NYMC Faculty Publications

Treatment Trials for Post-Lyme Disease Symptoms Revisited

Author Type(s)

Faculty

DOI

10.1016/j.amjmed.2013.02.014

Journal Title

The American Journal of Medicine

First Page

665

Last Page

669

Document Type

Article

Publication Date

8-1-2013

Department

Pathology, Microbiology and Immunology

Second Department

Pharmacology

Abstract

The authors of 4 National Institutes of Health-sponsored antibiotic treatment trials of patients with persistent unexplained symptoms despite previous antibiotic treatment of Lyme disease determined that retreatment provides little if any benefit and carries significant risk. Two groups recently provided an independent reassessment of these trials and concluded that prolonged courses of antibiotics are likely to be helpful. We have carefully considered the points raised by these groups, along with our own critical review of the treatment trials. On the basis of this analysis, the conclusion that there is a meaningful clinical benefit to be gained from retreatment of such patients with parenteral antibiotic therapy cannot be justified.

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