Archive for the ‘research’ Category

Tickborne Triggered Seizure Disorder – A Case Study

https://www.somerdelsignore.com/the-lyme-corner/lets-talk-lyme-disease/pans/pandas/somer-delsignore/2019/10/16/tickborne-triggered-seizure-disorder-case-study-of-a-teenager-with-new-onset-seizure-disorder-and-the-neurological-impact-of-tickborne-diseases

October 16, 2019

By SOMER DELSIGNORE

Tickborne Triggered Seizure Disorder: Case Study of a Teenager with New Onset Seizure Disorder and the Neurological Impact of Tickborne Diseases

The Neurological impact of Bartonella and Rickettsia

This next case study is of an 18-year-old female who was adopted at the age of 5. Her adoptive mother described her as a malnourished premature baby who eventually received good foster care. This young lady was diagnosed with a growth hormone deficiency that was left untreated in her country of origin at the age of two. By the age of five, she was adopted and moved to the US with her American family. She was fully immunized twice, diagnosed with hypothyroidism and inadequate growth. By this time, an Endocrinologist was onboard and treating her thyroid and growth deficiencies. She seemed to rebound, reaching puberty by the age of 13. Life was stable for some time until January of 2016. She was nearly sixteen years old and developed sudden neuropsychiatric symptoms with acute confusion, severe obsessive-compulsive disorder, frequent urination, insomnia, auditory hallucinations, severe sensory issues, leg tremors and eventually catatonia.  Given her acute changes, her mother rushed her to the Emergency Room for evaluation. EEG was negative and she was hospitalized for apparent acute psychosis treated with Risperdal and Ativan.

After her hospitalization she followed up with a well-known Neurologist who identified positive Mycoplasma and initiated a course of Azithromycin. By the fourth dose she began to return to her normal state and began sleeping again. She was treated for over a month with antibiotics and seemed stable.

There was a great deal of stress in the family, a close family member died and within two weeks she developed new onset grand mal seizures while sleeping. Another ER visit with a normal EEG at the time determined perhaps the stress and trauma of her family member’s death may have triggered the event.

In January 2018 she had another grand mal seizure early in the am. Her neurologist began medications to address. She had no additional seizure activity but noted increasing anxiety. By December 2018 she suffered another grand mal seizure.

Further evaluation by the neurologist showed negative Lyme screening only, viral panels negative, tick-borne co-infections were not obtained, thyroid studies, electrolytes and inflammatory markers were all within normal limits.

This patient presented to me in February 2019. Upon further evaluation she was found to have progressive muscle weakness, cognitive dysfunction ongoing psychiatric symptoms, tremors and noted random striae or “stretch-marks” that would appear and disappear all over her body. She stated that this had occurred since the age of fourteen.  She admitted several evaluations with psychiatric acute hospital admission for escalating neuropsychological symptoms that included visual and auditory hallucinations, compulsions, rage, emotional lability, delusions, anxiety as well as the ongoing physical symptoms. Neuropsychological meds were ineffective. The patient upon presentation was taking high dose Depakote, gabapentin and folic acid to control her seizure activity.

Initial lab work up at my office showed an IGM positive Bartonella Henselae, Lyme Western Blot with an IGM indeterminate band 23-25 and IGG positive bands 18,23-25,28,31,34,39,41,45,and indeterminate bands 58 and 66. She also showed IGG positive Rickettsia and Anaplasma. She carried one copy of MTHFR A1298C and had significant GI bacteria overgrowth with Streptococcus, Citrobacter, Proteus and Bacillus.

She was started on a course of Azithromycin and Bactrim as well as biofilm busters and herbals.  Two months later she reported significant improvements noting striae lightening, energy improvements, mood stability, resolution of hallucinations, and her sleep was improving. She noted ongoing body and hand tremors as well as struggles cognitively with word finding but was back in school full time.

We decided to continue the treatment course and repeat her bloodwork in two months as well as continue follow up with her Neurologist to monitor. By June the patient was feeling great. She began a Depakote wean with her Neurologist and graduated High School.

Her lab results showed improvements with Bartonella levels as well as GI bacterial overgrowth. Rickettsia antibodies lingered unchanged as did Lyme bands. I added to her regimen Doxycycline and Cefdinir as well as an antifungal and supportive herbals to prevent yeast.

This patient is still a work in progress, however what is important to note is her complete reversal of the neuropsychological symptoms once antibiotics were initiated as well as the ongoing, successful wean of seizure medications.

Bartonella and Rickettsia infections both have an affinity for the central nervous system. It is challenging to identify given their non-specific symptom presentation at times. Rickettsia isn’t well understood regarding brain parenchyma and central nervous system transmission. We know in mouse studies, Rickettsia and Bartonella both contribute to neuroinflammation which can contribute to acute psychological symptoms. We see this type of neurological process in classic PANS patients related to strep. Although I see the trend clinically, I don’t feel that autoimmune encephalopathy related to tick-borne infections in children and young adults is well documented.

My hope is thru case study presentations you’ll connect real world, everyday struggles of these vulnerable patients with the disease process. I strongly feel further exploration of autoimmune encephalopathy as it relates to Lyme and other Tickborne illnesses in pediatrics should be a collaborative effort with mental health practitioners and welcome those interested to contact me.

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

https://madisonarealymesupportgroup.com/2019/05/05/good-news-for-bartonella-patients-identification-of-fda-approved-drugs-with-higher-activity-than-current-front-line-drugs/

https://madisonarealymesupportgroup.com/2016/02/07/mycoplasma-treatment/

https://madisonarealymesupportgroup.com/2016/03/08/anaplasmosis/ (Treatment)

https://reference.medscape.com/article/968385-treatment  (Rickettsia treatment)

 

 

 

Category:

Bartonella, Inflammation, Lyme, Mycoplasma, Psychological Aspects, research, Treatment

Babesia Duncani Emerges in Eastern U.S. & Poses Treatment Challenges

https://danielcameronmd.com/wp-content/uploads/kalins-pdf/singles/babesia-duncani-emerges-in-eastern-u-s-and-poses-treatment-challenges.pdf  Read entire article here.

By
New research indicates, however, there may no longer be a division of babesial strains between the East Coast and the West Coast. In their article “Babesia microti – Borrelia burgdorferi Co-infection,” Parveen reports that B. duncani has now been identified in eastern USA and Canada.¹

“Since B. duncani is widespread in Canada, its southern spread into northeastern U.S., an area already endemic for Lyme disease, makes co-infections with B. duncani and B. burgdorferi [Lyme disease] a possibility that needs to be carefully investigated.”

“While this review focuses on co-infection with B. microti and B. burgdorferi, there is some evidence that co-infections with a different Babesia species, B. duncani, and B. burgdorferi may be more common than previously suspected,” writes Parveen.

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**Comment**

This article exposes a crucial issue that mainstream medicine is still in the dark ages on – ticks are coinfected and so are we.  This is not straight-forward.  The very thought that doxycycline is going to cover this hodgepodge of pathogens is truly asinine if you study the research:  https://madisonarealymesupportgroup.com/2019/02/22/why-mainstream-lyme-msids-research-remains-in-the-dark-ages/

https://madisonarealymesupportgroup.com/2017/05/01/co-infection-of-ticks-the-rule-rather-than-the-exception/

https://madisonarealymesupportgroup.com/2019/08/25/babesia-microti-borrelia-burgdorferi-coinfection/

https://madisonarealymesupportgroup.com/2019/09/05/babesia-subverts-adaptive-immunity-and-enhances-lyme-disease-severity/

https://madisonarealymesupportgroup.com/2018/10/11/babesia-found-in-patient-with-persistent-symptoms-following-lyme-treatment/

https://madisonarealymesupportgroup.com/2018/10/30/study-shows-lyme-msids-patients-infected-with-many-pathogens-and-explains-why-we-are-so-sick/

I could literally go on and on to infinity – but you get the point – Lyme/MSIDS patients are rarely infected with just Lyme which is why testing is a bit of a joke as well as the mono-therapy of doxycycline.  It takes savvy, education, and experience to treat this complex illness that is literally killing people – or making them want to die.

If your doctor is open-minded (a rare quality these days), please attempt to give them continuing education information that could revolutionize the way patients are being treated:

https://madisonarealymesupportgroup.com/2018/06/06/lyme-education-for-healthcare-professionals/

https://madisonarealymesupportgroup.com/2018/02/19/calling-all-doctors-please-become-educated-regarding-tick-borne-illness-heres-how/

 

Category:

Babesia, research, Treatment

A New Rapid Test for Lyme Disease

https://www.lymedisease.org/rapid-diagnose-lyme-disease-nih/

Researchers get closer to rapid diagnostic test for Lyme disease

Borrelia burgdorferi

A study published in the Journal of Clinical Microbiology describes a new rapid assay for Lyme disease that could lead to a practical test for use by healthcare providers.

The researchers found the assay, which uses several biomarkers to detect Lyme disease infection, was more sensitive than current laboratory-based tests when diagnosing Lyme disease early after suspected infection.

The research was supported by the National Institute of Allergy and Infectious Diseases (NIAID), part of the National Institutes of Health.

Lyme disease is caused by Borrelia burgdorferi, a spiral-shaped bacterium transmitted by deer ticks. Many cases of Lyme disease can be treated effectively with a short course of antibiotics.

However, Lyme disease can be difficult to diagnose because it causes a wide range of symptoms, from fever and rash to neurologic and cardiac symptoms and joint pain. Current Lyme disease tests also can miss an infection if performed too early.

The Centers for Disease Control and Prevention recommends a two-step blood test for diagnosing Lyme disease that looks for antibodies against Lyme disease. These tests require specialized laboratory equipment and can require days or weeks to return results.

Faster, more sensitive Lyme test?

The authors of the paper plan to develop a simpler, faster, more sensitive test that could be used at the point of care during a single visit to a healthcare provider.

The researchers first screened a set of known Lyme disease biomarkers for their ability to indicate infection. They then tested for the top three biomarkers on samples from people with early Lyme disease, from healthy individuals from areas where Lyme disease is endemic, and from people with Lyme arthritis.

This was compared to results obtained using the standard two-step testing procedure.

Overall, the new set of biomarkers was more sensitive than standard Lyme disease tests. These biomarkers were better at picking up signs of Lyme disease infection in early stage samples—possibly because they were able to detect antibodies that peak in the first two to six weeks after a person is infected with Lyme disease.

These results open the possibility of developing a point-of-care test for Lyme disease. The assay will require more refinement and testing before it can be approved by the Food and Drug Administration. However, the researchers say that these results show great potential.

SOURCE OF PRESS RELEASE: National Institutes of Health

Click here for more about Lyme disease testing.

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**Comment*

Please note a few things about this test:

  • It’s for EARLY detection –  NOT for those who have struggled with symptoms for weeks to years.
  • It ONLY tests for Borrelia burgdorferi – ONE strain of Lyme disease. To the best of my knowledge there are still 300 strains of borrelia and counting worldwide and 100 strains of borrelia and counting in the U.S. These strains are influx as new strains are continually being discovered.
  • It DOES NOT test for coinfections which can cause symptoms identical to Lyme. It’s also common for patients to be infected with numerous pathogens. For instance a person might be infected with Lyme, Babesia, Bartonella, and Mycoplasma. There are nearly 20 diseases transmitted by ticks.
Lyme disease has ALWAYS been something that demands a clinical diagnosis by a trained health care provider.

While I appreciate new technology and efforts to simplify a complex illness – this illness is NOT for dummies. The best advice I can offer health care workers is to get educated!  Do not be lazy.  People are literally suffering untold agony, and dying from this.

For more information on how to get educated on tick borne illness:  https://madisonarealymesupportgroup.com/2018/06/06/lyme-education-for-healthcare-professionals/

https://madisonarealymesupportgroup.com/2018/02/19/calling-all-doctors-please-become-educated-regarding-tick-borne-illness-heres-how/
Many call this a “tick-borne” illness, but please be aware that a PhD believes there are many, many modes of transmission including sexual and congenital:  
And a nurse did a boatload of work collecting 33 years of research showing congenital (mother to baby) transmission:  https://madisonarealymesupportgroup.com/2018/06/19/33-years-of-documentation-of-maternal-child-transmission-of-lyme-disease-and-congenital-lyme-borreliosis-a-review/
My initial symptoms were ALL gynecological. I sincerely believe I obtained this from my husband:  https://madisonarealymesupportgroup.com/2017/02/24/pcos-lyme-my-story/  I wish I knew then what I know now…..

Category:

Lyme, research, Testing, Transmission

Interview With Talia Jackson & GLA CEO Scott Santarella – Lyme Disease

https://globallymealliance.org/news/interview-talia-jackson-and-gla-ceo-scott-santarella-on-fox-5/  NEWS VIDEO HERE

Interview:  Talia Jackson & GLA CEO Scott Santarella On Fox 5

fox-5-talia-jackson

Actress Talia Jackson shares her personal story of being diagnosed with and living with Lyme disease on Good Day NY, FOX 5. She is joined by GLA CEO Scott Santarella. Talia currently stars in the Netflix show “Family Reunion” and was in New York to attend GLA’s 5th Annual New York Gala on October 10, 2019.

For more of Talia’s story, read her interview with Parade Magazine.

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**Comment**

Great interview, but please know some people’s only symptoms are psychological:  https://madisonarealymesupportgroup.com/2015/10/18/psychiatric-lymemsids/

Also, Lyme is the famous actor we all know by name. There are many wanna-be’s standing off stage such as: Bartonella, Babesia, Mycoplasma, Rocky Mountain Spotted Fever, etc. To date there are approximately 20 bacteria and viruses transmitted by ticks: https://madisonarealymesupportgroup.com/2017/05/01/co-infection-of-ticks-the-rule-rather-than-the-exception/

https://madisonarealymesupportgroup.com/2019/09/18/more-than-lyme-tick-study-finds-multiple-agents-of-tick-borne-diseases/

And while some want to blame “climate change,” current research has proven that to be a red herring:  https://madisonarealymesupportgroup.com/2018/11/07/ticks-on-the-move-due-to-migrating-birds-and-photoperiod-not-climate-change/

Independent Canadian Tick researcher, John Scott, states:

“The climate change range expansion model is what the authorities have been using to rationalize how they have done nothing for more than thirty years. It’s a huge cover-up scheme that goes back to the 1980’s. The grandiose scheme was a nefarious plot to let doctors off the hook from having to deal with this debilitating disease. I caught onto it very quickly. Most people have been victims of it ever since.  This climate change ‘theory’ is all part of a well-planned scheme. Even the ticks are smarter than the people who’ve concocted this thing.  Climate change has nothing to do with tick movement. Blacklegged ticks are ecoadaptive, and tolerate wide temperature fluctuations…..It’s all a red herring to divert your attention.”

Recently, Scott wrote a scathing correction on erroneous research done by Ontario public officials on the fake climate change tick connection: https://madisonarealymesupportgroup.com/2019/06/17/ontario-public-health-officials-called-out-on-shoddy-biased-research-utilizing-an-erroneous-climate-change-model-to-program-a-futuristic-tick-problem/

Please understand the DOD, DARPA, & EPA are funding this very “climate change” research.

https://madisonarealymesupportgroup.com/2019/06/25/lyme-disease-cases-are-exploding-and-its-only-going-to-get-worse/  This is an interesting finding considering the following excerpt from an article written by By Alex Bhattacharji:

Although conspiracy theorists have suggested — falsely — that Lyme disease was created in a U.S. military lab, it is true that in the years following World War II, the U.S. employed top German scientists who explored the tick’s potential in biological warfare for Nazi Germany. The researchers were investigating the tick’s ability to spread pathogens across wide areas with the potential to incapacitate entire populations.

Seventy-five years later, the tick timebomb is detonating on its own. Thanks to climate change, globalization, and other factors, ticks are not only proliferating but also becoming more malignant, more aggressive, and more likely to carry infection. A public health crisis is hiding in plain sight.

Bhattacharji got the “tick timebomb” portion correct but not the climate change non-issue regarding ticks.

I will state once again, ticks will be the last species on earth besides the IRS.

 

 

 

Category:

Activism, Lyme, Psychological Aspects, research

NIH Strategic Plan For Tickborne Disease Research

NIH STRATEGIC PLAN FOR TICKBORNE DISEASE RESEARCH

October 9, 2019

https://www.niaid.nih.gov/sites/default/files/NIH-Strategic-Plan-Tickborne-Disease-Research-2019.pdf

Please see link for:

  • Executive Summary   
  • Introduction
  • NIH Strategic Plan for Tickborne Disease 
  • Strategic Priority 1: Improve Fundamental Knowledge of TBDs
  • Strategic Priority 2: Advance Research to Improve Detection & Diagnosis of TBDs
  • Strategic Priority 3: Accelerate Research to Improve Prevention of TBDs
  • Strategic Priority 4: Support Research to Advance Treatment of TBDs
  • Strategic Priority 5: Develop tools & resources to Advance TBD research
  • Conclusion
  • Appendices 

Some respondents expressed a desire for greater transparency in the research planning and implementation processes, whereas others suggested changes to the peer review process to include wider representation from the TBD community, such as advocacy group representatives, community physicians, or members of the general public.

To which we all said, AMEN!

Category:

Lyme, research, Ticks, Treatment