Sorting out Lyme and Associated Coinfections "There is a need to sort it all out clinically to provide guidance in testing and treatment."

By Dr. Joseph Burrascano

I n addition to Borrelia burgdorferi (Bb), ticks may carry and transmit other infections. Furthermore, patients with disseminated Lyme complicated by these coinfections are usually immunocompromised and may also manifest signs and symptoms of reactivated latent infections and opportunists. All can add to morbidity and may need to be treated.

Because of the large number of these other infections, the cost of reliably testing for all of them as a matter of routine is prohibitive. Also, as in the case with Bb infection, laboratory tests for them are often insensitive. Thus there is a need to sort it all out clinically to provide guidance in testing and treatment. Here are some clues:…….. Join or login below to continue reading.

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