Sorry all, I had to modify the title a bit to get it to fit into the title!
Here's the real title:
In my opinion, this is a couple of doctors trying to 'bridge the gap' between IDSA and ILADS recommendations, but there is some good documentation of these symptoms and them resolving not with psychiatric care - but abx!
"New-onset panic, depression with suicidal thoughts, and
somatic symptoms in a patient with a history of lyme disease. "
We present a case of a 37-year-old man with no known
psychiatric history who developed panic attacks, severe
depressive symptoms and suicidal ideation, and neuromuscular
complaints including back spasms, joint pain, myalgias, and
neuropathic pain. These symptoms began 2 years after being
successfully treated for a positive Lyme test after
receiving a tick bite.
During inpatient psychiatric hospitalization his psychiatric
and physical symptoms did not improve with antidepressant
and anxiolytic treatments. The patient’s panic attacks
resolved after he was discharged and then, months later,
treated with long-term antibiotics for suspected “chronic
Lyme Disease” (CLD) despite having negative Lyme titers. He
however continued to have subsyndromal depressive symptoms
and chronic physical symptoms such as fatigue, myalgias, and
neuropathy."
"The patient contacted the hospital’s outpatient clinic 9 months after discharge to arrange reinstitution of care. He states that after discharge he visited multiple internists and neurologists and had several ELISA Lyme tests which were negative and Western Blots which were also negative for the required IgM and IgG bands (see above). He then traveled to a specialist in another state who sent blood work to IGeneX Laboratories, Inc., in California, which came back positive for Borrelia and Babesiosis on Bands 31 and 34 for IgG. In addition, he reported that his CD57 count was low (352). "
Interestingly enough, this is also in the report:
"Additionally, there previously had been concerns about
the validity of the positive results of Lyme tests of certain laboratories including IGeneX, where our patient had a positive result, although proponents of the laboratory note that IGeneX, Inc., is licensed in several states and tests for bands not measured at other laboratories, which use CDC criteria."
www.hindawi.com/journals/crips/2015/457947/