Chronic coinfections in patients diagnosed with chronic lyme disease: a systematic review.
| dc.contributor.author | Lantos, Paul M | |
| dc.contributor.author | Wormser, Gary P | |
| dc.coverage.spatial | United States | |
| dc.date.accessioned | 2017-04-06T19:52:20Z | |
| dc.date.available | 2017-04-06T19:52:20Z | |
| dc.date.issued | 2014-11 | |
| dc.description.abstract | PURPOSE: Often, the controversial diagnosis of chronic Lyme disease is given to patients with prolonged, medically unexplained physical symptoms. Many such patients also are treated for chronic coinfections with Babesia, Anaplasma, or Bartonella in the absence of typical presentations, objective clinical findings, or laboratory confirmation of active infection. We have undertaken a systematic review of the literature to evaluate several aspects of this practice. METHODS: Five systematic literature searches were performed using Boolean operators and the PubMed search engine. RESULTS: The literature searches did not demonstrate convincing evidence of: 1) chronic anaplasmosis infection; 2) treatment-responsive symptomatic chronic babesiosis in immunocompetent persons in the absence of fever, laboratory abnormalities, and detectable parasitemia; 3) either geographically widespread or treatment-responsive symptomatic chronic infection with Babesia duncani in the absence of fever, laboratory abnormalities, and detectable parasitemia; 4) tick-borne transmission of Bartonella species; or 5) simultaneous Lyme disease and Bartonella infection. CONCLUSIONS: The medical literature does not support the diagnosis of chronic, atypical tick-borne coinfections in patients with chronic, nonspecific illnesses. | |
| dc.identifier | ||
| dc.identifier | S0002-9343(14)00476-8 | |
| dc.identifier.eissn | 1555-7162 | |
| dc.identifier.uri | ||
| dc.language | eng | |
| dc.publisher | Elsevier BV | |
| dc.relation.ispartof | Am J Med | |
| dc.relation.isversionof | 10.1016/j.amjmed.2014.05.036 | |
| dc.subject | Anaplasma | |
| dc.subject | Babesia | |
| dc.subject | Bartonella | |
| dc.subject | Borrelia burgdorferi | |
| dc.subject | Coinfection | |
| dc.subject | Lyme disease | |
| dc.subject | Anaplasmosis | |
| dc.subject | Animals | |
| dc.subject | Babesiosis | |
| dc.subject | Bartonella Infections | |
| dc.subject | Chronic Disease | |
| dc.subject | Humans | |
| dc.subject | Immunocompromised Host | |
| dc.subject | Lyme Disease | |
| dc.title | Chronic coinfections in patients diagnosed with chronic lyme disease: a systematic review. | |
| dc.type | Journal article | |
| pubs.author-url | ||
| pubs.begin-page | 1105 | |
| pubs.end-page | 1110 | |
| pubs.issue | 11 | |
| pubs.organisational-group | Clinical Science Departments | |
| pubs.organisational-group | Duke | |
| pubs.organisational-group | Global Health Institute | |
| pubs.organisational-group | Institutes and Provost's Academic Units | |
| pubs.organisational-group | Medicine | |
| pubs.organisational-group | Medicine, Hospitalists | |
| pubs.organisational-group | Pediatrics | |
| pubs.organisational-group | Pediatrics, Infectious Diseases | |
| pubs.organisational-group | School of Medicine | |
| pubs.organisational-group | University Institutes and Centers | |
| pubs.publication-status | Published | |
| pubs.volume | 127 |
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