The Journal of Pediatrics
Volume 157, Issue 6 , Pages 1025-1029.e2 , December 2010

Chronic Lyme Disease: A Survey of Connecticut Primary Care Physicians

  • Michael Johnson, MD

      Affiliations

    • University of Connecticut Health Center, Farmington, CT
    • ,
  • Henry M. Feder Jr., MD

      Affiliations

    • Departments of Pediatrics and Family Medicine, University of Connecticut Health Center, Farmington, CT
    • Corresponding Author InformationReprint requests: Henry M. Feder, Jr, MD,Departments of Family Medicine and Pediatrics, University of Connecticut Health Center, Farmington, Connecticut 06030.

Received 22 March 2010 ,Revised 20 May 2010 ,Accepted 17 June 2010.

References 

  1. Feder HM. Differences are voiced by two Lyme camps at a Connecticut public hearing on insurance coverage of Lyme disease. Pediatrics. 2000;105:255–257
  2. Auwaeter PG. Point: antibiotic therapy is not the answer for patients with persisting symptoms attributable to Lyme disease. Clin Infect Dis. 2007;45:143–148
  3. Stricker RB. Counterpoint: long-term antibiotic therapy improves persistent symptoms associated with Lyme disease. Clin Infect Dis. 2007;45:149–157
  4. Cameron D, Gaito A, Harris N, Bach G, Bellovin S, Boch S, et al. The ILADS Working Group Evidence-based guidelines for the management of Lyme disease. Expert Rev Anti Infect Ther. 2004;2(Suppl 1):S1–13
  5. American College of Rheumatology. Appropriateness of parental antibiotic treatment for patients with presumed Lyme disease. Ann Intern Med. 1993;119:518
  6. American Academy of Pediatrics. The 2009 red book: report of the Committee on Infectious Diseases. 27th ed.. Elk Grove, IL: American Academy of Pediatrics; 2009;p. 375
  7. Wormser GP, Dattwyler Shapiro ED, Halperin JJ, Steere AC, Klemper MS, et al. The clinical assessment, treatment, and prevention of Lyme disease, human granulocytic anaplasmosis, and babesiosis: clinical practice guidelines by Infectious Diseases Society of America. Clin Infect Dis. 2006;43:1089–1134
  8. Halperin JJ, Shapiro ED, Logigian EL, Belman AL, Dotevall l, Wormser GP, et al. Practice parameter: treatment of nervous system Lyme disease. Neurology. 2007;69:91–102
  9. Donta ST. Tetracycline therapy for chronic Lyme disease. Clin Infect Dis. 1997;25:S52–S56
  10. Hamlen R. Lyme borreliosis: perspective of a scientist-patient. Lancet Infect Dis. 2004;4:603–604
  11. Foderaro L. For three with Lyme disease pain without end. New York Times. Jan 6, 1989;A1:B4
  12. Stricker RB. Other opinion. Medical revisionists threaten effective Lyme treatment. Jul 31, 2006;Hartford Courant, A7
  13. Open Eye Pictures. Under your skin. Directed by Andy Abrahams Wilson; 2008.
  14. Cooper JD, Feder HM. Inaccurate information about Lyme disease on the Internet. Pediat Infect Dis J. 2004;23:1105–1108ILADS. Reply to Inaccurate information about Lyme disease on the Internet. Pediat Infect Dis J 2005;24:577-9
  15. Feder HM, Johnson BJB, O'Connell S, Shapiro ED, Steere AC, Wormser GP, et al. A critical appraisal of ”chronic lyme disease.“. N Engl J Med. 2007;357:1422–1430
  16. Steere AC. Lyme disease. N Engl J Med. 2001;345:115–124
  17. Feder HM. Lyme disease in children. Infect Dis Clin North Am. 2008;22:315–326
  18. Klempner MS, Schmid CH, Hu L, Steere AC, Johnson G, McCloud B, et al. Interlaboratory reliability of serologic and urine testing for Lyme disease. Am J Med. 2001;110:217–219
  19. Steere AC, Malawista SE, Syndman DR, Shope RE, Andiman WA, Ross MR, et al. Lyme arthritis-an epidemic of oligoarticular arthritis in children and adults in three Connecticut communities. Arthritis Rheum. 1977;20:7–17
  20. Lyme disease-United States, 2003-2005. MMWR Morb Mortal Wkly Rep. 2007;56:573–576
  21. Meek JI, Roberts CL, Smith EV, Cartter ML. Under reporting of Lyme disease by Connecticut physicians, 1992. J Pub Health Manage Prac. 1996;2:61–65
  22. Burrascano J. Late-stage Lyme disease: treatment options and guidelines. Intern Med Specialist. 1989;10:102–107
  23. Burrascano JJ. The over diagnosis of Lyme disease. JAMA. 1993;270:2682;(letter)
  24. Phillips SE, Mattman LH, Hulinska D, Moayad H. A proposal for a reliable culture of Borrelia burgdorferi from patients with chronic Lyme disease even from those previously aggressively treated. Infection. 1998;26:364–367
  25. Marques AR, Stock F, Gill V. Evaluation of a new culture medium for Borrelia burgdorferi. J Clin Microbiol. 2000;38:4239–4241
  26. Klein JO. Danger ahead: politics intrude in Infectious Disease Society of America guidelines for Lyme disease. Clin Infect Dis. 2008;47:1197–1199

 The authors declare no conflicts of interest.

PII: S0022-3476(10)00522-6

doi: 10.1016/j.jpeds.2010.06.031

The Journal of Pediatrics
Volume 157, Issue 6 , Pages 1025-1029.e2 , December 2010

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