* Lyme disease, when diagnosed early, is readily treatable with oral
antibiotics.
* Positive antibody tests, by themselves, do not provide sufficient
basis
for diagnosing Lyme disease. The diagnosis should be based on the
overall
picture, including history and physical findings [7,36].
* Negative antibody testing after the first few weeks strongly
suggests
that the patient does not have Lyme disease [7].
* Many patients with chronic nonspecific symptoms (such as
headaches,
fatigue, achiness, mental confusion, or sleep disturbances) mistakenly
believe
that they have Lyme disease.
* Intravenous antibiotic therapy, when given appropriately, should
not last
more than a month. It should not be given unless oral antibiotic
therapy has
failed and persistent active infection has been demonstrated by
culture,
biopsy, or other bacteriologic technique [37].
* Malariotherapy, intracellular hyperthermia therapy, hyperbaric
oxygen
therapy, colloidal silver, dietary supplements, and herbs are not
appropriate
measures for treating Lyme disease. Doctors who recommend them should
be
avoided.

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