Archive for April, 2019

Lyme Disease & Neurological Changes in Children

https://www.linkedin.com/pulse/lyme-disease-neurological-changes-children-somer-delsignore/

Lyme Disease and Neurological Changes in Children

By Somer DelSignore

Clinically we find a multitude of neuro-psychological symptoms that present with children afflicted with tick-borne illnesses. Many of those symptoms did not exist prior to  exposure.  The number of children with anxiety disorders, OCD, mood dysregulation, ADHD, bipolar disorder, gender dysphoria and others are prominent and included in the working diagnosis and treatment plan of Lyme and other tick bhttps://www.linkedin.com/in/somerdelsignorekidslyme/orne diseases.

There are countless studies linking neuro-psychological impairments with Lyme disease and other tick-borne illnesses many of which suggest a larger percentage of children are affected.

A review of literature reveals studies by Brian Fallon and others that link Lyme disease to neurological and psychological ailments. New onset depression, anxiety, schizophrenia, bipolar disorders and other mental illnesses were postulated to be the result of a Lyme disease exposure. Fallon outlined several supportive strands of evidence throughout his research. He noted the incidence of mental illness is greater in those with Lyme disease versus other medical conditions. These psychiatric conditions were new onset and did not exist prior to contracting Lyme disease. Lastly, these mental illnesses improved after administering courses of antibiotic therapy. 

So what is thought to contribute to the psychological changes? Further evaluation thru single photon emission tomography or SPECT scans as it’s known revealed that those with

“Lyme disease typically have multifocal areas of decreased perfusion in the cortex and subcortical white matter” Fallon et al. 1997.

Cortical and subcortical perfusion is studied extensively with PTSD patients. The pattern of poor perfusion is similar to those who also suffer from a tick-borne illness. A result of poor perfusion can lead to  breakdown of the neural pathways  that provide an interconnectedness between all regions of the brain. Specifically, the subcortical regions play a significant role in emotional regulation. This is where your fight or flight response stems via control of Dopamine and other neurotransmitters.  Your cortical regions control sensory, motor and visual response. In the presence of Lyme disease, which has an affinity for the neurological system, inflammation occurs contributing to this poor perfusion state. It’s plausible to suggest neurological and psychological changes as it relates to tick-borne illness.

Studies directed specifically at the pediatric population were conducted by Rosalie Greenberg, a pediatric and adolescent psychiatrist. Although small, Dr. Greenberg studied 14 children diagnosed with bipolar disorder. She noted

  • 6 had mycoplasma
  • 3 had B. Burgdorferi the bacteria that causes Lyme disease
  • 10 had Babesia
  • 4  had Bartonella
  • ALL had tick borne diseases
  • Out of the 14 only 1 described typical joint pain associated with Lyme disease

Bransfield and others discuss links for autism spectrum disorder development in children as evident by the spirochete that causes Lyme can be passed from an infected mother to her unborn child. This can lead to neurological ailments as well as significant immune dysfunction. Supportive evidence showed upwards of 30% of those diagnosed with autism spectrum disorder had a positive blood test for Borrelia Burgdorferi, the spirochete that causes Lyme Disease. I’ll certainly delve into autism and links to infection in the coming weeks as I’m fascinated!

Children present differently. Perhaps it is the vulnerable blood brain barrier or naïve immune system that contributes. We know in children the brain continues to develop until they reach their early 20’s.  Studies looking closer at the link between childrens’ neurological status and tick-borne illness speculates around 70% to present with onset of headaches, fatigue, mood disturbance, irritability and acute outbursts where symptoms did not previously exist. Anecdotally, I too have witnessed these accounts.

Let’s postulate, just for fun, out of the 4 million children currently diagnosed with mental illness at least 30% or more of those have a tick-borne illness. That’s roughly 1.2 million children whom could be cured of their mental illness by merely treating the infection with courses of antibiotics and/or natural remedies.

This certainly would present a fundamental paradigm shift within the mental healthcare community but isn’t it worth it? Shouldn’t we all Think Differently about mental illness?

The take home message here for parents. If your child (or you) present with sudden onset of neurological changes, mood swings, ADD/ADHD, sleep disturbances, motor or vocal tics, fasciculations, unfounded anxieties and fears, rage, impulsivity, concentration issues, dyslexia, regression with milestones etc, seek out an evaluation for tick-borne illnesses.

Should your primary care provider refuse to perform the test or argue otherwise….find someone else!

Recent Tick-Task Force initiatives, passed by NY state legislators and championed by Senator Sue Serino, secured 1 million dollars to fund research that allow better understanding of the link between Lyme, tick-borne diseases and mental health issues. These funds will also help support preventative actions as well as raise awareness. It’s solid movement in the right direction. This recent legislation would direct the Office of Mental Hygiene and Department of Health to conduct these studies. Fingers crossed for the follow thru! You can find more information about critical legislation passed recently in the NY senate and full description of the tick-borne illness initiatives by visiting serino.nysenate.gov.

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**Comment**

More and more coming out daily on how pathogens are implicated in brain diseases and mental disorders.  This article should be shared widely as there are multitudes of children being misdiagnosed with mental illness that could be cured by treating the underlying infection(s).

https://madisonarealymesupportgroup.com/2019/04/07/missing-links-connect-the-dots-between-lyme-mental-health/

https://madisonarealymesupportgroup.com/2019/03/26/lyme-its-known-involvement-in-mental-health/

https://madisonarealymesupportgroup.com/2017/10/08/misdiagnosed-how-children-with-treatable-medical-issues-are-mistakenly-labeled-as-mentally-ill/

https://madisonarealymesupportgroup.com/2017/10/03/treat-the-infection-psychiatric-symptoms-get-better/

https://madisonarealymesupportgroup.com/2015/10/18/psychiatric-lymemsids/

https://madisonarealymesupportgroup.com/2017/09/19/three-things-for-parents-to-watch-for-regarding-tbis/

One prominent Wisconsin Lyme doctor states that 80% of his Autistic and PANS patients have Lyme/MSIDS.  Please share widely.

 

 

 

 

 

New Health Center Opens For People With Tick-Borne Diseases in Pennsylvania

https://wnep.com/2019/04/10/new-health-center-opening-for-people-with-tick-borne-diseases/  News Video in Link

New Health Center Opens for People with Tick-Borne Diseases

African Tick Found on Untraveled U.K. Horse

https://www.ncbi.nlm.nih.gov/pubmed/30876825

2019 Apr;10(3):704-708. doi: 10.1016/j.ttbdis.2019.03.003. Epub 2019 Mar 9.

Hyalomma rufipes on an untraveled horse: Is this the first evidence of Hyalomma nymphs successfully moulting in the United Kingdom?

Abstract

During September 2018, a tick was submitted to Public Health England’s Tick Surveillance Scheme for identification. The tick was sent from a veterinarian who removed it from a horse in Dorset, England, with no history of overseas travel. The tick was identified as a male Hyalomma rufipes using morphological and molecular methods and then tested for a range of tick-borne pathogens including;

  • Alkhurma virus
  • Anaplasma
  • Babesia
  • Bhanja virus
  • Crimean-Congo Haemorrhagic fever virus
  • Rickettsia
  • Theileria

The tick tested positive for Rickettsia aeschlimannii, a spotted fever group rickettsia linked to a number of human cases in Africa and Europe.

This is the first time H. rufipes has been reported in the United Kingdom (UK), and the lack of travel by the horse (or any in-contact horses) suggests that this could also be the first evidence of successful moulting of a Hyalomma nymph in the UK. It is postulated that the tick was imported into the UK on a migratory bird as an engorged nymph which was able to complete its moult to the adult stage and find a host.

This highlights that passive tick surveillance remains an important method for the detection of unusual species that may present a threat to public health in the UK. Horses are important hosts of Hyalomma sp. adults in their native range, therefore, further surveillance studies should be conducted to check horses for ticks in the months following spring bird migration; when imported nymphs may have had time to drop off their avian host and moult to adults. The potential human and animal health risks of such events occurring more regularly are discussed.

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A ProMED-mail post

A tick capable of carrying a host of killer illnesses has been found in the UK for the very 1st time, health officials have revealed.

The _Hyalomma rufipes_ tick – a small blood-sucking arachnid – is usually confined to Africa, Asia and parts of southern Europe. But Public Health England [PHE] has now revealed one of the ticks, 10 times larger than others, was discovered in Dorset last year [2018]. The creature itself wasn’t found to be carrying the deadly Crimean-Congo Haemorrhagic fever virus (CCHF).

The disturbing find, which could ‘present a threat to public health in the UK’, has been documented in the journal Ticks and Tick-borne Diseases.

A vet at The Barn Equine Surgery in Wimborne removed the tick from a horse last September [2018]. They then sent it to PHE’s tick surveillance team. Writing in the journal, the PHE team said: ‘This is the first time _Hyalomma rufipes_ has been reported in the United Kingdom. ‘The lack of travel by the horse – or any in-contact horses – suggests that this could also be the 1st evidence of successful moulting of a _Hyalomma_ nymph in the UK.’

The team of researchers who found the tick was led by Kayleigh Hansford, of PHE’s medical entomology and zoonoses ecology group.

Writing in the journal, they said it is suspected the tick hitched a ride on a migratory bird before landing in the UK. Neither the infested horse, nor other horses in the stable had travelled anywhere and no further ticks were detected on any of the horses. It is thought the tick travelled on a swallow because they are known to nest in the stables of horses and migrate from Africa to the UK for summer.

The UK climate, known to be getting warmer, is thought to be a major limiting factor for the survival of _Hyalomma rufipes_. However, the unusually warm weather experienced during the summer of 2018 may have been a factor for helping it moult – become an adult.

Currently, the ticks are found in Greece, Northern China, Russia, Turkey, Iraq, Syria, Pakistan, Egypt, Yemen and Oman.

The World Health Organization last year [2018] named CCHF as one of 10 pathogens that pose the most ‘urgent’ threat to humanity.

Figures show the virus – most often spread through tick bites – kills around 40% of humans that it strikes. The horrific illness is said to manifest ‘abruptly’, with initial symptoms including fever, backache, headache, dizziness and sore eyes.

[Byline: Stephen Matthews]


Communicated by:
ProMED-mail Rapporteur Mary Marshall

[Not mentioned in detail in the above report, the PHE team, using morphological and molecular methods, then tested for a range of tick-borne pathogens including: Alkhurma virus, Anaplasma, Babesia, Bhanja virus, Crimean-Congo Haemorrhagic fever virus, Rickettsia and Theileria. The tick tested positive for _Rickettsia aeschlimannii_, a spotted fever group rickettsia linked to a number of human cases in Africa and Europe.

The critical question is if this is a single tick transported into Dorset, or represents one tick of a local breeding population. Transportation of a single tick by a migrating bird is a reasonable possibility. Immature (nymph) _Hyalomma_ usually feed on birds, rodents, and hares. Nymphs are often transported from one place to another by migrating birds. For example, a migrating bird carrying a CCH virus-infected _Hyalomma marginatum_ nymph can introduce the virus into new localities and infect humans and domestic livestock (Larry S.Roberts, 2009). Continued surveillance in the area where the single tick was found, as well as generally in the UK over the spring and summer months, would be prudent.

 

Latent Lyme Disease Resulting in Chronic Arthritis & Early Career Termination in a U.S. Army Officer

https://www.ncbi.nlm.nih.gov/m/pubmed/30839071/

Latent Lyme Disease Resulting in Chronic Arthritis and Early Career Termination in a United States Army Officer.

Weiss T, et al. Mil Med. 2019.

Abstract

Lyme disease is a continuing threat to military personnel operating in arboriferous and mountainous environments. Here we present the case of a 24-year-old Second Lieutenant, a recent graduate from the United States Military Academy, with a history of Lyme disease who developed recurrent knee effusions following surgery to correct a hip impingement. Although gonococcal arthritis was initially suspected from preliminary laboratory results, a comprehensive evaluation contradicted this diagnosis.

Despite antibiotic therapy, aspiration of the effusions, and steroid treatment to control inflammation, the condition of the patient deteriorated to the point where he was found to be unfit for duty and subsequently discharged from active military service. This case illustrates the profound effect that latent Lyme disease can have on the quality of life and the career of an active duty military member. It highlights the need for increased surveillance for Borrelia burgdorferi (B. burgdorferi) in military training areas and for the early and aggressive diagnosis and treatment of military personnel who present with the symptoms of acute Lyme disease.

Published by Oxford University Press on behalf of the Association of Military Surgeons of the United States 2019.

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**Comment**
Our military has been in ‘harms way’ for decades. Glad this case study was made.  I have military friends who receive training in Northern Wisconsin. They sleep outside and literally pick thousands of ticks off their bodies. I can only imagine the high numbers of soldiers with similar stories not being counted or recognized.
Excerpt: 
After congressional investigation, he was finally discharged from the Air Force after 14 years of highly recognized and awarded military service that ended in shame because doctors did not understand Lyme disease.  Attorneys laughed and joked as they decided he was no longer fit for duty and discharged him from the Air Force without benefits, pay, or health insurance. He was essentially dumped on the streets homeless, disabled, and unable to work, with a wife and a child to provide for.
Three decades later, the VA still cannot diagnose Lyme disease based upon symptoms.
The VA did not recognize Lyme disease until the mid-1990s. That means that veterans who had Lyme disease before then were misdiagnosed and some are perhaps homeless and disabled.  According to Sims the government is no wiser today than before they recognized Lyme disease.
The real problem is:
military and VA healthcare systems follow CDC two-tier tests Lyme disease guidelines that capture less than 10% of Lyme disease cases nationwide.
Over 90% of Lyme disease cases are diagnosed and treated by a minority of doctors who specialize in Lyme disease and tick-borne disease and understand CDC guidelines are fatally flawed.
He also states that according to many medical experts, the largest cause of death from Lyme disease is suicide.
Soldiers are also forced to get vaccines and many are injured by them:
Ticks are found:

Beaches:  https://madisonarealymesupportgroup.com/2018/06/07/ticks-on-beaches/

Rocks and picnic benches: https://madisonarealymesupportgroup.com/2017/03/13/ticks-found-on-rocks/

Caves:  https://madisonarealymesupportgroup.com/2018/04/23/tick-borne-relapsing-fever-found-in-austin-texas-caves/, and https://madisonarealymesupportgroup.com/2017/10/27/israeli-kids-get-lyme-disease-from-ticks-in-caves/

Birds:  https://madisonarealymesupportgroup.com/2017/08/17/of-birds-and-ticks/

California:  https://madisonarealymesupportgroup.com/2018/05/19/infected-ticks-in-california-its-complicated/

In the South:  https://madisonarealymesupportgroup.com/2018/05/31/no-lyme-in-the-south-guess-again/, and https://madisonarealymesupportgroup.com/2017/10/06/remembering-dr-masters-the-rebel-for-lyme-patients-who-took-on-the-cdc-single-handedly/, and https://madisonarealymesupportgroup.com/2017/03/02/hold-the-press-arkansas-has-lyme/

Southern Hemisphere: https://madisonarealymesupportgroup.com/2018/02/06/lyme-in-the-southern-hemisphere-sexual-transmission/

Australia:  https://madisonarealymesupportgroup.com/2016/11/03/ld-not-in-australia-here-we-go-again/

And everywhere else…..

Remember, there are 300 strains and counting of Borrelia worldwide and 100 strains and counting in the U.S.  Current CDC two-tiered testing tests for ONE strain!  Do the math….

Lyme has been found in ALL 50 states and is worldwide:  https://madisonarealymesupportgroup.com/2018/08/18/lyme-found-in-all-50-states/
And remember, Lyme is the rock star we know by name.  There are plenty of other illnesses ticks transmit and it isn’t JUST the black-legged tick.
There’s no such thing as a “safe” tick or an “irrelevant” tick bite.

 

 

 

 

 

Sex When You Are Sick

https://livingwithlyme.us/episode-64-sex-when-you-are-sick/

Episode 64: Sex When You Are Sick

 

Cindy Kennedy, FNP, is joined by Freda Hobbs, a Diamond Team Leader with Bedroom Kandi Boutique Parties. She’s an industry expert that has been featured in Forbes and works closely with a team of nearly 700 consultants nationwide creating safe spaces for people to talk about the most intimate parts of their lives.Originally from Camden, N.J., she currently resides in Glendale, Calif., with her husband Rodney. For more information, check her website, Fredahobbs.com.

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**Comment**

Lyme/MSIDS can cause all sort of sexual dysfunction. Recently Dana Parish & Dr. Phillips took this on:  https://madisonarealymesupportgroup.com/2018/12/22/s-e-x-lyme-msids/

Excerpt:

  • Dr. Phillips discusses sexual dysfunction in both men and women due to tick borne illness
  • Dr. Phillips sees men with painful testicles with recurrent Bartonella
  • Prostatitis is also common, where the prostate becomes swollen, tender, and inflamed
  • Some patients get anal and/or vaginal fissures (little painful cracks)
  • There’s libido issues
  • Vaginal dryness
  • Psychological aspects
  • Low Testosterone levels
  • Extreme fatigue
  • Sexually induced severe headaches
  • There can be a Pavlovian response in that if sex causes pain, it trains you to no longer desire it
  • Pre-menstral flares are common
  • Some male patients struggle with Balanitus, a painful swelling of the foreskin, or head of the penis, which affects roughly 1 in 20 males.  It’s been linked to autoimmunity conditions.  Dr. Phillips believes this to be the result of an undiagnosed infection.  He’s also seen it as a herxheimer reaction. It can take time to resolve.

This article also explains many of the psychological problems that can be problematic:  https://madisonarealymesupportgroup.com/2015/10/18/psychiatric-lymemsids/

Excerpt:

Dr. Bransfield describes ten psychological issues that may be risk factors for aggression in MSIDS that would be obvious players regarding sex and include:

  • Decreased frustration tolerance
  • Decreased impulse control
  • When the two above are mild they can be irritable. When extreme, they can become explosively angry
  • Hyposexuality and hypersexuality – both can cause interpersonal frustration
  • Obsessive compulsive behaviors which results in intrusive thoughts, images, and compulsions that sometimes are aggressive
  • Decreased bonding capacity
  • Increased startle reflex (particularly increased acoustic startle)
  • Hyper-vigilance and paranoia
  • Delusions and hallucinations

I haven’t written about this much but my husband heard voices, dealt with rage, anxiety, and had horrific nightmares that he could not distinguish from reality.  It would take me an hour to talk him down.  He also had a fixation that he believed I was having an affair.  This hurt the most.  I’d get up to use the bathroom in the middle of the night, he’d wake up and think I’d been out all night.  The bizarre change in his behavior, particularly trust and confidence in me made me angry.  I wish I would have known then what I know now because I wouldn’t have taken it so personally.  This was not my problem or something I did.  It stems from a serious infection in the brain which can really affect behavior.  It helped to read every single thing Dr. Bransfield wrote.  He has single-handedly gotten the word out, and in a credible, scientific way, that Lyme/MSIDS is a very serious disease with mental health consequences.

To Dr. Bransfield! (lift your coffee cups here)