Here is My Question:
I am 61 years old...I was diagnosed with RRMS about 10 years ago, I am not taking any DMTs. I got very sick over this past Memorial Day weekend and based on my symptoms, my PCP did some Lyme blood tests... they came back positive lgM and was confirmed by western blot. I began antibiotic treatment right away. I am wondering how a Lyme infection will impact MS. Thank you.
Any infection can potentially worsen MS related symptoms. This applies to Lyme disease as well as more common infections, such as an upper respiratory tract infection or a urinary tract infection. Most patients with uncomplicated, acute Lyme disease will respond promptly to a 14-day course of doxycycline. Transient worsening of MS symptoms during treatment can be managed with rest, hydration, and nonsteroidal anti-inflammatory agents. Rarely, we provide a short course of oral prednisone for worsening MS related symptoms with loss of functional abilities that doesn't respond promptly to several days of antibiotics or for certain manifestations of Lyme disease such as facial palsy or swollen, painful joints. It is uncommon for people with MS to experience long term worsening of their condition related to an acute infection, although this can occur.
Revere (Rip) Kinkel MD
Director of the Multiple Sclerosis Program
Professor of Clinical Neurosciences
University of California San Diego
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