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