Archive for the ‘Lyme’ Category

A Patient Interviews Dr. Kinderlehrer About Disulfiram

https://www.lymedisease.org/bauer-interview-disulfiram/

22 JAN 2020

More People Speaking Out About Chronic Lyme Disease

https://kmbz.radio.com/articles/more-people-speaking-out-about-chronic-lyme-disease

More people speaking out about chronic Lyme Disease

REBECCA CROCKETT

JANUARY 31, 2020
a tick sitting on a leaf
Dzurag/Getty

Kansas City, MO – Avril Levigne, Alec Baldwin, and most recently Justin Bieber have all opened up about their diagnosis with Lyme Disease. According to the Center for Disease Control and Prevention, an estimated 300,000 people are infected through tick bites each year.

Dr Dana Hawkinson, Infectious Disease Physician with the University of Kansas Health System says, “If an infection occurs, you could start to see an expanding bulls-eye rash that can take up to 14 days to appear. That’s accompanied by possible fatigue, muscle and joint aches, fever, swollen lymph nodes, and lack of appetite.”

If left untreated, he says the disease can spread to joints, the heart, and the nervous system causing swelling, severe joint pain, and neurological issues.

An antibiotic can cure most Lyme Disease cases, according to Dr Hawkinson, but many report chronic Lyme Disease, with symptoms lasting six months or longer. 

“They have different manifestations such as fatigue, such as joint aches as well. That is a continued topic of research,” says Dr Hawkinson. He says Lyme Disease hasn’t historically been a big issue in the Kansas City area, but there are more common diseases or bacterial infections that can come from a tick bite, such as Ehrlichiosis Infection or Rocky Mountain Spotted Fever.

Both can cause flue like symptoms, including fever and vomiting. According to the CDC, RMSF is considered the most serious tick-borne illness in the United States and could be deadly. You can reduce the risk by wearing protective clothing and promptly removing a tick.

Lyme Aortitis

https://www.ncbi.nlm.nih.gov/pubmed/31941668/

2020 Jan 14;13(1). pii: e231957. doi: 10.1136/bcr-2019-231957.

Lyme aortitis.

Abstract

A 72-year-old man was admitted with complaints of sudden-onset oppressive precordial pain radiating to the back for 1 hour. He had hypotension, peripheral cyanosis and cold extremities. An initial assessment was done and acute coronary syndrome was excluded. After the patient was admitted, he developed fever and increased levels of inflammatory markers. Data obtained from CT angiography and transoesophageal echocardiogram revealed diffuse parietal thickening of the arch and the descending thoracic aorta, as well as dilatation of the aortic root and the proximal ascending aorta. In addition, the test for Borrelia burgdorferi was positive, and the patient was diagnosed with Lyme vasculitis of the thoracic aorta. He was treated with doxycycline for 3 weeks. Two months later, the patient exhibited a Stanford type A aortic dissection (clinically stable), which was treated by prosthesis replacement. The patient has remained asymptomatic for 1 year after the episode, performing his routine daily activities.

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**Comment**

Vasculitis destroys blood vessels by inflammation and can affect both arteries and veins. In this case the vasculitis is in the thoracic aorta.

Aorta_segments

 

 

The Latest on the Tick-Borne Illness Center of Excellence – Wisconsin

https://www.howardyoungfoundation.org/tick-borne-illness/

Excerpt:

Imagine diagnosis, treatment, follow-up and research for tick-borne illnesses all in one place. A place where every clinical interaction is a research one, helping all those yet to come. With your leadership and support, we can deliver this journey to giving hope, restoring health, and research for patients with tick-borne illnesses. Thank you for your consideration and continued support.

https://www.howardyoungfoundation.org/howard-young-foundation-tick-borne-illness-center-of-excellence.pdf  Informational pdf here

To listen to Dr. Kogelnik on NPR:  https://madisonarealymesupportgroup.com/2019/07/02/wisconsin-public-radio-on-tick-borne-illness-center-of-excellence/

For more about the center:

https://madisonarealymesupportgroup.com/2019/01/11/wisconsin-tick-borne-illness-center-of-excellence/

https://madisonarealymesupportgroup.com/2018/12/16/tick-borne-illness-center-of-excellence-set-to-see-patients-in-early-2019/

https://www.howardyoungfoundation.org/Howard-Young-Foundation-In-the-News/tick-center.html

https://madisonarealymesupportgroup.com/2019/11/03/wisconsin-tick-borne-illness-center-of-excellence-open-but-needs-practitioners/

 

 

 

 

 

Tick-Borne Spirochetes in Tick & Small Mammals – CA

https://www.ncbi.nlm.nih.gov/pubmed/31943036

2020 Jan 15. pii: tjz253. doi: 10.1093/jme/tjz253. [Epub ahead of print]

Circulation of Tick-Borne Spirochetes in Tick and Small Mammal Communities in Santa Barbara County, California, USA.

Abstract

A diversity of Borrelia burgdorferi sensu lato (Johnson, Schmid, Hyde, Steigerwalt & Brenner) (Spirochaetales: Spirochaetaceae) genomospecies, including the Lyme disease agent, Borrelia burgdorferi sensu stricto (s.s.), have been identified in the western United States. However, enzootic transmission of B. burgdorferi s.l. in small mammals and ticks is poorly characterized throughout much of the region. Here we report prevalence of B. burgdorferi s.l. in small mammal and tick communities in the understudied region of southern California.

We found B. burgdorferi s.l. in 1.5% of Ixodes species ticks and 3.6% of small mammals. Infection was uncommon (~0.3%) in Ixodes pacificus Cooley and Kohls (Acari: Ixodidae), the primary vector of the Lyme disease agent to humans in western North America, but a diversity of spirochetes-including Borrelia bissettiae, Borrelia californiensis, Borrelia americana, and B. burgdorferi s.s.-were identified circulating in Ixodes species ticks and their small mammal hosts.

Infection with B. burgdorferi s.l. is more common in coastal habitats, where a greater diversity of Ixodes species ticks are found feeding on small mammal hosts (four species when compared with only I. pacificus in other sampled habitats). This provides some preliminary evidence that in southern California, wetter coastal areas might be more favorable for enzootic transmission than hotter and drier climates. Infection patterns confirm that human transmission risk of B. burgdorferi s.s. is low in this region.

However, given evidence for local maintenance of B. burgdorferi s.l., more studies of enzootic transmission may be warranted, particularly in understudied regions where the tick vector of B. burgdorferi s.s. occurs.

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**Comment**

Remember – they find ticks on beaches – it doesn’t get much hotter and drier than there.  I know dogs are picking up ticks in the sand dunes of Padre Island, TX – another inferno.  https://madisonarealymesupportgroup.com/2018/06/07/ticks-on-beaches/

Excerpt:

Rosenkranz explained, “Think about it, right now there’s a lot of seagulls and other birds flying and they can carry ticks. People who are walking their dogs they are still allowed to do that they can get a tick that falls off of a dog, it’s pretty common in that sense.”

When it comes to Assateague, ticks can actually fall off the ponies and latch on to you.

Kelly Taylor, an Assistant Public Information Officer at Assateague National Seashore said, “You know you come out, ticks can be on horses so you want to keep your distance from the horses. We always recommend school bus length is the safe length for you, the safe length for the horses.”

And remember, just because ticks are found anywhere in low numbers doesn’t mean they aren’t there and can’t infect you or your pets.