Archive for the ‘Bartonella’ Category

The Added Battle For Lyme Patients: Coinfections

https://holtorfmed.com/articles/lyme-disease/the-added-battle-for-lyme-patients-co-infections?

The Added Battle for Lyme Patients: Co-infections

Holtorf Medical Group

Lyme disease is slowly gaining the recognition it deserves as a complex and serious illness that can cause severe health problems if not treated early and properly.

Learn more about Lyme disease and its symptoms here

However, it is important to note that oftentimes Lyme disease patients are not just fighting the Lyme bacteria, but also other co-infections. More specifically, part of the complication with Lyme disease is that, when bitten by a tick, people can be exposed to other pathogens that also carry illnesses. These are called co-infections. A survey of chronic Lyme-infected individuals found:

  • 50% had at least one co-infection
  • while almost 30% had at least two

So, if you have Lyme disease, there is a chance some of your symptoms may be due to a co-infection.

Below we outline two of the most common Lyme co-infections, their respective symptoms, and how to receive a proper diagnosis:

Bartonella

First reported in 1990, bartonellosis is caused by an infection of Bartonella bacteria. These harmful bacteria are capable of infecting a wide array of organisms.

Bartonella bacteria are most commonly spread by fleas, ticks, and lice. There are several different types of this bacteria. For instance, sand flies in South America carry one strain of Bartonella while human body lice, globally, carry another. Today, scientists have detected 29 different strains of this bacteria with approximately 15 that are capable of causing bartonellosis in humans.

Once Bartonella has infected the body, they primarily occupy the inside lining of blood vessels, specifically, red blood cells, macrophages, and endothelial cells. Until recently, it was believed that cases of bartonellosis tended to be mild, acute, and had little risk of contributing to further disruption. However, doctors have started finding that Bartonella may result in chronic infection.

Depending on the strain of Bartonella, symptoms may vary slightly. Bartonella henselae causes “cat scratch disease” and is associated with a bump or blister at the point of infection, swollen lymph nodes, fatigue, headaches, fever, and body aches.

Carrion’s disease (Bartonella bacilliformis) is linked to miliary lesions that ulcerate or bleed, fever, joint pain, and liver and spleen enlargement.

Bartonella quintana’s trench fever causes a fever, rash, bone pain (predominantly in the shins, neck, and back), enlarged lymph nodes, encephalitis, and eye infections.

As Bartonellosis commonly affects the skin, a streak-like rash is perhaps the most indicator of this infection. Other indicators of the condition include: tremors, neurological issues, blurred vision, numbness in the extremities, and psychiatric manifestations.

When Bartonella is attacking an immune system weakened by Lyme, it is possible to develop a more severe manifestation of bartonellosis. Bartonellosis can lead to endocarditis (heart infection) and bacillary angiomatosis (tumor-like masses caused by an infection in blood vessels).

Because bartonellosis can affect multiple bodily systems, it is often misdiagnosed or dismissed by standard practitioners. Proper diagnosis of Bartonella can be conducted through a variety of testing measures including Western Blot, IFAs (Indirect Immunofluorescent Assay), and others.

Babesia

Babesia is a parasite similar to malaria. Both fall into the category of piroplasm, which are organisms that infect red blood cells. Infection of babesia is called babesiosis and is the most common Lyme co-infection as well as the most common piroplasm infection among humans.

The first Babesia species was discovered in 1888 by Hungarian pathologist, Victor Babes. Since then, over 100 distinct strains of Babesia have been identified, but only a few are considered human pathogens. In fact, babesiosis has long been recognized as a disease of cattle and other animals but the first human case was not documented until 1957. A young Croatian farmer was infected with Babesia and died shortly after of kidney failure. By the 1960s, babesiosis cases were documented in North America, and the bacteria is recognized as a serious and potentially harmful human pathogen.

The strain of Babesia that most often affects humans is Babesia microti. Like Lyme, babesia may be transferred via tick. However, it can also be transmitted from mother to unborn child through the transfusion of contaminated blood. This quality makes babesia an exceptionally sinister threat.

Symptoms of babesiosis share several similarities with Lyme. However, it may be distinguished with an initial high fever and chills. Progression of the infection brings with it symptoms including fatigue, headache, sweating, muscle aches, chest and hip pain, and shortness of breath, or air hunger. Fortunately, symptoms of babesiosis tend to be mild and non-life-threatening. However, the mildness of the symptoms also means that the condition is often overlooked until symptoms become more severe.

Because Babesia targets red blood cells, babesiosis is often linked to a condition called hemolytic anemia. Hemolytic anemia is characterized by red blood cells dying at a faster rate than the body can produce new ones. Symptoms include: confusion, dark-colored urine, rapid heart rate, heart murmur, dizziness, fatigue, pale skin, jaundice, and swelling of the spleen and liver.

Unfortunately, when babesia goes untreated, it can lead to more severe complications, especially for immunocompromised individuals.

Because symptoms of babesiosis are largely non-specific, especially early on, it is easily missed by standard practitioners. A blood test is required to check for signs of a Babesia infection. It is also important to check if there are other conditions present with babesiosis such as Lyme disease for optimal treatment.

Final Thought

Patients treated at Holtorf Medical Group have seen an average of 7.2 different physicians prior to their visit to our center, without experiencing significant improvement.

At Holtorf Medical Group, our physicians are trained to utilize cutting-edge testing and innovative treatments to uncover the root cause of your symptoms and treat the source. If you are experiencing symptoms of Lyme disease, a co-infection, or if you have been previously diagnosed, but aren’t getting the treatment you need, call us at 877-508-1177 to see how we can help you!

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Can Lyme Disease Trigger An Autoimmune Disease?

https://danielcameronmd.com/can-lyme-disease-trigger-an-autoimmune-disease/

CAN LYME DISEASE TRIGGER AN AUTOIMMUNE DISEASE?

elderly man with Lyme disease and autoimmune disease taking his temperature

An increasing number of studies indicate that Lyme disease may ignite an autoimmune reaction in some individuals or symptoms may mimic an autoimmune disease. In their report, “Lyme arthritis presenting as adult-onset Still’s disease,” researchers describe the first known case of Lyme disease triggering Adult-Onset Still’s Disease, an auto-inflammatory condition that can impact the entire body (systemic disease).

Adult-onset Still’s disease (AOSD) is often thought to be an autoimmune disease, but is, in fact, a systemic auto-inflammatory condition, believed to be caused by an over-reactive immune response to an infection, such as Lyme disease. As Cimmino points out, both diseases share several clinical characteristics.¹

Still’s disease can cause “a triad of high fever, salmon-colored nodular rash and arthritis and/or arthralgia,” explains Ocon in the British Medical Journal.² Lyme disease can also present with fevers, atypical rashes and arthritis and/or arthralgias.

Both conditions were first identified in children. Still’s disease was initially considered a severe version of juvenile idiopathic arthritis (JIA), while Lyme disease symptoms were originally attributed to juvenile rheumatoid arthritis (JRA).

Lyme disease and autoimmune diseases

A growing number of studies indicate that Lyme disease may trigger an autoimmune response in some individuals or symptoms may mimic an autoimmune disease.

The authors suggest, “[Lyme disease] could be a great mimicker of other autoimmune diseases like DM.”

Case Presentation: Still’s disease

A 61-year-old man presented with a “complaint of intermittent spiking fevers, night sweats, generalised malaise, as well as a history of erythematous circular rashes on his right upper extremity,” writes Ocon.²

He was diagnosed clinically with Lyme disease and received two 10-day courses of doxycycline, but continued to suffer from fevers, chest pressure, a dry cough, along with malaise and arthralgia.

The man was subsequently diagnosed with Still’s disease, as he met the criteria with a fever greater than 102.2°F for at least 1 week; a characteristic rash; a white cell count of at least 10,000; lymphadenopathy, and elevated liver transaminases.

He was treated successfully with intravenous steroids and anakinra (a humanised interleukin-1 receptor antagonist), which is used to modulate the immune system.

Author’s Takeaway:

“For the first time, we describe a case of AOSD precipitated by Lyme disease.”

“Lyme disease is a rare trigger of adult-onset Still’s disease, likely mediated via immune system inflammatory activation.”

“AOSD presented with a rare manifestation of haemorrhagic pericarditis and tamponade.”

“We believe that the immunological response to Lyme disease may have triggered AOSD via a hyper-activated immune system.”

UPDATED: July 1, 2021

References:
  1. Cimmino MA, Trevisan G. Lyme arthritis presenting as adult-onset Still’s disease. Clin Exp Rheumatol. 1989;7(3):305-308.
  2. Ocon AJ, Kwiatkowski AV, Peredo-Wende R, Blinkhorn R. Adult-onset Still’s disease with haemorrhagic pericarditis and tamponade preceded by acute Lyme disease. BMJ Case Rep. 2018;2018:bcr2018225517. Published 2018 Aug 16. doi:10.1136/bcr-2018-225517
  3. Cross A, Bouboulis D, Shimasaki C, Jones CR. Case Report: PANDAS and Persistent Lyme Disease With Neuropsychiatric Symptoms: Treatment, Resolution, and Recovery. Front Psychiatry. 2021 Feb 2;12:505941. doi: 10.3389/fpsyt.2021.505941. PMID: 33603684; PMCID: PMC7884317.

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Tickborne Illnesses “Can Look Like Anything” Podcast

https://www.mindbodygreen.com/articles/physical-and-psychological-signs-of-tick-borne-illness Podcast in link

I’m A Functional MD & These Sneaky Signs Can Signal A Tickborne Illness

By Jason Wachob

Here’s the thing about tickborne illnesses: According to functional medicine doctor Kenneth Bock, M.D., they can cover different organ systems, and so patients often present myriad symptoms. “It can look like anything,” he shares on this episode of the mindbodygreen podcast, which poses a problem in clinical settings: If a patient comes in with a laundry list of complaints, some professionals may resort to a psychological diagnosis (especially if those said symptoms are, in fact, psychological, which we’ll get into later).

However, says Bock, “If you listen, and you look, and you think hard…these tickborne diseases can cause this myriad of complaints.” Meaning, it’s important not to rule out the possibility of a tickborne illness, even if you don’t necessarily live in a hotbed state. Below, he explains some of the most common signs he has seen.

Physical symptoms.

“It can range from skin rashes to heart palpitations, shortness of breath, brain fog, numbness, tingling, burning, dysesthesias (which is pain), and also general fatigue and headaches,” Bock says.

He also mentions that some ticks can carry Bartonella bacteria, which can “give you these purple-ish, reddish stretch marks” in uncommon areas you wouldn’t typically have stretch marks—like in the middle of the back or behind the knee. (We should note: There is little evidence to suggest the transmission of Bartonella from ticks to humans directly; most of the data shows that the bacteria can be transmitted from ticks to pets to a person during a scratch.)

He continues that Babesia, another tickborne illness that often goes hand-in-hand with Lyme disease, can cause symptoms like fever, chills, sweats, and air hunger (aka, feeling like you can’t get enough air).

The purpose of listing these symptoms isn’t to scare you—Bock emphasizes that when people point out their multiple symptoms, he takes tickborne illnesses into account. “Rather than [saying], ‘Oh, the person has air hunger, so they’re just anxious,’ these are clues to some of the tickborne illnesses.”

Psychological symptoms.

We mentioned brain fog, but Bock says tickborne illnesses can manifest as a host of psychological symptomssometimes for younger folks, the only symptoms at all are psychological. 

“The thing about kids and adolescents is that sometimes the only symptoms of tickborne disease are neuropsychiatric,” Bock explains. “All you see is anxiety, or OCD, or panic attacks, or depression, and sometimes rage.” In fact, studies show that a portion of Lyme disease patients can experience explosive anger and aggressiveness (commonly referred to as “Lyme rage”).

All that to say: It’s important we don’t rule out tickborne illnesses, even if someone only presents psychological symptoms. “They can carry a diagnosis of mood disorder, [like] anxiety and panic attacks, but if they have a tickborne disease, they’ll never get better. All the psychotropics in the world and all the therapy will not [help them] get better,” says Bock.

The takeaway.

Tickborne illnesses can be scary—understandably so. Again, explaining all of these symptoms is not to spook you into thinking you have a tickborne illness. But if you present myriad symptoms, it’s important to get to the root of the issue and make sure a tickborne illness is not the driver.

“The key is to recognize that they exist,” notes Bock.

**Comment**
Regarding ticks transmitting Bartonella directly to humans, I personally asked Dr. Breitshwerdt if this is true.  He strongly believes ticks transmit it.  Info here.  There are many people with Bartonella who have not had cat or pet exposure, although it is known that Bartonella is transmitted by numerous insects and arachnids.  BTW: you can have Bartonella without the purplish stretch-mark looking rashes.
For a nifty coinfection symptom chart go here, although it’s important to remember there are symptoms not on this chart, as well as the fact you may not present with the typical symptoms.  I appreciate the fact he said some peoples’ only symptoms are psychiatric.  This is very true but not considered by mainstream medicine.
One of the most telling quotes within the article is the phrase about having a “laundry-list” of symptoms.  Dr. Jemsek gives the following quote when speaking about Lyme:
“You either have 20 diseases or you have Lyme disease.”
I would add that you should also suspect other coinfections as well.
For more:

One thing the article did not mention is testing, which nearly all mainstream doctors will use, even though these tests have been proven to be a joke.  This isn’t discussed and you have to be your own advocate and understand this.  I would seriously bypass mainstream medicine and head directly to a Lyme literate doctor, who will diagnose and treat you clinically based upon symptoms.

From my perspective with helping patients, mainstream doctors continue to utilize faulty testing, take a “wait and see” approach which is dooming patients to a life-time of suffering, and even IF they miraculously test positive on an abysmal test, treat them inappropriately with no more than the insufficient monotherapy of 21 days of doxycycline.

You can look up more articles by typing in key words into the search bar on the website.  For instance, if you want to know more about Bartonella, just type Bartonella into the search bar and other articles will pop up.

Tickborne Illnesses in Finland

https://www.lymedisease.org/ticks-finland-2/

TOUCHED BY LYME: Tick-borne illnesses in Finland

April 28, 2021

Guest blogger C.M. Rubin interviews two European scientists about the prevalence of Lyme disease and other tick-borne infections in Finland.

The Global Search for Education: Finland — Ticks

by C M Rubin as featured in the Huffington Post

Lyme disease is caused by a bacterium transmitted to humans via a tick bite. The CDC (Center for Disease Control) claims that Lyme Borreliosis is the most common and fastest growing infectious illness in the United States. The disease can cause a variety of flu-like symptoms such as fever, achy joints, fatigue and headache. Additionally, Anaplasmosis/Ehrlichiosis, Babesiosis, Rocky Mountain Spotted Fever, Bartonella, Tularemia, and more recently, Borrelia Miyamotoi (a distant relative of Lyme Borreliosis) are other recognized tick-borne infectious diseases in the United States.

Experts have been unable to agree for decades on whether a case definition called chronic Lyme disease exists. Yet, some Lyme victims, even after taking the standard treatment of antibiotics, continue to suffer from long-term and often serious health problems for years after they first contract the disease. Does chronic Lyme disease exist, or is the condition which some patients experience an autoimmune or nervous system response triggered by the infection, or indeed is it a bit of both? These are some of the major questions researchers are trying to figure out as they take on the enormous challenges of identifying better Lyme diagnostic tools and treatment plans for what is becoming a growing global public health crisis.

Today in The Global Search for Education, I take a look at tick-borne illnesses in Finland. I am joined by Docent Jarmo Oksi, Finland’s leading researcher in the field of Lyme disease, who is based at the University of Turku in Finland. In addition, I welcome Markku Kuusi, Chief Medical Officer from Finland’s National Institute for Health and Welfare.

2013-04-25-cmrubinworldticks1400.jpg“The weakness of the Finnish surveillance system is that we don’t collect any clinical information on patients, we only get notifications from laboratories.” — Markku Kuusi
What is the annual incidence of Lyme disease in Finland and in Europe at large?Jarmo: Laboratory reports on Lyme Borreliosis cases (based on positive serology) have doubled in 10 years and are now about 1,500. The estimated number of Lyme Borreliosis infection cases is about four times this number — i.e. estimated incidence in Finland is 5,000-6,000 annually (population 5.5 million), which is about 100 per 100,000 inhabitants per year. However there are areas in the Southwestern Archipelago with incidence of 1000 per 100,000 inhabitants per year.

Markku: Based on the National Infectious Disease Register, the incidence of Lyme disease in Finland has been about 30/100,000 during the past few years. In terms of the annual incidence in other Nordic countries, in Norway it has been about 6/100,000 and in Denmark, 1 – 2/100,000. It is hard to believe that there is such a difference in actual incidence, so that is why I believe the diagnostic criteria are truly different. The weakness of the Finnish surveillance system is that we don’t collect any clinical information on patients, we only get notifications from laboratories; so it is difficult to say whether the symptoms of our cases really are compatible with Lyme Borreliosis.

Would you comment on the annual incidence of any of the other tick-borne illnesses which are endemic in Finland in addition to Lyme.

Markku: Tick-borne Encephalitis (TBE) is another important tick-borne disease in Finland. The incidence has been particularly high on Aland Island and therefore TBE vaccination is included in the national immunization program. Before the vaccination program, the annual incidence was up to 100/100,000 population. Now it has decreased substantially. It seems that in other parts of Finland (apart from Aland Island), the incidence is increasing, and therefore other areas may also be included in the immunization program in the near future (for example, the Archipelago around the city of Turku).

Do you believe that chronic Lyme disease exists or that it is a misnomer for other diseases triggered by Lyme disease?

Markku: This is a difficult question. I think it is clear that some patients have a prolonged course of the disease which may last several months. The most experienced clinicians in Finland think that a continuing Borrelia infection is possible if the patient has not received adequate treatment for the illness, resulting in disseminated infection. Even after adequate treatment, some patients have symptoms due to immunological mechanisms, but it is very hard to say whether these symptoms are related to Borrelia infection or to some other causes.

2013-04-25-cmrubinworldlabra_182.JPG_3420500.jpg“The most experienced clinicians in Finland think that a continuing Borrelia infection is possible if the patient has not received adequate treatment for the illness, resulting in disseminated infection.”— Markku Kuusi
If you believe in chronic Lyme disease, what do you believe are the most effective ways to treat it?Jarmo: If you mean chronic infection, I think that this entity after standard antibiotic therapy is very very seldom (I see about one case in five years). However, if detected –e.g. with cultivation or PCR (the most specific way to detect), the treatment I give is individual antibiotic treatment — maybe double the length compared to the initial treatment.

What do you believe is the most effective way to treat symptoms triggered by the infection, e.g. chronic auto-immune reaction?

Jarmo: During the first months I wait for gradual improvement. If there is no improvement after six to 12 months, I then start low-dose corticosteroid treatment for a certain subset of patients. Some other subsets may get help from, for example, amitriptyline, which raises the threshold for pain sensation.

What tests currently available to the general public, other than the Western Blot test, do you believe provide a better degree of certainty?

Jarmo: PCR (and culture) are useful in some situations (culture only in research settings), but even PCR is not sensitive enough to detect all cases — e.g. in CSF (cerebrospinal fluid) of neuroborreliosis cases. Besides Western Blots, ELISA tests based on C6 peptide are generally good as confirmatory tests.

2013-04-25-cmrubinworld_P6Q5372.JPG_198500.jpg“We are currently enrolling patients into a study on neuroborreliosis: comparison of IV Ceftriaxone for 3 weeks vs. oral Doximycin for 4 weeks. Hopefully this study will give us new knowledge on markers of how to identify patients with reactive symptomatology triggered by Lyme neuroborreliosis.”— Jarmo Oksi
Are you aware of any other promising tests in development?Markku: Last year, a Finnish group reviewed the diagnostic tests in our country. It is my understanding that right now there are not unfortunately any new reliable tests available. So we shall have to wait awhile for them.

To what research do you believe scientists around the world must give priority in order to overcome the challenges the public faces with finding a cure for Lyme disease?

Markku: I think it is important to better understand the mechanism behind the sequelae of acute borreliosis. Therefore, we need more research on the immunology of the disease. In other words, how does the bacteria actually cause joint symptoms or neurologic symptoms. I think this will help us to develop better diagnostic tests and hopefully better drugs. I believe antibiotics are not the only solution.

What is the focus of your research and how does it relate to the challenges of identification and cure of Lyme disease and diseases triggered by Lyme?

Jarmo: We are currently enrolling patients into a study on neuroborreliosis: comparison of IV Ceftriaxone for three weeks vs. oral Doximycin for four weeks. Hopefully this study (with control CSF specimens) and long follow-ups of patients also will give us new knowledge on markers of how to identify patients with reactive symptomatology triggered by Lyme neuroborreliosis.

How can technology help us find a cure for Lyme disease faster?

Markku: This is not really a field in which I am knowledgeable, but I believe that better molecular and immunological methods may give possibilities for new diagnostics and for the development of new drugs. What I really hope is that there will be better and more specific laboratory tests for Lyme Borreliosis in the future. I think that one of the key issues is to harmonize the laboratory methods so that we can get a better understanding of the epidemiology of Lyme disease in Finland.

C M Rubin is a child and family health and education advocate.  She is the author of a number of award winning books as well as the widely read online series THE GLOBAL SEARCH FOR EDUCATION.

Follow C. M. Rubin on Twitter: www.twitter.com/@cmrubinworld

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**Comment**

I disagree with two tenets in this paper:

  • Chronic Lyme is rare.  I personally, as well as my husband, and most I deal with have improved immensely or even reached remission with lengthy treatment utilizing numerous antimicrobials and other modalities.  As they say, “The proof is in the pudding.”  Lyme spirochetes have been found in the autopsied brain despite treatment.  There are also extensive global research showing the persistence of the organism in 700 peer-reviewed papers (as well as coinfections that often come with Lyme): Peer-Reviewed Evidence of Persistence of Lyme:MSIDS copy  Please keep in mind that everything is rigged against reporting chronic infection. Globally, doctors work under the CDC/IDSA’s myopic focus on the acute phase and frank denial of persistent infection.  It doesn’t surprise me at all that a Finnish researcher also cow-tows to this thinking.  It’s rampant.
  • That we need yet more research on the acute phase of Lyme.  Frankly, that’s about all we have.  We desperately need researchers to quit myopically focusing on this phase of the illness and study the thousands upon thousands with chronic/persistent symptoms who often do to not test positive on the abysmal CDC 2-tiered testing, which is rigged to not pick up chronic infection, and do not have the “classic” EM rash.  These two variables have kept the sickest patients from being studied.

Research Consortium Aims to Develop New Drug For Bartonellosis

https://www.lymedisease.org/research-consortium-bartonellosis/

Research consortium aims to develop new drug for bartonellosis

July 15, 2021

Key infectious disease researchers at Tulane University, Duke University and North Carolina State University will collaborate on an initiative to develop a treatment for bartonelloses, a spectrum of vector-borne diseases that can cause debilitating symptoms.

The three-year, $4.8 million initiative funded by The Steven and Alexandra Cohen Foundation, will establish the Bartonella Research Consortium to develop a novel treatment for bartonelloses.

Bartonella are zoonotic, stealth bacterial pathogens that were not known to infect animals or humans prior to the HIV epidemic when immunocompromised patients began showing symptoms of bartonelloses.

Bartonelloses are often self-limiting diseases that can be cleared by the immune systems of healthy individuals. In immunocompromised individuals or as co-infections, they can cause severe neuropsychiatric, cardiovascular, and rheumatological symptoms. Cats and fleas often harbor the pathogen, which increases the likelihood of transmission to humans.

The principal investigators of the consortium support a collaborative approach to the study of complex, poorly understood infectious diseases. By working together to prevent and treat Bartonella infections, they will provide patient-relevant solutions that improve both animal and human health. Targeted antimicrobial strategies to eliminate long-standing Bartonella infections will dramatically improve patient outcomes.

Similarities between Bartonella and Lyme infections

Bartonella symptoms overlap with those of other vector borne organisms such as Borrelia burgdorferi, the bacteria that causes Lyme disease. In some instances, patients have been infected with both Bartonella and Borrelia burgdorferi infections, which can cause an exacerbation of symptoms

As often seen in Lyme disease patients, a subset of people with bartonelloses develop chronic symptoms despite prior antibiotic therapy. Treatment failures have been documented with both infections, thus the need for drugs that specifically target and eliminate these bacteria.

Associate Professor Monica Embers, a microbiologist and immunologist at the Tulane National Primate Research Center, focuses on the persistence of tick-borne infectious disease despite antibiotic therapy and will bring her expertise to the consortium.

“There are a lot of similarities between Bartonella and Borrelia infections, both of which are notoriously difficult to detect and treat. Developing targeted treatments has the potential to alleviate a lot of suffering, both in the human and pet populations,” said Embers.

There are over 40 known Bartonella species or subspecies and at least 17 have been associated with a spectrum of disease symptoms. Although Bartonella remain neglected in human and veterinary medicine, more recent evidence supports an important role for these bacteria in a variety of diseases.

Funding for this research initiative combines the strengths of research laboratories located at Duke University, North Carolina State University and Tulane University.

Principal investigators include Drs. Edward B. Breitschwerdt, Monica E. Embers, Timothy A Haystead and Ricardo G. Maggi. During the next three and a half years, these established investigators and their highly skilled research teams will develop a novel drug for the treatment of bartonelloses.

SOURCE OF PRESS RELEASE: Tulane University

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