this is the "one million ...question"! I dont know of possiblilities to track the progress;
Igg in Elisa and Westernblot often remains positive for a long time (sometimes years) no matter if one got ill with lyme and no matter how bad they got ill; Igm titers often go down even it people are still severly ill with lyme (if I remember it right this is because the spirocetes leave the blood and go into tissue, muscles etc but i am not sure if i got this point right). My pharmacist has a positive Igg in Elisa and Westernblot, she says she remembers have been bitten by a tick 10 years ago but never has developed symptoms; on the other hand, not all get an Igm or the later Igg at all, this seem to depend on whether the body is able to produce antibodies.
So I think symtoms and decrease of them with/ after treatment and later on checking if patients remain symtom free is the (only ???) road we have.
Post Edited (dorit) : 1/25/2009 3:28:15 AM (GMT-7)