"Despite treatment, her symptoms worsened, with more frequent panic attacks and nighttime awakening attributed to Herxheimer reaction. A Herxheimer reaction is worsening of symptoms during the first few days of antibiotic treatment, presumably due to an inflammatory response to spirochetal lysis and antigen release, explained Dong, who noted that such a reaction can be quite prolonged in cases of Lyme disease."
PsychiatryOnline | Psychiatric News | News Article
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Neuropsychiatric symptoms are commonly misdiagnosed, and delayed treatment for the real cause can lead to long-lasting impairment
