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Healthcare (Basel). 2018 Apr 14;6(2). doi: 10.3390/healthcare6020033.

Persistent Borrelia Infection in Patients with Ongoing Symptoms of Lyme Disease.

Healthcare (Basel, Switzerland)

Marianne J Middelveen, Eva Sapi, Jennie Burke, Katherine R Filush, Agustin Franco, Melissa C Fesler, Raphael B Stricker

Affiliations

  1. Atkins Veterinary Services, Calgary, AB T3B 4C9, Canada. [email protected].
  2. Department of Biology and Environmental Science, University of New Haven, West Haven, CT 06516, USA. [email protected].
  3. Australian Biologics, Sydney, NSW 2000, Australia. [email protected].
  4. Department of Biology and Environmental Science, University of New Haven, West Haven, CT 06516, USA. [email protected].
  5. School of Health Sciences, Universidad Catolica Santiago de Guayaquil, Guayaquil 090615, Ecuador. [email protected].
  6. Union Square Medical Associates, 450 Sutter Street, Suite 1504, San Francisco, CA 94108, USA. [email protected].
  7. Union Square Medical Associates, 450 Sutter Street, Suite 1504, San Francisco, CA 94108, USA. [email protected].

PMID: 29662016 PMCID: PMC6023324 DOI: 10.3390/healthcare6020033

Abstract

INTRODUCTION: Lyme disease is a tickborne illness that generates controversy among medical providers and researchers. One of the key topics of debate is the existence of persistent infection with the Lyme spirochete,

METHODS: In this pilot study, culture of body fluids and tissues was performed in a randomly selected group of 12 patients with persistent Lyme disease symptoms who had been treated or who were being treated with antibiotics. Cultures were also performed on a group of ten control subjects without Lyme disease. The cultures were subjected to corroborative microscopic, histopathological and molecular testing for

RESULTS: Motile spirochetes identified histopathologically as

CONCLUSIONS: Using multiple corroborative detection methods, we showed that patients with persistent Lyme disease symptoms may have ongoing spirochetal infection despite antibiotic treatment, similar to findings in non-human primates. The optimal treatment for persistent

Keywords: Borrelia burgdorferi; Lyme disease; chronic infection; spirochete culture; tickborne disease

Conflict of interest statement

The authors declare no conflict of interest.

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