Chronic (Lyme) neuroborreliosis = late (Lyme) neuroborrelios

[X-member]

I have now tried to explain that chronic (Lyme) borreliosis stands for late Lyme disease in another topic.

But I understand that some people think that an active borrelia infection can last "forever" (for the rest of the persons life).

Perhaps this is possible?

[X-member]

We often hear/read that IDSA deny "chronic Lyme", but what is it that IDSA actually say/claim don't exist?

Is it an active infection after treatment they claim does not exist?

Or is it an infection that can last "forever" they talk about?

Or is it an infection that need to be treated "forever" they talk about?

[duncan]

In answer to your first question: Why not? Syphilis can.

The second is that the IDSA says Bb will not, in the vast majority of case, survive IDSA-recommended treatment. In effect, post-treatment Borrelial infection - what some refer to as chronic Lyme - doesn't exist.

The IDSA does acknowledge late stage Lyme, but hold that it is easily and readily treated with standardized therapy as set forth in its guidelines.

[X-member]

Yes, you are right Duncan, a borrelia infection can last for the rest of the life. So IDSA (most likely) do not deny chronic Lyme borreliosis.

[duncan]

Except that the IDSA DOES taken an open stance against the concept of what they term chronic Lyme. Check out the Guidelines.

[X-member]

Duncan, you wrote:

Except that the IDSA DOES taken an open stance against the concept of what they term chronic Lyme. Check out the Guidelines.

Where in IDSA:s guidelines can we find information about what chronic Lyme borreliosis stands for?

[duncan]

Check under Post Lyme Disease Syndromes. They reference chronic Lyme a few times, usually bracketed in quotations, like "chronic" Lyme. On my copy, for instance, specifically pg 1117, they reference "chronic Lyme disease" as being applied to patients with vague complaints who have never had Lyme disease.

[X-member]

Duncan, I did not talk about chronic Lyme disease, I was talking about chronic Lyme borreliosis.

[X-member]

http://www.lymeneteurope.org/forum/view ... =10#p41720

A quote:

No, I think the authors would have used the term "Late Lyme" if that is what they meant.

No, people from Europe are actually "allowed" to use European defintions/diagnoses. No matter what IDSA say, or actually not say about chronic Lyme borreliosis.

[X-member]

I wrote earlier (about IDSA):

Is it an active infection after treatment they claim does not exist?

I don't think that IDSA claim that this don't exist.

I also wrote earlier:

Or is it an infection that need to be treated "forever" they talk about?

This I think that IDSA claim don't exist.