An Appraisal of “Chronic Lyme Disease”

An Appraisal of “Chronic Lyme Disease”

To the Editor: Feder et al. (Oct. 4 issue) 1 review the great controversy surrounding “chronic Lyme disease.” For most patients with this diagnosis, the authors advocate against the use of antibiotics. But before the decision is made not to use antibiotics for patients with post–tick-bite symptoms,...

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Veröffentlicht in:The New England journal of medicine 2008-01, Vol.358 (4), p.428-431
Hauptverfasser: Mayer, Lawrence, Merz, Susanne
Format: Artikel
Sprache:eng
Schlagworte:
Anti-Bacterial Agents - therapeutic use
Borrelia burgdorferi Group
Chronic Disease
Diagnosis, Differential
Humans
Lyme Disease - diagnosis
Tick-Borne Diseases - diagnosis
Tick-Borne Diseases - transmission
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container_title The New England journal of medicine
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creator Mayer, Lawrence
Merz, Susanne
description To the Editor: Feder et al. (Oct. 4 issue) 1 review the great controversy surrounding “chronic Lyme disease.” For most patients with this diagnosis, the authors advocate against the use of antibiotics. But before the decision is made not to use antibiotics for patients with post–tick-bite symptoms, anaplasma, babesia, bartonella, 2 and ehrlichia must be ruled out. These tick-borne 2 intracellular pathogens are difficult to diagnose and can establish long-term, persistent infection. 3 – 5 Anaplasma, babesia, and bartonella are underdiagnosed: the nonspecific symptoms of infections with these organisms tend to be ascribed to the more easily identifiable Lyme disease, which often accompanies them. 2 – . . .
doi_str_mv 10.1056/NEJMc073063
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; New England Journal of Medicine
subjects Anti-Bacterial Agents - therapeutic use
Borrelia burgdorferi Group
Chronic Disease
Diagnosis, Differential
Humans
Lyme Disease - diagnosis
Tick-Borne Diseases - diagnosis
Tick-Borne Diseases - transmission
title An Appraisal of “Chronic Lyme Disease”
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