Borreliose-Gesellschaft e.V.


Laboratory Aspects of Neuropsychiatric Disorders in Lyme and Coinfections
Dr. med. Armin Schwarzbach, Laboratory Borreliose-Centrums Augsburg.

Willy Burgdorfer observed, that spirochetes have an organic tropism for the brain. Consequently, encephalopathy is common in tick borne diseases and cognitive impairment and neuropsychiatric symptoms reflecting brain dysfunction are frequently evident. This is especially so in Lyme disease patients, where cognitive impairment is often among the presenting signs.
One of the biggest problems in neuropsychiatric disorders regarding the different causing bacteria and viruses are the “overlapping” symptoms in those infections. Therapists can not decide because of the complexity of symptoms, which bacteria or viruses are the reason for which symptoms, because many infectious agents can cause the same symptom or combinations of neuropsychiatric symptoms (unspecifity of symptoms). Therefore high sensitive and specific laboratory tests should be done before any therapeutical decision.
This presentation will discuss a standardized laboratory staging process for multiple infections with Borrelia burgdorferi, Chlamydia pneumoniae, Mycoplasma pneumoniae, Anaplasma, Babesia, Coxsackie-Virus by antibodies and modern T-cellular laboratory tests. 4 practical case reports of patients with psychosis, dementia, depressions, confusion, panic attacks, aggressiveness among other neuropsychiatric symptoms will be presented in correlation with laboratory findings, especially multiple infections with Borrelia burgdorferi and Chlamydia pneumoniae.