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This infection remains unobserved for a long time that is certainly why you might be unable to seek treatment in an early stage. First I was shocked, but I thought, "no less than it's something that can be cured, think in the alternatives". Prescribe oral therapy with doxycycline, amoxicillin, or cefuroxime axetil for 28 day in late Lyme disease with arthritis. Antichlamydial treatment therapy is almost always effective; therefore test of cure is not necessary unless manifestations persist or reinfection is suspected. Oral contraceptives or systemic antiandrogens (for example spironolactone) are employed in women in whom hormonal treatment may be an effective alternative or adjuvant to antibiotics and oral retinoids. It is also thought that when the infamous bullseye rash occurs, generally there is an 80 to 90 percent chance a person will establish Lyme disease through the tick bite. 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