Holistic Approach in Patients With Presumed Lyme Borreliosis Leads to Less Than 10% of Confirmation and More Than 80% of Antibiotic Failures.
@article{Haddad2019HolisticAI, title={Holistic Approach in Patients With Presumed Lyme Borreliosis Leads to Less Than 10% of Confirmation and More Than 80% of Antibiotic Failures.}, author={E. Haddad and K. Chabane and S. Jaur{\'e}guiberry and G. Monsel and V. Pourcher and {\'E}. Caumes}, journal={Clinical infectious diseases : an official publication of the Infectious Diseases Society of America}, year={2019}, volume={68 12}, pages={ 2060-2066 } }
BACKGROUND
There is no precise idea whether patients with chronic symptoms attributed to Lyme borreliosis (LB) have LB or another disease. [...] Key Method We included symptomatic patients consulting for presumed LB. They were classified as confirmed LB when they met four criteria, and possible LB if three with a positive clinical response to presumptive treatment.
RESULTS
Amongst the 301 patients, 275 (91%) were exposed to tick bites, and 165 (54%) were bitten by a tick.Expand
Paper Mentions
14 Citations
Functional signs in patients consulting for presumed Lyme borreliosis.
- Medicine
- Medecine et maladies infectieuses
- 2019
Suspicion of Lyme borreliosis in patients referred to an infectious diseases clinic: what did the patients really have?
- Medicine
- Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases
- 2020
Focus on patients receiving long-term antimicrobial treatments for Lyme borreliosis: no Lyme but mostly mental disorders.
- Medicine
- Medecine et maladies infectieuses
- 2020
Misdiagnosis of Lyme Disease With Unnecessary Antimicrobial Treatment Characterizes Patients Referred to an Academic Infectious Diseases Clinic
- Medicine
- Open forum infectious diseases
- 2019
- 8
- PDF
Lyme borreliosis and other tick-borne diseases. Guidelines from the French scientific societies (II). Biological diagnosis, treatment, persistent symptoms after documented or suspected Lyme borreliosis.
- Medicine
- Medecine et maladies infectieuses
- 2019
- 8
Lyme borreliosis and other tick-borne diseases. Guidelines from the French Scientific Societies (I): prevention, epidemiology, diagnosis.
- Medicine
- Medecine et maladies infectieuses
- 2019
- 4
- PDF
Holistic or Dedicated Approach in Lyme Disease?
- Medicine
- Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
- 2019
- 1
- Highly Influenced
References
SHOWING 1-10 OF 27 REFERENCES
To test or not to test? Laboratory support for the diagnosis of Lyme borreliosis: a position paper of ESGBOR, the ESCMID study group for Lyme borreliosis.
- Medicine
- Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases
- 2018
- 45
Ceftriaxone compared with doxycycline for the treatment of acute disseminated Lyme disease.
- Medicine
- The New England journal of medicine
- 1997
- 164
- Highly Influential
Chronic coinfections in patients diagnosed with chronic lyme disease: a systematic review.
- Medicine
- The American journal of medicine
- 2014
- 37
- Highly Influential
- PDF
The challenge of Lyme disease: tired of the Lyme wars.
- Medicine
- The Netherlands journal of medicine
- 2011
- 24
- Highly Influential
The Consequences of Overdiagnosis and Overtreatment of Lyme Disease: An Observational Study
- Medicine
- Annals of Internal Medicine
- 1998
- 133
- Highly Influential
Feedback on difficulties raised by the interpretation of serological tests for the diagnosis of Lyme disease.
- Medicine
- Medecine et maladies infectieuses
- 2014
- 8
- Highly Influential
Depressive Symptoms in Patients Referred to a Tertiary Lyme Center: High Prevalence in Those Without Evidence of Lyme Borreliosis
- Medicine
- Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
- 2017
- 8
- Highly Influential
- PDF
Lyme borreliosis: clinical case definitions for diagnosis and management in Europe.
- Medicine, Biology
- Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases
- 2011
- 420
- Highly Influential
- PDF