Table 11:
Antibiotic Treatment of Chronic Lyme Disease and Chronic Co-infections
Disease
Antibiotic
Ceph3
Carbap
Tetracyc
Macrol
Quinol
TMSU
Rifa
Lyme disease
+
+
+
+
+
*
Bartonellosis
+
+
+
+
+
Y. enterocolitica
**
+
+
+
M. pneumoniae
+
+
+
C. pneumoniae
+
+
+
*
+
C. trachomatis
+
+
+
*
+
C. jejuni
+
***
+
Ceph3 = 3rd generation cephalosporins; Carbap = carbapenems; Tetracyc = Tetracyclines; Macrol = macrolides; Quinol = quinolones; TMSU = trimethoprim and sulfamethoxazole; Rifa = rifampicin.
*
Gemifloxacin
*
subsequent to testing: Piperacillin
**
Ceph3 (if necessary + gentamycin)
***
Erythromycin