Archive for the ‘Testing’ Category

Why Doctor Treated Patient for Lyme – Even When His Test Was Negative

https://danielcameronmd.com/treated-lyme-negative-test/

Why I Treated Him for Lyme—Even When His Test Was Negative

May 13, 2025

Patients Deserve an Explanation

One of the most common—and most important—questions I hear from patients is:
“If my Lyme test is negative, why are you still treating me?”

It’s a fair question. And if you’re asking it, you deserve a clear and compassionate answer. The truth is, when it comes to Lyme disease, test results don’t always tell the full story.

Let’s break down why.


Lyme Disease Testing Isn’t Always Reliable

The standard test used to diagnose Lyme disease is called the two-tier system. It includes an ELISA screening test followed by a Western blot if the first result is positive. But this system is far from perfect—especially when the infection is in its early or late stages.

Here’s what you should know:

  • Early in the infection, your body may not have produced enough antibodies yet to trigger a positive result
  • Some patients never produce detectable antibodies at all
  • Co-infections like Babesia or Bartonella are not picked up by this test
  • Many rashes don’t appear in the textbook “bulls-eye” pattern—or don’t appear at all
So yes—you can absolutely have Lyme disease, even if your test is negative. And unfortunately, this is more common than many realize.

In Medicine, We Don’t Wait for Disease to Get Worse

In most areas of healthcare, we don’t wait for a serious event before we start treatment.

  • We don’t wait for a stroke to treat high blood pressure
  • We don’t wait for vision loss to manage diabetes
  • We don’t wait for full organ failure to address chronic kidney disease

We act early—because we know that early treatment improves outcomes. So why does Lyme disease often get treated differently?

When it comes to Lyme, many patients are told to “wait and see”—even when the symptoms are clear and distressing.

Waiting Is Not a Neutral Decision

Here’s what I tell my patients:
Waiting is not harmless. It’s a medical decision with consequences.

Delaying treatment can allow symptoms to worsen. It can allow the infection to persist or spread. In some cases, patients who were told to wait eventually end up with a label: Post-Treatment Lyme Disease Syndrome (PTLDS)—a condition where symptoms linger long after the initial infection was treated, or in some cases, never properly treated at all.

What if we had treated earlier? Could we have prevented months—or even years—of suffering?

In many cases, the answer is yes.


Clinical Judgment Is Not Guesswork

When I decide to treat someone for Lyme disease despite a negative test, it’s not a random decision. It’s based on:

• The full pattern of your symptoms

• Your medical history

• Your response to prior treatments

• Known or likely tick exposure

• And experience with thousands of Lyme patients

This is called clinical judgment. It’s a core part of good medical practice. I don’t ignore science—I apply it in context. Because Lyme doesn’t always follow the rules, and neither should we when those rules are failing real people.


You Know When Something Feels Wrong

I’ve met patients who’ve been told their symptoms are “just stress” or “hormonal” or “all in their head.” But they know their bodies. They’ve tracked their fatigue, their joint pain, their cognitive changes. They’ve seen something shift—and they’re right to speak up about it.

Many of those patients improve once treatment begins, even if their test results never confirmed the diagnosis. That’s not luck. That’s Lyme disease showing up in real life—even when it doesn’t show up in the lab.


It’s Time to Rethink How We Treat Lyme

We’re in a new era of medicine. Patients are more informed, more proactive, and more in tune with their own health than ever before. But too often, our Lyme diagnostic standards are stuck in the past—waiting for certainty while people lose months or years of their lives to untreated illness.

We need to bring clinical judgment back into focus. We need to listen more, wait less, and treat Lyme disease with the urgency it deserves.


Final Thoughts

If you’ve been told your test is negative, but you’re still struggling with symptoms—please know this:
You’re not imagining it. You’re not overreacting. And you’re not alone.

In my practice, I treat the whole patient—not just the lab result. Because when it comes to Lyme, early treatment can change everything.


Want to learn more? Follow my blog series for more insights on Lyme disease diagnosis and care—or reach out to my office if you’re looking for answers.
You deserve to be heard.

Related Articles:

Relying on a negative Lyme disease test can prove deadly

Don’t wait for a positive Lyme disease test

Can’t trust single dose of doxycycline to prevent Lyme disease

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**Comment**

A very needed article with crucial information for all to understand.

Testing for Lyme/MSIDS is abysmal Clinical judgement is required; however, doctors receive little training for tick-borne infections and whatever training they do receive is antiquated and biased.  The fact the needle hasn’t budged in 40 years is proof of this fact.

Dr. Cameron is an example of an independent doctor who could save your life.  He’s also a Lyme-literate doctor who has studied under ILADS and who has years of experience treating this.  Like many of his colleagues, he’s been attacked by the state medical board – which is common for these doctors because they do not partake in the globalist idea for ‘consensus-based’ medicine – which turns doctors into robots who blindly follow dictates from bureaucrats who are profiting from conflicts of interests including patents, drugs, and other metabolomics. 

Due to the horrific lack of education on all things Lyme/MSIDS, there is a parallel group to the tyrannical IDSA (Infectious Diseases Society of America) called ILADS (International Lyme and Associated Diseases Society) which holds their own medical conferences to educate doctors on what is happening in reality with Lyme/MSIDS and through independent, global research that the IDSA simply ignores or maligns. Their next conference, “The Complexity of Lyme: Diagnosing and Treating Tick-Borne and Related Diseases,” is June 7-8 in Philadelphia.

Our conference will include:

  • Introduction to diagnosing and treating vector-borne diseases
  • Case discussions with experts
  • Advanced topics in clinical treatments such as PANS/PANDAS, Mold toxicity, MCAS, supportive natural therapies and more.
  • Exhibitors showcasing medical services
  • CME credit available

The conference is open to healthcare professionals. Students enrolled in a medical degree program and PhD candidates conducting Lyme-related research are also eligible to attend and qualify for discounted rates. Email conference@ilads.org for more information.

“What is Happening Here is Criminal and If You Don’t Believe Me, Ask Anyone With Lyme.”

https://www.change.org/p/the-us-senate-calling-for-a-congressional-investigation-of-the-cdc-idsa-and-aldf/u/33514992?

“What is happening here is criminal and if you don’t believe me, ask ANYONE with Lyme.”

Carl Tuttle
Hudson, NH, United States
May 11, 2025

All Tuttle family members experienced this travesty so everything you are about to read in this Facebook post is true and it has been ongoing for three decades. It is criminal and all a result of the rush to create a vaccine. A chronic relapsing seronegative disease does not fit the business model of patent royalties, vaccine development and pharmaceutical profits. So deny the chronically infected and your patent royalties continue to reap benefits. 

In other words, patent royalties and pharmaceutical profits over lifesaving care.

Those who have colluded to suppress evidence of antibiotic resistance (chronic Lyme) should be prosecuted and sent to jail.

Everyone happy with the way our Public Health Officials handled Covid?? The sick and disabled Lyme community has been SHOUTING from the rooftops for decades!!! Everyone knows someone who has been horribly affected by Lyme disease… SHARE WIDELY!!!

Kegin Freedom

https://www.facebook.com/photo?fbid=30451510191160844&set=a.199275693477692

I’ve tried explaining this a few times and I won’t stop until people get it. This isn’t like cancer or any other disease where I can go to a Dr that’s covered by my insurance and receive treatment. What is happening here is criminal and if you don’t believe me, ask ANYONE with Lyme.

First, you have to get a Dr to agree to do a Lyme test. Don’t ask me why but they don’t like doing them. Most Dr’s believe Lyme is extremely rare. It’s not btw so if they agree to do it, great. Now you’re gonna go home for up to 10 days while you wait on this test. In the meantime, you’re gonna be sick as hell. You’re gonna be so tired you can’t get up. You’re gonna be dizzy even while lying down. You’re gonna see floaters in your eyes 24/7. When you get up to pee, your legs are gonna weigh 500 pounds. You’re gonna feel like your insides are on fire. You’re gonna not have much of an appetite and you’re gonna possibly lose weight. Now imagine having Ebola and you can’t get any meds because hey, you’re waiting on that test. Now imagine that test comes back with two bands. They are looking for antibodies to Borrelia. Ok, so you got two bands. Dr tells you it’s negative. The CDC says you have to have FIVE bands. You go home and you don’t get better, but hey Dr says you don’t have Lyme. There is no reason to have five bands other than outright lies and denying Lyme exists. Any bands mean you have Borrelia. Now there’s IGG AND IGM. IGM means you have active Borrelia in your blood. IGG means past infection. Drs don’t even know how to read these tests. Do you get that? They don’t know. I had to educate myself. So let’s say my Dr told me I was negative and I didn’t know any better and was sent home. Do you realize what that means? That means to this day I wouldn’t know what was wrong with me. Now let’s move to the next step, let’s say the Dr believes you and says ok you have Lyme. Now you’re gonna get Doxy for a week or two. Do you understand that you can’t get better in that short amount of time? Don’t believe me? Find me one person that did. Just ONE! You can’t. It takes a minimum of 3-6 months. That’s minimum!!!! Ok, so now you’ve got your two weeks of doxy and you’re supposed to be better now. Are you getting it yet?

Now all this time you’ve probably needed IV ABX and if you’re not one of the lucky ones that got that, guess what’s happening? As you’re body is infested with Borrelia, it’s now drilled itself into your tissues. Remember I told you Borrelia is the cousin of syphillis and it’s a corkscrew shaped bacteria that is literally drilling into every tissue. Brain, heart, lungs, thyroid, etc., Now you’ve got arthritis, now you have heart problems, thyroid problems. Now you’re really sick. Guess what comes next? You start reading. You realize you’re in big trouble. You call your Dr back. They say look you’re on the Doxy so you go to two more specialists. They do more bloodwork, tests, MRI’s, CT scans, but they can’t find anything wrong with you. All the tests are great! You’re a specimen of great health!

If you’re still with me, hang in there, this is where it gets good. So you have enough sense still to start researching, and you realize you probably have other diseases the tick gave you called co infections (Babesia, Bartonella, etc.,) You try to get your Dr to test for those. Well, maybe insurance will cover that. Maybe not. So here’s where Lyme _ _ _ _ _ you every which way. Your immune system has now shut down. Just like AIDS so now you’re lucky if you show up positive for these things because you’re body isn’t making antibodies. You still following me? Here’s where it gets good. You start hearing about Lyme Dr’s. You’re like great! Finally! _ _ _ _ _ _ _ help! But you call and they say cash only. We don’t accept insurance. You’re like what kind of nightmare am I in? Here’s where you’re in trouble if you don’t have the money. Now what do you do? Who’s gonna help you without being able to pay these Lyme drs. And you have to be careful, there’s a lot of Dr’s out there preying on the weak and desperate and that’s exactly what we are by this point. Even these celebrities who have millions are trying anything to get well. You haven’t seen anything like Lyme in your life! I’m tired of trying to explain what we go though. We don’t want your sympathy! We want you to care enough to change our laws! There are so many out here suffering and it should be a crime what’s happening! The testing is inaccurate. The treatment doesn’t work (that doxy for a few weeks) its not enough. Now imagine you’re this sick with Lyme (Borellia) and all these co infections. Lyme isn’t done with you yet. Now that immune system I told you about. Now anything you’ve ever had is going to come out because your immune system can’t fight it off. You ever had chicken pox? You got it now in addition to Lyme. You ever had hand, foot, and mouth. Yeah, me either but I do now because I clearly have been exposed to it probably from my kids. Ever had cold sores? You do now! Do you get it yet? What does this sound like? It sounds like AIDS doesn’t it? It sounds like an immunosuppressive person. Welp, try getting a Dr to see it that way. Now add into all that _ _ _ _ show people telling you you’re not that sick. Add into that everyday life that goes on whether you’re sick or not. Lyme has an astronomical suicide rate. Do you still need to ask why? If you know someone with Lyme, please share this post

Any questions?

Carl Tuttle
Independent Researcher
Hudson, NH

1. Lyme Disease: Call for a “Manhattan Project” to Combat the Epidemic
Raphael B. Stricker, Lorraine Johnson
Published: January 02, 2014
http://www.plospathogens.org/article/info:doi/10.1371/journal.ppat.1003796

2. Under our Skin 5min extended trailer
https://www.youtube.com/watch?v=sxWgS0XLVqw

3. The Quiet Epidemic – Official Trailer (2min)
https://www.youtube.com/watch?v=I4C71N290co

“In the fullness of time, the mainstream handling of Chronic Lyme Disease will be viewed as one of the most shameful episodes in the history of medicine because elements of academic medicine, elements of government, and the entire insurance industry colluded to deny a disease.”    -Kenneth B. Liegner, MD, Internal Medicine, New York

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**Comment**

Hit the nail squarely on the head.

For more:

Lyme Disease Changed This Woman’s Life

http://

Lyme Disease Changed This Woman’s Life

April 24, 2025

CTV News

A Huron County woman is sharing her experience with Lyme disease.

A few points:

If you need a Lyme literate doctor the best place to look is your state’s Lyme support groups.  These folks are the boots on the ground that know the local doctors and which ones are experienced.

For more:

Listen to Willy Burgdorfer, the “discoverer” of Lyme disease:

“The controversy in Lyme disease research is a shameful affair. I say that because the whole thing is politically tainted. Money goes to people that have for the past 30 years produced the same thing. Nothing.  Serology or serology plus has to be started from scratch with people that don’t know beforehand the results of their research.

Sadly, current research is taking the same old tack that people are simply struggling with inflammation (PTLDS) – not an active infection.  While this is always true, it is often only a partial truth, with active infection being the driver to the inflammation.  In other words, treat the infection and symptoms get better or go away entirely.  If only inflammation is treated, symptoms will continue until the infection(s) is/are dealt with.  And this brings up another point entirely dismissed by mainstream research and medicine: this is commonly a polymicrobial issue – meaning more than one infectious organism is involved requiring yet more savvy, complex treatments.  The patient in the video doesn’t mention this at all making me wonder if she even knows about coinfections; however, I’ve done enough media interviews to understand that everything has to be condensed down into a two minute sound-bite which is impossible with a complex topic like Lyme/MSIDS.

The Three Bs – Borrelia, What, and What? Co-infections & Chronic Illness

https://www.lymedisease.org/the-three-bs-borrelia-what/

The three Bs – Borrelia, What, and What? Co-infections and chronic illness

By Nicole Bell, Galaxy Diagnostics CEO

3/10/25

While many people in the Lyme community are familiar with the three Bs – Borrelia, Bartonella, and Babesia – most people outside the community look confused when I mention these top flea and tick-borne pathogens. I understand their puzzled looks because back in 2017, I was confused too.

Even after my husband, Russ, was diagnosed with these three stealthy invaders, I focused all my research on Borrelia, the bacteria causing Lyme disease.

It ended up taking a tragic journey followed by years of studying the research to gain an appreciation for the complexities of all three pathogens – and that research is still unfolding.

In complex cases, co-infections are the rule, not the exception.

The first thing to understand when considering the three Bs, is that in complex cases, co-infections are common. In a survey of over 3,000 chronic Lyme disease patients published by LymeDisease.org, over 50% had co-infections, and 30% had two or more co-infections. Babesia and Bartonella top the co-infection list, each presenting in about 30% of chronic Lyme cases.

Source: About Lyme Disease Co-infections, LymeDisease.org

The second thing to understand about these pathogens is that calling them “Lyme co-infections” is misleading. All these pathogens – the other Bs and beyond – can be present without a Borrelia  infection (past or present).

The problem is that many doctors don’t have these invaders on their differential – and it’s easy for a pathogen to be considered rare if you never test for it. 

Rare disease? Or inadequate testing and data?

To understand the true prevalence of these pathogens, we need to dig into the details of each pathogen and how we count and test for them. For example, before 2013, Lyme incidence in the U.S. was estimated to be approximately 30,000 cases per year. Then, in 2013, the CDC looked at clinical records, laboratory reports, and public surveys and increased this estimate 10-fold.

In 2021, an analysis of insurance records increased the estimates again, and current data shows that approximately 500,000 Americans are diagnosed and treated annually. And since the standard of care test for Lyme leading to diagnosis and treatment is 40-60% accurate, even this number is likely underestimating the extent of the problem.

So, the question looms – what is the prevalence of the other two Bs? Are they destined for a similar exponential increase as we dig into the data? Emerging research points to yes.

Bartonella – The Hidden Pandemic

Bartonella is a genus of gram-negative bacteria that can infect humans and a wide range of animals. Googling the bacteria shows that it is the pathogen causing cat scratch disease or CSD, an acute form of the infection. But like Lyme, this pathogen has been associated with complex chronic conditions spanning multiple body systems, including the joints, eyes, heart, and brain.

Lyme disease has made people fearful of ticks, but Bartonella can be transmitted by a long list of biting insects – or vectors – including fleas, body lice, sand flies, and even spiders. Also, an underappreciated risk factor for bartonellosis is animal exposure, particularly exposure to cats, which are natural reservoirs of the bacteria.

In a study of veterinary workers, 44% were positive for Bartonella antibodies, and 28% had DNA of the pathogen detected directly from their blood. With approximately 66% of U.S. households owning at least one pet, the pathogen has the potential to be more widespread than generally thought.

Dr. Ed Breitschwerdt from North Carolina State University’s veterinary school has studied Bartonella since the 1990s. The advanced testing methods developed in his lab by collaborator Dr. Ricardo Maggi have uncovered key links between the pathogen and complex illnesses, such as arthritis, chronic fatigue, and fibromyalgia.

Neuropsychiatric conditions

Recently, using innovations in advanced PCR technology, the lab has made groundbreaking discoveries linking Bartonella and neuropsychiatric conditions, such as schizophrenia.

The investigation into schizophrenia started the way many discoveries in medicine do, with one case. A 14-year-old boy – who we will call Michael – suffered from sudden onset psychosis and received a formal diagnosis of schizophrenia. Michael was referred to Dr. B’s lab because he had marks on his skin, called striae, consistent with a Bartonella infection.

Dr. B and his team used their advanced test methods to confirm that Michael was infected with Bartonella. Upon treatment with the appropriate antibiotics, his symptoms evaporated.

The case inspired Dr. Breitschwerdt to consider a hypothesis – what if other patients were experiencing psychosis because of a Bartonella infection? Bartonella can cross the blood-brain barrier and infect endothelial cells, contributing to neuroinflammation.

The hypothesis had merit. His lab partnered with the University of North Carolina to test 17 schizophrenia patients. Sixty-five percent of those patients tested PCR positive for the pathogen, compared to 8% in healthy controls.

A subsequent study with Columbia University on over 100 patients found that people affected with psychosis were over three times more likely to have direct evidence of Bartonella in their blood than unaffected controls.

PANS

And schizophrenia isn’t the only neuropsychiatric condition linked to the pathogen. Pediatric patients with Bartonella infections have been reported to develop Pediatric Acute-onset Neuropsychiatric Syndrome (PANS) and symptoms like anxiety, obsessive-compulsive disorder, and cognitive dysfunction. Case studies have shown improvement in neuropsychiatric symptoms following treatment of the underlying infections.

With over 3 million Americans battling schizophrenia and 1 in 200 children in the U.S. affected by PANS, Bartonella may emerge as the great hidden pandemic.

Babesia – the tip of the iceberg

Babesia is a tick-borne parasitic infection, often touted as similar to malaria, because both parasites infect and replicate within red blood cells and can cause fever, chills, sweats, headache, muscle aches, fatigue, and hemolytic anemia.

Researching Babesia on the CDC Website shows that under 2000 cases were reported nationwide in 2020. The CDC notes that most Babesia cases in the U.S. are caused by Babesia microti, with occasional cases caused by other Babesia species.

Using the same advanced PCR technology that drove clinical discovery in Bartonella, Dr. B and his team turned their attention to Babesia. They found that what we “know” about Babesia may only be the tip of the iceberg.

In 82 individuals the lab was studying for Bartonella infection, 22 (27%) were also infected with Babesia. Furthermore, the top Babesia species identified was not Babesia microti, as expected from CDC data, but rather Babesia divergens (considered rare in the U.S.) and then Babesia odocoilei (considered rare in humans).

Before Dr. B’s work, only a handful of case reports in the U.S. have ever been reported for Babesia divergens. Their best-in-class assay turned up 12 new cases in a group that wasn’t even targeted for Babesia studies.

Dr. B’s team also recently published a paper where an entire family – all five members and one of their dogs – tested positive for a Babesia-divergens-like species. Similar new case discoveries have been made for Babesia odocoilei. His work poses the question – are the pathogens really rare, or are we just not testing for them properly?

Genus versus species – why it matters

Genus and species are terms commonly used by microbiologists, but when I first entered the world of tick-borne disease, I didn’t fully understand their significance. The “genus” is akin to a family name, grouping related individuals – think Hatfields and McCoys. The “species” is like the first name, identifying a specific individual in the family.

Translating this to Lyme disease, Borrelia is the genus or family name, and Borrelia burgdorferi is the species name identifying the particular pathogen.

So why does it matter? The current commercial test methods for all three Bs generally use serology or antibody testing. These assays measure antibodies created by the host’s immune response to the pathogen. The problem is that antibodies react to proteins on the surface of the pathogen, and these proteins can vary depending on the particular species.

In other words, the patriarch of the Hatfield family, Anderson Hatfield, looked and dressed differently than his son Cap Hatfield. Thus, sending out a warrant and a picture of Anderson is unlikely to lead to Cap’s arrest.

Antibody testing is similar, and testing for Babesia microti, may not accurately diagnose a case of Babesia odocoilei or Babesia divergens. There are over 100 known Babesia species, with 15 of those confirmed in human cases.

There are over 50 species of Bartonella, at least 20 of which have been documented to infect humans and other mammalian hosts. Dr. B’s research and testing technology is redefining what we know about these pathogens. And until these tests are launched commercially, millions have the potential to be misdiagnosed.

Direct Detection for BBB is Launching at Galaxy Diagnostics

Fortunately, Galaxy Diagnostics was founded by Dr. Breitschwerdt, Dr. Maggi, and Dr. Amanda Elam to bring these diagnostic advancements to market. This month, Galaxy is launching its digital PCR, direct detection assay for BBB.

This assay has been instrumental in driving clinical discovery in Dr. B’s lab and will now be commercially available to practitioners. Top features of the assay include:

  • Genus level detection, detecting each pathogen regardless of species.
  • Ultra-sensitive, digital PCR, which increases detectability for low abundance pathogens.
  • Multiplexed detection to provide three results in a single test.

The BBB assay is a blood-based assay that detects the DNA of each pathogen. The approach has previously been used only in a research setting, but the team at Galaxy has now validated the assay for commercial use.

Bartonella and Babesia – but what about Borrelia?

The BBB assay is a blood-based approach, and it is essential to note that blood is NOT the best matrix for Lyme Borrelia, as I have discussed previously.

Galaxy recommends its urine antigen test for Lyme since the concentrations of Lyme Borrelia are so low in the blood that a blood draw is unlikely to capture the pathogen in the test tube. And no matter how sensitive the technique is, if the pathogen isn’t in the tube, there is no way to detect it.

So then, why is Borrelia included in the BBB assay? The answer goes back to the genus versus species issue. While the species associated with Lyme Borrelia often hide in tissues and don’t free-circulate in high copy numbers in blood, the species associated with Relapsing Fever Borrelia do replicate to high numbers in the blood.

As a result, combining the BBB assay with Galaxy’s Nanotrap urine antigen test for Lyme provides optimal coverage for the top flea and tick-borne infections at the genus level.

Coming Full Circle – Avoiding Cases like Russ

After my husband Russ passed, the engineer in me knew there had to be better options. I immersed myself in the research and found Dr. B’s published peer-reviewed results. I introduced myself to the Galaxy team, and as I dug in, I became even more convinced that their technology would provide the clarity I craved as a caregiver.

In June 2024, I became Galaxy’s CEO to bring these advanced testing techniques to a broader market. We crystallized our mission to provide a new standard of care for diagnosing these devastating flea and tick-borne diseases. With the commercial launch of the BBB assay, we are one step closer to that goal. I know that Russ is watching – and smiling.

Nicole Bell, CEO of Galaxy Diagnostics, is also the author of What Lurks in the Woods and The State of Lyme Disease Research

For more:

Metagenomics Reveal Bartonella in the Shadow of Long COVID

UPDATE:

http://

Full Measure with Sharyl Attkisson

March 3, 2025

Harvard trained pathologist, Dr. Cole, was among the first to note mysterious blood clots in deceased people who’d been ‘vaccinated’ with the COVID gene therapy.

American virologist Dr. Robert R. Redfield, who served as the director of the CDC during the ‘pandemic,’ has admitted that reports of ‘so-called Long Covid’ are actually a cover-up for global surges of “mRNA vaccine injury.”

https://pubmed.ncbi.nlm.nih.gov/38472519/#:

Unmasking Bartonella henselae infection in the shadows of long COVID thanks to clinical metagenomics

Abstract

The diagnosis of long COVID often relies on symptoms post-COVID-19, occasionally lacking biological evidence. This case study illustrates how investigating long COVID uncovered an underlying bartonellosis through clinical metagenomics. Following mild COVID-19, a 26-year-old woman experienced persistent symptoms during 5 months, including axillary adenopathy. Pathological examination, 16 S rRNA PCR, and clinical metagenomic analysis were done on an adenopathy biopsy. The latter revealed Bartonella henselae DNA and RNA. Treatment with clarithromycin improved symptoms. This case underscores the relevance of clinical metagenomics in diagnosing hidden infections. Post-COVID symptoms warrant thorough investigation, and bartonellosis should be considered in polyadenopathy cases, regardless of a recent history of cat or flea exposures.

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**Comment**

Axillary adenopathy, or swollen lymph nodes under the armpit, are common with Bartonella – but also with other things as well.  It’s the body’s response for a foreign invader.  

For those that read information on this website know – ‘long COVID’ has been linked to the COVID gene therapy injection, as well as mask wearing, but mainstream media and research are not even considering them. Another little factoid is the fact is that another recent study admonishes against using the term Long COVID as the symptoms are no worse than those after the flu. In fact, PCR testing can’t distinguish between COVID and the flu. So, what in fact is causing lingering symptoms in some people and how severe are they actually?  

Sadly, this abstract doesn’t inform us as to the ‘vaccination’ and mask status of the patient.  A review of masks show contaminants that are carcinogenic and infectious as well the fact masks make people sick.

ALL research from here on out needs to identify the patient’s ‘vaccination’ status, how many injections they’ve received, as well as if they are mask wearers.

Hopefully, people are becoming aware that ‘vaccines’ serve as triggers to upset the immune system, which can allow hidden infections to suddenly give noticeable symptoms.

Another important point is the choice of clarithromycin for Bartonella treatment.  While this is partly a good choice, any experienced Lyme literate doctor would know to pair this with rifampin.  Antibiotic resistance can and does happen so treatment should do all to avoid this possibility, and using at least two antibiotics simultaneously is one such method, and unfortunately, even then, relapses often occur.