Chronic Lyme borreliosis--fact or fiction?
Wahlberg, P.; Nyman, D.
Duodecim; Laaketieteellinen Aikakauskirja 125(12): 1269-1276
2009
ISSN/ISBN: 0012-7183 PMID: 19711595 Document Number: 628879
Persistent infection after proper antibiotic treatment in Lyme borreliosis is rare. Symptoms may sometimes continue, especially from the nervous and the articular systems. There are many possible mechanisms for persistence of inflammation even after successful treatment of the infection. The lack of indicators of active infection impedes diagnostics. Early diagnosis and treatment are the most important means for preventing prolonged symptoms and signs. The differential diagnostics are crucial. Repeated treatment with antibiotics is seldom needed, and overlong treatments should be avoided. Lyme borreliosis may sometimes cause permanent tissue damage for which there is no cure.