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Cited by 277

The DOI matches its Crossref record; 2 of the 2 references it cites were found in a registry or an index.

Neurologic Abnormalities of Lyme Disease: Successful Treatment with High-Dose Intravenous Penicillin

STEERE, ALLEN C., ANDREW R., PACHNER, MALAWISTA, STEPHEN E.·1983·Annals of Internal Medicine

Abstract

Twelve patients were treated with high-dose intravenous penicillin for neurologic abnormalities of Lyme disease. Headache, stiff neck, and radicular pain usually began to subside by the second day of therapy and were often gone by 7 to 10 days. Five of the 12 patients continued to have intermittent mild headache for several more weeks, but no patient relapsed after therapy was stopped. Compared to 15 previous patients treated with prednisone alone, the duration of meningitic syndrome was significantly shorter in those given penicillin (mean duration, 1 versus 29 weeks, p less than 0.000001). However, in both groups, a mean of 7 to 8 weeks was required for complete recovery of motor deficits. Despite antibiotic therapy, 3 of the 12 patients treated with penicillin continued to have frequent arthralgias, musculoskeletal pain, and fatigue. We conclude that high-dose intravenous penicillin is effective therapy for neurologic abnormalities of Lyme disease.

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Metadata

Authors
STEERE, A. C., ANDREW R., P., & MALAWISTA, S. E.
Venue
Annals of Internal Medicine
Published
1983-12-01
Volume
99
Issue
6
Pages
767-772
ISSN
  • 0003-4819 (ISSN-L)
  • 1539-3704
OpenAlex
W2081738938
Cited by
277
References
2
FWCI
19.74
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Neurologic Abnormalities of Lyme Disease: Successful Treatment with High-Dose Intravenous Penicillin. https://app.cochat.ai/papers/10.7326/0003-4819-99-6-767
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STEERE, A. C., ANDREW R., P., & MALAWISTA, S. E. (1983). Neurologic Abnormalities of Lyme Disease: Successful Treatment with High-Dose Intravenous Penicillin. Annals of Internal Medicine. https://doi.org/10.7326/0003-4819-99-6-767

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