Chronic Lyme disease: Difference between revisions

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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]]

Revision as of 02:28, 15 August 2019

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