Archive for the ‘Babesia’ Category

Lyme & Tick-born Disease Symptom Checker

https://igenex.com/tick-talk/symptom-checker  (Go here for Symptom Checker)

Lyme and Tick-borne Disease Symptom Checker

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If you’ve been sick and aren’t getting better, use this IGeneX symptom checker to determine your likelihood of having Lyme disease or other associated tick-borne illnesses.

The Lyme and Tick-Borne Disease Symptom Checker is for informational purposes only and should not be considered, or used as a substitute for, medical advice, diagnosis, or treatment. By using this website and the Symptom Checker, you agree that this website and the Symptom Checker is not intended to and does not replace the advice of your own physician or other medical professional and that this website does not constitute the practice of any medical or other professional healthcare advice, diagnosis, or treatment. You are solely responsible for your own health care decisions regarding the use of this website and the Lyme and Tick-Borne Disease Symptom Checker and your use is entirely at your own risk. You should consult a medical professional for all questions or concerns you may have relating to your health. If this is an emergency in the United States, call 911.

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**Comment**

A very helpful online quiz. You can also read about common symptoms for Lyme disease, Babesia, Tick-borne Relapsing Fever, Bartonella, Ehrlichiosis, Anaplasmosis, and Rickettsiosis.

My only caution is that there are other symptoms omitted from this quiz. My own case is a perfect example.

All my initial symptoms were gynecological and I believe strongly were my first signs of Lyme/MSIDS infection, obtained from my husband who is also infected. You can read about that here: https://madisonarealymesupportgroup.com/2017/02/24/pcos-lyme-my-story/

Those infected congenitally will also find fault with this quiz which is why you need to see an experienced Lyme literate physician.

It is quite common to have an initial 90 minute appointment with these ILADS trained doctors as you fill out medical history forms going back to infancy. The doctor then discusses these with you to further ascertain the potential of early infection (perhaps in utero). Often, many health issues can be traced back to infancy if you were infected congenitally. For more: https://madisonarealymesupportgroup.com/2018/06/19/33-years-of-documentation-of-maternal-child-transmission-of-lyme-disease-and-congenital-lyme-borreliosis-a-review/

https://madisonarealymesupportgroup.com/2018/11/11/gestational-lyme-other-tick-borne-diseases-dr-jones/

While sexual transmission of Lyme/MSIDS has not been admitted to by ‘authorities,’ congenital transmission recently has been:  https://madisonarealymesupportgroup.com/2020/02/01/cdc-website-updated-today-possibility-of-mother-to-fetus-transmission-of-lyme-disease/

It is also quite common for ‘authorities’ to first admit something is ‘rare’ only to have to admit later it’s more common than first thought.  This is their modus operandi.  For years I’ve watched them state Lyme doesn’t exist in certain geographical locations because the ticks that transmit it aren’t there, only to have to update that information later on. This has happened repeatedly.  But before the information gets updated, infected patients are told “it’s all in their heads,” left to rot, and are denied treatment.  These patients only go on to worsen, making their cases far more difficult to treat:  https://madisonarealymesupportgroup.com/2017/09/21/its-all-in-your-head-until-finally-a-lyme-diagnosis/

Rather than admit a patient could be infected, despite prior findings in the literature or of ticks in certain locations, patients are handed from doctor to doctor like a football, and are more likely to be given an anti-depressant than life-saving antimicrobials.

This must end.  Using entomology maps to diagnose has hurt patients.  While maps are interesting, they should never keep patients from getting diagnosed.

For the Horowitz symptom questionnaire, which has been validated:  https://madisonarealymesupportgroup.com/wp-content/uploads/2016/01/symptomlist.pdf  Print, fill out, and tally up the points.  

Just remember that while these checklists are helpful, and in fact probably far better than current testing, they are not perfect.  Lyme/MSIDS is wiley – with waxing and waning symptoms. Your best hope of correct diagnosis and treatment remain in the hands of an experienced Lyme literate doctor, although nothing replaces learning all you can to be a helpful partner in your own healing.

 

Lone Star Ticks Have Swarmed Aquinnah, Biologist Says

https://vineyardgazette.com/news/2020/10/07/lone-star-ticks-swarm-aquinnah

Tick biologist Richard Johnson said the best way to reduce the tick population is to reduce the deer population.  Credit: Tim Johnson

Lone Star Ticks Have Swarmed Aquinnah, Biologist Says

Aaron Wilson

Lone star ticks – and thousands of their larvae — have overrun the town of Aquinnah, biologist and tick expert Richard Johnson told Aquinnah selectmen at their meeting Wednesday, following reports that showed a high incidence of tick-borne disease in the town this year.

In a letter that went out last week, the town board of health reported 13 new cases of tick-borne illnesses since April of this year, including cases of Lyme disease, ehrlichiosis, babeosis and Rocky Mountain spotted fever. At the meeting, Mr. Johnson said he was in Aquinnah on Tuesday surveying yards for ticks and found lone star larvae in every location he visited.

(See link for article)

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**Comment**

OK – this here should alarm us – an entomologist getting a daily call from folks discovering clusters of lone star ticks.

Although not known to carry Lyme, they can cause ehrlichiosis, Rocky Mountain spotted fever, as well as a red meat and or dairy allergy.

“I hope this isn’t the new normal but I fear that they’re exploding in numbers.”  Richard Johnson

Johnson also points out that unlike deer ticks, lone star larvae stay in groups of 2,000-8,000 until they are nymphs which means those who brush up  against a cluster could have hundreds to thousands attaching simultaneously.

The article mentions controlled burns for changing the habitat which could eradicate the ticks.  Please see:  https://madisonarealymesupportgroup.com/2019/07/18/frequent-prescribed-fires-can-reduce-risk-of-tick-borne-diseases  Burning works but it must be done repeatedly.

The article mentions using various birds to eat them, but the ticks also travel and feed on birds.

Johnson stated that the number one thing they can do is reduce the deer population.

Two Exotic Disease-Carrying Ticks Identified in Rhode Island & First Case of Parasitic Soft Ticks Reported in New Jersey

https://www.sciencetimes.com/articles/27511/20200929/two-exotic-disease-carrying-ticks-identified-rhode-island.

Two Exotic Disease-Carrying Ticks Have Just Been Identified in Rhode Island

Sep 29, 2020

Local authorities in Rhode Island announced that two new tick species were identified on Block Island. The tick species were traced back to Eurasia and Asia origins.

Dr. Danielle Tufts from Columbia University identified the two species Haemaphysalis longicornis (Asian long-horned tick) and Haemaphysalis punctata (red sheep tick), reported the state’s Department of Environmental Management (DEM). (See link for article) 

Two Exotic Disease-Carrying Ticks Had Just Been Identified in Rhode Island

(Photo: Asian long-horned tick, adult female dorsal view climbing on a blade of grass – Photo by James Gathany; CDC)

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**Comment**

Both ticks are considered live-stock pests but they can and do bite humans, transmitting diseases.  Farmers, hunters, and hikes are at greater risk.

  • The red sheep tick is identified with Tick paralysis, Tick Borne Encephalitis virus, Tribec virus, Bhanja virus, Crimean-Congo haemorrhagic fever virus, Babesia bovis, Theileria recondita, Coxiella burneti, Francisella tularensis.  http://www.bristoluniversitytickid.uk/page/Haemaphysalis+punctata/17/#.X3S-TS2ZOWgCattle: Babesia major, Babesia bigemina, Theileria mutans, Anaplasma marginale and Anaplasma centrale

    Sheep: Babesia motasi, Theileria ovis

H.-punctata-female-dorsal-0-300x225

Red sheep tick, Adult female dorsal view

https://medicalxpress.com/news/2020-09-jersey-1.html

Bat tick found for the first time in New Jersey

Bat tick found for the first time in New Jersey

A tick species associated with bats has been reported for the first time in New Jersey and could pose health risks to people, pets and livestock, according to a Rutgers-led study in the Journal of Medical Entomology.

This species (Carios kelleyi) is a “soft” . Deer ticks, which carry Lyme disease, are an example of “hard” ticks.

“All ticks feed on blood and may transmit pathogens (disease-causing microbes) during feeding,” said lead author James L. Occi, a doctoral student in the Rutgers Center for Vector Biology at Rutgers University-New Brunswick. “We need to be aware that if you remove from your belfry, attic or elsewhere indoors, ticks that fed on those bats may stay behind and come looking for a new source of blood. There are records of C. kelleyi biting humans.”  (See link for article)

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**Comment**

A few important points:

  1. A related species, Carios jersey, was found in amber 2001
  2. C. kelleyi has been found in 29 states so far
  3. Public health risk remains unknown, but it has been found to be infected with harmful pathogens in other states
  4. There are reports of this tick feeding on humans
  5. The bat it feeds on regularly roosts in attics and barns
  6. It has been identified with rickettsia and borrelia (Lyme):  https://www.sciencedirect.com/topics/agricultural-and-biological-sciences/carios
I can’t help but notice the bat connection, as well as the following:

https://www.newsbreak.com/news/2058858379813/first-case-of-parasitic-soft-ticks-reported-in-new-jersey  The current pandemic has been accompanied by cases of other illnesses and diseases such as African Swine Flu, Ebola, Bubonic Plague, West Nile Virus, Dengue outbreaks around the world.

New Study: The Hidden Ways Microbes Control Tick Behavior

https://rawlsmd.com/health-articles/new-study-the-hidden-ways-microbes-control-tick-behavior?

New Study: The Hidden Ways Microbes Control Tick Behavior

New Study: The Hidden Ways Microbes Control Tick Behavior

by Jenny Lelwica Buttaccio
Posted 9/17/20

We’ve heard a lot of late about an increase in Lyme disease cases, but tick-borne diseases of all kinds — including babesiosis, anaplasmosis, rickettsiosis, and others — are on the rise throughout the United States, reports the Centers for Disease Control and Prevention (CDC). At least part of the increase in tick-borne illnesses can be traced to an expanding tick population, caused by several factors including changes in climate patterns and the development of housing into wooded areas, creating closer interactions between people, animals, and ticks.

But what if there’s also an unseen force at work compelling ticks to act out or present with certain behaviors that give them a leg up when it comes to their own survival — and that of the microbes they carry? New research suggests that perhaps there’s more to this story than we know.

First, a Basic Overview of Ticks On the Hunt

More than four decades after the first cases of Lyme disease were diagnosed, we’re still learning about tick behavior and why they operate in the way they do. We know that blood hosts like humans and animals are critical for tick survival, so ticks are regularly on the prowl.

A tick’s vision isn’t very good, so they rely on other sensory components to find food sources. Located on the first pairs of ticks’ legs are tiny structures called Haller’s organs. These organs are found only on ticks, and it is believed that they function somewhat like antennae and utilize the sense of smell to detect odors wafting through the air to find unsuspecting hosts.

Using their Haller’s organs, ticks detect the carbon dioxide (CO2) that comes from human respiration and breathing — they can sense other chemicals like ammonia and pheromones, too. While certain ticks, like the Lone Star tick, can aggressively charge potential human hosts, most prefer a more subtle approach: Waiting patiently on blades of grass or areas of brush until you approach them, an activity known as “questing.”

diagram of tick biology

When a tick quests, they grip the blade of grass or brush with their back legs and stretch their front legs into the air. In due time, a human or animal walks past, and they latch on, using the front legs to ascend their new host and search for a suitable spot to begin feeding.

As weird and as sci-fi as all this sounds, emerging research from Giovanni Benelli, PhD, Senior Research Entomologist at the University of Pisa in Pisa, Italy, has begun to shed light on microscopic agents that exert influence upon ticks’ hunting behavior. Interestingly, it’s the very microbes we work so hard to avoid that play puppeteer to their tick hosts.

6 Microbes that Manipulate Tick Behavior

In August 2020, Benelli published a new review in the journal Pathogens investigating whether microbes Anaplasma, Borrelia, Babesia, Bartonella, Rickettsia, and tick-borne encephalitis virus (TBEV) were involved in influencing tick behavior and adaptive significance (traits that affect a tick’s reproductive success). Pathogenic manipulation — such as an increase in biting frequency and duration and changing host-borne odors to make them more appealing meals for other arthropods like mosquitos and sand flies — has already been noted in scientific literature.

In regards to ticks, Bellini’s data suggests modes of pathogen-tick manipulation may include physiological changes, tolerance to extreme temperatures, and enhanced survivability, among others. Here, we’ll take a look at some of the key highlights of Benelli’s research, a wealth of further insights into tick behavior that could be a crucial factor in helping to curtail the bugs’ proliferation and their ability to spread chronic illnesses.

1. How Borrelia Impacts Tick Behavior

Borrelia is the bacteria implicated in Lyme disease. In the United States, Borrelia burgdorferi is the species that’s found in black-legged ticks (Ixodes scapularis) or deer ticks. However, in Europe, the predominant Lyme disease-carrying tick is the castor bean tick (Ixodes ricinus).

Borrelia infection in the blood. Borrelia bacteria cause borreliose, transmitted by ticks and by lice.

Borrelia may manipulate tick behavior in both tick species, according to Bellini’s review. Here are some of his key findings:

Key Findings:

  • Black-legged nymph ticks infected with B. burgdorferi showed enhanced movement toward or away from light sources (phototaxis).
  • Nymph ticks infected with B. burgdorferi demonstrated an affinity for vertical surfaces such as the top layers of leaf litter piles or plant vegetation like blades of grass, which may provide them with more opportunities to come into contact with hosts.
  • B. burgdorferi stimulated tick histamine release factor (tHRF), the chemical that regulates vascular permeability and improves blood flow to the site of the bite for feeding.
  • Infected adult black-legged ticks had slower mobility than their non-infected counterparts. However, research is unclear whether this is a behavior adaptation resulting from B. burgdorferi.
  • Castor bean nymph ticks exposed to extremely dry conditions showed they were more active and more resistant to harsh conditions than those that were not carrying the pathogen.
  • Nymph ticks carrying a strain of Borrelia known as Borrelia afzelii (a European strain known for its ability to affect the central nervous system) had increased rates of mobility, including duration and speed of movement, over non-infected ones.

The Takeaway

Indeed B. burgdorferi may manipulate tick behavior in several ways, but Bellini acknowledges that further research is needed to determine how these behaviors contribute to disease and how the data can be used to slow the spread of ticks and prevent the transmission of Lyme disease.

2. How Anaplasma Affects Tick Behavior

All ticks, including the black-legged tick, carry multiple disease-causing microbes known as coinfections. One such microbe is Anaplasma phagocytophilum, previously called human granulocytic ehrlichiosis (HGE). When a tick is infected with A. phagocytophilum, it may demonstrate behavioral changes that influence survival, questing, and feeding.

Anaplasma microbe, microscope view

The following three are important points to note from Bellini’s research:

Key Findings

  • A. phagocytophilum-infected black-legged ticks create heat shock proteins in response to stressful environmental circumstances. This makes them more resilient to extremely dry environments and boosts their survivability rates.
  • In the non-infected tick population, cold temperatures can raise the tick mortality rate. But ticks that have been infected with A. phagocytophilum have an advantage — they manufacture an antifreeze glycoprotein that guards them against the cold.
  • A. phagocytophilum is present in the salivary glands of ticks, and it inhibits cellular death to allow for the infection to be transmitted from the tick’s vector to the host, fostering more effective feeding and greater survival.

The Takeaway

The relationship between A. phagocytophilum and tick manipulation is a better-researched interaction than that of other ticks and pathogens. The mechanisms by which A. phagocytophilum alters the behavior of the tick are more apparent in terms of how it augments tick reproduction and survivability. However, when it comes to other species of Anaplasma that may impact humans or animals, more research is needed.

3. How Babesia Affects Tick Behavior

Babesia is a distant cousin of malaria and a less virulent microbe, comparatively. Babesia may occur in up to 40% of people infected with Lyme disease, indicates a report in Trends in Parasitology, making it a relatively common coinfection. The species of Babesia that are most likely to pose a disease risk to humans are Babesia microti, Babesia divergins, and Babesia ducani (WA-1).

Babesia microbe, zoomed view, round

Regarding Benelli’s review, only a few studies have looked at the effects Babesia may have on tick behavior, but he noted the following:

Key Findings

  • B. microti maximized the success of feeding and strengthened the survival of shrew ticks (Ixodes trianguliceps), but these modifications didn’t correlate with the strain’s infection rates.
  • In animal studies, B microti delayed the amount of time it took for a tick to become engorged.
  • Nymph ticks that fed on infected hosts had a higher body weight than those that fed on non-infected ones.
  • Larvae who fed on infected hosts shed their skin more quickly (a process known as molting) than those that fed on non-infected ones.

The Takeaway

At present, the research on Babesia species and their ability to manipulate tick behavior is scant. The processes that encourage feeding, development, and the survival of ticks infected with Babesia have yet to be determined.

4 & 5. How Bartonella and Rickettsia Affect Tick Behavior

Rickettsia microbe, zoomed in microscope view

Although Bartonella, a common coinfection found in people with Lyme, and Rickettsia, a highly virulent and life-threatening microbe, can pose serious health risks to humans, little is known about the behavioral changes these infections may have on tick behavior. A few points worthy of consideration include:

Key Findings

  • Bartonella-infected castor bean ticks had an increase in a component called Ixodes ricinusserine protease inhibitor (IrSPI). This enzyme inhibitor is involved in such biological processes as inflammation, blood clotting, wound healing, constricting blood vessels, and altering hosts’ defense systems.
  • Rickettsia-infected ticks demonstrated a greater inclination towards electromagnetic fields than non-infected ones.

The Takeaway

Like Babesia, the research on Bartonella- and Rickettsia-infected ticks is minimal. However, because annual incidences are on the rise, continued investigation in this area has the potential to bring about crucial information for the benefit of public health.

6. How Tick-Borne Encephalitis Virus Affects Tick Behavior

Tick-borne encephalitis (TBEV) is a viral infection spread through the bite of an infected tick. The virus resides throughout Europe and Asia, according to the CDC, making the infection relatively unknown in the U.S.

Encephalitis microbe, zoomed in microscope view

Between 20% and 30% of people who acquire the infection develop symptoms that affect the nervous system. Evidence for two hypotheses suggest the virus can manipulate tick behavior in the following ways:

Key Findings

  • TBEV intensifies tick movement and the ability to find a host.
    Feeding results in higher concentrations of TBEV.
  • When a TBEV-infected tick is unfed, the concentration of the virus remains low. But when the tick feeds, the TBEV titers raise to reach detectable levels.
  • A percentage (6%) of TBEV-infected adult castor bean ticks can navigate DEET-covered areas with a 1% formulation. In contrast, uninfected ticks were unable to cross these areas.

Takeaway

In general, ticks infected with TBEV demonstrated enhanced tick mobility, including walking speed and duration, and a proclivity toward higher questing heights. These changes may lead to greater outcomes when it comes to tick and microbe survivability.

Putting It All Together

There’s no doubt that’s an incredible amount of information to take it in. But this valuable data sets the stage for the urgent need for ongoing research when it comes to understanding how pathogens affect and modify tick behavior.

There is a wide array of tick species worldwide, and countless disease-causing pathogens that pose a threat to human health. Tracking behavioral changes in infected and non-infected ticks could one day lead to positive, new developments for halting the spread of tick-borne diseases.

In the meantime, your best bet is to practice good tick-prevention strategies like doing regular tick checks when coming in from the outdoors, wearing permethrin-treating shoes and clothing, and promptly removing attached ticks with a pair of fine-pointed tweezers. 

REFERENCES

1. Alberdi P, Espinosa PJ, Cabezas-Cruz A, de la Fuente J. Anaplasma phagocytophilum Manipulates Host Cell Apoptosis by Different Mechanisms to Establish Infection. Vet Sci. 2016;3(3):15. Published 2016 Jul 15. doi: 10.3390/vetsci3030015
2. Benelli G. Pathogens Manipulating Tick Behavior-Through a Glass, Darkly. Pathogens. 2020;9(8):E664. Published 2020 Aug 17. doi: 10.3390/pathogens9080664
3. Blisnick AA, Šimo L, Grillon C, et al. The Immunomodulatory Effect of IrSPI, a Tick Salivary Gland Serine Protease Inhibitor Involved in Ixodes ricinus Tick Feeding. Vaccines (Basel). 2019;7(4):148. Published 2019 Oct 12. doi: 10.3390/vaccines7040148
4. Carr AL, Mitchell RD III, Dhammi A, Bissinger BW, Sonenshine DE, Roe RM. Tick Haller’s Organ, a New Paradigm for Arthropod Olfaction: How Ticks Differ from Insects. Int J Mol Sci. 2017;18(7):1563. Published 2017 Jul 18. doi: 10.3390/ijms18071563
5. Dai J, Narasimhan S, Zhang L, Liu L, Wang P, Fikrig E. Tick histamine release factor is critical for Ixodes scapularis engorgement and transmission of the lyme disease agent. PLoS Pathog. 2010;6(11):e1001205. Published 2010 Nov 24. doi: 10.1371/journal.ppat.1001205
6. Lyme and Other Tickborne Diseases Increasing. Centers for Disease Control and Prevention website. https://www.cdc.gov/media/dpk/diseases-and-conditions/lyme-disease/index.html#:~:text=The%20reported%20numbers%20of%20cases,59%2C349%20reported%20cases%20in%202017.
7. Tick-borne encephalitis. Centers for Disease Control and Prevention website. https://wwwnc.cdc.gov/travel/diseases/tickborne-encephalitis#:~:text=Tick%2Dborne%20encephalitis%20(TBE),headache%2C%20nausea%2C%20and%20vomiting
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**Comment**
 
This explains a lot – if only mainstream medicine/research will listen instead of conducting more climate data. It also makes sense.
 
 
It is commonly known that parasites affect behavior:

Parasites are a whole new fantastical frontier. I’ll never forget this information on how parasites affect human behavior by Dr. Klinghardt, which I found here:  http://www.betterhealthguy.com/a-deep-look-beyond-lyme

  • Parasite patients often express the psyche of the parasites – sticky, clingy, impossible to tolerate – but a wonderful human being is behind all of that.

  • We are all a composite of many personalities. Chronic infections outnumber our own cells by 10:1. We are 90% “other” and 10% “us”. Our consciousness is a composite of 90% microbes and 10% us.

  • Our thinking, feeling, creativity, and expression are 90% from the microbes within us. Patients often think, crave, and behave as if they are the parasite.

  • Our thinking is shaded by the microbes thinking through us. The food choices, behavioral choices, and who we like is the thinking of the microbes within us expressing themselves.

  • Patients will reject all treatments that affect the issue that requires treating.

  • Patients will not guide themselves to health when the microbes have taken over.

It only follows that parasites will affect tick behavior as well.

Have You Heard of the Tick-Borne Disease Babesiosis?

https://globallymealliance.org/have-you-heard-of-the-tick-borne-disease-babesiosis/

deer tick on grass

LYME DISEASE ISN’T THE ONLY ILLNESS YOU CAN GET FROM A TICK BITE

Babesiosis, a tick-borne infection caused by the parasite Babesia (most commonly, Babesia microti, though there are other species like Babesia duncani and Babesia divergens), is a malaria-like infection of the red blood cells. A 2019 report by the American Academy of Pediatrics states,

“Although cases of tickborne babesiosis have been diagnosed in the U.S. since 1966, this disease only became nationally notifiable in 2011. A report of the first five years of babesiosis surveillance from the Centers for Disease Control and Prevention (CDC) shows an alarming increase in incidence.[i]

In his book Why Can’t I Get Better? Solving the Mystery of Lyme & Chronic Disease, Richard I. Horowitz, M.D. speaks to this alarming prevalence: “Other studies are now showing evidence of a worldwide epidemic of babesiosis: It is now spreading to parts of the United States, Europe, and Asia…the scientific literature has shown that the number of positively diagnosed cases of babesiosis in New York state alone has increased twenty times.”[ii]

While increased Lyme literacy has improved awareness of babesiosis, many people still look at me like I have three heads when I say I have this infection. The name is indeed strange and difficult to pronounce; one of my graduate school professors said, “Can we just call it babelicious? That’s easier.” Whether you refer to it as babesiosis, Babesia, babelicious, or, as my friends have adopted, babs, it’s important that you understand what this illness is, how it is transmitted, what the symptoms are (and what they actually feel like), and what treatment options are available.

Babesia microti as seen in infected red blood cells via microscope

The tiny parasite Babesia is most commonly transmitted by a tick bite—meaning you can get Lyme and babesiosis, as well as other co-infections, all from the same tick. However, you do not have to have Lyme disease to get Babesiosis. Babesia can also be transmitted via blood transfusion or from mother to fetus. It depletes the red blood cells of oxygen, causing patients to experience air hunger, lightheadedness, weakness, shortness of breath, and post-exertional fatigue akin to what marathon runners describe as “hitting a wall”. Other common symptoms include high fever, night-sweats, headaches, chills, and hypoglycemia. Dr. Horowitz writes that babesiosis can also cause “a hemolytic anemia (due to red blood cells breaking down), jaundice, thrombocytopenia (low platelet count), congestive heart failure, and renal failure.”ii

What does it actually feel like to have babesiosis? While every case is different and not all patients experience every symptom, I can share my own 20+ year battle with this infection. After finding a splotchy red rash on my arm in the summer of 1997, the first symptom I experienced was hypoglycemia. After a busy morning teaching water-skiing, swimming, and canoeing at the summer camp where I worked, I collapsed in the dining hall from what I thought was dehydration but was actually low blood sugar. Beyond testing for diabetes, no one thought to look into the cause of my sudden hypoglycemia or to test for tick-borne infections. Instead, I continued to suffer low blood sugar reactions and sudden lightheadedness for years, and learned to always carry a snack with me.

As the tick-borne infections Lyme, babesiosis, and ehrlichiosis ran through my body unchecked over the next eight years, I developed smashing migraines that left me nauseous and crying on the bathroom floor. I now know that my brain was not getting properly oxygenated, causing my extreme pain. I lived in Colorado at the time, so doctors told me I had altitude sickness.

Babesiosis can exacerbate Lyme and other infections; not knowing I had any of them, they all were getting worse, the symptoms overlapping and manifesting more frequently. Flu-like symptoms, coupled with intense bouts of fatigue, came on-and-off for years. Despite being a gym rat and a life-long skier, I could no longer keep up with my friends on the slopes, experiencing low blood sugar, dehydration, and fatigue that would sometimes send me to bed for a day or two afterwards. By the end of my second year in Colorado, I’d developed asthma and needed to use an inhaler.

In 2003, I got mononucleosis that slipped into chronic Epstein-Barr virus—I couldn’t fight it because of the underlying tick-borne diseases—and in 2005 those diseases were finally diagnosed. By that point I was experiencing fevers that could have been associated with any of those illnesses, and occasional nightsweats.

Once I started treatment for babesiosis (along with antibiotics for Lyme and ehrlichiosis), those nightsweats increased, but that was a good sign. It was a form of Jarisch-Herxheimer reaction; my body was sweating out the dead parasites. I often woke in a puddle, my pajamas fully soaked, and sometimes had to change sheets twice a night. At my worst point, I couldn’t ride thirty seconds on a stationary bike without “hitting a wall”.

While Lyme Literate Medical Doctors (LLMDs) have varying opinions about the treatment and prognosis of babesiosis infections, the general consensus I heard at the International Lyme and Associated Diseases Society (ILADS) conference in 2019 was that there is no cure. Some doctors are having great luck, with patients reporting complete eradication of symptoms for both babesiosis and Lyme disease, with the antimicrobial drug Disulfiram (commonly known as Antabuse); however, more research is needed, and the drug has serious side effects. More commonly, doctors use anti-malarial drugs such as Mepron, Malarone, or Coartem to treat babesiosis, often pulsing these treatments over weeks or even months as the patient’s Babesia load decreases. Still others supplement these medications with homeopathic remedies such as artemisinin or cryptolepsis.

This is not a complete list of babesiosis treatments; Dr. Horowitz talks about others in his book, and your LLMD may have other ideas. I have been on different anti-malarial medications, paced at different intervals, and on different homeopathic drops, throughout my journey. Unfortunately, it doesn’t help for me to share my protocol, because it is ever-changing, and because no two cases of tick-borne illness are alike. Here’s what I can tell you for sure: babesiosis symptoms can get better. If you are being treated for Lyme disease and haven’t been tested for babesiosis or other co-infections, you may only be fighting half the battle. Whether you have a known or suspected case of Lyme, it’s critical that you talk to your doctor about other tick-borne diseases, too.

[i] http://dx.doi.org/10.15585/mmwr.ss6806a1.

[ii] Why Can’t I Get Better? Solving the Mystery of Lyme & Chronic Disease. Horowitz, Richard I., MD. New York: St. Martin’s Press, 2013 (135, 136).

Related Posts:
Differentiating Between Babesia and COVID-19 Air Hunger
New test for Babesia approved by the FDA
What is Air Hunger, Anyway?
Tainted Transfusions: Why Screening Blood is More Important Than Ever


jennifer crystal_2

Opinions expressed by contributors are their own.

Jennifer Crystal is a writer and educator in Boston. Her memoir about her medical journey is forthcoming. Contact her at lymewarriorjennifercrystal@gmail.com.

 

 

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**Comment**

Another great example that Lyme is just the “tip of the spear” for many patients and the CDC’s mono therapy of doxycycline will NOT work for many, particularly if you are coinfected and/or have had Lyme for any length of time.

For more on Babesia:  https://madisonarealymesupportgroup.com/2016/01/16/babesia-treatment/

More on Disulfiram:  https://madisonarealymesupportgroup.com/2019/10/15/disulfiram-psychosis-update/

https://madisonarealymesupportgroup.com/2020/06/26/new-treatments-for-lyme-disease-on-the-horizon/

https://madisonarealymesupportgroup.com/2020/05/26/potential-patient-reported-toxicities-with-disulfiram-treatment-in-late-disseminated-lyme-disease/