Update on Tick-Borne Bacterial Diseases in Travelers.
PURPOSE OF REVIEW: Ticks are the second most important vectors of infectious diseases after mosquitoes worldwide. The growth of international tourism including in rural and remote places increasingly exposes travelers to tick bite. Our aim was to review the main tick-borne infectious diseases reported in travelers in the past 5 years.
RECENT FINDINGS: In recent years, tick-borne bacterial diseases have emerged in travelers including spotted fever group (SFG) rickettsioses, borrelioses, and diseases caused by bacteria of the Anaplasmataceae family. African tick-bite fever, due to Rickettsia africae, is the most frequent agent reported in travelers returned from Sub-Saharan areas. Other SFG agents are increasingly reported in travelers, and clinicians should be aware of them. Lyme disease can be misdiagnosed in Southern countries. Organisms causing tick-borne relapsing fever are neglected pathogens worldwide, and reports in travelers have allowed the description of new species. Infections due to Anaplasmataceae bacteria are more rarely described in travelers, but a new species of Neoehrlichia has recently been detected in a traveler. The treatment of these infections relies on doxycycline, and travelers should be informed before the trip about prevention measures against tick bites.
This review clearly shows how much work still needs to be done. To boil down this complex illness to a round of doxycycline shows a simplistic understanding of these pathogens on steroids. Mainstream researchers still haven’t gotten the memo that Eva Sapi reported about doxy throwing the spirochete into the non-cell wall form or the information that both pathologist Alan McDonald and microbiologist Tom Greer are finding spirochetes hiding in worms in the brains of folks with dementia and Alzheimer’s.
To announce doxy as the “one side fits all” treatment is truly uninformed.
While doxy is a great front-line drug, patients need to be monitored closely for symptoms. Since testing is so poor, doctors should also be educated on: https://madisonarealymesupportgroup.com/2017/09/05/empirical-validation-of-the-horowitz-questionnaire-for-suspected-lyme-disease/ Print out and complete the symptom check lists and take them with you to your appointment.
Remember, Lyme is the rock star we all know by name. There are many wanna-be’s just as powerful often at play: https://madisonarealymesupportgroup.com/2017/07/01/one-tick-bite-could-put-you-at-risk-for-at-least-6-different-diseases/ The number is actually 18 and counting.
Please encourage doctors to become educated. It’s our only hope.
Here is an example of good Lyme treatment: https://madisonarealymesupportgroup.com/2016/02/13/lyme-disease-treatment/
Type other pathogens into the search bar to get other treatment suggestions. Feel free to copy these off and share with your practitioner.