Dr. Faisal Abdul Karim Malim
Pediatrics
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Patient's Query
Hi doctor,
My son is 4 years old and was bitten by a tick a couple of months ago. He was interpreted with a rickettsia, which is a high-grade fever rash. He was asked to take a Josamycin antibiotic for two weeks. Then he was fine for a few weeks. However, today he has had a high-grade fever for the past 10 hours with knee pain for no reason. We suspect the tick bite may have transferred Lyme disease and rickettsia as a coinfection, and now Lyme disease took some months to appear. What is your suggestion, doctor?
Thank you.
Hi,
Welcome to icliniq.com.
Please do an IgG (immunoglobulin G) western blot test to confirm Lyme disease. The knee pain and fever may be a late manifestation of Lyme disease. Further management will depend on the reports. As of now, I suggest you can give (consult with a specialist doctor, talk with him or her and take medicines with their consent) tablet Paracetamol (dose as per the child's weight) twice a day for the knee pain.
Thank you.
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Pediatrics
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