- Possibly related to 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