Tick Bite – Letter to the Editor
https://www.bmj.com/content/370/bmj.m3029/rr-3
Tick bite
BMJ 2020; 370 doi: https://doi.org/10.1136/bmj.m3029 (Published 13 August 2020)Cite this as: BMJ 2020;370:m3029
https://www.bmj.com/content/370/bmj.m3029/rr-3
BMJ 2020; 370 doi: https://doi.org/10.1136/bmj.m3029 (Published 13 August 2020)Cite this as: BMJ 2020;370:m3029
https://thebark.com/content/dogs-are-testing-positive-new-tick-borne-bacteria
Researchers have identified a new species of Rickettsia bacteria that may cause significant disease in dogs and humans.
This new, yet-unnamed species, initially identified in three dogs, is part of the spotted-fever group Rickettsia which includes Rickettsia rickettsii, the bacteria that cause Rocky Mountain Spotted Fever (RMSF).
(See link for article)
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**Comment**
These poor dogs suffered from loss of appetite, lethargy, lameness, painful elbows, fever, dehydration, thrombocytopenia, and abdominal tenderness among other symptoms. While I appreciate the authors’ desire to determine tick species and geography, these details have often been used against patients by hampering diagnosis and treatment. We must stop trying to put this into a four-cornered box.
Study here: https://madisonarealymesupportgroup.com/2020/11/17/novel-rickettsia-species-infecting-dogs-united-states/
Importantly, https://madisonarealymesupportgroup.com/2019/11/14/study-shows-ticks-can-transmit-rickettsia-immediately/ ..ticks can transmit infectious Rickettsia virtually as soon as they attach to the host.
https://pubmed.ncbi.nlm.nih.gov/32651470/
Free PMC article
https://www.lymedisease.org/what-makes-ticks-tick/
By Kate Arthur, Illinois State University
Few researchers have studied how a tick’s brain works, but that’s what caught the attention of Dr. Carola Städele.
As a post-doctoral researcher in the School of Biological Sciences, she studies a tick’s every move by recording them as they crawl around their Plexiglass home.
“A lot of people think ticks just climb up on grass and wait until something passes by to cling on,” she said. “If it’s a good host, they will bite, and if not, they’ll fall off and start over. This is not how I think ticks are. They are way too successful to just be opportunistic.”
Because ticks transmit a host of diseases, most researchers are interested in the saliva that causes diseases like Rocky Mountain spotted fever and Lyme disease. But tick sensory physiology has been largely ignored, she said.
“I’m trying to understand what ticks find attractive, and how their brains determine attractiveness. Most tick research focuses on tick pathology and ecology, understanding how they perceive the world.”
Ticks may find their hosts by detecting the carbon dioxide animals give off as they breathe, she said. In her lab, she records how ticks respond to changes in carbon dioxide levels, analyzing changes in walking speed and direction.
“If my hypothesis is true, the next question is, how do they sense that CO2—what are the organs that allow them to detect it and how do these organs work?”
Learning how ticks detect potential hosts can allow you to interrupt that behavior, she said.
“You can find substances that don’t allow the ticks to detect carbon dioxide anymore, meaning if the ticks use that to find hosts, it makes it more difficult to find them.”
“It’s very fair to say there are opinions about ticks, people who think ticks are just tiny blood-sucking machines, and people who are convinced ticks show very complex behaviors and are very selective; we just don’t understand it yet.”
Tick populations are on the rise. But she wanted to be clear that she is not trying to eradicate ticks. She only wants to understand them.
“I’m a biologist and I don’t see myself as an eradicator of species. I don’t know if there’s a positive effect in the environment if there are ticks present. There are definitely negative effects, and my research may help to control some of them. Ultimately, no biological study can easily undo the disruption of natural habitats, loss of important tick predators, and increase in tick numbers due to climate change.”
Ticks carry pathogens that cause human diseases, and one way to interfere with transmission is to understand what makes ticks tick.
“It’s very fair to say there are opinions about ticks, people who think ticks are just tiny blood-sucking machines, and people who are convinced ticks show very complex behaviors and are very selective; we just don’t understand it yet,” she said.
“If you want to understand behavior, neuroscience is necessary. What triggers behavior is our nervous system and if you don’t understand the nervous system, you will never fully understand behavior.”
Dr. Carola Städele studies how the presence of carbon dioxide affects a tick’s movement. It may explain how they find their hosts.
Städele was a visiting researcher at Illinois State from 2012 to 2015, where she performed the experimental part of her doctoral degree, leaving to pursue a postdoctoral position at the University of California, Los Angeles.
She returned to ISU in March, as the pandemic hit. Under Illinois’ stay-at-home order, she couldn’t work in her lab, and didn’t have any data to analyze. She used that time to connect with researchers all over the world as universities made their seminars available online.
Chosen for a prestigious fellowship with the Marine Biological Laboratory in Wood Hole, Massachussets, she was supposed to spend her summer there, with nine other Grass Foundation fellows. Instead, they met over Zoom, and their fellowship was extended so they can do their independent research there next year.
This semester, Städele is working with a young researcher, senior Sabrina Sedekum. It’s the first research experience for the zoology major, who is analyzing leg movement through the “tick on the stick” approach. A pin is glued to the tick’s back, holding the tick steady while it walks on a hard plastic ball that allows tracking of its movements. She reviews the video, analyzing the movements of each of its eight legs.
“It’s pretty cool,” Sedekum said. “They either started moving or stopped moving when they detected carbon dioxide. Seeing even tiny creatures exhibiting patterned behavior is fascinating to me. I thought I hated bugs but seeing these little guys move around is really interesting.
Städele, who describes herself as a “vivid outdoor person” is no stranger to ticks.
“I see ticks everywhere,” she said. “I am literally a tick magnet.”
She has some advice for hikers. Wear light-colored clothing to make them easier to spot and take a shower when you get home. Ticks can crawl on your body several hours before they find a suitable spot. If one has dug in, don’t panic. She has a solution, but it’s not for the squeamish.
Take a needle and try to remove the head without breaking or squeezing it. Otherwise, the head will be stuck in your skin and can cause infection. If it’s attached to your scalp or you see an infection at the biting site, see a doctor.
PRESS RELEASE SOURCE: Illinois State University
http:// Approx. 55 Min
Dec. 14, 2020
With Chris Mathieu
The censorship mentioned is very real. I was just kicked off LinkedIn. It’s going to be harder to find information that does not follow the accepted narrative spun out by our public ‘authorities’ and main stream media whom have severe conflicts of interest.
We are indebted to all of Newby’s work. She is behind the documentaries “Under Our Skin”and “Emergence” which accurately portray what Lyme/MSIDS patients experience. I diagnosed myself and my husband by watching these.
We are still waiting to hear the results of an investigation into all of this (don’t hold your breath – you will pass out first): https://madisonarealymesupportgroup.com/2020/07/22/house-passes-chris-smith-measure-to-probe-if-government-turned-ticks-into-bioweapons/
For more:
Lastly, here’s a short piece of Willy Burgdorfer shortly before he died where he candidly explains Lyme/MSIDS is far from a simple illness and is nearly impossible to find.
Dec. 1914
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Rapid Response:
Re: Tick bite
Dear Editor
Razai et al, in their consultation on tick bite, missed an important message to learners (1).
The most common infectious agents transmitted by Ixodes species ticks in North America that have the potential for co-infection with B burgdorferi are Anaplasma phagocytophilum, Babesia species, deer tick (Powassan) virus, Borrelia miyamotoi, and the Ehrlichia muris–like agent (2).
A phagocytophilum is transmitted by the same Ixodes ticks as B burgdorferi in the United States and causes fever, chills, headache, myalgia, and fatigue arising 1 to 3 weeks following tick exposure. Most cases are mild and self-limited. However, severe manifestations may include respiratory failure, adult respiratory distress syndrome, peripheral neuropathy, rhabdomyolysis, acute renal failure, pancreatitis, and coagulopathies.
It has been found that in Wisconsin, approximately 3% of I scapularis ticks examined were co-infected with B burgdorferi and A phagocytophilum (3). A similar study in 11,000 ticks in public parks of New York State’s Hudson Valley Region found that co-infection rates of nymphs and adults were 0.5% and 6.3%, respectively (4).
The frequency of humans with Lyme disease simultaneously co-infected with A phagocytophilum from various studies ranges from 2% to 10% (5,6). Similirly, Babesiosis is transmitted through the bite of infected I scapularis and I pacificus ticks. Most patients are asymptomatic or have mild, self-limited disease but may be complicated by renal failure, acute respiratory distress, and shock.
In a study of patients with Lyme disease from southern New England, approximately 10% were co-infected with babesiosis (7).
Unlike Lyme disease and Anaplasmosis, doxycycline is not an effective treatment of babesiosis and requires atovaquone and azithromycin or combination of clindamycin with quinine, making it imperitive to consider this diagnosis in mind in patients with tick bite.
Of the 3 species of Ehrlichia in United States, only E muris–like (EML) agent is transmitted by I scapularis is the vector of this emerging pathogen(8).
Possible co-infections should be considered in any patients who are diagnosed with tick bite or Lyme disease, especially those who have unexplained leukopenia, thrombocytopenia, or anemia, or who fail to respond to treatment for Lyme’s disease.
References:
1- Razai MS, Doerholt K, Galiza E, Oakeshott P. Tick bite. BMJ 2020;370:m3029
2- Caulfield AJ, Pritt BS. Lyme disease Coinfections in the United States. Clin Lab Med 2015;35:827–846.
3- Lee, X, Coyle DR, Johnson DK, et al. Prevalence of Borrelia burgdorferi and Anaplasma phagocytophilum in Ixodes scapularis (Acari: Ixodidae) nymphs collected in managed red pine forests in Wisconsin. J Med Entomol 2014;51:694-701.
4- Prusinski MA, Kokas JE, Hukey KT, et al. Prevalence of Borrelia burgdorferi (Spoirochets: Spirochaetaceae), Anaplasma phagocytophilum (Rickettsiales: Anaplasmataceae), and Babesia microti (Piroplasmida: Babesiidae) in Ixodes scapularis (Acari: Ixodidae) collected from recreational lands in the Hudson Valley Region, New York State. J Med Entomol 2014;51:226-36.
5- Horowitz HW, Aguero-Rosenfeld ME, Holmgren D, et al. Lyme disease and human granulocytic anaplasmosis coinfection: impact of case definition on coinfection rates and illness severity. Clin Infect Dis 2013;56;93-9.
6- Steere AC, McHugh G, Suarez C, et al. Prospective study of coinfection in patients with erythema migrans. Clin Infect Dis 2003;36:1078-81.
7- Krause PJ, Telford SR, Spielman A, et al. Concurrent Lyme disease and babesiosis – evidence for increased severity and duration of illness. JAMA 1996;275:1657-60.
8- Pritt BS, McFadden JD, Stromdah E, et al. Emergence of a novel Ehrlichia sp. agent
pathogenic for humans in the Midwestern United States. 6th International Meeting
on Rickettsiae and Rickettsial Diseases. Heraklion (Greece), June 5–7, 2011.
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**Comment**
This important letter to the editor highlights many contentious issues Lyme/MSIDS patients have to muddle through. From where I sit, I disagree with the author’s statements that these infections are ‘mild and self-limited’, but I deal with sick people – not healthy. If there’s one thing I DO know, it’s that these infections have been downplayed for far too long, and it’s been a real problem. Patients haven’t been taken seriously for over 40 years!
The consideration of coinfections; unfortunately, is not common in mainstream medicine regarding Lyme/MSIDS. They still treat this as a one germ disease with doxycycline curing it, when nothing could be further from the truth: https://madisonarealymesupportgroup.com/2018/10/30/study-shows-lyme-msids-patients-infected-with-many-pathogens-and-explains-why-we-are-so-sick/