| Intravenous
antibiotics were successful even if the presentation was primarily
subjective. Logigian and Steere successfully treated 27 neurologic
Lyme disease cases presenting with memory changes, fatigue,
headaches and sleep disturbance.[1] Out of 27, one had a pleocytosis
of 7 cells, the second had an antibody index, and the others
had inconsistent cognitive deficits. The authors concluded,
“These chronic neurologic abnormalities usually improve
with antibiotic therapy.”[1]
Reference
1.
Logigian EL, Kaplan RF, Steere AC. Chronic neurologic manifestations
of Lyme disease. N Engl J Med 1990; 323:1438 44. |
