2 year old possible Lyme

Hi - I could really use some advice. My 2 year old daughter suddenly developed a small bullseye type rash on the inside of her lower leg yesterday. She had had a tiny bump there for about 3 or so weeks but it wasn't red and just looked like a little baby skin pimple my kids sometimes get so I didn't think anything of it. Then a few days ago it got a little bigger but not red - I thought it was possibly an ingrown hair. Then yesterday when she woke up from her nap it was red with about a quarter sized red rash around it - the center was white so it definitely looked like a small bullseye. I called the Dr. and made an apt. for this am. (She has no other symptoms at all) I did a lot of research on Lyme online so I would have an idea of possible treatments etc if it was Lyme. The Dr. looked at the rash this am. It had grown about 1/3-1/2 of an inch by this am - but was not as much of a bullseye as it had been the night before but I had taken pictures of it last night so he saw the bullseye. He said Lyme was a possibility, it could also be a bacterial infection of the skin just from a bite (either tick or spider) or a staph infection. (he did say he didn't think it was staph) He prescribed me 10 days of amoxicillin (150 3x a day) and said the Lyme test wasn't necessary b/c it was probably too early to show up even if she did have Lyme. I pressed him about the duration of the antibiotics b/c I had read that it should be longer if Lyme was suspected and he said he needed to look it up - when he came back he said he would change it to 3 weeks and also upped the dosage to 200 3x a day.
My questions are these:
Is this the correct way to go about a possible Lyme infection for her?
Is it still considered a bullseye/Lyme rash if it is not as prominent of a bullseye the next day? It is still slightly white in the center but the red has sort of taken over most of it.
Should I have her tested after the 3 weeks of Antibiotics are over or insist on a test now?
Should I try to find a LLMD in my area (Valley area of Los Angeles) or is that premature?

Thank you so much, I would appreciate any advice. It's hard when your doctor doesn't know much more than you do.

Post Edited (jennylee) : 8/7/2015 1:39:02 PM (GMT-6)

Yes she weighs about 28lbs so right around 12kg. I can't read this prescription very well - but I can see that it is 200 something as far as dosage goes. I can ask the pharmacist when I take it in to fill it today.

Does that seem correct to you?

So the pharmacist said that the dosage prescribed was 3cc's 3x a day - which is also 9ml's a day.

The amoxicillin bottle said 400 mg/5 ml's which is 80mg's = 1ml. So it looks like the dosage is 720mgs a day.

She weighs about 12.5 kg so I think it should be about right.

What is the best way for me to get information about LLMD's in my area? I will make an apt asap.

Thank you so much for your information - it helps me a lot.

Ok thank you so much. I did look at the "New to Lyme?" thread - as far as the epsom salts etc - do the amounts described apply to children on antibiotics as well?

Also any probiotics you recommend for children?

Thanks again.

I don't know enough about using abx for treating early infections, so this is more of a question - I know with adults, Burrascano has said that Amox has to be paired up with probenecid in order to achieve a longer half life in the blood stream - wouldn't this pertain to children as well?

"Because of its short half-life and need for high levels, amoxic
illin is usually administered along with probenecid. An extended release formulation of amoxicillin+clavulanate (“Augmentin XR”) may also be considered if adequate trough levels are difficult to attain."

www.ilads.org/lyme/B_guidelines_12_17_08.pdf
Page 14, second part of the second paragraph.

Burrascano didn't seem to exclude children when he was writing those guidelines, so I assumed that when children are on Amox, they too need to be on probenecid because half life of a med is pretty straight forward information.

Thanks for looking into it - I surely don't want guide someone down a wrong path, and have their child not heal properly.

Jennylee - so you will understand why I'm even questioning this, I was only 7 yrs old when I was infected and ended up growing up with these infections. I finally got effective treatments when I was 47 yrs old. It sucked the life out of my life, and I surely don't want any other children growing up with these infections too!