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Effective and Affordable Testing for Chronic Vector-borne Diseases
Date: Oct 22, 2020

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Date: Oct 22, 2020

https://pubmed.ncbi.nlm.nih.gov/33028242/
Free PMC article
Abstract
Background: The incidence of Lyme disease (LD) in North America has increased substantially in the past two decades. Concomitant with the increased incidence of infection has been an enhancement in the recognition of LD complications. Here, we report a case of Lyme carditis complicated by heart block in a pediatric patient admitted to our children’s hospital. What is unique about this case is that the complaint of chest palpitations is an infrequent presentation of LD, and what it adds to the scientific literature is an improved understanding of LD in the pediatric population.
Case presentation: The patient was a 16-year-old male who presented with the main concerns of acute onset of palpitations and chest pain. An important clinical finding was Erythema migrans (EM) on physical exam. The primary diagnoses were LD with associated Lyme carditis, based on the finding of 1st degree atrioventricular heart block (AVB) and positive IgM and IgG antibodies to Borrelia burgdorferi. Interventions included echocardiography, electrocardiography (EKG), and intravenous antibiotics. The hospital course was further remarkable for transition to 2nd degree heart block and transient episodes of complete heart block. A normal sinus rhythm and PR interval were restored after antibiotic therapy and the primary outcome was that of an uneventful recovery.
Conclusions: Lyme carditis occurs in < 5% of LD cases, but the “take-away” lesson of this case is that carditis can be the presenting manifestation of B. burgdorferi infection in pediatric patients. Any patient with suspected Lyme carditis manifesting cardiac symptoms such as syncope, chest pain, or EKG changes should be admitted for parenteral antibiotic therapy and cardiac monitoring. The most common manifestation of Lyme carditis is AVB. AVB may manifest as first-degree block, or may present as high-grade second or third-degree block. Other manifestations of Lyme carditis may include myopericarditis, left ventricular dysfunction, and cardiomegaly. Resolution of carditis is typically achieved through antibiotic administration, although pacemaker placement should be considered if the PR interval fails to normalize or if higher degrees of heart block, with accompanying symptoms, are encountered. With the rising incidence of LD, providers must maintain a high level of suspicion in order to promptly diagnose and treat Lyme carditis.
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**Comment**
Click on image to see better. The graph is clear that there is a wide range of those with those finding the EM rash. While the EM rash is diagnostic for Lyme disease, many do not get it. In the first ever patient group in Lyme, Connecticut, only a quarter had the rash:
More accurate scientific language would be: “Heart palpitations are rarely reported in the literature.” What happens in the real world is often quite different than what is reported in the literature – particularly with Lyme as research has been hijacked by The Cabal: https://madisonarealymesupportgroup.com/2017/01/13/lyme-science-owned-by-good-ol-boys/
BTW: I had chest palpitations, my husband had chest palpitations, and most of the patients I work with have them. I don’t think it’s nearly as rare as is being reported.
It’s a good thing this teen was promptly diagnosed as people have died from this: https://madisonarealymesupportgroup.com/2020/02/21/17-year-old-dies-from-lyme-carditis/
The following statement is quite frightening:
The hospital course was further remarkable for transition to 2nd degree heart block and transient episodes of complete heart block.
https://madisonarealymesupportgroup.com/2019/12/09/study-identifies-189-children-with-lyme-carditis/
In 90% of cases, the most common consequence of Lyme carditis is heart block. The severity of the heart block can fluctuate rapidly and the progression to complete heart block can be fatal. Importantly, the heart block in Lyme carditis can be transient and usually resolves with antibiotic therapy. Additionally, Lyme carditis can affect other parts of the heart’s conduction system, as well as the heart’s muscle, valves, and outer layer of the heart wall.
Lyme advocate, Phyllis Mervine, makes a case that autopsies should be performed on those with unexpected, sudden death: https://madisonarealymesupportgroup.com/2018/07/09/with-unexpected-death-autopsies-should-look-for-lyme-carditis/
https://themighty.com/2020/10/lyme-disease-treatment-and-mental-health-link/

Credit: Slide from Dr. Jane Marks’s lecture to American Psychiatric Association NY Branch, Lenox Hill Hospital, November 12, 2016
Roughly 11 years ago, I walked out of my room and turned off the light switch. Instead of walking down the stairs, I turned back around and touched every pillow on my bed five times. This happened every day for the next few months. Touching objects repeatedly is a recognizable trait of obsessive-compulsive disorder (OCD), and so naturally, after being taken to the doctor, I was diagnosed with OCD. Doctors encouraged therapy, and they believed it would adequately manage the condition. And it did. That is, until it reappeared in other forms. (Go to link for article)
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**Comment**
This patient speaks of mental fatigue, depression, OCD, and stabbing pain, common symptoms of Lyme/MSIDS.
For more: https://madisonarealymesupportgroup.com/2015/10/18/psychiatric-lymemsids/
(If you are only interested in psychiatric symptoms, scroll to around minute 28)
12/11/2016
Lecture to American Psychiatric Association NY Branch, Lenox Hill Hospital, November 12, 2016
Lyme (Borreliosis) has become a very common illness; every state in the country has areas infested with ticks. Patients dealing with Lyme suffer neuro-psychiatric complications that are related directly to the illness, as well as to the emotional challenges and lack of support which often accompanies this difficult illness.
Many doctors are convinced that after a short course of antibiotics patients should be well. The huge number of people still ill years after a course of antibiotics belie this assertion.
Patients with Lyme, and related tick-borne disease, can have symptoms which mimic every known psychiatric syndrome. Treatment aimed directly at symptoms can relieve suffering rather quickly.
These symptoms include, but are not limited to:
But antibiotics are needed to undermine the root cause of the illness: the bacteria that causes Lyme: Borrelia burgdorferi. Lyme is so common, that at this point in time, a large percentage of my patients have the illness. Almost everybody knows someone with this illness. It’s something we always have to keep in mind.
If you have Lyme, you deserve excellent treatment, no matter how briefly or how long you have been ill.
Visit Jane Marke here: http://www.janemarkemd.com/
Read also:
See more video’s and information about Lyme Disease here on Lyme Channel: http://bit.ly/2qLgv9g and here on Facebook: http://bit.ly/2rBchR0

TICK-BORNE ILLNESS CENTER OF EXCELLENCE
P: 715-203-1616
240 Maple Street, Woodruff, WI 54568
The Tick-Borne Illness Center of Excellence has come to the rescue. To receive specialty care for tickborne illnesses has required significant travel to either the east or west coasts. Now we have a center specializing in tick-borne illnesses right in the heart of the Midwest. Located in the beautiful Northwoods of Wisconsin, the Center opened its doors to chronically ill patients on the waiting list last September and is now ready to accept new patients.
Under the purview of world-renowned Dr. Samuel Shor, a 30+ year Provider of care to tick-borne illness patients and past President of ILADS, the Center has four primary objectives. The Center is a place:
1. Where people who believe they may have a tick-borne illness can be effectively diagnosed
and treated.
2. Where patients who have been suffering for some time from an undiagnosed illness can receive a clear plan for treatment and follow-up care.
3. Where patients can participate in research to improve the ability to diagnose and treat tickborne illnesses.
4. That connects with other clinicians and researchers to share information and findings. A place where collaboration is the norm.
To remain focused on tick-borne illnesses, the Center is blessed with an Advisory Board consisting of Dr. Shor, Dr. Brian Fallon from Columbia University and Dr. John Aucott from Johns Hopkins University, all well-respected and recognized crusaders in the battle against tick-borne illnesses.
If you’re not getting the help you need to return to health, don’t hesitate. Contact the Tick-Borne Illness
Center of Excellence to have your best chance of succeeding.
To make an appointment today, call 715-203-1616
Make sure to let them know how you heard about the Center!
For more:
https://www.facebook.com/tickscenter/
https://www.howardyoungfoundation.org/Howard-Young-Foundation-In-the-News/tick-center.
https://rawlsmd.com/webinars/ask-dr-rawls-10-2020/

Whether you suspect you have Lyme disease, have recently been diagnosed, or have been struggling with chronic symptoms for a long time, we know you have questions — lots of them. Dr. Bill Rawls wants to help you find as many answers as possible.
The author of the best-selling book, Unlocking Lyme, Dr. Rawls isn’t just a Lyme-literate medical doctor (LLMD) — he also knows firsthand where you’re coming from: In the middle of his successful OB-GYN career, Dr. Rawls’ life was interrupted by Lyme disease. In his journey to overcome it, he explored nearly every treatment possible – from conventional medicine to a range of alternative therapies — until he finally discovered what worked.
Since his recovery more than a decade ago, Dr. Rawls has helped thousands of patients find their path to healing from Lyme disease and related chronic illness. Now, he’d like to help you. Come with your questions, and he’ll answer as many of them as possible.
Don’t miss an exclusive gift for all webinar attendees, plus a chance to win a FREE private consult with Dr. Rawls.
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