Treatment of Lyme Borreliosis

Arthritis Res Ther. 2009;11(6):258. doi: 10.1186/ar2853. Epub 2009 Dec 17.


Borrelia burgdorferi sensu lato is the causative agent of Lyme borreliosis in humans. This inflammatory disease can affect the skin, the peripheral and central nervous system, the musculoskeletal and cardiovascular system and rarely the eyes. Early stages are directly associated with viable bacteria at the site of inflammation. The pathogen-host interaction is complex and has been elucidated only in part. B. burgdorferi is highly susceptible to antibiotic treatment and the majority of patients profit from this treatment. Some patients develop chronic persistent disease despite repeated antibiotics. Whether this is a sequel of pathogen persistence or a status of chronic auto-inflammation, auto-immunity or a form of fibromyalgia is highly debated. Since vaccination is not available, prevention of a tick bite or chemoprophylaxis is important. If the infection is manifest, then treatment strategies should target not only the pathogen by using antibiotics but also the chronic inflammation by using anti-inflammatory drugs.

Publication types

  • Review

MeSH terms

  • Antibodies, Bacterial / therapeutic use
  • Borrelia burgdorferi
  • Host-Pathogen Interactions
  • Humans
  • Lyme Disease / drug therapy*
  • Lyme Disease / immunology
  • Lyme Disease / pathology


  • Antibodies, Bacterial