The distinction matters. Chronic lyme is quackery that encourages people to pursue aggressive long-term antibiotic treatment for a non-existent persistent bacterial infection. Often these are people who have never been infected with Borrelia in the first place.
The article directly contradicts the persistent (undetectable) bacterial infection "chronic lyme" theory.
https://en.wikipedia.org/wiki/Acrodermatitis_chronica_atroph... https://www.ncbi.nlm.nih.gov/books/NBK563289/
The theory of persistent infection hasn't really held up. There were a few researchers who claimed to have some evidence, but it hasn't really been replicated. It's largely been dismissed from mainstream research.
Sadly, it's still a favored theory in many alternative medicine communities. It's also a really contentious topic. There's a long history, including Lyme researchers leaving the field after receiving death threats following publication of research that didn't agree with the alternative medicine theories.
> That was news to me so I found this from NIH in the USA. https://pmc.ncbi.nlm.nih.gov/articles/PMC8870494/ Borrelia can cross over to the CNS. Lovely.
To be clear, that article is about CNS penetration of the infection, not persistence of the infection.
They only trust the small sample of evidence that science provides, and dismisses the vastly unknown space that their science cannot comprehend
This quote seems apt here: "You know what they call alternative medicine that's been proved to work? - Medicine."