In Reply to Drs. Fallon and Nields

Samir Patel, M.D., and Rohn S. Friedman, M.D.Authors Info & Affiliations

Publication: The Journal of Neuropsychiatry and Clinical Neurosciences

https://doi.org/10.1176/jnp.10.3.367

SIR: We appreciate the letter from Drs. Fallon and Nields, who are indeed correct that syphilis and Lyme disease are caused by spirochetes. The sentence to which they refer in the article should have read, “Other viral encephalitides, syphilis, and Lyme disease may present similarly to ADEM…”

We concur with their comments on serologic or CSF titers in Lyme disease. We would recommend using these test results as one piece of data in considering the overall clinical picture and weighing risks and benefits of different treatment options for persistent encephalomyelitis.

Information & Authors

Information

Published In

The Journal of Neuropsychiatry and Clinical Neurosciences

Volume 10 • Number 3 • August 1998

Pages: 367

PubMed: 9706549

History

Published online: 1 August 1998

Published in print: August 1998

Authors

Affiliations

Samir Patel, M.D.

Lawrence Memorial Hospital, Medford, MA

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Rohn S. Friedman, M.D.

Beth Israel/Deaconess Medical Center, Boston, MA

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In Reply to Drs. Fallon and Nields