Archive for the ‘Bartonella’ Category

Treatment Strategies For Neuroretinitis Due to Bartonella: Current Options & Emerging Therapies

https://www.ncbi.nlm.nih.gov/pubmed/31278547/

2019 Jul 5;21(8):36. doi: 10.1007/s11940-019-0579-9.

Treatment Strategies for Neuroretinitis: Current Options and Emerging Therapies

Abstract

PURPOSE OF REVIEW:

To explore and critically appraise the published data on the current and emerging treatment modalities for neuroretinitis.

RECENT FINDINGS:

The optimum treatment strategy for neuroretinitis due to Bartonella henselae in immunocompetent individuals is not clear and a matter of debate. The role of systemic corticosteroids in infectious neuroretinitis and the optimum immunosuppressive regimen for use in recurrent idiopathic neuroretinitis also remains ill defined. There is no class 1 evidence to support a specific treatment strategy for neuroretinitis. For uncomplicated B. henselae-associated neuroretinitis in immunocompetent patients, initiation of antibiotic and corticosteroid therapy remains controversial.

  • In patients with severe vision loss and/or moderate to severe systemic symptoms, a 4- to 6-week regimen of doxycycline or azithromycin with rifampin may provide some benefit.
  • The routine use of systemic corticosteroids in infectious neuroretinitis is not recommended.
  • Targeted antimicrobial agents should be instituted in cases of neuroretinitis due to specific infectious etiologies (e.g., syphilis, Lyme disease, tuberculosis).
  • Azathioprine may be beneficial in cases of recurrent idiopathic neuroretinitis.

There is a need for collaborative, multicenter prospective studies to provide definitive guidelines regarding the use of antibiotics and corticosteroids and to evaluate future therapies in infectious and recurrent idiopathic neuroretinitis.

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**Comment**

Bartonella is known to cause numerous eye issues.

https://madisonarealymesupportgroup.com/2019/04/08/case-series-bartonella-ocular-manifestations/

https://madisonarealymesupportgroup.com/2018/09/06/ocular-manifestations-of-bartonellosis/

https://madisonarealymesupportgroup.com/2017/10/23/opthalmic-manifestations-of-bartonella-infection/

https://madisonarealymesupportgroup.com/2017/07/21/bartonella-and-neuroretinitis/

https://madisonarealymesupportgroup.com/2018/07/10/bartonella-henselae-neuroretinitis-in-patients-without-cat-scratch/

https://madisonarealymesupportgroup.com/2016/01/03/bartonella-treatment/

Most Lyme literate doctors do not recommend systemic corticosteroids unless antimicrobials are used in tandem. If steroids are used alone they suppress the immune system allowing the infection(s) to worsen.

FREE Tick Testing – Adds Bartonella Pathogen Assay

https://www.prnewswire.com/news-releases/bay-area-lyme-foundation-tick-testing-program-adds-bartonella-pathogen-assay-300883339.html

Disulfiram-breakthrough drug for Lyme & Other Tick-borne Diseases?

https://www.lymedisease.org/disulfiram-kinderlehrer/

Disulfiram–breakthrough drug for Lyme and other tick-borne diseases?

Suspected Insect and Arthropod Vectors for Bartonella Species – Galaxy

https://www.galaxydx.com/suspected-bartonella-vectors/

Suspected Insect and Arthropod Vectors for Bartonella species

For the first time, Garg et al. show a 85% probability for multiple infections including not only tick-borne pathogens but also opportunistic microbes such as EBV and other viruses.

And, according to this review, 83% of all commercial tests focus only on Lyme (borrelia), despite the fact we are infected with more than one microbe.  The review also states it takes 11 different visits to 11 different doctors, utilizing 11 different tests to be properly diagnosed.  https://www.news-medical.net/news/20181101/Tick-borne-disease-is-multiple-microbial-in-nature.aspx?

Thousands of patients are flying under the radar.

Is it Bartonella?

Bartonella is Hard to Diagnose in Chronic Lyme Disease

In this article Dr. Marty Ross describes how to diagnose Bartonella in chronic Lyme disease. There are a lot of controversies in this area. These include:

  • whether Bartonella is transmitted by ticks,
  • poor testing, and
  • a wide range of symptoms that look like other illnesses.

See link for more:  https://www.treatlyme.net/guide/diagnose-bartonella

For more on Bartonella: 

https://madisonarealymesupportgroup.com/2018/05/07/fox-news-bartonella-is-the-new-lyme-disease/

https://madisonarealymesupportgroup.com/2019/05/09/bartonella-transmitted-to-children-at-birth-causing-chronic-infections/

https://madisonarealymesupportgroup.com/2019/04/24/human-bartonellosis-an-underappreciated-public-health-problem/

https://madisonarealymesupportgroup.com/2019/02/27/advanced-imaging-found-bartonella-around-pic-line/

https://madisonarealymesupportgroup.com/2018/05/24/help-support-the-study-of-bartonella/  Chip in and help Dr. Ericson with Bartonella research. Ericson has a vested interest in getting to the bottom of this tenacious pathogen – her son has chronic bartonellosis.

https://madisonarealymesupportgroup.com/2016/12/29/cardinal-state-bartonella/

https://madisonarealymesupportgroup.com/2019/02/06/uh-study-shows-hawaii-kids-more-vulnerable-to-bartonella/

https://madisonarealymesupportgroup.com/2019/03/24/cat-scratch-disease-caused-teens-schizophrenia-like-symptoms-report-says/