Archive for the ‘Viruses’ Category

Powassan Virus Encephalitis, Severe Babesiosis & Lyme Carditis in a Single Patient

https://www.ncbi.nlm.nih.gov/pubmed/31712240

2019 Nov 10;12(11). pii: e231645. doi: 10.1136/bcr-2019-231645.

Powassan virus encephalitis, severe babesiosis and lyme carditis in a single patient.

Abstract

Ixodes scapularis is responsible for transmission of Borrelia burgdorferi, B. miyamotoi, Babesia microti, Anaplasma phagocytophilum and Powassan virus to humans. We present a case of an 87-year-old man who presented with fever and altered mental status. Initial workup revealed haemolytic anaemia, thrombocytopenia, mild hepatitis and acute kidney injury. Patient tested positive for B. burgdorferi and Babesia microti, and was started on doxycycline, atovaquone and azithromycin. He also underwent exchange transfusion twice. After some initial improvement, patient had acute deterioration of mental status and appearance of neurological findings like myoclonus and tremors. Therefore, testing for arboviruses was done and results were positive for Powassan virus. During a protracted course of hospitalisation, patient required intubation for respiratory failure and temporary pacemaker for unstable arrythmias from Lyme carditis. Patient developed permanent neurological deficits even after recovery from the acute illness.

________________

**Comment**

This right here is an example of the polymicrobial aspect of Lyme disease that doctors are not considering. The continued blindness of the medical community on the true nature of tick-borne disease is unbelievable. The only reason this patient made the books is due to the severity of the case. There are many, many patients in Lyme-land who have these exact same pathogens but are flying under the radar of mainstream medicine due to the fact they haven’t been hospitalized yet.  https://madisonarealymesupportgroup.com/2018/10/30/study-shows-lyme-msids-patients-infected-with-many-pathogens-and-explains-why-we-are-so-sick/

https://madisonarealymesupportgroup.com/2019/11/21/cdc-misses-the-mark-with-chronic-lyme-disease/

 

Live Q & A Webinar: Lyme Coinfections 11/19

Live Webinar: Ask Dr. Rawls
Join Dr. Bill Rawls for this new LIVE WEBINAR on Tuesday, November 19th, at 8pm ESTfor a new LIVE Q&A webinar about Lyme Disease Coinfections.

If you have questions about diagnosing and treating common Lyme coinfections including Epstein-Barr, Bartonella, Mycoplasma, Babesia, and Candida, you don’t want to miss this webinar.

Topics covered by Dr. Rawls during the webinar will include:

  • What are the telltale signs of a Lyme coinfection?
  • Do you need to know which coinfection(s) you have before seeking treatment?
  • Are there any reliable tests for Lyme and coinfections?
  • What are the best herbal and natural remedies for Lyme coinfections?
  • How can you tell for certain when Lyme and coinfections are gone?
  • Numerous other insights and answers throughout the live Q&A with Dr. Rawls

Submit your top Lyme coinfection questions after you register, and Dr. Rawls will try to answer as many as possible.

Plus, we will announce an exclusive offer for webinar attendees.

Reserve Your Seat Now »
We look forward to seeing you there!

P.S. If you have questions about the webinar, please reply to this email or call us at 800-951-2414.

 

Brain Illness Spread by Ticks Has Reached UK

https://www-bbc-co-uk.cdn.ampproject.org/c/s/www.bbc.co.uk/news/amp/health-50206382

Brain illness spread by ticks has reached UK

By Michelle Roberts
Health editor, BBC News online

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Image copyright GETTY IMAGES Tick

An infectious disease that can harm the brain and is spread to people by tick bites has been identified in ticks in the UK for the first time.

Public Health England (PHE) says it has confirmed cases of tick-borne encephalitis virus in ticks from two parts of England – Thetford Forest and an area on the Hampshire-Dorset border.

PHE says the risk to people is still “very low”.

It is monitoring the situation to check how common the infected ticks may be.

What is it?

A tick is a tiny, spider-like creature that lives in undergrowth and on animals, including deer and dogs.

People who spend time walking in countryside areas where infected ticks can be found are at risk of being bitten and catching diseases they carry.

Tick-borne encephalitis virus is already circulating in mainland Europe and Scandinavia, as well as Asia.

Evidence now shows it has reached the UK.

How it got here is less clear. Experts say infected ticks may have hitched a ride on migratory birds.

Earlier this year, a European visitor, who has since recovered, became ill after being bitten by a tick while in the New Forest area, Public Health England says.

Further investigations revealed infected ticks were present in two locations in England.

Should I worry?

Ticks are becoming more common across many parts of the UK, largely due to increasing deer numbers. Being bitten by one doesn’t necessarily mean you will get sick.

Dr Nick Phin, from Public Health England, said:

”These are early research findings and indicate the need for further work. However, the risk to the general public is currently assessed to be very low.”

Most people who catch the virus will have no or only mild flu-like symptoms. But the disease can progress to affect the brain and central nervous system and can sometimes be fatal.

Ticks can also carry other diseases that can make people ill including Lyme disease.

Dr Phin said:

“We are reminding people to be ‘tick aware’ and take tick precautions, particularly when visiting or working in areas with long grass such as woodlands, moorlands and parks.”

What should I do?

  • To reduce the risk of being bitten, cover your skin, tuck your trousers into your socks, use insect repellent and stick to paths
  • If you are bitten, remove the tick with fine-tipped tweezers or a tick-removal tool found in chemists
  • Clean the bite with antiseptic or soap and water
  • You should go to your GP if you think you may have been bitten by a tick in the past month and develop flu-like symptoms or a circular red rash
    Ticks feed on the blood of animals and people.

They cannot jump or fly but live in vegetation and wait for a passing animal or human to climb on to.

__________________

**Comment**

They can’t jump or fly but they can BLOW IN THE WIND.  One advocate told me ticks blew into her swimming pool. I’ve had others tell me they somehow blow or drop from trees onto clothes on laundry lines.  Tick researchers are often so myopic in their work they don’t believe real life stories of people.  It’s truly a shame as people are being bitten in ways they are told is impossible, yet it’s happening all the time and is far from rare.

For more:  https://madisonarealymesupportgroup.com/2019/05/29/czechs-record-most-tick-borne-encephalitis-cases-in-entire-eu/

https://madisonarealymesupportgroup.com/2017/10/30/tick-borne-encephalitis-found-in-serbian-dogs-horses-wild-boar-and-roe-deer/

Here in the U.S. Powassan Virus is mainly responsible for encephalitis; however, this stuff is moving around unabated.  It is underreported and has caused numerous deaths.  

For more on Powassan:   https://madisonarealymesupportgroup.com/2016/02/21/powassan-virus/

It recently killed a former U.S. Senator:  https://madisonarealymesupportgroup.com/2019/10/29/former-u-s-senator-dies-of-powassan-virus/

Coppe Lab out of Wisconsin emphatically states Powassan is NOT rare:

http://www.coppelabs.com/blog/why-is-powassan-virus-infection-still-described-as-rare-and-mysterious/  Please read the following excerpt by Coppe Lab here in Wisconsin,

For the last two years, Coppe Laboratories has dedicated a significant amount of time and resources to dispelling the myth that infection with Powassan virus, a virus transmitted by tick bite, is rare. The Centers for Disease Prevention and Control (CDC) reports only 100 cases of Powassan virus infection in the United States in the last 10 years. Indeed, that statistic gives the illusion that Powassan infection is rare. However, did you know that the only infections reported to CDC are those that are life-threatening, particularly cases causing severe inflammation of the brain like the case reported in LiveScience? Coppe has published three new papers in the last year that clearly show Powassan virus infection is not rare are at all,and until testing for this virus is included as part of tick-borne disease screening panels infections will continue to be underreported. Coppe’s Powassan Guide, which can be downloaded from the website, summarizes the findings from both tick and human Powassan prevalence studies, as well as defining the patient populations that would benefit most from Powassan testing.

 

 

The Scientific Connection Between STARI & Chronic Lyme

The Scientific Connection Between STARI and Chronic Lyme

By Allison Caruana

President, The Mayday Project

The organism that causes chronic Lyme disease and STARI/Master’s disease is physiologically similar, but until now has not been defined. Borrelia burgdorferi (Bb) is the carrier of but not the cause of the longstanding symptoms of what is known as chronic Lyme disease. Borrelia burgdorferi B31 is a rickettsial agent. Helical spiroplasma that carries the Pandora Virus (circular plasmid 26), which transfers mutant virophages to the host, is the causative agent of chronic (not early) Lyme disease, as well as STARI/Master’s disease.

In an interview with Gary Engelman, Dr. Willy Burgdorfer made two important claims. The first, borrelia was the agent of Relapsing Fever, but is not the agent of Lyme disease.13 Relapsing Fever is a different species of borrelia2, whereas Borrelia burgdorferi B31 is Spiroplasma apis.21 Dr. Willy Burgdorfer goes on to state that these are spirochete-like organisms and that up until his discovery of Borrelia burgdorferi, spirochetes had never been found to exist in deer ticks.13 The same is not true for spiroplasmas, which are common in arthropods.16 Spiroplasmas are known to cause symptoms identical to Lyme disease, i.e., arthritis, heart murmur, swollen knee, and more.14 

The Borrelia associated with Lyme disease are unlike other borrelia, as these organisms are known for an amorphous slime layer. Historically, this feature has been associated with spiroplasmas, not spirochetes.17, 20, 29, 30 Spiroplasmas (family spiroplasmataceae, order mycoplasmatales) are comprised of a group of helical prokaryotes whose external morphology differs from the spirochete. The spirochete is defined by an internal skeletal framework rather than an external peptidoglycan-containing cell wall.15 The organism we call the Bb spirochete has blebs and granules,6 which are attributes of spiroplasma and mycoplasma that occurs as a morphological response to environmental stress- which produce uncultivable mycoplasmas.20, 23, 29, 31, 32

Borrelia burgdorferi B31 is believed to be a pleomorphic spiroplasma within the family of Spiroplasma apis. This would explain Dr. Willy Burgdorfer’s statement regarding the “spirochete-like organisms” that are found in ticks.13 Additionally, Borrelia burgdorferi contain 12 linear and 9 circular plasmids, some of which have been determined to harbor mutant “bacteriophages”.4, 11, 12, 18 In theory, the term bacteriophage could be exchanged for a more proper term: “virophage”. This suggestion comes on the basis that the term “plasmid” and “chromosome” can be interchanged for “Giant viruses”.19 The circular plasmid 26 (cp26) of Borrelia burgdorferi contains 27 phages7, 11, 12 of which 19 are mutant phages (FIG. 6).18 If cp26 was not a Girus (Giant Virus), the plasmid would have burst due to the infection of a natural phage. However, cp26 is the only plasmid to be found in all isolates of Bb that has not experienced gene loss.7, 18 

It is important to note that convoluted terminology has been previously experienced in discussions around Bb. The terms “spiroplasma”, “mycoplasma” and “spirochete” are used interchangeably,31 so this is understandable for “Giant virus”, “Plasmid” and “chromosome”. The Giant Virus is also said to be associated with amoebas, however, there are amoeba-associated bacteria which can exploit common mechanisms.26

Dr. Willy Burgdorfer reviewed and tested patient blood samples from Dr. Anderson for C9P09, which is a rickettsial helical Mycoplasma; P09 being a Rickettsia bellii and C9 being a Mycoplasma (FIG. 2).35 This is further supported by the theory that an endosymbiotic infection produces spirochetes that are uncultivable Mycoplasmas, which are also called spirochetes. 1, 22, 31, 32 

The “Swiss Agent” is documented by Dr. Willy Burgdorfer (FIG. 3),25 who also wrote a speech on “Pandora’s Box”.5 Although the Swiss Agent paper is associated with the suspected African Swine Flu, Dr. Willy Burgdorfer appears to be famous for leaving clues throughout his work regarding Lyme disease. Upon reviewing the structure of the Lyme disease “Swiss Agent” and the “Pandora Giant Virus”, there is a striking resemblance that deserves further examination. This theory is supported by presentations FIG. 3 & 4, which show similar organisms. Additionally, this is supported by phylogenic information found on www.giantvirus.org regarding the genes found within the giant viruses (FIG. 5). 

Giant viruses are also known to harbor a symbiotic colony of Sputnik or mutant virophages in archaeal viruses (plasmids).9, 27 These phages are found in cp26 and the multiple cp32’s, which are worthy of additional research.4, 7, 11, 12, 18  From a virology standpoint, the only way these phages could coexist in a symbiotic relationship within the bacteria would be if the plasmid was in fact a giant virus- able to transduce genetic information to ensure the survival of the host and the organisms.11, 12 The phages carried in cp26 are the only ones to be found in all isolates and never lost.7

The giant virus also brings into question why STARI and Master’s disease is noted by Dr. Willy Burgdorferi to be a Lyme disease agent that is found in Amblyomma americanum (FIG. 1). This is supported by the fact that flaB (a transcription gene for Bb) was found in all STARI patients he had tested.8, 11 The Lyme- like organism is a mimicking microbe that by scientific definition is a giant virus.9 The scientific differentiation has been made between “Early Lyme disease” and “STARI”/“Master’s disease”, but not “chronic Lyme disease”.24 There are numerous morphological similarities between chronic Lyme disease and STARI/ Master’s disease. In both organisms, uncultivable spirochetes can be found, in addition to the transcription gene, flaB being found in STARI. Being that flaB is a promoter gene of cp26,10 the giant virus of Borrelia burgdorferi would be found in STARI patients. 

It is suspected that the rickettsial agents associated with the Lyme disease organism assists in a morphological transformation of the plasmid within the spiroplasma.2 This transition could cause the morphological transformation of the bacterial infection of early Lyme disease into the chronic Lyme/ STARI/ Master’s disease organism of uncultivable spirochetes.3, 31 In addition to the transformational aspect of early Lyme disease to chronic Lyme disease, we have a variety of ticks believed to carry this organism (FIG. 1). It is possible that the giant virus is still transferred to the patient, despite some ticks carrying an anti-borrelial agent in their salvia that eliminates the spiroplasma.1, 8, 24 All evidence supporting the theory that cp26 is in fact responsible for the uncultivable spirochetes found in human subjects,3 potentially the same for all three diseases in question in this research study.

Chronic Lyme (Figures found here)

References

 Barbour, A. G., Maupin, G. O., Teltow, G. J., Carter, C. J., & Piesman, J. (1996). Identification of an Uncultivable Borrelia Species in the Hard Tick Amblyomma americanum: Possible Agent of a Lyme Disease-like Illness. Journal of Infectious Diseases173(2), 403–409. doi: 10.1093/infdis/173.2.403  155–176. doi: 10.1016/b978-0-12-370390-3.50011-1

Barbour, A. G. (1990). Antigenic Variation in Relapsing Fever Borrelia Species. The Bacteria, 155–176. doi: 10.1016/b978-0-12-370390-3.50011-1

Brandes, N., & Linial, M. (2019). Giant Viruses—Big Surprises. Viruses11(5), 404. doi: 10.3390/v11050404

Brisson, D., Drecktrah, D., Eggers, C. H., & Samuels, D. S. (2012). Genetics of Borrelia burgdorferi. National Center of Biotechnology Information, 1–35. doi: 10.1146/annurev-genet-011112-112140

 Burgdorfer, W. (n.d.). Speech, Ticks-a Pandora’s Box. Retrieved from https://uvu.contentdm.oclc.org/digital/collection/Burgdorfer/id/900/rec/1326.

 Burgdorfer, W. (n.d.). Speech, Complexity of Arthropod-borne spirochetes (Borrelia app.) with reference to the Lyme disease agent, Borrelia burgdorferi. Retrieved from https://uvu.contentdm.oclc.org/digital/collection/Burgdorfer/id/899/rec/2020.

Byram, R., Stewart, P. E., & Rosa, P. (2005). The Essential Nature of the Ubiquitous 26-Kilobase Circular Replicon of Borrelia burgdorferi. Journal of Bacteriology187(9), 3288–3288. doi: 10.1128/jb.187.9.3288.2005

Clark, K. L., Leydet, B., & Hartman, S. (2013). Lyme Borreliosis in Human Patients in Florida and Georgia, USA. International Journal of Medical Sciences10(7), 915–931. doi: 10.7150/ijms.6273

 Diesend, J., Kruse, J., Hagedorn, M., & Hammann, C. (2018). Amoebae, Giant Viruses, and Virophages Make Up a Complex, Multilayered Threesome. Frontiers in Cellular and Infection Microbiology7. doi: 10.3389/fcimb.2017.00527

 Dunham-Ems, S. M., Caimano, M. J., Pal, U., Wolgemuth, C. W., Eggers, C. H., Balic, A., & Radolf, J. D. (2009). Live imaging reveals a biphasic mode of dissemination of Borrelia burgdorferi within ticks. Journal of Clinical Investigation119(12), 3652–3665. doi: 10.1172/jci39401

 Eggers, C. H., Kimmel, B. J., Bono, J. L., Elias, A. F., Rosa, P., & Samuels, D. S. (2001). Transduction by  BB-1, a Bacteriophage of Borrelia burgdorferi. Journal of Bacteriology183(16), 4771–4778. doi: 10.1128/jb.183.16.4771-4778.2001

Eggers, C. H., Gray, C. M., Preisig, A. M., Glenn, D. M., Pereira, J., Ayers, R. W., … Moeller, J. T. (2016). Phage-mediated horizontal gene transfer of both prophage and heterologous DNA by ϕBB-1, a bacteriophage ofBorrelia burgdorferi. Pathogens and Disease74(9). doi: 10.1093/femspd/ftw107

Engelman, G. (2011, March 22). My Lyme Disease Interview with Dr. Willy Burgdorfer by Gary Engelman, BSN, RN. Retrieved from https://www.youtube.com/watch?v=3SnIG-cRjHM&list=PL9E67E3675388F7DD.

Etienne, N., Bret, L., Brun, C. L., Lecuyer, H., Moraly, J., Lanternier, F., … Lortholary, O. (2018). Disseminated Spiroplasma apis Infection in Patient with Agammaglobulinemia, France. Emerging Infectious Diseases24(12), 2382–2386. doi: 10.3201/eid2412.180567

Fletcher, J., Melcher, U., & Wayadande, A. (2006). The Phytopathogenic Spiroplasmas. The Prokaryotes, 905–947. doi: 10.1007/0-387-30744-3_30

Henning, K., Greiner-Fischer, S., Hotzel, H., Ebsen, M., & Theegarten, D. (2006). Isolation of Spiroplasma sp. from an Ixodes tick. International Journal of Medical Microbiology296, 157–161. doi: 10.1016/j.ijmm.2006.01.012

Hénaff, M. L., Crémet, J.-Y., & Fontenelle, C. (2002). Purification and Characterization of the Major Lipoprotein (P28) of Spiroplasma apis. Protein Expression and Purification24(3), 489–496. doi: 10.1006/prep.2001.1600

Jewett, M. W., Byram, R., Bestor, A., Tilly, K., Lawrence, K., Burtnick, M. N., … Rosa, P. A. (2007). Genetic basis for retention of a critical virulence plasmid of Borrelia burgdorferi. Molecular Microbiology66(4), 975–990. doi: 10.1111/j.1365-2958.2007.05969.x

Koonin, E. V., Krupovic, M., & Yutin, N. (2015). Evolution of double-stranded DNA viruses of eukaryotes: from bacteriophages to transposons to giant viruses. Annals of the New York Academy of Sciences1341(1), 10–24. doi: 10.1111/nyas.12728

Kudryashev, M., Cyrklaff, M., Baumeister, W., Simon, M. M., Wallich, R., & Frischknecht, F. (2009). Comparative cryo-electron tomography of pathogenic Lyme disease spirochetes. Molecular Microbiology71(6), 1415–1434. doi: 10.1111/j.1365-2958.2009.06613.x

Lo, W.-S., & Kuo, C.-H. (2017). Horizontal Acquisition and Transcriptional Integration of Novel Genes in Mosquito-Associated Spiroplasma. Genome Biology and Evolution9(12), 3246–3259. doi: 10.1093/gbe/evx244

Mattila, J. T., Munderloh, U. G., & Kurtti, T. J. (2007). Phagocytosis of the Lyme Disease Spirochete,Borrelia burgdorferi, by Cells from the Ticks,Ixodes scapularisandDermacentor andersoni, Infected with An Endosymbiont,Rickettsia peacockii. Journal of Insect Science7(58), 1–12. doi: 10.1673/031.007.5801

Meriläinen, L., Schwarzbach, A., Herranen, A., & Gilbert, L. (2015). Morphological and biochemical features of Borrelia burgdorferi pleomorphic forms. Microbiology161(3), 516–527. doi: 10.1099/mic.0.000027

Molins, C. R., Ashton, L. V., Wormser, G. P., Andre, B. G., Hess, A. M., Delorey, M. J., … Belisle, J. T. (2017). Metabolic differentiation of early Lyme disease from southern tick–associated rash illness (STARI). Science Translational Medicine9(403). doi: 10.1126/scitranslmed.aal2717

Piller, C. (2016, October 12). The “Swiss Agent”: Long-forgotten research unearths new mystery about Lyme disease. Retrieved October 5, 2019, from https://www.statnews.com/2016/10/12/swiss-agent-lyme-disease-mystery/.

Schmitz-Esser, S., Tischler, P., Arnold, R., Montanaro, J., Wagner, M., Rattei, T., & Horn, M. (2009). The Genome of the Amoeba Symbiont “Candidatus Amoebophilus asiaticus” Reveals Common Mechanisms for Host Cell Interaction among Amoeba-Associated Bacteria. Journal of Bacteriology192(No.4), 1045–1057. doi: 10.1128/JB.01379-09

Scola, B. L., Desnues, C., Pagnier, I., Robert, C., Barrassi, L., Fournous, G., … Raoult, D. (2008). The virophage as a unique parasite of the giant mimivirus. Nature455(7209), 100–104. doi: 10.1038/nature07218

Seligmann, H. (2019). Giant viruses: spore‐like missing links between Rickettsia and mitochondria? Annals of the New York Academy of Sciences1447(1), 69–79. doi: 10.1111/nyas.14022

 Stalheim, O. H. V., Ritchie, A. E., & Whitcomb, R. F. (1978). Cultivation, serology, ultrastructure, and virus-like particles of spiroplasma 277F. Current Microbiology1(6), 365–370. doi: 10.1007/bf02621371

 Tully, J., Rose, D., Yunker, C., Cory, J., Whitcomb, R., & Williamson, D. (1981). Helical mycoplasmas (spiroplasmas) from Ixodes ticks. Science212(4498), 1043–1045. doi: 10.1126/science.7233197

Whitcomb, R. F., & Williamson, D. L. (1975). Helical Wall-Free Prokaryotes In Insects: Multiplication And Pathogenicity. Annals of the New York Academy of Sciences266(1 Pathobiology), 260–275. doi: 10.1111/j.1749-6632.1975.tb35109.x

Whitcomb, R. F., & Tully, J. G. (1982). Taxonomy and Identification of Spiroplasmas. Clinical Infectious Diseases4(Supplement_1). doi: 10.1093/clinids/4.supplement_1.s148

FIG. 1

Willy Burgdorfer’s research notes on established tick-borne disease of humans and/or animals in the United States. The Lyme disease agent, Borrelia burgdorferi is carried by Ixodes dammini, Ixodes pacificus, Ixodes scapularis, Amblyomma americanum.

FIG. 2

Willy Burgdorfer’s research notes on patients with rickettsial agents. The Swiss agent is shown to be a rickettsial helical mycoplasma, known as C9P09. 

FIG. 3

A microscopic slide of the labeled Swiss agent

FIG 4

Figure B2 is a Pandoraviridae, showing a striking resemblance to that of the Swiss agent.

FIG 5

The phylogenetic tree of giant viruses that includes the RpoC, DN-directed RNA polymerase, beta subunit/160 kD Transcription of Borrelia burgdorferi

FIG 6

The mutant alleles on cp26 showing 27 total bacteriophages, of which 19 are mutant bacteriophages.

Contact Information

Allison.Caruana@TheMaydayproject.org

Acknowledgements:  First and foremost, I acknowledge my Lord and Savior for saving me and giving me ability to do what I do to help others. To my five wonderful children that have supported my efforts and dealt with the hours upon hours of scientific studies. To my late husband Michael, who always believed in me and helped me to remain focused on what mattered the most. To my family of Lyme warriors, it is our suffering and our strength that has put the wind in my sails and given me the drive to see that future generations do not suffer the way we do. 

Former U.S. Senator Dies of Powassan Virus

https://www.wral.com/flags-in-nc-lowered-to-half-staff-to-honor-former-us-sen-kay-hagan/18728572/  News Video Here

Flags in NC lowered to half-staff to honor former US Sen. Kay Hagan

October 28, 2019

— Tributes poured in Monday from North Carolina and Washington, D.C., praising former U.S. Sen. Kay Hagan, who died after battling a lengthy illness, her family and Democratic party leaders confirmed to WRAL News. She was 66.

“We are heartbroken to share that Kay left us unexpectedly this morning,” her family said in a statement. “Kay meant everything to us, and we were honored to share her with the people of North Carolina, whom she cared for and fought for so passionately as an elected official.

“Most of all, we already miss her humor and spirit as the hub of our family, a role she loved more than anything. Nobody could light up a room and make people feel welcome like Kay,” her family said.

Hagan, a Democrat who was seen in public this weekend at a fundraising event for former Vice President Joe Biden, was elected in 2008 and served one term before she was defeated by Republican U.S. Sen. Thom Tillis during a bruising contest for the seat in 2014.

Gov. Roy Cooper ordered U.S. and North Carolina flags lowered to half-staff through sunset Tuesday to pay tribute to Hagan, who was born in Shelby.

Hagan served 10 years in the state Senate, representing Guilford County, before besting Republican U.S. Sen. Elizabeth Dole in 2008. Before entering politics, Hagan worked as a lawyer and in the banking industry.

In 2016, Hagan was diagnosed with Powassan virus, an illness transmitted by ticks. According to experts, there is no vaccine or antiviral drug that can combat the ailment.

As word began to spread about her death, the condolences started pouring in for Hagan.

“The world is a little grayer since we lost this amazing woman and dear friend today,” Claire McCaskill, former U.S. senator for Missouri, tweeted.

Biden also tweeted his condolences.

“Kay Hagan was a courageous soul who lived every day of her too-short life with incredible dignity and character, even as the days became more difficult physically,” Biden’s tweet said. “Jill and I are deeply saddened by this news and extend our condolences to her entire family.”

Republican 6th District Congressman Mark Walker, who represents the Greensboro area, said Hagan worked tirelessly for North Carolina.

“Sen. Hagan was dedicated to serving North Carolinians and especially to the men and women of the Armed Forces in America’s most military-friendly state,” he said in a written statement.

Cooper recalled the days when they both served in the state legislature.

“I’ve known Kay since our days in the legislature together,” Cooper’s statement said. “Kay was a fierce advocate for North Carolina, and she represented our state with courage and grace her entire career.

“She made it a mission to inspire young people, especially young girls, to enter public service, and she served as a role model to so many,” Cooper said.

Hagan rose quickly in the General Assembly to become one of the Senate’s primary budget writers under former Gov. Mike Easley. Easley had to negotiate the state budget with Hagan for many years, and he said she was warm but drove a tough bargain.

“She was such an angel and delightful personality, but at the same time, she could be just as tough as nails,” Easley said. “I remember her on [Senate] Appropriations standing up to a lot of the older guys in the legislature.”

Those who served in state government with her said news of her passing hit close to home.

“Notwithstanding the fact that we are of different parties and had philosophical disagreements, I always had a warm and friendly relationship with her,” Senate President Pro Tem Phil Berger said, noting they served in the Senate together for eight years and both represented Guilford County.

Tillis, who defeated Hagan for the Senate seat he now holds, said in a written statement, “Susan and I are absolutely heartbroken by Senator Kay Hagan’s sudden passing, and we extend our condolences and prayers to her loving family and many friends. We join all North Carolinians in remembering her dedicated and distinguished record of public service to our state and nation.”

Republican U.S. Sen. Richard Burr praised Hagan’s dedication to North Carolina.

“Kay dedicated much of her life to serving North Carolina, and she will be remembered for her tireless work on behalf of the home and the people she loved,” he said in a statement. “In our time as Senate colleagues, we worked across the aisle together frequently on issues that we both knew would determine what type of country our children would inherit.”