Chronic Lyme disease
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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