Clinical and serologic follow-up in patients with neuroborreliosis

Neurology. 1998 Nov;51(5):1489-91. doi: 10.1212/wnl.51.5.1489.

Abstract

The authors performed a clinical and serologic follow-up study after 4.2 +/- 1.2 years in 44 patients with clinical signs of neuroborreliosis and specific intrathecal antibody production. All patients had been treated with ceftriaxone 2 g/day for 10 days. Although neurologic deficits decreased significantly, more than half the patients had unspecific complaints resembling a chronic fatigue syndrome and showed persisting positive immunoglobulin M serum titers for Borrelia in the Western blot analysis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antibodies, Bacterial / blood
  • Antibody Formation
  • Borrelia burgdorferi Group / immunology*
  • Ceftriaxone / therapeutic use*
  • Cephalosporins / therapeutic use
  • Enzyme-Linked Immunosorbent Assay
  • Follow-Up Studies
  • Humans
  • Immunoglobulin G / blood
  • Immunoglobulin M / blood
  • Lyme Disease / blood
  • Lyme Disease / drug therapy
  • Lyme Disease / immunology
  • Lyme Disease / physiopathology*
  • Nervous System Diseases / blood
  • Nervous System Diseases / immunology
  • Nervous System Diseases / microbiology
  • Nervous System Diseases / physiopathology*
  • Retrospective Studies
  • Time Factors

Substances

  • Antibodies, Bacterial
  • Cephalosporins
  • Immunoglobulin G
  • Immunoglobulin M
  • Ceftriaxone