FOOTNOTES:

1. Liegner Kenneth B: Lyme Disease; The Sensible Pursuit of Answers. Journal of Clinical Microbiology, August 1993, p. 1961-1963

2. Fallon BA, Rissenberg M, Liegner KB, Coyle PK, Nields JA, Bransfield RC: Neuropsychiatric Lyme Disease Symposium: American Psychiatric Association Annual Meeting, May 9, 1996

3. Knarr J: Lyme Disease patients to hold rally in Trenton; Burlington County Record, October 10, 1995

4. Abraham L: Ticked Off: Health, March/April 1995

5. LeBourdais E: Activists decry physician disinterest in Lyme Disease during Vancouver conference; Canadian Medical Association Journal, Sept. 15, 1995, 153 (6) : 822-824

6. Fallon BA, Nields JA, Burrassano JJ, Liegner KB, DelBene D, Liebowitz MR: The Neuropsychiatric Manifestations of Lyme Borreliosis: Psychiatric Quarterly, vol. 63, no. 1, Spring 1992

7. Fallon BA, Nields JA, Parsons B, Liebowitz MR, Klein DF: Psychiatric Manifestations of Lyme Borreliosis: J Clinical Psychiatry, 54:7 July 1993

8. Fallon BA, Nields JA: Lyme Disease: a Neuropsychiatric Illness: Am J Psychiatry, Nov 1994, 151 (11) : 1571-1583

9. Fallon BA, Schwartzberg M, Bransfield RC, Zimmerman B, Scotti A, Webber CA, Liebowitz MR: Late-Stage Neuropsychiatric Lyme Borreliosis, Differential Diagnosis and Treatment: Psychosomatics 1995 May-Jun; 36 (3) : 295-300

10. Fallon BA, Das S, Plutchok JJ, Tager F, Liegner K, Van Heertum R: Functional brain imaging and neuropsychiatric testing in Lyme disease. Clin Infect Dis Jul 1997; 25 Suppl 1 : S57-S63

11. Liegner KA: B. burgdorferi-Seek and Ye Shall Find, Expanding the Envelope: J Spirochetal and Tick-Borne Diseases, vol. 1, no. 4, 1994

12. Vanderhoof IT, Vanderhoof-Forschner KMB: Lyme Disease: The Cost to Society: Contingencies Jan/Feb 1993 p 422-48

13. Pachner AR: Neurological Manifestations of Lyme Disease, The New "Great Imitator": Infectious Disease; 11 Suppl 6 : S1482-1486; 1989

14. Pies R: Clinical Puzzles in Medical Psychiatry, the New "Great Imitator": Psychiatric Times p34, July 1994

15. Steinberg SH, Strickland GT, Pena C, Israel E: Lyme Disease Surveillance in Md., 1992 Ann Epidemiol 1996 Jan; 6 (1) :24-29

16. Coyle BS, Strickland GT, Liang YY, Pena C, McCarter R, Israel E: The Public Health Impact of Lyme disease in Md.; J Infect Dis 1996 May; 173 (5) :1260-1262

17. Sigal LH: Lyme Disease Overdiagnosis: Causes and Cure: Hosp Prac, May 15, 1996, p. 12-27

18. Bransfield RC: The Diagnosis of Lyme Disease-Letter to the editor, Aug 1996

19. Bransfield RC: A Physician Opinion Survey of the Lyme Disease Controversy, in Review

20. Burrascano J Jr.: Lyme Disease: Conn's Current Therapy 1997

21. Steere AC, Dwyer E, Winchester R: Association of Chronic Lyme Arthritis with HLA-DR4 and HLA-DR2 alleles, N England Journal of Medicine 1990-323 : 219-223

22. Paparone PW: There Is No Standard Approach to Lyme Disease: Your Management Must Be Individualized: Modern Medicine, vol. 60, Sept 1992

23. Steere AC: Lyme Arthritis: the joint lesions in Lyme borreliosis in the USA: Ter Arkh 1995; 67 (11) : 43-45

24. Coyle PK, Schutzer SE, Belman UL, Krupp LB, Deng Z: Cerebrospinal fluid immunological parameters in neurological Lyme disease: Molecular and Immunological Approaches: Edited by Schutzer SE, Cold Spring Harbor, N.Y., Cold Spring Harbor Laboratory Press 1992

25. Wanick C, Prohovnik I, Kaufman M, Dwork A: Rapidly Progressive Frontal-Type Dementia Associated with Lyme Disease: The Journal of Neuropsychiatry and Clinical Neurosciences 1995; 7 : 345-347

26. Oksi J, Kalimo H, Marttila RJ, Marjarnaki M, Sonninen P, Nikoskelainen J, Viljanen MK: Inflammatory brain changes in Lyme Borreliosis. A report on three patients and review of literature; Dept of Internal Medicine, Turku University Central Hospital, Finland; Brain, 1996 Dec; 119 (Pt 6) : 2143-2154

27. Pachner AR, Delaney R, O'Neill T: Neuroborreliosis in the non-human primate: Borrelia burgdorferi persists in the central nervous system: Dept. of Neurology, Georgetown University School of Medicine; Ann Neurol 1995, Oct; 38 (4) : 667-669

28. Pachner AR, Delaney E, O'Neill T, Major E: Inoculation of non-human primates with the N40 strain of Borrelia burgdorferi leads to a model of Lyme neuroborreliosis faithful to the human disease: Dept of Neurology, Georgetown University Medical Center, Washington, DC; Neurology 1995 Jan; 45 (1) : 165-172

29. Bethancourt R: Wake Up Washington Rally, US Capitol, May 14, 1996

30. Geriatric Psychiatry: Forgetfulness, Depression, Alzheimer's: Distinguishing Causes of Memory Loss: Clin Psy News December 1995

31. Roberts ED, Bohm RP Jr., Cogswell FB, Lanners HN, Lowrie RC Jr., Povinelli L, Piesman J, Philipp MT: Chronic Lyme disease in the rhesus monkey: Dept of Pathology, Tulane Regional Primate Research Center, Tulane University Medical Center, Covington, Louisiana; Lab Invest 1995 Feb; 72 (2) : 146-160

32. Deltombe T, Hanson P, Boutsen Y, Laloux P, Clerin M: Lyme borreliosis neuropathy. A case report: Dept of Physical Medicine and Rehabilitation, University Hospital of Mont-Godinne UCL, Yvoir, Belgium; AM J Phys Med Rehab 1996 July-August; 75 (4) : 314-316

33. Elmore JG, Horwitz RI, Quagliarello VJ: Acute meningitis with a negative Gram's stain: clinical and management outcomes in 171 episodes: Dept of Medicine, Yale University School of Medicine, New Haven, Connecticut; Am J Med 1996 Jan; 100 (1) : 78-84

34. Benke T, Gasse T, Hittmair-Delazer M, Schmutzhard E: Lyme encephalopathy: Long-term neuropsychiatric deficits years after acute neuroborreliosis: Neurology Dept., University of Innsbruck, Austria; Acta Neurol Scand 1995 May; 91 (5) : 353-357

35. Ebermeyer E, Fayolle-Minon I, Mignot N, Pallot-Prades B, Alexandre C, Calmels P: Meningoradiculitis related to Lyme disease. Course and prognosis (letter): Presse Med 1996 Feb 24; 25 (7) : 304

36. Wang WZ, Fredrikson S, Sun JB, Link H: Lyme neuroborreliosis: evidence for persistent up-regulation of Borrelia burgdorferi-reactive cells secreting interferon-gamma: Division of Neurology, Karolinska Institute, Huddinge Hospital, Stockholm, Sweden; Scan J Immunol 1995 Dec; 42 (6) : 694-700

37. Ragnaud JM, Morlat P, Buisson M, Perrer X, Orgogozo JM, Julien J, Beylot J, Aubertin J: Neurologic Manifestations of Lyme disease. Apropos of 25 cases:Rev Med Interne 1995; 16 (7) : 487-494

38. Corral I, Sanchis G, Garcia-Ribas G, Quereda C, Escudero R, de Blas G: Demyelinating polyradiculitis in neuro borreliosis: Neurologia 1995 Feb; 10 (2) : 110-113

39. Coyle PK, Schutzer SE, Deng Z, Krupp LB, Belman AL, Benach JL, Luft BJ: Detection of Borrelia burgdorferi-specific antigen in antibody-negative cerebrospinal fluid in neurologic Lyme disease; Dept of Neurology, SUNY at Stony Brook; Neurology 1995 Nov; 45 (11) : 2010-2015

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42. Issakainen J, Gnehm HE, Lucchini GM, Zbinden R: Value of clinical symptoms, intrathecal specific antibody production and PCR in CSF in the diagnosis of childhood Lyme neuroborreliosis: Children's Hospital, Kantonsspital Aarau; Klin Padiatr 1996 May-Jun; 208 (3) : 106-109

43. Dekonenko EP, Umanskii KG, Virich IE, Kupriianova LV, Rudometov, IuP, Bagrov FI: The basic syndromes of neurological disorders in Lyme borreliosis: Ter Arkh 1995; 67 (11) : 52-53

44. Millner M: Neurologic manifestations of Lyme borreliosis in children: Wien Med Wochenschr 1995; 145 (7-8) : 178-182

45. Pachner AR: Early disseminated Lyme disease: Lyme meningitis: Dept of Neurology, Georgetown University School of Medicine, Washington, DC; AM J Med 1995 Apr 24; 98 (4A) : 30S; discussion 37S-43S

46. Scelsa SN, Lipton RB, Sander H, Herskovitz S: Headache characteristics in hospitalized patients with Lyme disease: Dept of Neurology, Montefiore Medical Center, Bronx, NY 10467; Headache 1995 Mar; 35 (3) : 125-130

47. Steere AC: Musculoskeletal manifestations of Lyme disease: Div of Rheumatology/Immunology, N. England Medical Center, Tuft's University School of Medicine, Boston, Ma. 02111; Am J Med 1995 Apr 24; 98 (4A) : 44S-48S; discussion 48S-51S

48. Berman DS, Wenglin BD: Complaints attributed to chronic Lyme disease: depression or fibromyalgia? (letter): Am J Med 1995 Oct; 99 (4) : 440

49. Nagi KS, Joshi R, Thakur RK: Cardiac manifestations of Lyme disease: a review: Can J Cardiol 1996 May; 12 (5) : 503-506

50. Sigal LH: Early disseminated Lyme disease: cardiac manifestations: Div of Rheumatology, University of Medicine and Dentistry of NJ, Robert Wood Johnson Medical School, New Brunswick, NJ; Am J Med 1995 Apr 24; 98 (4A) :25S-28S; discussion 28S-29S

51. Nagi KS, Thakur RK: Lyme carditis: indications for cardiac pacing: Can J Cardiol 1995 Apr; 11 (4) : 335-338

52. Vasiljevic Z, Dmitrovic R, Naumovic Z, Ostojic M, Radosavljevic M, Karadzik A, Prostran M, Colic M: Common for of Lyme borreliosis carditis-complete heart block with syncope: report on 3 cases: Cardiology 1996 Jan/Feb; 87 (1) : 76-78

53. Sonnesyn SW, Diehl SC, Johnson RC, Kubo SH, Goodman JL: A prospective study of the seroprevalence of Borrelia burgdorferi infection in patients with severe heart failure: Am J Cardiol 1995 Jul 1; 76 (1) : 97-100

54. Horowitz HW, Belkin RN: Acute myopericarditis resulting from Lyme disease: Am Heart J 1995 Jul; 130 (1) : 176-178

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56. Watzinger N, Fruhwald FM, Schafhalter I, Hermann J, Luha O, Zweiker R, Gasser R, Eber B, Klein W: Coronary aneurysm in a 69 year old patient. Transthoracic echocardiography: Ultraschall Med 1995 Aug; 16 (4) : 200-202

57. Anish S: Case report: Possible Lyme endocarditis: New Jersey Medicine vol. 90, no. 8, August 1993

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59. Pietrucha DM, Sensakovic JW: Treating Lyme disease: different approaches: NJ Med 1996 Jul; 93 (7) : 51-54

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