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» LymeNet Flash » Questions and Discussion » Medical Questions » Persistent Borrelia Infection in Patients with Ongoing Symptoms of Lyme Disease

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Author Topic: Persistent Borrelia Infection in Patients with Ongoing Symptoms of Lyme Disease
TNT
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Just published online ahead of print what we all know to be true.....

Persistent Borrelia Infection in Patients with Ongoing Symptoms of Lyme Disease

Version 1 : Received: 7 March 2018 / Approved: 8 March 2018 / Online: 8 March 2018 (07:08:02 CET)


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, Borrelia burgdorferi, in patients who have been treated with recommended doses of antibiotics yet remain symptomatic. Persistent spirochetal infection despite antibiotic therapy has recently been demonstrated in non-human primates. We present evidence of persistent Borrelia infection despite antibiotic therapy in patients with ongoing Lyme disease symptoms.

Materials & 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 10 control subjects without Lyme disease. The cultures were subjected to corroborative microscopic, histopathological and molecular testing for Borrelia organisms in four independent laboratories in a blinded manner.

Results:

Motile spirochetes identified histopathologically as Borrelia were detected in culture specimens, and these spirochetes were genetically identified as Borrelia burgdorferi by three distinct polymerase chain reaction (PCR) methods. Spirochetes identified as Borrelia burgdorferi were cultured from the blood of seven subjects, from the genital secretions of ten subjects, and from a skin lesion of one subject. Cultures from control subjects without Lyme disease were negative for Borrelia using these methods.

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 Borrelia infection remains to be determined.

Middelveen, M.J.; Sapi, E.; Burke, J.; Filush, K.R.; Franco, A.; Fesler, M.C.; Stricker, R.B. Persistent Borrelia Infection in Patients with Ongoing Symptoms of Lyme Disease. Preprints 2018, 2018030062 (doi: 10.20944/preprints201803.0062.v1).

pre-print dx.doi.org/10.20944/preprints201803.0062.v1

Full article pre-print PDF format bit.ly/2FziZiI


Hopefully this puts the dagger through the heart so to speak of the Denialists' propaganda!

Posts: 1308 | From Eastern USA | Registered: Oct 2013  |  IP: Logged | Report this post to a Moderator
TX Lyme Mom
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TinCup posted this same article just a few days ago. It might be better to keep all of the comments under that same topic. Here's the link to it:

http://flash.lymenet.org/scripts/ultimatebb.cgi?ubb=get_topic;f=1;t=136800;p=0

Posts: 4563 | From TX | Registered: Sep 2002  |  IP: Logged | Report this post to a Moderator
   

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