ALEXANDER ACKLEY JR., M.D.; MICHAEL LUPOVICI, M.D.
To the editor: The recommended treatment for patients with neurologic abnormalities of Lyme disease is high-dose intravenous penicillin (1). There is no published experience with other antibiotics. Because of the increasing incidence of Lyme disease, it can be anticipated that occasional patients with meningitis and a history of an allergic reaction to penicillin will have to be treated with an alternative antibiotic. We had one such patient whom we treated with tetracycline.
A 28-year-old man camped overnight in the woods of Cape May, New Jersey, in late May 1985. He did not recall a tick bite. On 8 June, he
ACKLEY A, LUPOVICI M. Lyme-Disease Meningitis Treated with Tetracycline. Ann Intern Med. ;105:630–631. doi: 10.7326/0003-4819-105-4-630_2
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Published: Ann Intern Med. 1986;105(4):630-631.
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