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Imperial Library
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Index
Cover
Title Page
Copyright
Dedication
Epigraph
Contents
Acknowledgments
Preface
Basic Terminology
1. What Is Lyme disease?
Basic Facts
A Bird’s Eye View
2. The Early History and Epidemiologic Surveillance
What Was the Infectious Agent of Lyme Disease?
The Spread of Lyme Disease and National Surveillance
3. What Are the Symptoms and Signs of Lyme Disease?
Early Localized Stage
Early Disseminated Stage
Late Disseminated Stage
Post-Treatment Lyme Disease Syndrome
4. What Do the Diagnostic Tests Tell Us?
Blood Tests
Urine-Based Tests
Spinal Fluid and Brain Tests
Other Tests
Summary
5. The Great Divide and the Lyme Wars
What Is the Great Divide?
What Are the Lyme Wars?
Concluding Comments Regarding the Great Divide and the Lyme Wars
6. Why Would Symptoms Persist After Antibiotic Treatment for Lyme Disease?
Persistent Infection Hypothesis
Residual Damage Hypothesis
Persistent Immune Activation and Inflammation Hypothesis
Neural Network Dysregulation Hypothesis
The Relationship Between Immune Activation and Depression
The Connection Between the Gut Microbiome and Mood
Somatization, Anxiety, and Chronic Symptoms
7. What Are the Treatments for Lyme Disease?
Treatment of Early Lyme Disease
Treatment of Later-Stage Disseminated Lyme Disease
Treatment Failures and Borrelia Persisters
Risks and Benefits of Antibiotics
Treatment of Post-Treatment Lyme Disease Syndrome
Other Therapeutic Strategies
8. Other Tick-Borne Infections
Common Tick-Borne Infectious Diseases
Other Tick-Borne Infectious Diseases
Other Vector-Transmitted Infections (Possibly by Ticks)
Other Disorders Caused by Ticks but Not Inducing Human Infection
9. What Other Noninfectious Diseases Cause Lyme-Like symptoms?
Celiac Disease
Chronic Fatigue Syndrome
Chronic Heavy Metal Poisoning
Chronic Inflammatory Demyelinating Polyneuropathy
Fibromyalgia
Lupus
Major Depressive Disorder
Malignancy (Cancer)
Multiple Sclerosis
Panic Disorder
Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcus
Postural Orthostatic Tachycardia Syndrome
Sleep Disorders
Somatic Symptom Disorder
Vitamin B12 Deficiency
10. Lyme Disease Prevention and Transmission
The Ticks
Prevention Recommendations
Transmission
Lyme Disease and Pregnancy
The Lyme Disease Vaccines
New Developments in Prevention
11. Suggestions to the Patient Seeking Evaluation or Treatment
How to Approach the Visit
What to Bring to the Appointment
Seeking a Second Opinion
Tips for Navigating Online Health Information
12. The Experience of the Patient with Chronic Symptoms
The Politically Charged Climate and Its Impact on the Physician-Patient Relationship
Protean Nature of the Presentations of Lyme Disease
The Variability of Course: Waxing and Waning Symptoms
Psychological Ramifications of an “Invisible” Chronic Illness
The Fact that Lyme Disease Can Affect the Brain and Sensorium
Uncertainty Surrounding Diagnosis, Treatment, and Prognosis
The Role of Mental Health Care and Resiliency
Conclusion
13. Frequently Asked Questions
Signs, Symptoms, and Diagnosis
Overlap of Lyme Disease with Other Diseases
Testing and Treatment for Lyme Disease
Ticks
Miscellaneous
14. The Good News Emerging from Lyme Disease Research
Recognition that Borrelia Persist
Repeated Antibiotics Can Help
Persister Borrelia Burgdorferi Spirochetes May Necessitate Different Treatment Approaches
Recognition that Persistent Symptoms After Treatment for Lyme Disease Have Been Associated with Objective Biologic Findings
Recognition that Lyme Disease Infection May Lead to Abnormally Active Neural Pathways
“Omics Research” Can Help Improve Diagnostics and Clarify Pathophysiology
Identification of a New Tick-Borne Infection Causing Symptoms Similar to Lyme Disease
New Prevention Strategies
Generic (Brand) Drug Names
Glossary of Terms
References
Index
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