6. WHY WOULD SYMPTOMS PERSIST AFTER ANTIBIOTIC TREATMENT FOR LYME DISEASE?

2017 ◽  
pp. 142-158



2001 ◽  
Vol 45 (3) ◽  
pp. 936-937 ◽  
Author(s):  
Charles S. Pavia ◽  
Gary P. Wormser ◽  
John Nowakowski ◽  
Anthony Cacciapuoti

ABSTRACT The MICs of evernimicin at which 90% of Borrelia burgdorferi patient isolates were inhibited ranged from 0.1 to 0.5 μg/ml. Evernimicin was as effective as ceftriaxone againstB. burgdorferi in a murine model of experimental Lyme disease. As assessed by culturing the urinary bladders of infected C3H mice, no live Borrelia isolates were recoverable following antibiotic treatment.



2016 ◽  
Vol 176 (12) ◽  
pp. 1745 ◽  
Author(s):  
Clifford M. Marks ◽  
John E. Nawn ◽  
Julie A. Caplow


2020 ◽  
Vol 65 (1) ◽  
pp. e01895-20
Author(s):  
Gary P. Wormser ◽  
Donna McKenna ◽  
Eliana Jacobson ◽  
Elayna M. Shanker ◽  
Keith D. Shaffer ◽  
...  

ABSTRACTErythema migrans is the most common clinical manifestation of Lyme disease, with concomitant subjective symptoms occurring in ∼65% of cases in the United States. We evaluated the impact of having been started on antibiotic treatment before study enrollment on 12 particular symptoms for 38 subjects with erythema migrans versus 52 untreated subjects. There were no significant differences in the frequency of having at least one symptom or in the symptom severity score on study entry. However, the frequency of having at least one symptom was significantly greater for those who had received <7 days of antibiotic treatment than for those who had been treated for ≥7 days (23/24 [95.8%] versus 8/14 [57.1%], P = 0.006). In addition, the percentage of subjects who were males was significantly lower among the group on treatment than among the untreated study subjects (13/38 [34.2%] versus 34/52 [65.4%], P = 0.005). In conclusion, based on these findings, combining untreated and treated groups of patients with erythema migrans for research study analyses may have limitations and, depending on the study objectives, might not be preferred. Additional studies are warranted to better understand the day-to-day impact of antibiotic treatment on the presence, type, and severity of symptoms in patients with early Lyme disease.



2001 ◽  
Vol 345 (2) ◽  
pp. 85-92 ◽  
Author(s):  
Mark S. Klempner ◽  
Linden T. Hu ◽  
Janine Evans ◽  
Christopher H. Schmid ◽  
Gary M. Johnson ◽  
...  


2014 ◽  
Vol 59 (12) ◽  
pp. 1705-1710 ◽  
Author(s):  
B. A. Fallon ◽  
M. Pavlicova ◽  
S. W. Coffino ◽  
C. Brenner




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