A. Binds to bacterial 30S ribosomal subunit leading to misreading during protein synthesis
B. Binds to and inhibits bacterial 50S ribosomal subunit
C. Complexes with D-Ala-D-Ala precursors to inhibit transpeptidation
D. Interferes with the assembly of the cell wall by preventing dephosphorylation of a carrier molecule for peptidoglycans
E. Prevents formation of peptidoglycan cross-bridges in the cell wall by binding to …show more content…
With the child being from a Northeast U.S. region such as Connecticut and playing frequently in the woods in her backyard, Lyme disease is a highly likely cause of her symptoms. Some common symptoms in pediatric Lyme disease cases include severe fatigue unrelieved by rest, insomnia, headaches, nausea, abdominal pain, impaired concentration, poor short-term memory, inability to sustain attention, confusion, uncharacteristic behavior, outbursts and mood swings, fevers/chills, joint pain, dizziness, and noise and light sensitivity. Fewer than 10% of patients may present with an erythema migrans rash (bull’s-eye rash). First-line treatment is oral doxycycline, amoxicillin, or cefuroxime, which have equivalent efficacy for the treatment of Lyme disease. Doxycycline is not recommended for children under the age of 8 because tooth staining may occur. It