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From the Department of Neurology, University of the Saarland, Homburg, Germany.
Address correspondence and reprint requests to Priv.-Doz. Dr. Johannes Treib, Department of Neurology, University of the Saarland, Kirrbergerstrasse, D-66421 Homburg, Germany.
The authors performed a clinical and serologic follow-up study after 4.2 ± 1.2 years in 44 patients with clinical signs of neuroborreliosis and specific intrathecal antibody production. All patients had been treated with ceftriaxone 2 g/day for 10 days. Although neurologic deficits decreased significantly, more than half the patients had unspecific complaints resembling a chronic fatigue syndrome and showed persisting positive immunoglobulin M serum titers for Borrelia in the Western blot analysis.
Supported by Hoffmann-La Roche AG, Grenzach-Wyhlen, Germany.
Received April 14, 1998. Accepted in final form June 27, 1998.
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