Psychosomatics 2014 Sep-Oct;55(5):421-9. Epub 2014 Apr 19.
Consultation Psychiatry, Massachusetts General Hospital, Boston, MA; Harvard Medical School, Boston, MA; Avery D. Weisman Psychiatry Consultation Service, Massachusetts General Hospital, Boston, MA. Electronic address:
Background: Lyme disease, a tick-borne illness transmitted to humans, has become increasingly recognized.
Objective: Given the myriad neurovegetative and neuropsychiatric symptoms that can be associated with Lyme disease, we sought to review the epidemiology, evaluation, and treatment of the disorder.
Methods: A case vignette that highlights manifestations of the condition and dilemmas associated with its treatment is presented.
Conclusions: Knowledge about its symptoms, its abnormal laboratory tests, and its course can help to guide the timely and appropriate management of this spirochetal infection.