What is the follow-up plan for a patient diagnosed with possible Lyme disease, ear infection, and upper respiratory infection (URI), presenting with improved left knee swelling and no current complaints, after a walk-in care visit at Community Mental Health (CMH)?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: May 29, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

From the Guidelines

Mary Ann Burkholder should continue her current antibiotic treatment until the full course is completed, and Lyme IgG testing should be performed 4-6 weeks after starting antibiotics. The child's left knee swelling has resolved, and she is showing no signs of distress or rash at the tick bite site, which appears as only a small black dot without surrounding redness. Parents should continue monitoring for any worsening symptoms, including return of fever, increased joint pain or swelling, spreading rash, persistent headache, or unusual fatigue. The child's improved mood and normal activity level are positive indicators of recovery. The decision to delay blood work initially and monitor clinically is appropriate given the early antibiotic intervention and the child's positive response to treatment. If symptoms worsen or new concerns develop, parents should contact their healthcare provider promptly 1.

Some key points to consider in the management of Lyme disease include:

  • The use of oral antibiotics, such as doxycycline or amoxicillin, for the treatment of early localized or early disseminated Lyme disease 1
  • The importance of completing the full course of antibiotic treatment to ensure effective treatment and prevent relapse 1
  • The need for close monitoring for signs of worsening symptoms or treatment failure, and the potential need for alternative treatments or further evaluation if symptoms persist or worsen 1
  • The use of Lyme IgG testing to confirm the diagnosis, but only after an appropriate period of time has passed since the start of antibiotic treatment to avoid false negative results 1.

It is also important to note that the management of Lyme disease should be individualized based on the specific clinical presentation and circumstances of each patient, and that consultation with a healthcare provider is essential for determining the best course of treatment.

From the Research

Patient Diagnosis and Treatment

  • Mary ann Burkholder was diagnosed with possible Lyme disease, an ear infection, and a URI infection/ear infection accompanied by wheezing after cough, as well as left knee swelling and left knee pain.
  • The patient is currently taking antibiotics (ABX) and will continue to do so until the full course is completed.
  • Blood work was not initially done, but will be conducted 4-6 weeks after the start of ABX to test for Lyme IgG.

Monitoring and Follow-up

  • The patient's mother has been advised to monitor for signs and symptoms of worsening conditions.
  • The patient's left knee swelling appears to have improved, and they are no longer experiencing pain or issues with gait.
  • The patient is acting normally and does not appear to be in distress, with no rash or redness noted in the area of the tick bite.

Antibiotic Treatment and Resistance

  • Studies have shown that completing the full course of antibiotics is crucial to prevent antimicrobial resistance 2, 3, 4.
  • However, some research suggests that shorter courses of antibiotics may be just as effective as longer courses in reducing infection-related complications 2, 5.
  • The overuse and misuse of antibiotics can lead to the development of multidrug-resistant microbes, making it essential to use antibiotics judiciously and develop new strategies to combat resistance 3, 6.
  • Clinicians and patients must be aware of the risks and benefits of stopping antibiotics early, and consider shared decision-making and personalized advice when determining the optimal treatment course 5.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Shorter and Longer Courses of Antibiotics for Common Infections and the Association With Reductions of Infection-Related Complications Including Hospital Admissions.

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2021

Research

Antibiotics and Bacterial Resistance-A Short Story of an Endless Arms Race.

International journal of molecular sciences, 2023

Research

Antibiotic resistance: what, why, where, when and how?

British medical bulletin, 2015

Research

The past, present, and future of antibiotics.

Science translational medicine, 2022

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.