[Pain, fatigue, depression after borreliosis. Antibiotics used up--what next?].
Antibiotic treatment--usually stage-dependent in terms of the active agent, duration and form of application--is the central pillar in the management of Lyme disease. In the late stages of borreliosis, symptoms may persist despite extensive and repeated antibiotic treatment. In this phase, borreliosis-typical neuropathy and neuralgia, chronic fatigue and neuropsychological deficits predominate. Irrespective of whether renewed antibiotic treatment is indicated or not, symptomatic treatment must be continued.
Woessner
R
R
Neurologische Klinik, Westpfalz-Klinikum GmbH, Kaiserslautern. rwoessner@westpfalz-klinikum.de
Treib
J
J
D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use*; D000928:Antidepressive Agents / Q000627:therapeutic use*; D003131:Combined Modality Therapy; D003866:Depressive Disorder / Q000209:etiology / Q000534:rehabilitation*; D015673:Fatigue Syndrome, Chronic / Q000209:etiology / Q000534:rehabilitation*; D006801:Humans; D008193:Lyme Disease / Q000175:diagnosis / Q000534:rehabilitation*; D020852:Lyme Neuroborreliosis / Q000175:diagnosis / Q000534:rehabilitation*; D026741:Physical Therapy Modalities; D011379:Prognosis
D000900:Anti-Bacterial Agents; D000894:Anti-Inflammatory Agents, Non-Steroidal; D000928:Antidepressive Agents