It was for Lyme, and IIRC the justification for including it in my course of treatment was roughly what lisa_henderson describes below.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3132871/
However, this study was done on petri dish cultures of borellia and didn't actually look at whether or not it improved symptoms in people (which I imagine is a difficult thing to study in this field).
When I searched for borrellia and metronidazole there was one more article for in vitro use from the 1990s: http://www.ncbi.nlm.nih.gov/pubmed/10379684