Late LD and Post-LD Complex

Late neurologic LD may tense as unifocal or multifocal encephalomyelitis, peripheral neuropathy, or encephalopathy.LD encephalomyelitis may be confused with multiple sclerosis and lumbar hole and cerebrospinal nitty-gritty (CSF) diagnosis is needed.Encephalopathy is rare, may be linked with normal CSF findings, and focal combat injury may be seen on cranial representational cognitive process.Ceftriaxone may be effective in late neurologic LD.
Cefotaxime or penicillin G given intravenously is an alternative.LD arthritis responds to doxycycline, amoxicillin, or cefuroxime orally, and those with persistent or recurrent arthritis may be retreated.Intra-articular corticosteroids and disease-modifying antirheumatic drugs are not recommended.
Patients should be referred to a rheumatologist.Acrodermatitis chronica atrophicans may occur several aggregation after acute LD and may be treated with the same antibiotics.
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