Leading Lyme Physicians in Lyme Disease Conversations – Dr. Daniel Cameron speaking with Dr. Joseph Burrascano. Dr. Burrascano- Treatment Recommendations Dr. Joseph Burrascano, Jr. DIAGNOSTIC HINTS AND TREATMENT GUIDELINES FOR LYME AND OTHER . These guidelines for diagnosis and management of borreliosis (Lyme in turn to our mentors and teachers, principally ILADS and the Burrascano guidelines.

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However, initial clinical results were disappointing, especially with oral azithromycin. Can be used intermittently as needed, or daily.


It has also been recognized that B. This is unlike syphilis, in which these reactions can occur within hours.

Aerobics are not recommended until the patient has fully recovered. Metronidazole Flagyl is commonly used in select patients with treatment resistant, chronic Lyme.

Still have active infection with B. As in localized disease, but duration as above. Ticks are very intolerant of being dried out.

It has been shown that the longer a patient had been ill with Bb prior to first definitive therapy, the longer the duration of treatment must be, and the need for more aggressive treatment increases.

Burrasccano bites are treated as follows remember the possibility of co-infection! This test should be done by a cardiologist and include Isuprel challenge. High risk bites are treated as follows remember the possibility of coinfection!


Varying degrees of pituitary insufficiency are being seen in these patients, the correction of which has resulted in restoration of energy, stamina and libido, and resolution of persistent hypotension. The fulminant presentations include high fevers, shaking chills and hemolysis, and can be fatal.

Below, is the current case definition used for surveillance. Do not try to irritate them with heat or chemicals, or grasp them by the body, as this may cause the tick to inject more germs into your skin. Patients report clearer thinking and better memory. Therefore, it is necessary to prescribe physical therapy, the extent of which depends on an individual patients’ condition, followed by a graded exercise program.

Retreatment is always possible. In addition to measuring free T3 and T4 levels, check basal A. You need to see at least the 41KD and one of the specific bands. However, pulsed dose therapy and regular use of the lactobacillus preparations seems to be helpful in controlling yeast and antibiotic related colitis, as the number of cases of C.

Consult your physician prior to making any medical or health decisions.


Conversation with Lyme Leader Dr. Joseph Burrascano

Magnesium deficiency is very bugrascano present and quite severe. Cefuroxime axetil mg q12h for 6 weeks. Must be given q6 to giidelines hours.

Erythromycin has been shown to be almost ineffective as monotherapy. When present in a hostile environment, such as growth medium lacking some nutrients, or spinal fluid, or serum with certain antibiotics added, Bb will change into a cystic form.

Each session should last one hour. Omega-3 Fish Oil capsules, mg per capsule.

Test B12 levels, and be prepared to aggressively treat with parenteral formulations. Unfortunately, not all patients with chronic Lyme disease will fully recover and treatment may not eradicate the active Borrelia infection.

The tetracyclines, including doxycycline and minocycline, are bacteriostatic unless given in high doses. The EM rash will begin four days to several weeks after the bite, and may be associated with constitutional symptoms. Persons bitten in an area highly endemic for Lyme Borreliosis by an unidentified tick or tick capable of transmitting B.

Burrascano is retired from clinical practice.