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From: Recent Advances in Canine Infectious Diseases, Carmichael L. (Ed.) International Veterinary Information Service, Ithaca NY (www.ivis.org), 2000; A0109.0400
Lyme Borreliosis In Dogs (Last Updated: 1-Apr-2000) R. K Straubinger
Treatment
Antibiotics are the treatment of choice for Lyme disease. Tetracyclines (doxycycline), penicillins, (amoxicillin and ceftriaxone), and macrolides (azithromycin) are very effective in improving the clinical status of the patient but fail to eliminate the infection [40, 41]. Antibiotics should be given for 3 or 4 weeks, even though a beneficial effect can be seen after a few days of treatment. The long duration of therapy is warranted because of the very slow multiplication rate of the organism, which takes 12 hours or more to double in number, in contrast to the much shorter times for most other bacteria. Antibiotic therapy reduces the number of organisms in the host, and due to the decreased antigen load, antibody titers drop off. However, positive moderate antibody responses can be expected for years, especially when treatment has been initiated long time after the infection had occurred [40].
Corticosteroids and other anti-inflammatory drugs are sometimes used for treatment of Lyme disease in dogs. These drugs should be applied cautiously and in combination with antibiotics. Our studies have shown that persistent, subclinical infection with B. burgdorferi can be reactivated to clinical Lyme arthritis by a two-week course of prednisone [40].
40.
Straubinger RK, Straubinger AF, Summers BA, Jacobson RH. Status of Borrelia burgdorferi infection after antibiotic treatment and the effects of corticosteroids: an experimental study. J Infect Dis 2000; 181:1069-1081.
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41.
Straubinger RK, Summers BA, Chang YF, Appel MJG. Persistence of Borrelia burgdorferi in experimentally infected dogs after antibiotic treatment. J Clin Microbiol 1997; 35:111-116.
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