-day course of oral amoxicillin https://facebook/groups/medclick/

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