Reviews

Lyme Disease: Why It’s Spreading, How It Makes You Sick, and What To Do About It

Lyme disease expert Alan Barbour has been involved in research into the disease since the 1982 discovery of borrelia burgdorferi, the causative agent of the disease.

This book mainly focuses on the American form of Lyme disease, which differs to that found in Europe, and contains some interesting historical perspectives.

The chapter on basic principles of serology testing is easy to understand, and less controversial areas such as tick removal and diagnosis and treatment of early, uncomplicated Lyme disease are covered well.

It is disappointing that two key studies exploring the persistence of borrelia after antibiotic treatment are omitted in discussion of post-treatment Lyme disease syndrome (PTLDS), and that the review of one of the few good studies on re-treatment of PTLDS ignores significant improvement in outcomes such as pain and fatigue.

The book aims to provide an authoritative, evidence-based account of current knowledge and understanding of Lyme disease. But avoiding important areas of uncertainty and debate merely results in an oversimplified account.

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