Lyme Disease
Authors: Daniel Weiss, Miriam F. Weiss
Journal: Annals of Internal Medicine (2016)

Letters1 November 2016Lyme DiseaseDaniel Weiss, MD and Miriam F. Weiss, MD, MADaniel Weiss, MDFrom Your Diabetes Endocrine Nutrition Group, Mentor, and Case Western Reserve University, Cleveland, Ohio.Search for more papers by this author and Miriam F. Weiss, MD, MAFrom Your Diabetes Endocrine Nutrition Group, Mentor, and Case Western Reserve University, Cleveland, Ohio.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L16-0410 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:In May, the incidence of vector-borne disease increases markedly as more persons in the United States spend time outdoors. Therefore, the publication of Hu's In the Clinic article on Lyme disease (1) in May 2016 was opportune. However, Hu provides little new information to help clinicians with decision making and repeats outdated dogma.First, Hu claims that ticks need to be attached for 24 hours for Borrelia burgdorferi to be transmitted; however, the minimum attachment time for transmission has never been proved (2). As Hu states, many patients with Lyme disease are unaware of having been bitten.... References1. Hu LT. In the Clinic: Lyme disease. Ann Intern Med. 2016;164:ITC65-80. [PMID: 27136224]. doi:10.7326/AITC201605030 LinkGoogle Scholar2. Cook MJ. Lyme borreliosis: a review of data on transmission time after tick attachment. Int J Gen Med. 2015;8:1-8. [PMID: 25565881] doi:10.2147/IJGM.S73791 CrossrefMedlineGoogle Scholar3. Cameron DJ, Johnson LB, Maloney EL. Evidence assessments and guideline recommendations in Lyme disease: the clinical management of known tick bites, erythema migrans rashes and persistent disease. Expert Rev Anti Infect Ther. 2014;12:1103-35. [PMID: 25077519] doi:10.1586/14787210.2014.940900 CrossrefMedlineGoogle Scholar4. Berndtson K. Review of evidence for immune evasion and persistent infection in Lyme disease. Int J Gen Med. 2013;6:291-306. [PMID: 23637552] doi:10.2147/IJGM.S44114 CrossrefMedlineGoogle Scholar5. Sapi E, Pabbati N, Datar A, Davies EM, Rattelle A, Kuo BA. Improved culture conditions for the growth and detection of Borrelia from human serum. Int J Med Sci. 2013;10:362-76. [PMID: 23470960] doi:10.7150/ijms.5698 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Your Diabetes Endocrine Nutrition Group, Mentor, and Case Western Reserve University, Cleveland, Ohio.Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L16-0410. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoLyme Disease Linden T. Hu Lyme Disease Linden T. Hu Metrics 1 November 2016Volume 165, Issue 9Page: 676-677KeywordsDisclosureDoxycyclineErythemaInfectious diseasesLyme diseaseProphylaxisReasoningTicksTreatment guidelinesVector-borne diseases ePublished: 1 November 2016 Issue Published: 1 November 2016 Copyright & PermissionsCopyright © 2016 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...