Under-Detection of Lyme Disease in Canada
https://www.mdpi.com/2227-9032/6/4/125/htm
Healthcare 2018, 6(4), 125; doi:10.3390/healthcare6040125
https://www.mdpi.com/2227-9032/6/4/125/htm
Healthcare 2018, 6(4), 125; doi:10.3390/healthcare6040125
https://www.ncbi.nlm.nih.gov/pubmed/30367867
The incidence of babesiosis, Lyme disease and other tick-borne diseases has increased steadily in Europe and North America during the last five decades. Babesia microti is transmitted by species of Ixodes, the same ticks that transmit the Lyme disease-causing spirochete, Borrelia burgdorferi. B. microti can also be transmitted through transfusion of blood products and is the most common transfusion-transmitted infection in the U.S.A. Ixodes ticks are commonly infected with both B. microti and B. burgdorferi, and are competent vectors for transmitting them together into hosts. Few studies have examined the effects of coinfections on humans and they had somewhat contradictory results. One study linked coinfection with B. microti to a greater number of symptoms of overall disease in patients, while another report indicated that B. burgdorferi infection either did not affect babesiosis symptoms or decreased its severity. Mouse models of infection that manifest pathological effects similar to those observed in human babesiosis and Lyme disease offer a unique opportunity to thoroughly investigate the effects of coinfection on the host. Lyme disease has been studied using the susceptible C3H mouse infection model, which can also be used to examine B. microti infection to understand pathological mechanisms of human diseases, both during a single infection and during coinfections. We observed that high B. microti parasitaemia leads to low haemoglobin levels in infected mice, reflecting the anaemia observed in human babesiosis. Similar to humans, B. microti coinfection appears to enhance the severity of Lyme disease-like symptoms in mice. Coinfected mice have lower peak B. microti parasitaemia compared to mice infected with B. microti alone, which may reflect attenuation of babesiosis symptoms reported in some human coinfections.
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**Comment**
Now fathom for a moment adding Bartonella, Mycoplasma, and a few viruses into this lovely soup and it becomes evident why patients are so ill.
http://www.wildcondor.com/dr-horowitz-on-babesiosis.html Dr. Krause published in the New England Journal of Medicine that when a patient has Lyme and Babesia, Lyme is found three-times more frequently in the blood, proving Babesia suppresses the immune system. https://madisonarealymesupportgroup.com/2017/06/28/concurrent-babesiosis-and-lyme-in-patient/
https://link.springer.com/article/10.1007%2Fs00246-018-2003-8
The clinical course of children with advanced heart block secondary to Lyme disease has not been well characterized.
To review the presentation, management, and time to resolution of heart block due to Lyme disease in previously healthy children.
An IRB approved single-center retrospective study was conducted of all patients < 21 years old with confirmed Lyme disease and advanced second or third degree heart block between 2007 and 2017.
Twelve patients (100% male) with a mean age of 15.9 years (range 13.2–18.1) were identified. Six patients (50%) had mild to moderate atrioventricular valve regurgitation and all had normal biventricular function. Five patients had advanced second degree heart block and 7 had complete heart block with an escape rate of 20–57 bpm. Isoproterenol was used in 4 patients for 3–4 days and one patient required transvenous pacing for 2 days. Patients were treated with 21 days (n = 6, 50%) or 28 days (n = 6, 50%) of antibiotics. Three patients received steroids for 3–4 days. Advanced heart block resolved in all patients within 2–5 days, and all had a normal PR interval within 3 days to 16 months from hospital discharge.
Symptomatic children who present with new high-grade heart block from an endemic area should be tested for Lyme disease. Antibiotic therapy provides quick and complete resolution of advanced heart block within 5 days, while steroids did not appear to shorten the time course in this case series. Importantly, no patients required a permanent pacemaker.
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**Comment**
Yes, go ahead and test but realize testing misses half of all cases.
Since 3rd degree heart block can be fatal, this is a big deal. Don’t let fear of antibiotics keep you from treating these poor kids. They say 5 days of antibiotics does the trick, but these patients need follow-up. Coinfections also need to be taken into consideration as certain antibiotics will not work on all pathogens. If they have Babesia, for instance, they need anti-malarials.
There are many out there giving “natural” protocols and dissing the use of antibiotics. This study on serious heart issues is a prime example of the fact that Lyme can kill & time is of the essence.
More on heart issues with Lyme/MSIDS: https://madisonarealymesupportgroup.com/2018/06/03/heart-problems-tick-borne-disease/
Scott et al., 2018, Canada-wide tick-host-pathogen study, Bbsl
Healthcare 2018, 6, 131; doi:10.3390/healthcare6040131
John D. Scott, Kerry L. Clark, Janet E. Foley, John F. Anderson, Bradley C. Bierman, and Lance A. Durden
Abstract:
Lyme disease, caused by the spirochetal bacterium, Borrelia burgdorferi sensu lato (Bbsl), is typically transmitted by hard-bodied ticks (Acari: Ixodidae). Whenever this tick-borne zoonosis is mentioned in medical clinics and emergency rooms, it sparks a firestorm of controversy. Denial often sets in, and healthcare practitioners dismiss the fact that this pathogenic spirochetosis is present in their area. For distribution of Bbsl across Canada, we conducted a 4-year, tick-host study (2013-2016), and collected ticks from avian and mammalian hosts from Atlantic Canada to the West Coast. Overall, 1,265 ticks consisting of 27 tick species belonging to four genera were collected. Of the 18 tick species tested, 15 species (83%) were positive for Bbsl and, of these infected ticks, 6 species bite humans. Overall, 13 of the 18 tick species tested are human-biting ticks. Our data suggest that a 6-tick, enzootic maintenance cycle of Bbsl is present in southwestern B.C., and five of these tick species bite humans. Biogeographically, the groundhog tick, Ixodes cookei, has extended its home range from central and eastern Canada to southwestern British Columbia (B.C.). We posit that the Fox Sparrow, Passerella iliaca is a reservoir-competent host for Bbsl. The Bay-breasted Warbler, Setophaga castanea, and the Tennessee Warbler, Vermivora peregrina, are new host records for the blacklegged tick, Ixodes scapularis. We provide the first report of a Bbsl-positive Amblyomma longirostre larva parasitizing a bird; this bird parasitism suggests that a Willow Flycatcher is a competent reservoir of Bbsl. Our findings show that Bbsl is present in all provinces, and that multiple tick species are implicated in the enzootic maintenance cycle of this pathogen. Ultimately, Bbsl poses a serious public health contagion Canada-wise.
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**Comment**
This study highlights the fact that it’s not just the blacklegged tick transmitting pathogens.
Two ticks species known to be transmitters of disease (I. affinis and I. minor) were transported into Canada and are actually more important vectors of Bbsl in the southeastern U.S. than the blacklegged tick.
Amblyomma longirostre ticks are typically in countries of South, Central and North America. The fact one was found in Canada is quite telling. The fact it was infected with Borrelia burgdorferi – even more telling. They’re known to transmit Rickettsia. The larvae are found on birds, while nymphs are reported as parasitizing songbirds and mammals. The adult stages are typically found on mammals such as rodents.
This study supports the fact that birds are the major transporters of ticks, and that mice aren’t the largest concern in tick propagation: https://madisonarealymesupportgroup.com/2018/11/07/ticks-on-the-move-due-to-migrating-birds-and-photoperiod-not-climate-change/
https://madisonarealymesupportgroup.com/2017/08/17/of-birds-and-ticks/
The 13 ticks in Canada found to be able to potentially infect humans are:
Of note: previously Ixodes dentatus were positive for Bbsl (Scott et al, 2012). In addition, Ixodes urrae can transmit Bbsl to humans as well.
*rarely transmits to humans
In sum:
The denial of Lyme/MSIDS must end. The data keeps pouring in and it’s not going to get better with time. Patients have been ill for decades but denied medical treatment. Many have needlessly died. Stop the madness. Do your part by spreading the correct information in your sphere of influence.