http://geocities.ws/dermagicexpress/year2018/1CQA.html  By Dr. Jose’ Lapenta

ENGLISH EDITORAL:
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Hello friends of the network, DERMAGIC EXPRESS brings you today another interesting topic, which perhaps you had never imagined: THE LYME DISEASE SEXUAL TRANSMISSION AND ARRIVAL IN THE SOUTHERN HEMISPHERE, Disease that since its discovery and description was first attributed to the locality of LYME in Connecticut, US, and today described worldwide in NORTH HEMISPHERE, EUROPE, ASIA, (EURASIA) and the AFRICAN continent. It also raises the possibility that it is a Sexually Transmitted disease

With numerous cases on the rise each year, disease caused by the already mentioned in previous reviews THE BORRELIA BURGORFERI, A ESQPIROCHETE, which is very difficult to treat because of the resistance it offers to the treatment and because of its “ability” to “hide before the tests from laboratory.

As I said in the previous review, THE TICKS are a “BIBLE PEST”, mentioned in the book of the BIBLE, BOOK EXODUS:

“… And the dust of the earth became lice throughout the land of Egypt” … a well-knowledgeable tourist from Egypt observed that the sand seemed to move; observing more closely, he saw that the surface of the earth was a mass of tiny ticks … ”

So here comes the following observation: if it is a “BIBLE PLAGUE” such as LEPROSY AND SYPHILIS, it should be disseminated throughout the world, not just to a certain region, right?

Well, here I am going to show you that the BORRELIA BURGDORFERI, several years ago was described in several countries of South America, making this disease (LYME or ERYTHEMA MIGRANS) a global pathology; and I will mention one by one the countries where it was described with their respective observations:

The complex BORRELIA BURGDROFERI sensu lato (sl) includes agents of Lyme disease / borreliosis in NORTH AMERICA, EUROPE AND ASIA. Such as BORRELIA BURGDORFERI sensu stricto (st), Borrelia afzelii, Borrelia garinii, Borrelia bavariensis, Borrelia spielmanii, Borrelia bissettiae and Borrelia mayonii. In short: BORRELIA sensu stricto(st): LYME DISEASE in North America, South America? BORRELIA sensu lato (sl): LYME DISEASE in EUROPE AND ASIA, SOUTH AMERICA.

1.) URUGUAY:
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In the year 2013, a study was made looking for BORRELIA sensu lato (sl) ESPIROCHETES related to species of TICKS belonging to the complex IXODES RICINUS which classically inhabit the NORTHERN HEMISPHERE, in this study the BORRELIAL infection was studied in the TICK IXODES PARARICINUS, unique species that represents the IXODES RICINUS complex in URUGUAY. Were studied 137 ticks obtained from DEER, CATTLE or VEGETATION, in 2 Uruguayan departments. It was detected by means of laboratory studies, PCR, haplotype studies, infection in 9 MALES and a group of nymphs sequences for BORRELIA BISSETTII, a species very close to American borrelia. The authors considered their study the first report of infectious ticks of BORRELIA BURGDORFERI sensu lato (sl) in South America.

Prior to this study in 2005, another investigation was made where a collection of the IXODES PARARICINUS TICKS were made, in URUGUAY and ARGENTINA, which was first described by Keirans and Cliford in 1.985, of fatted females collected from CATTLE and larvae fed with MICE AND CHICKENS. A taxonomic study was made of IXODES PARARICINUS, which is geographically distributed in: URUGUAY, ARGENTINA, and COLOMBIA, but is probably established in other countries such as BOLIVIA, BRAZIL, CHILE and PERU. It has also been found in RODENTS AND WILD BIRDS. It stands out in the study that thisTICKS is part of the IXODES PARARICINUS complex, vector of BORRELIA BURGDORFERI sensu lato (sl).

Also in Uruguay IXODES PARARICINUS was collected in the birds Turdus albicollis, Turdus rufiventris Vieillot, Syndactyla rufosuperciliata, and Basileuterus leucoblepharus, these birds have their habitat in the forests of: URUGUAY, ARGENTINA CHILE, PARAGUAY, BRAZIL, BOLIVIA, AND PERU.

In the year 2104, the criterion was unified that the IXODES PARARICINUS tick was previously described in the year 1998. Under the name of IXODES ARAGOI FONSECA, a controversy remained for years, until the last studies concluded that phylogenetically the difference between the two is minimal, being then its ORIGINAL name IXODES ARAGOI, with the pseudonym IXODES PARARICINUS.

CONCLUSION: BORRELIA BURGDOERFERI sensu lato (sl) is circulating at SOUTHERN HEMISPHERE, in URUGUAY, COLOMBIA, BOLIVIA, PARAGUAY and other countries that I describe below:

2.) BRAZIL:
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The case of BRAZIL is quite interesting, in the year 1992 a disease was described in HUMANS, in two siblings WITH ALL THE CHARACTERISTICS OF THE LYME DISEASE, after being bitten by ticks. The researchers were Domingos Baggio, entomologist and doctor Natalino Hajime Yoshinari. The disease under study was not recognized as A CLASSIC LYME, because the ticks did not belong to the IXODES RICINUS complex and the laboratory was negative for BORRELIA BURGDORFERI, but under an electron microscope it was detected that the causative organism was from the PHYLUM “ESPIROCHETE”.

It was classified as a new emerging zoonosis in BRAZIL under the name of BAGGIO YOSHINARI SYNDROME (BYS), practically a variant of LYME disease in the American continent, caused by the sting of TICKS, with the same clinical characteristics with the exception of with autoimmunity and recurrence.

In 2013, BORRELIA BURDORGFERI was reported in the tropical Neo region in the PAMPA URUGUAYA, isolated from the TICK IXODES ARAGOI, and between 2011 and 2016, 17 suspected cases of BORRELIOSIS SYNDROME were reported in the South of Brazil, DNA positive for BORRELIA. spp in ticks of the genus IXODES spp, specifically IXODES LONGISCUTATUS, the deepest study of haplotypes approached the species to: Borrelia carolinensis, B. bissettiae and Borrelia californiensis. Becoming the first evidence of the circulation of BORRELIA BURGDORFERI sensu lato in ticks of the genus IXODES spp IN BRAZIL, in other words the causal agent of the LYME DISEASE.

In the year 2014, a study was conducted in the rural area of ​​the state of Paraná, in BRAZIL, and the presence of BORRELIA GARINII and BORRELIA BURGDORFERI sensu stricto (st) was detected through PCR studies and DNA sequencing in Brazilian individuals, suggesting circulations these species in BRAZIL.

In that same year 2014 another study was made in that same area of ​​Paraná Brazil, collecting 224 TICKS on traction horses, (75%) of the gender DERMACENTOR NITENS and 25% AMBLYOMMA CAJANENSE, in two cases (Dermacentor nitens ticks) positivity was found for BORRELIA BURGDORFERI sensu lato, but the most interesting thing is that the DNA sequence by PCR revealed a 99.99% homology with the BORRELIA BURGDORFERI Sensu sricto (st) strain B31, another one of the strains causal agent of LYME DISEASE IN USA

In January of this year 2018 a study was carried out in BRAZIL also in horses: The objective of this study was to detect and measure the frequency of anti-BORRELIA IgG antibodies. burgdorferi American strain G39 / 40 on horses in the municipality of Sinop, MT-Brazil in the state of Mato Grosso, SEEKING EVIDENCE of the presence of the BORRELIA sensu stricto (st) which is the main causative agent of LYME DISEASE in the United States , because it is believed that a SIMILAR ESPIROQUETA is the causal agent of the BAGGIO YOSHINARI SYNDROME that I mentioned at the beginning, and of 367 horses studied 214 were POSITIVE for BORRELIA sensu stricto (78%) and in at least 75 farms there was a positive horse for BORRELIA BRURGDORFERI (92.59%) of the total, a high animal prevalence.

CONCLUSION: BORRELIA BURGORGFERI sensu stricto and sensu lato are circulating in the SOUTHERN HEMISPHERE IN BRAZIL and the BAGGIO YOSHINARI SYNDROME which has been considered a variant of the classic LYME DISEASE in this continent MAYBE IT IS THE SAME LYME DISEASE or ERYTHEMA MIGRANS as such.

3.) CHILE:
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In the year 2014, a study was made in CHILE, where BORRELIA BURGDORFERI sensu lato (sl) was reported in endemic IXODES STILESI ticks collected in Chile from environmental vegetation and long-tailed rice rats (Oligoryzomys longicaudatus). The phylogenetic analysis placed this spirochete as a new genospecies within the Lyme borreliosis group; and the appointment of this new South American member of the LYME BORRELIA CHILENSIS VA1 borreliosis group was proposed in honor of the country of origin.

In another more recent study in 2017, it was determined that this IXODES STILESI tick also infects mice, in the South of Chile, the Pudú deer (pudu Puda). Sixty-six deer were examined over a period of two years. A total of 179 ticks of two species, IXODES STILESI and IXODES TAGLEII were collected, and BORRELIA ESPIROCHETES were found in 2 (6.45%) of the ixodes stilensi ticks, being this genetically the same as the BORRELIA CHILENSIS VA1 previously described in Chile, that which can play an important role in the prevalence of BORRELIA in that country and more studies are suggested to understand a possible pathogenicity towards humans.

CONCLUSION: BORRELIA CHILENSI V1A sensu lato (sl) is circulating in CHILE, through the IXODES STILENSI tick, hosts: the mouse Oligoryzomys longicaudatus and the Pudú Puda deer. The habitat of these 2 animals also includes ARGENTINA.

Turdus rufiventrus (rufous-bellied thrush), (Syndactyla rufosuperciliata (buff-browed foliage-gleaner), Basileuterus leucoblepharus ( white-rimmed warbler) and seabird, 4 birds that are carriers of the tick IXODES PARARICINUS, and lives in the forest and sea of : URUGUAY, ARGENTINA CHILE, PARAGUAY, BRAZIL, BOLIVIA, AND PERU.

4.) ARGENTINA:
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In the year 2014, a study was made on IXODES PARARICINUS ticks collected from the vegetation of the Province of Jujuy in ARGENTINA, to determine infection by BORRELIA through PCR. A male and a female of I. pararicinus collected in Jujuy were positive for Borrelia infection. Phylogenetically, THE BORRELIA found in I. pararicinus of Jujuy belongs to the complex B. BURGDORFERI sensu lato (sl), and was similar to one of the genospecies detected in IXODES ARAGOI of Uruguay. In addition, this genospecies is closely related to two known genospecies of EE. UU., Borrelia americana and Borrelia sp. Genospecies 1.

In the year 2017, another study was carried out in ARGENTINA, collecting TICKS and NYMPHS from IXODES PARARICINUS, vegetation and birds, in the Provinces of Jujuy, Tucumán and Salta; In total 82 ticks and several nymphs were studied both from the vegetation of Salta and the birds Turdus rufiventris in Tucumán, Syndactyla rufosuperciliata in Jujuy and Turdus nigriceps in Tucumán. Two (2) haplotypes of BORRELIA sp. Belonging to the BORRELIA BURGDORFERI sensu lato complex. One of them is closely related to the Borrelia genoespecies haplotypes previously reported in IXODES ARAGOI of Uruguay and IXODES. PARARICINUS from the province of Jujuy in Argentina. The authors mention that these IXODES species do not represent pathogenicity for humans. However, others say that further studies are needed to verify this claim.

More recently this year 2018 was conducted another study to investigate the presence of TICKS THAT INFECT cattle in the province of Yungaos in ARGENTINA with BORRELIA, ERLICHIOSIS and RICKETTSIA, the study showed once again that ticks of the genus IXODES PARARICINUS positive were found for BORRELIA BURGODRFERI sensu lato (sl), as I said previously phylogenetically related to IXODES ARAGOI of URUGUAY.

CONCLUSION: BORRELIA BURGDORFERI sensu lato (sl) CIRCULATE in ARGENTINA through THE TICK IXODES PARARICINUS, phylogenetically related to IXODES ARAGOI of URUGUAY.

5.) COLOMBIA:
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In 1999, the presence of specific IgG antibodies for BORRELIA BURGDORFERI in patients with clinical manifestations of LYME DISEASE was evaluated in COLOMBIA. Were analyzed 20 samples of symptomatic patients, 1 sample of cerebrospinal fluid (CSF) of a patient with chronic and arthritic neurological manifestations and 12 samples of patients with suspicion of Lyme BORRELIOSIS, being positive in 4 samples of symptomatic patients, 2 with morphea they were positive as well as the patient with neurological manifestations. The work proposes to analyze with “caution” this disease “type lyme” and suggest that a genoespecies BORRELIA different from the sensu stricto (st) is the causal agent, In other words BORRELIA sensu lato (sl) another LYME DISEASE CAUSAL AGENT.

CONCLUSION: BORRELIA BURGDORFERI sensu lato (sl) is probably the causal agent of LYME “type” DISEASE in COLOMBIA.

6.) PERU:
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In the year 1999, a study was made in the Andean areas of Peru in search of bacterial infections associated with lice, prevalence of EPIDEMIC OF TIFFUS, TRENCH FEVER AND RECURRENT FEVER. Were included 194 volunteer inhabitants of the province of Calca in the Urbamba valley. Thirty-nine (20%) of the 194 volunteers had antibodies against Rickettsia prowazekii, while 24 (12%) had antibodies against Bartonella quintana and 2 against BORRELIA recurrentis.

CONCLUSION: There are no studies that confirm the PRESENCE OF BORRELIA BURGDORFERI in Peru, but the PRESENCE OF BORRELIA RECURRENTIS causal agent of the RECURRENT FEVER, was found, whose causal agent is also a BORRELIA, ESPIROCHETE, and transmitted by the bite of lice; but remember that there are 4 species of birds that carry the TICK IXODES PARARICINUS (Borrelia sensu lato sl) that circulate in the forests of PERU.

7.) VENEZUELA:
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And the plague came to VENEZUELA also, between the year 1992 and 1993, 74 patients were studied in Zulia State: 37 asymptomatic and 37 clinically suspects of LYME DISEASE, ELISA tests were performed and positive cases were found for BORRELIA BURGDORFERI sp: 14 of 74 (18.9%). Positive cases in the symptomatic group (29.7%) were higher than in the asymptomatic group (8.9%). The most frequent clinical diagnosis was Morphea (54.5%). The main serological diagnosis (54.32%) was obtained from chronic patients (more than one year of evolution). 45.5% of the symptomatic patients presented antibodies, despite receiving antibiotic treatment. Most of the cases had a previous visit or stay in forest or rural areas.

The authors affirm the presence of BORRELIA BURGDOFERI and LYME DISEASE in patients from the State of Zulia VENEZUELA and propose more precise studies such as the immunoblot. The relationship between MORPHEA and infection with BORRELIA is well known in the international DERMATOLOGICAL community.

CONCLUSION: BORRELIA BURGDORFERI sp and LYME DISEASE circulate in VENEZUELA also, I also found evidence in MEXICO AND ISLANDS AZORES.

SEXUAL TRANSMISSION OF LYME DISEASE:
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And what do you think if I tell you that there are VARIOUS studies confirming a “probable transmission of LYME DISEASE through sexual intercourse”, vaginal and seminal fluid, I must remind you that BORRELIA is a SPIROCHETE same as SYPHILIS, and the latter is transmitted by seminal and vaginal fluid; why the BORRELIA NOT?

The first study dates from the year 2001, that is 17 years ago, which was presented at an international conference on LYME disease, in which 40% of positivity was demonstrated by PCR in semen samples (14 of 32 patients). and 1 case of vaginal fluid.

“… ALL positive semen / vaginal samples in patients with known sexual partners resulted in positive Lyme / PCR titers in their sexual partners, 3/4 patients with positive semen had unknown or unknown sexual partners to be evaluated. .. “

Another study dates from the year 2014, January 25, the researchers tested samples of semen and vaginal secretions from three groups of patients: control subjects without evidence of Lyme disease, random subjects who tested positive for Lyme disease and married heterosexual couples who had sex unprotected and tested positive for the disease.

As expected, all control subjects were negative for BORRELIA BURGDORFERI in semen samples or vaginal secretions. In contrast, all women with Lyme disease tested positive for BORRELIA BURGDORFERI in vaginal secretions, while approximately half of men with Lyme disease tested positive for Lyme spirochete in semen samples. In addition, one of the heterosexual couples with Lyme disease showed IDENTICAL STRAINS of the Lyme spirochete in their genital secretions.

“There is always some risk of getting Lyme disease from a bite in the forest,” he said. “But there may be an increased risk of getting Lyme disease in the bedroom.”

The other study dates from the year 2015 To investigate this possibility, Middelveen et al. performed the first culture study of BORRELIA in human semen and vaginal secretions.

¨ … Patients with documented LYME DISEASE, including heterosexual couples who have unprotected sex, studied genital cultures in three independent laboratories. Sperm cultures and vaginal secretions were subjected to light and dark field microscopy and were found to contain LIVING MOBILE SPIROCHETES that exhibited a characteristic wave motion and stained positively with silver Dieterlee immunostaining for B. burgdorferi.

In addition, the PCR test and molecular hybridization with highly specific DNA probes showed that living genital spirochetes were strains of BORRELIA and not treponemes. Of particular interest, it was found that a couple had BORRELIA HERMSII and not BORRELIA BURGDORFERI in their genital secretions, further implicating sexual transmission in these cases. Control subjects who tested negative for Lyme disease had no evidence of Borrelia spirochetes in their secretions … “

More studies are probably needed to confirm what these researchers have already claimed: LYME DISEASE can be transmitted sexually. We hope that the science advances without OBSTACLES towards the definitive clarification of this aspect. But the studies I show you show that it is an indisputable reality.

Would this fact help explain why this plague has spread throughout the world? sex between couples with LYME? draw your conclusions.

FINAL CONCLUSION:
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1.) THE LYME DISEASE no longer belongs exclusively to the NORTHERN HEMISPHERE, here are the proof that are present in the SOUTHERN HEMISPHERE. Over there I read a comment that DENGUE, ZIKA, EBOLA AND CHIKUNGUNYA WERE NOT THE NEW PEST, the new pest or plague are THE TICKS, I said this for the first time last year and I still affirm it.

2.) I invite the medical authorities of ALL the countries of the HEMISPHERE SUR, to acquire the most specific tests to diagnose the LYME DISEASE. Because it could be that you or a family member or child, has a diagnosis of JUVENILE ARTHRITIS, PAIN ON A KNEE, OR NEUROLOGICAL MANIFESTATIONS, MORPHEA, OTHERS and you may have thousands of ESPIROCHETES, BORRELIOSIS in your blood that is killing you without realizing it.

3.) And I can bet you that many doctors worldwide DO NOT EVEN KNOW what I’m talking about, because they were sold the idea that LYME’S DISEASE is only from Connecticut USA, and not a health problem that extended to all the globe; as I once said: THE NEW LEPROSY OF THE 21ST CENTURY.

4.) If it were a reality, the sexual transmission of LYME DISEASE would change the whole panorama with respect to it and maybe the “LYME WAR” that exists between ILADS International Society of Lyme Diseases and IDSA, Society of Infectious Diseases of America ARRIVES AT ITS END because the disease would be seen in another context, beyond the simple sting of a TICK in a forest, you can also acquire it in a bedroom having sex, patients would have greater access to treatment and all policies would change, that simple, end of story.

“… And God said to Moses: tell Pharaoh and his entourage, that I AM the only creator and giver of life, I will send you 10 plagues to understand … Pharaoh ignored … The plagues came , among them TICKS …. and finished with all those who did not believe him … everyone who has ulcers and their contaminated fluids will be unclean … until he heals ….. ”

BOOK OF EXODUS and GENESIS.

They were included here in addition to SYPHILIS, GONORRHEA AND LEPROSY LYME’S DISEASE?

Greetings to all

Dr. José Lapenta.

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BIBLIOGRAPHICAL REFERENCES / REFERENCIAS BIBLIOGRAFICAS
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