Here is yet another case report identifying persistent infection: Granulomatous hepatitis associated with chronic Borrelia burgdorferi infection: a case report http://www.labome.org/research/Granulomatous-hepatitis-associated-with-chronic-Borrelia-burgdorferi-infection-a-case-report.html Marianne J Middelveen, Steve A McClain, Cheryl Bandoski, Joel R Israel, Jennie Burke, Alan B MacDonald, Arun Timmaraju, Eva Sapi, Yean Wang, Agustin Franco, Peter J Mayne, Raphael B Stricker Date 2014-06-09 Abstract Although Lyme borreliosis has been linked to hepatitis in early stages of infection, the association of chronic Borrelia burgdorferi infection with hepatic disease remains largely unexplored. We present the case of a 53-year-old woman diagnosed with Lyme disease who developed acute hepatitis with elevated liver enzymes while on antibiotic treatment. Histological examination of liver biopsy tissue revealed spirochetes dispersed throughout the hepatic parenchyma, Read more....