Consultant, Infectious Diseases, Falmouth Hospital, Falmouth, MA, United States.
Front Public Health. 2022 Jan 21;9:819541. doi: 10.3389/fpubh.2021.819541. eCollection 2021.
We know the cause of Lyme disease. We know that the bacteria can be found in the initial rash, and occasionally in the blood in the subsequent 2-3 months, but after then, its subsequent location is unknown. Whereas diagnosis and treatment of early Lyme disease is generally straightforward, the etiology of relapsing or persisting symptoms is yet to be defined, and presents clinical challenges. There are no current tests to determine if the infection is still present or absent, thus complicating diagnosis and treatment. Presented here are approaches to the diagnosis and treatment of persisting Lyme disease, based on available published information, and the experience of the author.
我们知道莱姆病的病因。我们知道在初始皮疹中可以发现这种细菌，并且在随后的 2-3 个月中偶尔也可以在血液中发现，但此后，其后续位置未知。尽管早期莱姆病的诊断和治疗通常很简单，但复发或持续症状的病因尚未确定，这带来了临床挑战。目前尚无确定感染是否仍然存在或不存在的测试，因此使诊断和治疗变得复杂。根据现有发表的信息和作者的经验，本文介绍了持续莱姆病的诊断和治疗方法。
