CNS presentation of Lyme disease

Facial palsy• The Infectious Disease Society of America recommends the useof amoxicillin in absence of meningitis• However, there is only a descriptive noncomparative studysupporting this recommendation.• So, the use of ceftriaxone or doxycycline, by analogy with therecommendations for other forms of neuroborreliosis (includingperipheral neuropathy without meningitis), should be considereduntil more data can justify the use of oral amoxicillin.