meningitis - Borrelia burgdorferi (neuroborreliose, Lyme)
Advices
| Priority | Medication | Remarks |
|---|---|---|
|
Priority: 1st choice |
Medication: ceftriaxon iv 2000mg 1dd 14 days |
Remarks:
ceftriaxon: evt. oplaaddosis 2000mg, gevolgd door 2000mg/24u continue infusie |
|
Priority: 1st choice alternative |
Medication: benzylpenicilline iv loading dose 2million. IU, 12million. IU continuous per 24 hours 14 days |
Remarks:
Indien ceftriaxon niet mogelijk |
| Priority | Medication | Remarks |
|---|---|---|
|
Priority: 1st choice |
Medication: ceftriaxon iv 2000mg 1dd 30 days |
Remarks:
ceftriaxon: evt. oplaaddosis 2000mg, gevolgd door 2000mg/24u continue infusie |
|
Priority: 1st choice alternative |
Medication: doxycycline po 100mg 2dd 30 days |
Remarks:
Bij afwezigheid van pleiocytose |
Sources
Antimicrobial resources
The following antimicrobial agents have been used in these recommendations:
External antimicrobial resources
Menu position
Metadata
Swab vid: G-218554.3
Updated: 11/30/2023 - 10:34
Status: Published
General comments
Behandel in individuele gevallen lyme-meningitis 28 dagen op basis van neurologische uitval en/of afwijkingen bij herhaald liquoronderzoek.
Behandeling lyme-geassocieerde facialisparese: zie CBO Richtlijn lymeziekte