Is 30 days of Amox enough for a new tick bite?

[Hopeny]

My sister (although I did ask her if she really thought it was a good idea to go originally given the current tick overflow) took her kids camping and was doing constant tick checks. She pulled a tick off my 5 y.o. nephew's trunk, she said it had been 12 hours since the previous tick check. I suggested she ask her pediatrician for a 28 course of 900mg amox to start off. He gave him 10 days at 800mg. A few days after he finshed the abx, my nephew became almost paralyzed, unable to move his legs. (yes folks, he got sick from a 12 hour attachment and not the 24-36 "required" by IDSA to transmit Lyme) Pediatrican agreed to put him back on Amox 900MG for 30 days. He is taking Amox in two daily doses not three, I am not sure if this makes a difference. Is the 30 day course really enough to cure this? and what about the co-infections? but if you give the Amox early, does it preclude the co-infections? Hold onto your hats, the ELISA given a few days after the bite came back negative, but his CRP was elevated. She did not save the tick. Thanks in advance

[MichaelTampa]

I had always thought doxycycline was the abx of choice for these situations. I went back to Burrascano's guidelines on the ilads site, and it wasn't as clear to me this time.

[Hopeny]

Thanks, he is only 5 so they don't like to use Doxy. My DD saw our LLMD today and I asked him what he thinks for a new bite and he said 30-60 days of abx.

[mama2alex]

I'd say 30 days is a good initial treatment for a new bite - that's what my husband did. However, they are not just treating the bite now. He became paralyzed, so they are treating a full-blown illness. She should take him to an LLMD who will treat him until he's well, however long that takes. Also, Amox will not "preclude" coinfections. Different antibiotics are used to treat different co-infections, and Babesia requires a medication used for Malaria, not antibiotics. So he will need to be tested and clinically evaluated for those other infections.

 

Has she seen a rash of any sort develop? If she sees one, especially a bullseye, she should snap a picture of it, for proof if needed in the future.

 

My sister (although I did ask her if she really thought it was a good idea to go originally given the current tick overflow) took her kids camping and was doing constant tick checks. She pulled a tick off my 5 y.o. nephew's trunk, she said it had been 12 hours since the previous tick check. I suggested she ask her pediatrician for a 28 course of 900mg amox to start off. He gave him 10 days at 800mg. A few days after he finshed the abx, my nephew became almost paralyzed, unable to move his legs. (yes folks, he got sick from a 12 hour attachment and not the 24-36 "required" by IDSA to transmit Lyme) Pediatrican agreed to put him back on Amox 900MG for 30 days. He is taking Amox in two daily doses not three, I am not sure if this makes a difference. Is the 30 day course really enough to cure this? and what about the co-infections? but if you give the Amox early, does it preclude the co-infections? Hold onto your hats, the ELISA given a few days after the bite came back negative, but his CRP was elevated. She did not save the tick. Thanks in advance