Diamantis, I · Praxis · 1996
This case study describes a patient who developed chronic fatigue syndrome (ME/CFS) following a Lyme borreliosis infection (transmitted by tick bite). The report documents one person's experience, showing how a tick-borne infection may have triggered or contributed to the development of ME/CFS symptoms.
This case report is relevant because it highlights the possibility that Lyme borreliosis may be associated with ME/CFS development in some patients, which could help clinicians recognize potential triggering infections. Understanding post-infectious ME/CFS, including tick-borne causes, is important for both patient recognition and research into the mechanisms by which infections can trigger persistent fatigue syndromes.
This single case cannot prove that Lyme borreliosis causes ME/CFS, as case reports cannot establish causal relationships. It does not demonstrate how common this occurrence is, whether all Lyme patients develop ME/CFS, or rule out alternative explanations for the symptom progression. Temporal association does not confirm causation.
About the PEM badge: “PEM required” means post-exertional malaise was an explicit required diagnostic criterion for participant inclusion in this study — not that PEM was studied, observed, or discussed. Studies using criteria that do not require PEM (e.g. Fukuda, Oxford) are tagged “PEM not required”. How the atlas works →
The first block is for the primary paper and is the citation you should use in research work. The atlas-snapshot line only applies if you are specifically referring to this atlas’s reading of the paper on the date shown.
Primary citation
Diamantis, I (1996). [A case from practice (343). Chronic fatigue syndrome following Lyme borreliosis].. Praxis. https://pubmed.ncbi.nlm.nih.gov/8685574/
BibTeX
@article{mecfsatlas-diamantis-1996-case-practice,
author = {Diamantis, I},
title = {[A case from practice (343). Chronic fatigue syndrome following Lyme borreliosis].},
journal = {Praxis},
year = {1996},
note = {PubMed: 8685574},
url = {https://www.mecfsatlas.com/evidence/diamantis-1996-case-practice},
}Atlas snapshot reference
ME/CFS Atlas. Generator v1 / Scanner v1.4 / policy v0.1. Accessed 2026-05-29. https://www.mecfsatlas.com/evidence/diamantis-1996-case-practice
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