Archive for the ‘Testing’ Category

Wisconsin Lyme Network (WLN) October Newsletter

Orange Simple Company NewsletterWLN Newsletter in link

Great info on Wisconsin’s Tick App, latest research about how Lyme outsmarts the immune system, a Spring Lyme conference in La Crosse, WI, and a WI Lyme Walk (TBD).

For more on the tick app:  https://madisonarealymesupportgroup.com/2018/05/31/tick-app-wi-tick-chats-testing/

 

 

 

 

 

 

Darin Ingels ND – FREE Podcast on Lyme/MSIDS

https://www.mixcloud.com/widget/iframe/?feed=%2FLDNRT%2Fdarin-ingels-nd%2F  (Go here for podcast)

Dr. Ingels is a respected leader in natural medicine with numerous publications, international lectures and more than 25 years experience in the healthcare field. He received his Bachelor of Science degree in medical technology from Purdue University and his Doctorate of Naturopathic Medicine from Bastyr University in Seattle, Washington. Dr. Ingels completed a residency program at the Bastyr Center for Natural Health.

Darin Ingels is a Naturopathic Doctor who has Lyme and shares his story of finally getting his life back. The healing path was slow and difficult, but over time he found the steps that worked for himself and his patients. He has written a book that outlines the steps to healing and discusses the process during this interview with Linda. If you have Lyme disease or even another autoimmune condition, you can benefit from this interesting and informative interview.

Review by Ken Bruce

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For more:  https://madisonarealymesupportgroup.com/2018/04/04/the-lyme-solution-my-comments/

As to sexual transmission:  https://madisonarealymesupportgroup.com/2017/02/24/pcos-lyme-my-story/  All I can say is ALL my initial symptoms were gynecological and I’ve worked with numerous couples that both have Lyme.  Coincidence, regarding a pathogen that can borrow through any tissue and is a cousin to syphillis?

 I doubt it.

The podcast date says 2018, but Ingels speaks of research that came out “last week” regarding sexual transmission.  The last research I can find was in 2014….and crickets.….this is a very important issue and deserves current research.  It very well could explain why Lyme/MSIDS is growing by leaps and bounds and shows no sign of slowing down.

 

Tick, Flea, & Louse-Borne Diseases of Public Health & Veterinary Significance in Nigeria

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6136614/

Tick, Flea, and Louse-Borne Diseases of Public Health and Veterinary Significance in Nigeria

Abstract

Mosquito-borne diseases are common high-impact diseases in tropical and subtropical areas. However, other non-mosquito vector-borne pathogens (VBPs) may share their geographic distribution, seasonality, and clinical manifestations, thereby contributing their share to the morbidity and mortality caused by febrile illnesses in these regions. The purpose of this work was to collect and review existing information and identify knowledge gaps about tick, flea-, and louse-borne diseases of veterinary and public health significance in Nigeria. Full-length articles about VBPs were reviewed and relevant information about the vectors, their hosts, geographic distribution, seasonality, and association(s) with human or veterinary diseases was extracted. Specific laboratory tools used for detection and identification of VBPs in Nigeria were also identified. A total of 62 original publications were examined. Substantial information about the prevalence and impacts of ticks and fleas on pet and service dogs (18 articles), and livestock animals (23 articles) were available; however, information about their association with and potential for causing human illnesses was largely absent despite the zoonotic nature of many of these peri-domestic veterinary diseases.

Recent publications that employed molecular methods of detection demonstrated the occurrence of several classic (Ehrlichia canis, Rickettsia africae, Bartonella sp.) and emerging human pathogens (R. aeschlimannii, Neoehrlichia mikurensis) in ticks and fleas. However, information about other pathogens often found in association with ticks (R. conorii) and fleas (R. typhi, R. felis) across the African continent was lacking. Records of louse-borne epidemic typhus in Nigeria date to 1947; however, its current status is not known. This review provides an essential baseline summary of the current knowledge in Nigeria of non-mosquito VBPs, and should stimulate improvements in the surveillance of the veterinary and human diseases they cause in Nigeria. Due to increasing recognition of these diseases in other African countries, veterinary and public health professionals in Nigeria should expand the list of possible diseases considered in patients presenting with fever of unknown etiology.

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**Comment**

I find it increasingly interesting that everyone’s picking up Bartonella, yet it’s hardly on the radar here despite thousands of Lyme/MSIDS patients having symptoms of it.  Bartonella is a tough pathogen & can be the guy behind so many psychiatric issues as well as heart issues.

We need to know for certain ticks can transmit it because if they don’t, either the tick bite itself is reactivating a latent infection or we are coming by it another way.  One thing’s for certain:  it needs to be dealt with on the research front as well as on the medical front.

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

https://madisonarealymesupportgroup.com/2018/10/02/1st-documented-case-of-girl-with-blood-stream-infection-with-bartonella-with-coinfection-of-another-bartonella-strain/

https://madisonarealymesupportgroup.com/2018/10/02/bartonella-found-in-deer-flies-deer-moose/

https://madisonarealymesupportgroup.com/2018/09/28/bartonella-infective-endocarditis-with-dissemination-a-case-report-literature-review/

https://madisonarealymesupportgroup.com/2016/08/09/a-bartonella-story/

For a great read on how those working with animals are especially vulnerable to Bartonella:  https://madisonarealymesupportgroup.com/2018/09/20/humana-bartonellosis-perspectives-of-a-veterinary-internist/

Excerpt:

 

Due to extensive contact with a spectrum of animal species, veterinary professionals appear to have an occupational risk of infection because of frequent exposure to Bartonella spp., therefore these individuals should exercise increased precautions to avoid arthropod bites, arthropod feces (i.e. fleas and lice), animal bites or scratches and direct contact with bodily fluids from sick animals. As Bartonella spp. have been isolated from cat, dog or human blood, cerebrospinal fluid, joint fluid,aqueous fluid, seroma fluid and from pleural, pericardial and abdominal effusions, a substantial number of diagnostic biological samples collected on a daily basis in veterinary practices could contain viable bacteria.
The increasing number of defined Bartonella spp., in conjunction with the high level of bacteremia found in reservoir adapted hosts, which represent the veterinary patient population, ensures that all veterinary professionals will experience frequent and repeated exposure to animals harboring these bacteria. Therefore, personal protective equipment, frequent hand washing and avoiding cuts and needle sticks have become more important as our knowledge of this genus has improved and various modes of transmission have been defined.
Physicians should be educated as to the large number of Bartonella spp. in nature, the extensive spectrum of animal reservoir hosts, the diversity of confirmed and potential arthropod vectors, current limitations associated with diagnosis and treatment efficacy, and the ecological and evolving medical complexity of these highly evolved intravascular, endotheliotropic bacteria.

Non-specific Symptoms in Adult Patients Referred to a Lyme Centre

https://www.ncbi.nlm.nih.gov/m/pubmed/30287411/

Non-specific symptoms in adult patients referred to a Lyme centre.

Zomer TP, et al. Clin Microbiol Infect. 2018.

Abstract

OBJECTIVES: There is controversy whether non-specific symptoms can be related to previous Lyme borreliosis (LB). Positive serology can be considered a proxy for a previous or persistent infection with LB. We assessed non-specific symptoms and serology in patients suspected of LB referred to a Lyme centre.

METHODS: Included were adult patients who visited a Lyme centre between 2008 and 2014. Before medical consultation, serum samples were taken and questionnaires on non-specific symptoms completed. The prevalence of non-specific symptoms was calculated for patients with positive and negative IgG serology. Logistic regression was used to obtain odds ratios (ORs) with 95% confidence interval (CI) for an association between positive serology and non-specific symptoms.

RESULTS: Of 1439 included patients, 31.6% (455/1439) had positive serology. The most common non-specific symptoms were severe fatigue (61.4%, 883/1439), sleep disturbances (54.8%, 789/1439), and stiffness of neck/back (52.6%, 757/1439). The prevalence of severe fatigue was 53.0% (241/455) in patients with positive serology versus 65.2% (642/984) in patients with negative serology (OR 0.74; 95% CI 0.58-0.94). The prevalence of sleep disturbances was respectively 46.2% (210/455) versus 58.8% (579/984) (OR 0.73; 95% CI 0.58-0.93). The prevalence of stiffness of neck/back was respectively 47.7% (217/455) versus 54.9% (540/984) (OR 0.85; 95% CI 0.67-1.06).

CONCLUSIONS: In patients referred to a Lyme centre, non-specific symptoms did not occur more frequently in patients with positive serology compared to patients with negative serology. Hence, a questionnaire on non-specific symptoms cannot be used for identifying patients with possible “post-Lyme borreliosis symptoms” in clinical practice.

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**Comment**

I find it increasingly baffling how “positive serology” on a test that misses over half of all Lyme cases and is commonly known as being notoriously abysmal is still being used for research purposes.  Move on people!  This test is worthless!  

I feel sorry for the sad-suckers who didn’t get a positive.  They were sent home empty-handed to continue suffering in silence.  Notice that MORE of the people testing negative had a considerably higher preponderance of symptoms…..

The sickest patients sometimes NEVER test positive.  

Also, notice the symptoms….severe fatigue, sleep disturbances, and stiff back/neck.  Those are notorious Lyme symptoms!  In fact it screams Lyme (particularly the back/neck issue).  

How about they treat these people clinically for Lyme and then retest?  By giving a provoking agent, it would be interesting to see how many of these sero-negatives turn into positives.

I guess someone would have to use their God-given brain to do that….and we wouldn’t want to have to do that now would we?

 

Dementia Misdiagnosed for PTLDS or Vice Versa? A Case Report

https://www.ncbi.nlm.nih.gov/m/pubmed/30282363/

Frontotemporal Dementia Misdiagnosed for Post-Treatment Lyme Disease Syndrome or vice versa? A Treviso Dementia (TREDEM) Registry Case Report.

Di Battista ME, et al. J Alzheimers Dis. 2018.

Abstract

We describe the case of a 61-year-old woman diagnosed with Borreliosis at the age of 57. Subsequently, the patient developed depression, anxiety, and behavioral disturbances. A lumbar puncture excluded the condition of Neuroborreliosis. The diagnostic workup included: an MRI scan, a 18F-FDG PET, a 123I-ioflupane-SPECT, an amyloid-β PET, a specific genetic analysis, and a neuropsychological evaluation.

Based on our investigation, the patient was diagnosed with probable behavioral-frontotemporal dementia (bvFTD), whereas in the previous years, the patient had been considered firstly as a case of Post-Treatment-Lyme Disease and, secondly, a psychiatric patient.

We believe that, in the present case, such initial symptoms of Borrelia infection may have superimposed on those of bvFTD rather than playing as a contributory cause.

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**Comment**

Here we have a woman with an actual Lyme diagnosis who goes on to develop depression, anxiety, and behavioral disturbances.  (All common symptoms with neuro-Lyme:  https://madisonarealymesupportgroup.com/2015/10/18/psychiatric-lymemsids/https://madisonarealymesupportgroup.com/2018/08/25/neuropsychiatric-lyme-borreliosis-an-overview-with-a-focus-on-a-specialty-psychiatrists-clinical-practice/https://madisonarealymesupportgroup.com/2018/06/04/ld-diagnosis-took-forever-because-of-mental-health-stigma/)

Despite mainstream knowledge of absolute proof of abysmal testing, they state they ruled out infection despite a prior diagnosis based on a lumbar puncture.

In this informative read from Columbia University, we learn that there are specific steps to be followed for lumbar punctures regarding Lyme as well as the fact that patients may have neurologic Lyme Disease but still test negative on the Lyme index (an index used with cerebrospinal fluid in a lumbar puncture)  https://www.columbia-lyme.org/diagnosis.

So this woman was handed a label and told, “Go home and be well.”

This scenario has played out so many times it’s like a skip in a record.

How about a clinical trial of antimicrobials known to have action against borrelia and then retest her (called a provocation test)?  Clinicians in the field understand how elusive this organism is.  A full work-up needs to be done on symptomology as it could possibly be a different pathogen altogether known to be transmitted by ticks and other bugs.  How about also testing for other tick borne pathogens known to give behavioral symptoms like Bartonella?  https://madisonarealymesupportgroup.com/2017/07/01/one-tick-bite-could-put-you-at-risk-for-at-least-6-different-diseases/ (It could be one of 18 and counting pathogens spread by ticks)

You see, something is causing this “probable behavioral-frontotemporal dementia (bvFTD).”  

All they’ve done here is slap a name to it but they haven’t found the cause.  Without the cause they will not treat appropriately.  

Somebody get this woman to Columbia University!

How many more are going to slip through the cracks and loose their minds due to poor testing?

For more on the abysmal testing:  https://madisonarealymesupportgroup.com/2017/08/15/reliability-of-lyme-testing/

https://madisonarealymesupportgroup.com/2018/09/08/whats-the-best-test-for-lyme-dr-rawls/

https://madisonarealymesupportgroup.com/2018/01/16/2-tier-lyme-testing-missed-85-7-of-patients-milford-hospital/

More on the relationship between Alzheimer’s, Dementia, ALS and Lyme:  https://madisonarealymesupportgroup.com/2016/06/09/alzheimers-byproduct-of-infection/  Kris Kristofferson was wrongly diagnosed with Alzheimer’s but had Lyme Disease. For years doctors told Kristofferson it was either Alzheimer’s or dementia, and may have been the result of blows to his head from boxing, football and rugby. The medication he was given gave him bad side effects and didn’t help.  Since starting treatment for Lyme Kristofferson “has made remarkable strides.” His wife Lisa said,

“all of the sudden he was back.” Although he still has some bad days, there are other days when he is “perfectly normal,” she said.

https://madisonarealymesupportgroup.com/2017/06/10/the-coming-pandemic-of-lyme-dementia/  Bacteria are usually ignored despite its historical and current significance in dementia research.  Today, the main bacterial threat to acquiring dementia comes from Lyme disease—a bacterium borrelia burgdorferi.

https://madisonarealymesupportgroup.com/2016/06/03/borrelia-hiding-in-worms-causing-chronic-brain-diseases/

https://madisonarealymesupportgroup.com/2016/08/09/dr-paul-duray-research-fellowship-foundation-some-great-research-being-done-on-lyme-disease/