by Jennifer Crystal

I was bitten by a tick in summer 1997 while working at a camp in the woods of Maine. It would be another eight years, however, until I figured out that the rash I developed that summer was a result of a tick bite, and that my subsequent hypoglycemia, crushing fatigue, joint and muscle aches, and fever were caused by the tick-borne diseases Lyme, babesiosis, and ehrlichiosis. That fall of 1997, during my sophomore year of college, I fell ill with the aforementioned symptoms. I missed class. I couldn’t exercise. I could hardly walk to the dining hall.

Because of frequent low blood sugar reactions, I gained a lot of weight very quickly. I felt ashamed of my sudden, noticeable size change. Though I frequently sought care for my flu-like symptoms—often being told I was just run down or stressed—I did not consider that the weight gain might be related to my other symptoms. Medical practitioners didn’t, either; some just told me to go on a diet.

Part of my shame was about deep reddish-purple marks that developed on my chest and in my groin. I assumed these were stretch marks from my skin expanding to accommodate my weight.

Had I shown them to a Lyme Literate Medical Doctor (LLMD), they might have said that instead of stretch marks, lines on my skin possibly could have been striae caused by Bartonella henselae.

As noted on the GLA website, bartonellosis is a bacterial disease starting with a red mark that can become swollen and discolored or even look like “stretchmarks” or striations. Symptoms include swollen lymph nodes (especially under ears), often with conjunctivitis, heart or spleen problems, bone lesions, hepatitis, other eye problems and encephalitis (causing seizures and coma). There is indirect clinical evidence that this is a group of “Bartonella-like organisms” that can co-infect a Lyme patient. Identification of these organisms awaits further scientific study.

Many people with Bartonella henselae also experience pain in the soles of their feet. According to the National Institutes of Health, “This is associated with trauma to blood vessels in the soles of the feet with walking.” Furthermore, “Anemia can occur from Bartonella scavenging nutrients from red blood cells.”

At the time I developed striae, I was also experiencing pain on the soles of my feet when I ran (which I did when I was feeling up to it, as my symptoms waxed and waned). I thought the pain was from heel spurs, or simply because I needed new sneakers.

How easily we explain away symptoms, not realizing they could be related to actual illness.

Though my initial blood test for Bartonella henselae was negative, my LLMD always suspected I might have had it, because of the symptoms I described. The antibiotics he prescribed treated Lyme, ehrlichiosis, and bartonellosis, so our bases were covered regardless. I have not experienced striae or heel pain in years.

Not all patients know about bartonella, and not all doctors, even LLMDs, think to test for it. This oversight could be detrimental to patients, as they might not be receiving the right treatment, or enough of it. If you have other tick-borne illnesses and have not been tested for bartonella, it’s a good idea to ask your LLMD about it. If you have any of the symptoms I’ve described, consider whether bartonella could be the cause.

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Opinions expressed by contributors are their own.

Jennifer Crystal is a writer and educator in Boston. Her memoir about her medical journey is on submission. Contact her at



This article brings up some great points and reminds me of things I’ve forgotten in our own journey.

The hypoglycemia mentioned can be severe. My husband required food be immediately available. It seemed his body was on hyperdrive and he couldn’t consume enough calories. We had nuts and nut bars stashed everywhere – especially in the car because frightening hypoglycemic episodes would happen while he was driving, making him shake and feel like passing out. (I will add checking your thyroid is a good idea as most patients are typically deficient in thyroid hormones)

The pain in the feet can be severe as well and feel as if someone beat you with a mallet. We also noticed pain in the ankles and wrists – so bad you could drop whatever you were holding due to severe, stabbing pain that felt like a nerve impingement. Going down the stairs and walking is risky because the ankles feel like caving

Bartonella, although not mentioned here, can cause some pretty frightening psychological issues as well. My husband suffered with anxiety would come on like the wind leaving him visibly shaking – afraid for no logical reason. Used to meeting and speaking in front of hundreds of people he would have to periodically cancel meetings as his body rebelled against all logic and common sense. There’s no talking a person out of this. It just is. I had heart involvement that would wake me in the middle of the night with a heart flopping in my chest like a fish flops on the dock after you pull it out of the water. I would lay there and ponder why I was awake and feeling the way I did. This pondering, going through the triage of symptoms can cause an anxiety of its own – as your body seemingly is not communicating with your brain and has gone rogue.

Mainstream doctors haven’t a clue. If I had a dollar for every patient who told me a doctor said their symptoms were due to “anxiety or stress” I’d be a millionaire. These wild, rogue symptoms cause anxiety because they are so unbelievably frightening, but they are the problem and they need to be addressed.

This lack of bodily control is maddening and can be one of the most frustrating aspects of this illness. You become afraid to go anywhere or do anything as your body has a mind of its own. A prisoner in your own home.

For more: In my experience, Bartonella is one of the most tenacious coinfections, yet it is completely ignored by mainstream medicine.

Bartonella is also very common in pets and many other bugs, including spiders and mites. Veterinarians are particularly at risk.

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