A Quick Tour of the New (IDSA) Lyme Disease Guideline

JUN 20, 2021 — 

Please see the email below sent to Dr. Paul Auwaerter of the Infectious Diseases Society of America.

FYI…per the link below:

Pending approval by the court, the TORREY v. IDSA is now an anti-trust lawsuit against a single defendant: The Infectious Diseases Society of America.

———- Original Message ———-

To: “” <>, “” <>, “” <>, “” <>
Cc: All members of the NH Lyme Study Commission, “” <>
Date: 06/19/2021 12:28 PM
Subject: A Quick Tour of the New Lyme Disease Guideline

A Quick Tour of the New Lyme Disease Guideline
Paul G. Auwaerter, MD

June 14, 2021


“Of importance, the guideline goes out of its way to cite the lack of evidence for performing Lyme disease tests, specifically routine testing in cases where there’s no evidence or link to Lyme disease. Examples include someone who is asymptomatic after a tick bite, even when they have a neurologic condition such as amyotrophic lateral sclerosis, multiple sclerosis, Parkinson’s disease, dementia, or any kind of new-onset seizures or psychiatric illness. In children, behavioral and developmental disorders don’t warrant assessing a Lyme disease serology.

June 19, 2021

The IDSA Foundation
1300 Wilson Boulevard Suite 300
Arlington, VA 22209
Attn:  Paul Auwaerter, vice chair of the IDSA Foundation

Dear Dr. Auwaerter,

In reference to your recommendation not to test for Lyme disease in children with behavioral and developmental disorders are you aware of the following article?

Study detects tick-borne illness in teens hospitalized for depression

Ten patients were diagnosed with DSM-5 Major Depressive Disorder, seven were additionally diagnosed with Generalized Anxiety Disorder, and three had made serious suicide attempts.

Ten adolescents picked at random with mental illness severe enough that they required institutionalization—nine of them had evidence of tick-borne infections and nine had evidence of autoimmune encephalitis.


Dr. Auwaerter… It sounds to me like your recommendation “not to test for Lyme” might not be sound advice after all which begs the question; how many other patients currently in the healthcare system being treated for neurologic conditions are actually dealing with untreated Lyme disease and/or co-infections?

A response to this inquiry is requested.
Respectfully submitted,

Carl Tuttle
Hudson, NH

Member of Governor Chris Sununu’s Lyme Disease Study Commission
Cc: All members of the NH Lyme Disease Study Commission


Barbara D. Alexander, MD, MHS, FIDSA, President IDSA

A Quick Tour of the New Lyme Disease Guideline
This transcript has been edited for clarity. Hello. This is Paul Auwaerter for Medscape Infectious Diseases, speaking from Johns Hopkins…
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