Question 326 · LEK · Lyme disease

Which of the following is true about Lyme disease?

  1. A. erythema migrans occurring typically 12 months following the bite is its characteristic symptom.
  2. B. nearly 100% of cases of isolated facial nerve palsy with pleocytosis in PMR are caused by Lyme disease.
  3. C. doxycycline is the treatment of choice in children below 9 years of age.
  4. D. a western blot test should be the first test performed to diagnose Lyme disease.
  5. E. suspected neuroborreliosis is a contraindication for lumbar puncture due to the risk of an increase in intracranial pressure.
Hint

Recall when erythema migrans appears, the age limit for doxycycline in Polish practice and the order of the two-step serology.

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