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Is It Safe To Start Antibiotics For Lyme Disease Without Confirming It?

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Posted on Mon, 17 Nov 2014
Question: Hi My 6 yo daughter tested positive for lyme (initial blood test) I removed three ticks from her head in the summer. I live in Suffolk County NY. No bulls eye, no symptoms since. Had new bloods drawn yesterday for Western Blot. My question is, should I wait to start antibiotics until I get 2nd results and also how long does Western Blot results take? Her doctor doesn't want to start meds until we are positive.
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Answered by Dr. Sumanth Amperayani (1 hour later)
Brief Answer:
When no symptoms - no drugs please

Detailed Answer:
Hi...I understand your concern and also the fact that you have removed 3 ticks from her scalp.

But the latest recommendations about Lyme disease state that, no anti Lyme disease drugs need be given. Many symptoms of Lyme disease overlap with many other simpler diseases... So it's important that we establish the diagnosis before initiating the treatment.

You should definitely wait for the western blot test results.

Western blot — is usually done to confirm the diagnosis. In this two-step approach, the Western blot detects antibodies to several proteins of B. burgdorferi. It can take few hours to 2-3 days depending on the laboratory.

Regards - Dr. Sumanth
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sumanth Amperayani

Pediatrician, Pulmonology

Practicing since :2003

Answered : 8339 Questions

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Is It Safe To Start Antibiotics For Lyme Disease Without Confirming It?

Brief Answer: When no symptoms - no drugs please Detailed Answer: Hi...I understand your concern and also the fact that you have removed 3 ticks from her scalp. But the latest recommendations about Lyme disease state that, no anti Lyme disease drugs need be given. Many symptoms of Lyme disease overlap with many other simpler diseases... So it's important that we establish the diagnosis before initiating the treatment. You should definitely wait for the western blot test results. Western blot — is usually done to confirm the diagnosis. In this two-step approach, the Western blot detects antibodies to several proteins of B. burgdorferi. It can take few hours to 2-3 days depending on the laboratory. Regards - Dr. Sumanth