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21 Results Found

  • Case Report
  • Open Access
12 Citations
40,285 Views
24 Pages

Three patients with multi-year histories of relapsing and remitting Lyme disease and associated co-infections despite extended antibiotic therapy were each given double-dose dapsone combination therapy (DDD CT) for a total of 7–8 weeks. At the...

  • Case Report
  • Open Access
2 Citations
23,863 Views
57 Pages

Three patients with relapsing and remitting borreliosis, babesiosis, and bartonellosis, despite extended anti-infective therapy, were prescribed double-dose dapsone combination therapy (DDDCT) for 8 weeks, followed by one or several two-week courses...

  • Article
  • Open Access
2 Citations
41,899 Views
53 Pages

Twenty-five patients with relapsing and remitting Borreliosis, Babesiosis, and bartonellosis despite extended anti-infective therapy were prescribed double-dose dapsone combination therapy (DDDCT), followed by one or several courses of High Dose Daps...

  • Article
  • Open Access
24 Citations
28,148 Views
36 Pages

5 November 2018

We present a precision medical perspective to assist in the definition, diagnosis, and management of Post Treatment Lyme Disease Syndrome (PTLDS)/chronic Lyme disease. PTLDS represents a small subset of patients treated for an erythema migrans (EM) r...

  • Article
  • Open Access
6 Citations
32,360 Views
37 Pages

Lyme disease and associated co-infections are increasing worldwide and approximately 20% of individuals develop chronic Lyme disease (CLD)/Post-Treatment Lyme Disease Syndrome (PTLDS) despite early antibiotics. A seven- to eight-week protocol of doub...

  • Concept Paper
  • Open Access
45 Citations
29,623 Views
20 Pages

Chronic Lyme Disease: An Evidence-Based Definition by the ILADS Working Group

  • Samuel Shor,
  • Christine Green,
  • Beatrice Szantyr,
  • Steven Phillips,
  • Kenneth Liegner,
  • Joseph Jr. Burrascano,
  • Robert Bransfield and
  • Elizabeth L. Maloney

Objective: Chronic Lyme disease has been a poorly defined term and often dismissed as a fictitious entity. In this paper, the International Lyme and Associated Diseases Society (ILADS) provides its evidence-based definition of chronic Lyme disease. D...

  • Article
  • Open Access
18 Citations
12,829 Views
17 Pages

A total of 71 patients with Lyme disease were identified for analysis in whom treatment with disulfiram was initiated between 15 March 2017 and 15 March 2020. Four patients were lost to follow-up, leaving 67 evaluable patients. Our retrospective revi...

  • Article
  • Open Access
31 Citations
42,970 Views
20 Pages

Three patients, each of whom had required intensive open-ended antimicrobial therapy for control of the symptoms of chronic relapsing neurological Lyme disease and relapsing babesiosis, were able to discontinue treatment and remain clinically well fo...

  • Review
  • Open Access
2 Citations
3,491 Views
8 Pages

Examining Infant and Child Neurodevelopmental Outcomes After Lyme Disease During Pregnancy

  • Meagan E. Williams,
  • David A. Schwartz,
  • Roberta L. DeBiasi and
  • Sarah B. Mulkey

22 November 2024

Lyme disease is the most common vector-borne disease in the United States. Recent environmental and socioecological changes have led to an increased incidence of Lyme and other tick-borne diseases, which enhances the urgency of identifying and mitiga...

  • Article
  • Open Access
9 Citations
4,058 Views
15 Pages

Seroprevalence of Antibodies against Tick-Borne Pathogens in Czech Patients with Suspected Post-Treatment Lyme Disease Syndrome

  • Kristyna Sloupenska,
  • Jana Dolezilkova,
  • Barbora Koubkova,
  • Beata Hutyrova,
  • Mojmir Racansky,
  • Pavel Horak,
  • Maryna Golovchenko,
  • Milan Raska,
  • Natalie Rudenko and
  • Michal Krupka

The hypothesized importance of coinfections in the pathogenesis of post-treatment Lyme disease syndrome (PTLDS) leads to the use of combined, ongoing antimicrobial treatment in many cases despite the absence of symptoms typical of the presence of inf...

  • Communication
  • Open Access
4 Citations
3,761 Views
8 Pages

Myositis Autoantibodies in Patients with Suspected Post-Treatment Lyme Disease Syndrome

  • Kristyna Sloupenska,
  • Barbora Koubkova,
  • Pavel Horak,
  • Beata Hutyrova,
  • Mojmir Racansky,
  • Jan Mares,
  • Martina Miklusova,
  • Jan Schovanek,
  • Jana Zapletalova and
  • Michal Krupka
  • + 1 author

15 February 2023

Most patients suffering from Lyme disease are effectively treated with antibiotics. In some patients, however, problems persist for a long time despite appropriate therapy. The term post-treatment Lyme disease syndrome (PTLDS) is currently used for t...

  • Review
  • Open Access
2 Citations
9,093 Views
16 Pages

Neuropsychiatric Lyme Disease and Vagus Nerve Stimulation

  • Nicholas Biniaz-Harris,
  • Mara Kuvaldina and
  • Brian A. Fallon

Lyme disease, the most common tick-borne disease in the United States, is caused by infection with the spirochete Borrelia burgdorferi. While most patients with acute Lyme disease recover completely if treated with antibiotics shortly after the onset...

  • Review
  • Open Access
10 Citations
10,389 Views
25 Pages

Lyme disease (LD) is an increasingly prevalent, climate change-accelerated, vector-borne infectious disease with significant morbidity and cost in a proportion of patients who experience ongoing symptoms after antibiotic treatment, a condition known...

  • Article
  • Open Access
1 Citations
3,597 Views
11 Pages

Neuroborreliosis and Post-Treatment Lyme Disease Syndrome: Focus on Children

  • Agnieszka Myszkowska-Torz,
  • Magdalena Frydrychowicz,
  • Mateusz Tomaszewski,
  • Magdalena Figlerowicz,
  • Anna Mania and
  • Katarzyna Mazur-Melewska

28 March 2023

Neuroborreliosis is a form of Lyme Borreliosis (LB) that affects various structures of the central and peripheral nervous system. Although most cases of LB can be cured with a course of antibiotics, some children can present prolonged symptoms, which...

  • Article
  • Open Access
2 Citations
5,316 Views
18 Pages

Biomarker-Based Analysis of Pain in Patients with Tick-Borne Infections before and after Antibiotic Treatment

  • Kunal Garg,
  • Abbie Thoma,
  • Gordana Avramovic,
  • Leona Gilbert,
  • Marc Shawky,
  • Minha Rajput Ray and
  • John Shearer Lambert

Tick-borne illnesses (TBIs), especially those caused by Borrelia, are increasingly prevalent worldwide. These diseases progress through stages of initial localization, early spread, and late dissemination. The final stage often leads to post-treatmen...

  • Article
  • Open Access
18 Citations
4,804 Views
17 Pages

Multidisciplinary Management of Suspected Lyme Borreliosis: Clinical Features of 569 Patients, and Factors Associated with Recovery at 3 and 12 Months, a Prospective Cohort Study

  • Alice Raffetin,
  • Julien Schemoul,
  • Amal Chahour,
  • Steve Nguala,
  • Pauline Caraux-Paz,
  • Giulia Paoletti,
  • Anna Belkacem,
  • Fernanda Medina,
  • Catherine Fabre and
  • on the behalf of the Tick-Borne Diseases Reference Center-Paris and Northern Region Working Group
  • + 3 authors

Introduction. Because patients with a suspicion of Lyme borreliosis (LB) may have experienced difficult care paths, the Tick-Borne Diseases Reference Center (TBD-RC) was started in 2017. The aim of our study was to compare the clinical features of pa...

  • Article
  • Open Access
31 Citations
24,802 Views
14 Pages

Identification of Additional Anti-Persister Activity against Borrelia burgdorferi from an FDA Drug Library

  • Jie Feng,
  • Megan Weitner,
  • Wanliang Shi,
  • Shuo Zhang,
  • David Sullivan and
  • Ying Zhang

16 September 2015

Lyme disease is a leading vector-borne disease in the United States. Although the majority of Lyme patients can be cured with standard 2–4 week antibiotic treatment, 10%–20% of patients continue to suffer from prolonged post-treatment Lyme disease s...

  • Article
  • Open Access
18 Citations
10,421 Views
11 Pages

Lyme disease is a most common vector-borne disease in the US. Although the majority of Lyme patients can be cured with the standard two- to four-week antibiotic treatment, at least 10%–20% of patients continue to suffer from prolonged post-treatment...

  • Feature Paper
  • Article
  • Open Access
4,360 Views
25 Pages

Development of Low-Dose Disulfiram Rectal Suppository Intended for Application in Post-Treatment Lyme Disease Syndrome

  • Beáta-Mária Benkő,
  • Bálint-Imre Szabó,
  • Szabina Kádár,
  • Edina Szabó,
  • Gergő Tóth,
  • Lajos Szente,
  • Péter Tonka-Nagy,
  • Romána Zelkó and
  • István Sebe

Background/Objectives: Early diagnosis and oral or, in severe cases, intravenous antibiotics are usually effective for Lyme disease, but some patients have persistent symptoms unresponsive to standards of care, requiring alternative therapies. Disulf...

  • Article
  • Open Access
4 Citations
4,283 Views
14 Pages

Kundalini Yoga for Post-Treatment Lyme Disease: A Preliminary Randomized Study

  • Lilly Murray,
  • Charles Alexander,
  • Clair Bennett,
  • Mara Kuvaldina,
  • Gurucharan Khalsa and
  • Brian Fallon

This study examined the adherence to and the potential benefit of Kundalini yoga (KY) for post-treatment Lyme disease syndrome (PTLDS). Participants were randomly assigned to 8 weeks of a KY small-group intervention or a waitlist control (WLC). Adher...

  • Brief Report
  • Open Access
1,519 Views
7 Pages

IL-26 Increases Sensing of Borrelia burgdorferi DNA by Human Toll-like Receptor 9

  • Andre Taylor,
  • Chin Griffin,
  • Kedzie Arrington,
  • Jose Barragan and
  • Jorge Cervantes

Background: IL-26 has demonstrated antimicrobial properties, as well as in the degradation of DNA from the Lyme disease spirochete Borrelia burgdorferi (Bb). Additionally, IL-26 can promote macrophage activation and enhance Bb phagocytotic activ...