Chronic Lyme disease - Revision history

Aidan at 13:23, 17 May 2021

2021-05-17T13:23:14Z

← Older revision		Revision as of 13:23, 17 May 2021
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			== Background ==
⚫	* Possibly related to post-[[Lyme disease]] syndrome

		⚫	*Possibly related to post-[[Lyme disease]] syndrome
⚫	== Clinical Manifestations ==

		⚫	==Clinical Manifestations==
⚫	* Chronic fatigue syndrome-like presentation with fatigue, myalgias, and neurocognitive symptoms following possible Lyme exposure
⚫	* However, chronic post-Lyme arthritis is well-defined lasting at least a year

		⚫	*Chronic fatigue syndrome-like presentation with fatigue, myalgias, and neurocognitive symptoms following possible Lyme exposure
⚫	== Management ==
		⚫	*However, chronic post-Lyme arthritis is well-defined lasting at least a year

			== Differential Diagnosis ==
⚫	* RCT has shown that 30 days ceftriaxone followed by 60 days doxy does not improve symptoms in patients with documented history of Lyme disease and persistent symptoms

			* Confirmed [[Lyme disease]] (12%)
			* Psychiatric disorders (25%): [[depression]], [[post-traumatic stress disorder]], [[burnout]], harassment, and other
			* Rheumatologic disorders (16%): [[osteoarthritis]], [[scoliosis]], or other
			* Neurologic disorders (12%): [[amyotrophic lateral sclerosis]], [[Parkinson disease]], [[small fiber disease]], [[multiple sclerosis]], or other
			* [[Obstructive sleep apnea]] (5%)
			* Miscellaneous (17%): thyroid diseases, [[fibromyalgia]], [[cardiomyopathy]], infectious diseases, inflammatory diseases, and others
			* Unknown etiology (7%)

		⚫	==Management==

		⚫	*RCT has shown that 30 days ceftriaxone followed by 60 days doxy does not improve symptoms in patients with documented history of Lyme disease and persistent symptoms

			== Further Reading ==

			* Holistic Approach in Patients With Presumed Lyme Borreliosis Leads to Less Than 10% of Confirmation and More Than 80% of Antibiotic Failures. ''Clin Infect Dis''. 2019;68(12):2060-2066. doi: [https://doi.org/10.1093/cid/ciy799 10.1093/cid/ciy799]

	[[Category:Spirochetes]]		[[Category:Spirochetes]]

Aidan: Text replacement - "Clinical Presentation" to "Clinical Manifestations"

2020-07-19T20:35:33Z

Text replacement - "Clinical Presentation" to "Clinical Manifestations"

← Older revision		Revision as of 20:35, 19 July 2020
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	* Possibly related to post-[[Lyme disease]] syndrome		* Possibly related to post-[[Lyme disease]] syndrome

	== Clinical ~~Presentation~~ ==		== Clinical Manifestations ==

	* Chronic fatigue syndrome-like presentation with fatigue, myalgias, and neurocognitive symptoms following possible Lyme exposure		* Chronic fatigue syndrome-like presentation with fatigue, myalgias, and neurocognitive symptoms following possible Lyme exposure

Aidan at 20:07, 15 August 2019

2019-08-15T20:07:12Z

← Older revision		Revision as of 20:07, 15 August 2019
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	* Possibly related to post-[[Lyme disease]] syndrome		* Possibly related to post-[[Lyme disease]] syndrome

	= Clinical Presentation =		== Clinical Presentation ==

	* Chronic fatigue syndrome-like presentation with fatigue, myalgias, and neurocognitive symptoms following possible Lyme exposure		* Chronic fatigue syndrome-like presentation with fatigue, myalgias, and neurocognitive symptoms following possible Lyme exposure
	* However, chronic post-Lyme arthritis is well-defined lasting at least a year		* However, chronic post-Lyme arthritis is well-defined lasting at least a year

	= Management =		== Management ==

	* RCT has shown that 30 days ceftriaxone followed by 60 days doxy does not improve symptoms in patients with documented history of Lyme disease and persistent symptoms		* RCT has shown that 30 days ceftriaxone followed by 60 days doxy does not improve symptoms in patients with documented history of Lyme disease and persistent symptoms

Aidan at 02:28, 15 August 2019

2019-08-15T02:28:02Z

← Older revision		Revision as of 02:28, 15 August 2019
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	= ~~Chronic~~ Lyme disease =		* Possibly related to post-[[Lyme disease]] syndrome

		⚫	= Clinical Presentation =
	aka post-Lyme disease syndrome

⚫	== Clinical Presentation ==

	* Chronic fatigue syndrome-like presentation with fatigue, myalgias, and neurocognitive symptoms following possible Lyme exposure		* Chronic fatigue syndrome-like presentation with fatigue, myalgias, and neurocognitive symptoms following possible Lyme exposure
	* However, chronic post-Lyme arthritis is well-defined lasting at least a year		* However, chronic post-Lyme arthritis is well-defined lasting at least a year

	== Management ==		= Management =

	* RCT has shown that 30 days ceftriaxone followed by 60 days doxy does not improve symptoms in patients with documented history of Lyme disease and persistent symptoms		* RCT has shown that 30 days ceftriaxone followed by 60 days doxy does not improve symptoms in patients with documented history of Lyme disease and persistent symptoms

			[[Category:Spirochetes]]

Maintenance script: Imported from text file

2019-08-11T18:05:50Z

Imported from text file

New page

= Chronic Lyme disease =

aka post-Lyme disease syndrome

== Clinical Presentation ==

* Chronic fatigue syndrome-like presentation with fatigue, myalgias, and neurocognitive symptoms following possible Lyme exposure
* However, chronic post-Lyme arthritis is well-defined lasting at least a year

== Management ==

* RCT has shown that 30 days ceftriaxone followed by 60 days doxy does not improve symptoms in patients with documented history of Lyme disease and persistent symptoms