TREATMENT OF LATE LYME BORRELIOSIS—RANDOMISED COMPARISON OF CEFTRIAXONE AND PENICILLIN
Dattwyler RJ, Halperin JJ, Volkman DS +1 more1988The LancetJournal Article
CardiovascularImmune/InnateNeurological
Lyme & Co-Infections
Abstract
23 patients with clinically active late Lyme disease were randomly assigned to intravenous treatment with either penicillin or ceftriaxone. Of the 10 treated with penicillin, 5 were judged treatment failures; of the 13 who received ceftriaxone, only 1 did not respond. An additional 31 patients were subsequently treated with ceftriaxone 4 g/day (n = 17) or 2 g/day (n = 14); success rates in both groups were comparable to those in the cohort randomised to ceftriaxone. Patients unresponsive to ceftriaxone were more likely to have received corticosteroid treatment.
Part of CIRS Nexus · Curated by Lauren Lowenstein, The Biotoxin Lady
Cited By (18)
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- Lyme disease associated with fibromyalgiaAnnals of Internal Medicine · 1992
- Chronic Lyme disease: a reviewInfectious Disease Clinics of North America · 2008
- Detection of Borrelia burgdorferi DNA by polymerase chain reaction in synovial fluid from patients with Lyme arthritisNew England Journal of Medicine · 1994
- Associations of HLA DR and DQ molecules with Lyme borreliosis in Latvian patientsBMC Research Notes · 2012
- Neuroborreliosis in the etiology of vestibular neuronitisActa Oto-Laryngologica · 1993
- Elucidation of Lyme arthritisNature reviews. Immunology · 2004
- Inflammation and central nervous system Lyme diseaseNeurobiology of Disease · 2010
- Survival of Borrelia burgdorferi in antibiotically treated patients with Lyme borreliosisInfection · 1989
- Lyme disease: recommendations for diagnosis and treatmentAnnals of Internal Medicine · 1991
- Intracellular localization of Borrelia burgdorferi within human endothelial cellsInfection and Immunity · 1991
- A perspective on the treatment of Lyme borreliosisClinical Infectious Diseases · 1989
- Successful Oral Doxycycline Treatment of Lyme Disease‐Associated Facial Palsy and MeningitisClinical Infectious Diseases · 1999
- Persisting complaints attributed to chronic lyme disease: Possible mechanisms and implications for managementThe American Journal of Medicine · 1994
- Penetration of doxycycline into cerebrospinal fluid in patients treated for suspected Lyme neuroborreliosisAntimicrobial Agents and Chemotherapy · 1989
- Seronegative Lyme diseaseNew England Journal of Medicine · 1988
- Clinical implications of delayed growth of the Lyme borreliosis spirochete, Borrelia burgdorferiActa Tropica · 1990
- Foot and ankle disorders resulting from Lyme diseaseFoot & Ankle · 1991
References (6)
- The early clinical manifestations of Lyme diseaseAnnals of Internal Medicine · 1983
- Treatment of the early manifestations of Lyme diseaseAnnals of Internal Medicine · 1983
- Successful Parenteral Penicillin Therapy of Established Lyme ArthritisNew England Journal of Medicine · 1985
- Enzyme-linked immunosorbent assay and indirect immunofluorescence assay for Lyme diseaseThe Journal of Infectious Diseases · 1984
- The spirochetal etiology of Lyme diseaseNew England Journal of Medicine · 1983
- Lyme meningoencephalitis: Report of a severe, penicillin-resistant caseArthritis and rheumatism · 1987
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