title: Lyme disease in children.
abstract: The diagnosis and management of Lyme disease in children is similar to that in adults with a few clinically relevant exceptions. The use of doxycycline as an initial empiric choice is to be avoided for children 8 years old and younger. Children may present with insidious onset of elevated intracranial pressure during acute disseminated Lyme disease; prompt diagnosis and treatment of this condition is important to prevent loss of vision. Children who acquire Lyme disease have an excellent prognosis even when they present with the late disseminated manifestation of Lyme arthritis. Guidance on the judicious use of serologic tests is provided. Pediatricians and family practitioners should be familiar with the prevention and management of tick bites, which are common in children.
authors.affiliation: Hofstra North Shore-LIJ School of Medicine, Hempstead, NY 11549, USA; Department of Pediatrics, Southside Hospital, 301 East Main Street, Bay Shore, NY 11706, USA; Pediatric Infectious Diseases, Cohen Children's Medical Center, New Hyde Park, NY 11040, USA. Electronic address: SSood@nshs.edu.
authors.forename: Sunil K
authors.initials: SK
authors.lastname: Sood
mesh_terms: D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D025065:Borrelia burgdorferi; D002648:Child; D002675:Child, Preschool; D004318:Doxycycline / Q000627:therapeutic use; D006801:Humans; D007223:Infant; D019586:Intracranial Hypertension / Q000209:etiology; D008193:Lyme Disease / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy; D011379:Prognosis
chemical_list: D000900:Anti-Bacterial Agents; D004318:Doxycycline
keywords: Children; Increased intracranial pressure; Lyme meningitis; Optic nerve; Tick bite management; Tick bite prevention