Chronic Lyme disease: Difference between revisions

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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

Revision as of 20:07, 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