Focus on patients receiving long-term antimicrobial treatments for lyme borreliosis: No lyme but mostly mental disorders - 28/04/21
, E. Haddad a, V. Pitron b, F. Pichon c, E. Caumes aBienvenue sur EM-consulte, la référence des professionnels de santé.
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Highlights |
• | Overdiagnosis of lyme borreliosis (LB) leads to unnecessary, and sometimes prolonged, antimicrobial treatments. |
• | None of our 15 patients with a presumed diagnosis of LB receiving antimicrobial treatment for at least 6 months were diagnosed with LB. |
• | Nine patients were diagnosed with a mental disorder. |
• | Overdiagnosis and overtreatment of lyme borreliosis put patients at risk of undiagnosed illnesses and multiple adverse effects of unjustified treatments. |
• | The clinical management of such patients requires a comprehensive approach including expertise in mental disorders. |
Abstract |
Objectives |
Overdiagnosis of lyme borreliosis leads to unnecessary and increasingly common antimicrobial treatments. We aimed to evaluate patients receiving long-term antimicrobial treatment for lyme borreliosis.
Methods |
We included patients referred to a Parisian teaching hospital between January 1st, 2014 and June 30th, 2019, with a presumed diagnosis of lyme borreliosis for which they were treated with antimicrobials for at least 6 months.
Results |
Fifteen patients were included (11 women and mean age 44 years). The mean antimicrobial treatment duration was 476 days (180–942). The mean number of antimicrobials was 6.8 per patient (1–18). None of the 15 patients had lyme borreliosis. Nine patients were diagnosed with a mental disorder.
Conclusion |
Overdiagnosis and overtreatment of lyme borreliosis put patients at risk of undiagnosed illnesses and multiple adverse effects of unjustified treatments. The clinical management of such patients requires a comprehensive approach including expertise in mental disorders.
Le texte complet de cet article est disponible en PDF.Keywords : Lyme borreliosis, Antimicrobials, Somatic symptoms and related disorders
Plan
| ☆ | This article is dedicated to the memory of François Pichon (1954–2019), an ID physician who specialized in the clinical management of somatic symptom and related disorders. |
Vol 51 - N° 3
P. 300-303 - mai 2021 Retour au numéro
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