Borrelia burgdorferi detected by culture and PCR in clinical relapse of disseminated Lyme borreliosis.

 Ann Med. 1999 Jun; 3,3:225-32.  Borrelia burgdorferi detected by culture and PCR in 
clinical relapse of disseminated Lyme borreliosis. Oksi J, Marjamäki M, Nikoskelainen J, 
Viljanen MK. 
Department of Medicine, Turku University Central Hospital, Finland.
A total of 165 patients with disseminated Lyme borreliosis, diagnosed in 1990-94, all 
seropositive except one culture-positive patient, were followed after antibiotic treatment, and 32 
of them were regarded as having a clinically defined treatment failure. Of the 165 patients, 
136 were tested by polymerase chain reaction, PCR, during the follow-up. PCR was positive 
from the plasma of 14 patients 0-30 months after discontinuation of the treatment, and 12 of 
these patients had a clinical relapse. In addition, Borrelia burgdorferi was cultured from the 
blood of three patients during the follow-up. All three patients belonged to the group with 
relapse, and two of them were also PCR positive. This report focuses on the 13 patients with 
clinical relapse and culture or PCR positivity. Eight of the patients had culture or PCR-proven 
initial diagnosis, the diagnosis of the remaining five patients was based on positive serology 
only.All 13 patients were primarily treated for more than 3 months with intravenous and/or 
oral antibiotics,11 of them received intravenous ceftriaxone, nine for 2 weeks, one for 3 weeks 
and one for 7 weeks, followed by oral antibiotics.  The treatment caused only temporary relief 
in the symptoms of the patients.All but one of them had negative PCR results immediately after 
the first treatment. The patients were retreated usually with intravenous ceftriaxone for 4-6 
weeks. None of them was PCR positive after the retreatment.The response to retreatment was 
considered good in nine patients. We conclude that the treatment of Lyme borreliosis with 
appropriate antibiotics for even more than 3 months may not always eradicate the 
spirochete.By using PCR, it is possible to avoid unnecessary retreatment of patients with 
'post-Lyme syndrome' and those with 'serological scars' remaining detectable for months or years 
after infection

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