Syphilis/Lyme/AIDS
Smith, J.L.
Journal of Clinical Neuro-Ophthalmology 7(4): 196-197
1987
ISSN/ISBN: 0272-846X PMID: 2969006 Document Number: 4678
Dr. MacDonald has raised the question of amyotrophic lateral sclerosis syndromes due to Lyme disease (called Bannwarth's syndrome in Europe), as well as a possible relationship to Alzheimer's disease. He has pointed out that Rocephin (ceftriaxone, Roche) 2 g i.v. ql2h for 14 days has been considered as 100 times as effective against B. burgdorferi as intravenous penicillin therapy. The possibility of a Herxheimer reaction at the beginning of treatment might make a pretreatment dose of 50 mg oral prednisone as a single dose 1-2 h before onset of treatment worth considering. There appears to be an evil triune relationship between T. pallidum, B. burgdorferi, and human immunodeficiency virus in not only causing untold human suffering but in proving exceedingly cunning in hiding from the clinician's diagnostic abilities. However, light is coming forth and always dispels darknessl We invite letters to the editor of this Journal if you, dear readers, are encountering interesting instances similar to those noted here, and particularly with neuro-ophthalmologic manifestations of Borrelia burgdorferi infection.
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