K*******y
发帖数: 6003 | 1 第二次中奖，又让TICK咬了，观察了一段时间，今天看到胳膊上莫名其妙的大红斑，有
灼伤感，MS 是第一阶段的症状（也许是我自己多疑了）
星期一去医院看看，化验个血相，急诊室就不去了，美国的急诊室是浪费时间和钱的地
方，去过一次领教了。
治疗MS也就是服用/注射抗生素，我干脆自己先吃头孢算了，吃几天啊？14天？ |
g*****j
发帖数: 1211 | 2 If you see a "bull's eye rash", you are most likely infected. Blood test
may still be negative at this point, because it takes time for your body to
mount an immune reaction. But it is crucial to start treatment ASAP,
because Lyme disease can lead to devastating consequences. Lyme disease
cannot be treated by cephalosporin.
You need to go to the emergency room and get doxycycline. |
K*******y
发帖数: 6003 | 3 出去过玩过，没有CAMPING，第一次让TICK咬的时候，是活生生把TICK从肉里拽出来的
，所以很有体会。很难说从那里带来的TICK
这个 RASH 不一定是铜钱状吧，我胳膊上的大红包，不疼不痒，除了有灼伤感，能是什
么啊
EARLY LOCALIZED DISEASE
Signs and symptoms of Early Local Lyme Disease often starts with flu-
like feelings of headache, stiff neck, fever, muscle aches, and fatigue.
About 60% of light-skinned patients notice a unique enlarging rash, referred
to as erythema migrans (EM), days to weeks after the bite. On dark-skinned
people, this rash resembles a bruise.
The rash may appear wi |
K*******y
发帖数: 6003 | 4 谢谢， Doxycycline 中文是什么，我考虑去ER，这里ER太差了，去过一次等了5个小时
，最后的结果就是推荐你去看XX科，然后预约，一个月以后。本来想等到星期一找个
WALKING CLINIC
青霉素是不是可以用
to
【在 g*****j 的大作中提到】
: If you see a "bull's eye rash", you are most likely infected. Blood test
: may still be negative at this point, because it takes time for your body to
: mount an immune reaction. But it is crucial to start treatment ASAP,
: because Lyme disease can lead to devastating consequences. Lyme disease
: cannot be treated by cephalosporin.
: You need to go to the emergency room and get doxycycline.
|
K*******y
发帖数: 6003 | 5 头痛是有，现在也头痛，我以为是其他原因引起的（也有可能是其他原因)，3天了，吃
了止痛药，作用不大，还是头痛。有点感冒的症状,肌肉疼(也有，因为我运动了，不好
判断），发烧没有，谢谢whiteriver，我让人带我去ER
但愿没事，但是要是中了奖，就认命了。
,
be
developed |
g*****j
发帖数: 1211 | 6 Just checked again. Stage 1 Lyme disease should be treated with Doxycyclin
(一种四环素）100 mg 2X/day; or Amoxicillin 500 mg 3X/day; or cefuroxime 500
mg 2X/day. Treatment should last 14-21 days once diagnosis has been
established
So I was wrong - cephalosporin can be used. But I still think you need to
see a doctor since treatment dependent on the correct diagnosis of disease
stages. |
K*******y
发帖数: 6003 | 7 谢谢楼上的各位大侠，我要是莱姆病了，一定来写详细的报告分享经验感受哈
经过GOOGLE，我已经吞了颗定魂丹- Amoxicillin，我知道这样很不好，会培养出超级
细菌的
我储备了抗生素 //BLUSH
我都忘记我的PCP是谁了，我嫌麻烦，很少去医院，真正需要看病就一次，预约一约就
是3-4周后，最后还是去了WALK IN CLINIC。在国内就方便了，我家N多医生
我星期一去WALK IN CLINIC，不去ER折腾了，头痛我有Oxycodone，HOHO 这里的医生给
开的止痛药，我当时想都没想就吃了3天，还是减量吃的，结果那副作用差点把我整死。
现在也头痛，但是不是剧烈的头痛，我大概太紧张了，没必要，也许明天就好了。 |
c*******n
发帖数: 1214 | 8 you probably need to take 21 days, otherwise the disease will come back. |
g***r
发帖数: 285 | 9
i agree that 21 days course of antibiotic is needed, furthermore, i think it
should be intravenous rocephin(ceftriaxone) instead of oral doxycycline,
this is my rationale, for primary infection, doxy is good enough, plus it
also covers other tick borne diseases,
while in theory the patient may have recurrent primary lyme disease due to
another tick bite, but with headache, you really cannot exclude lyme
meningitis, so you HAVE to offer a spinal tap, and if i were the patient, i
would decline th
【在 c*******n 的大作中提到】
: you probably need to take 21 days, otherwise the disease will come back.
|
