Rule of 7s for Lyme Meningitis

Number of days of headache		<7≥7
CSF mononuclear cells Lymphocytes and monocytes		<70%≥70%
7th (or other) cranial nerve palsy		NoYes

Result :

Rule of 7s for Lyme Meningitis : 0 points.

Low risk for Lyme meningitis. Antibiotics not recommended, ensure close patient follow up, use clinical judgement re: disposition.

References

Garro AC, Rutman M, Simonsen K, Jaeger JL, Chapin K, Lockhart G. Prospective validation of a clinical prediction model for Lyme meningitis in children. Pediatrics. 2009;123(5):e829-34.

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