Lyme disease
ICD-10 A69.2 · ICD-11 1C1G

Treatment of Lyme Disease Affecting the Cranial Nerves or Peripheral Nervous System in Children Under 9 Years

When Lyme disease extends to the nervous system in young children, the clinical picture and treatment selection differ from older patients. This protocol addresses the specific scenario of cranial nerve or peripheral nervous system involvement in children under 9 years of age.

Clinical Scenario

Lyme disease affecting the cranial nerves or peripheral nervous system in a child under 9 years old. Paediatric age is a key factor governing antibiotic choice and regimen in this neurological presentation.

Treatment Approach

An oral antibiotic regimen is indicated. The specific antibiotic, weight-based dosing, and duration for this paediatric age group are defined in the full protocol — access it below for the complete structured regimen.

Treatment selection takes into account the child's age and weight.

References

DOI: 10.1093/cid/ciaa1215

Lyme disease affecting the cranial nerves or peripheral nervous system

For children (under 12) diagnosed with Lyme disease, offer antibiotic treatment according to their symptoms as described in table 2.

Oral amoxicillin for children 33 kg and under: 30 mg/kg 3 times per day for 21 days

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