Category Archives: Co-Infections

Infectolab – Should co-infections be done same time as lyme test ?

So I’m thinking I will do my first ever Lyme test with Infectolab rather than IGenex. The lab have recommended their chronic Lyme package which is c. £400 including immunoblot, elispot ltt, and cd3/cd57. Sensible choice?

As I could have acquired Lyme virtually anywhere in the world on my travels then this lab seem to cover the most strains. Also my GP is likely to be unhelpful and may not sign lgenex’s paperwork so at least I can go direct with Infectolab.

Would love to do all the coinfections as my immunity is a big issue but testing for these will really add up. Should I wait and see how the Lyme panel goes first?

X Jo

Like ·  · 20 hours ago · 
  • May McGrath likes this.
  • Linda Brannigan Smit Hi Joanne Lee. How did you find out what strains Infectolab test for?
  • May McGrath I didn’t know they tested for more strains. Do they include those 2 bands from the vaccines which most test kits don’t include? I know Igenex include those 2 but I don’t know about Infectolab. 

    I hope someone can give an answer soon because I’m going to BS on Monday and I need to be sure which lab I want to ask for.

  • Sophie Grace Kellaway I’m an infectolab fan. Bear in mind if you’re waiting to do coinfection tests you’ll be paying an extra 60 euros postage. But if you’re not certain you have lyme it’s wise to wait.

    May – yes they include all the borrelia antigens (bands), as well as all 3 species. If the western blot with infecto is positive for p39 they actually tell you which species you have  However, Breakspear won’t treat based on them anymore judging by recent people’s visits.

  • Joanne Lee Thanks folks. Linda Brannigan Skit, I just emailed iGenex and they said they only test for strains originating in America but folk who have never been to America are still getting positives.Sophie Grace Kellaway hmmm that’s annoying about BS. Wonder why they have gone off Infectolab? I was maybe going to go there so this could change which test I go for as don’t want to pay twice for diff tests. Yeah…postage and biolab blood collection costs to consider for the coinfections. Have no history of tick bite but been outside a lot and have a spider bite. Complicated grandual onset but after 20 years of ME and a v weak immune system as thinking it’s something like Lyme.
  • Dawn Winter im in uk and had iginex test and came back possitive. never been to america x
    9 hours ago · Like · 1
  • Jasmin Woods Igenex test came back equivocal however Infectolab testing was positive for Lyme with two coinfections and coxsackie antibodies thru the roof. Best check with BS as to whether they will treat a positive Igenex result with antibiotics as they refused to treat Natty Connelly on her pos results. Have you filled out Infectolabs co infection questionnaire Jo they will advise what co infection tests are needed on your symptoms. Although it was expensive I’m glad I had the coinfections tests arranged at the same time. Did I read somewhere that Infectolab keep your bloods for 10 days in case further tests are required? Maybe you could email them.
    8 hours ago · Like · 1
  • Joanne Lee Thanks Jasmin Woods! Wow so that’s been it all this time! Thank god you’ve found out. How are you going to treat everything? Sounds like BS are treating using infectolab results then rather than iGenex then…or maybe neither! I hear Dr M is getting hassled by the GMC. Yep…have symptoms of co infections and got suggestions about which to test for. Oh maybe I should just do the lot. Was about £1k though in total.
  • Jasmin Woods Hi Joanne Lee I think your best bet is to ring Patient Liason at BS to get some up to date info on whether they will treat positive Infectolab results with antibiotics as I was told they wouldn’t about a month ago. I think your right Dr M is being hassled by the GMC so her hands are tied. I arrange testing through Infectolab. No sure yet how I will get treatment yet …….will pm you a bit later today.
    7 hours ago · Like · 1
  • Merete Bailey If you know you have a European strain of Lyme disease is it better to seek treatment from a European LLMD or are the american LLMD just as good?
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New roundworm may be connected with CFS/Lyme

NEW RESEARCH INTO MULTIPLE CHEMICAL SENSITIVITIES: THE POSSIBLE ROLE OF VARESTRONGYLUS KLAPOWII IN CAUSE AND TREATMENT

Neil Nathan MD is working with Dr. Klapow on looking into the connection between Vk and MCS.

By Neil Nathan MD

 Dr. Lawrence Klapow discovered a “new” roundworm, or nematode, approximately 15 years ago. As with many ground-breaking discoveries, the scientific community has been slow to accept or embrace his findings, despite the fact that he was able to complete a double-blinded study in which patients with Chronic Fatigue Syndrome were found to harbor this nematode in a surprisingly high percentage of cases. To be more specific, of 40 patients with Chronic Fatigue Syndrome, Varestrongylus klapowii (which we will now refer to as Vk) was found in over 60% of them, while not found in any of 20 controls.

This alone should stimulate researchers to delve into this area with great excitement. Unfortunately, this has not yet occurred.

While describing his findings to us at a GMA staff meeting several months ago, Dr. Klapow reminded us that the Vk worm is similar to several other nematodes that are capable of making an enzyme called acetylcholinesterase. Dr. Gordon and I looked over at each other at that moment, simultaneously struck by the possibility that this would explain one of the unusual phenomena faced by patients with Multiple Chemical Sensitivities (MCS)—–namely, the rapidity with which those patients react to chemicals or scents that set off their symptoms.

Let me explain. When a patient with MCS is exposed to an offending chemical, or scent, they will usually react almost instantly. This means that within seconds of exposure, they will experience extreme fatigue, cognitive impairment, or neurological events (spasms, tics, dystonias, even seizure-like activity). What has made this difficult to understand is that we have been viewing MCS as a form of allergy; however, no allergic reaction, even an anaphylactic reaction (e.g eating shrimp and breaking into hives or having trouble breathing) occurs that fast. Those reactions take at least 5-15 minutes to manifest. So why do MCS patients react so instantaneously?

Dr. Klapow’s suggestion, once understood, is that perhaps it is this nematodeVk, which lives primarily in the sinus and lung tissues, that is reacting to these chemical stimuli, producing acetylcholinesterase, which, in effect acts as a kind of neurotoxin or nerve poison, producing these effects.

Intrigued by this idea, we have embarked in a research project to study this possibility.

We started by asking as many of our MCS patients as possible, if they would allow us to wash out their sinuses and allow Dr. Klapow to analyze this material for the presence of the Vk worm. As of this date (7/14/12) we have looked at 33 patients, and 30 of them have clear evidence of the Vk worm.  We have looked at 5 controls, only one of whom is positive for the worm.

The first question appears to be answered: do patients with MCS have the Vk worm present?  Over 90% of them do. (The three patients who tested negative are being re-tested now as well.)

  • Does this worm make acetylcholinesterase?  We are working with several research groups and have sent them specimens for analysis. We hope to know this shortly.
  •  Do MCS patients have an increased level of acetylcholinesterase when exposed to a chemical that we know provokes a response in them? Several of our courageous patients have volunteered to check out this possibility and we are working with several labs to provide this information for us.
  • Does this mean that treating a patient who has this worm might help to cure them of MCS? We do not know yet, but we are looking into this possibility with great interest.

We will keep you abreast of this exciting research being done at GMA, as it unfolds.

This study is closed to new participants. If you are interested in possibly being included in the future, send your information to Susan.We are sorry, but most GMA studies, including this one, are open only to GMA patients.

pacificmama

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Posted 04 January 2011 – 09:01 AM

Thought this was interesting enough to post. It came around in one of my lyme newsmails. I often see people on lymenet post that until you tackle the worms, you won’t get the cure.I do remember that in Dr. Corson’s talk at ILADS this year, she told the story of how Willy Burgdorfer (who “discovered” borrelia burgdorferi and hence it is named after him) was really looking into nematodes in ticks when he then found the borrelia.

Here it is… it’s not for the squeamish!

Mary

——————————————————

Nematode Spirochete Farmers 

In 2000, the World Health Organization (WHO) reported that over a billion people are at risk for parasitic worm infections (filaria). 120 million people are infected with parasites in more than 80 countries (Africa, Asia, Central and South Americas, and the Pacific Islands). Of those infected, 44 million suffer filariasis symptoms.

Nematodes are parasitic worms which receive nourishment and/or shelter from hosts. There is a theory that nematodes ‘farm’ smaller organisms like the Lyme Borrelia spirochetes, similar to the way we humans farm cows or chickens, feeding and protecting them so we can later eat them. Nematodes may live symbiotically with spirochetes in humans!

Ticks and other vectors harbor numerous parasites: large ones referred to as worms (filaria) and microscopic bacteria, viruses, protozoa, fungi and microfilaria. Ticks in Connecticut and New York do carry nematodes according to Doctors Willy Burgdorfer, Eva Sapi, and Richard Ostfeld.

Can worms destroy American health, as in WHO’s reported 80 countries, or as in our American pets? The answer to the question, “Can nematodes wreak havoc as human parasites?” is supposedly unknown, at least in the USA. Well, can nematodes prevent recovery from “chronic” Lyme and tick-borne diseases? Puppies are de-wormed soon after they are born. Dogs typically and quickly recover from Lyme disease after antibiotics, perhaps because of their early-life and subsequent regular de-worming; there are no nematodes harvesting spirochetes in their canine bodies.

If nematodes work against antibiotics by protecting and increasing spirochete population, then antibiotic therapy may eradicate ‘loose’ spirochetes but not those under nematode farmers’ protection. If a nematode-Borrelia symbiotic relationship exists, Borrelia can screw its way out, escape the nematode farm, free to wreak havoc on us.

If nematodes are present, then a huge amount of antibiotics over a long period of time may only suppress bacterial growth. Symptoms will be somewhat relieved, a modicum of health will be maintained, but there is no cure while nematodes live to raise new spirochetes.

So for the duration, surviving nematodes will keep on farming. Can this proposed process explain the cyclical nature of Lyme in certain cases? Antibiotics destroy spirochetes, some nematodes starve and die, but survivor nematodes still farm. A human host might suffer a relapse or flare-up if a bountiful harvest releases excess spirochetes into the body.

Antibiotics relieve our symptoms by killing spirochetes. Antibiotics also decrease the nematode’s food supply resulting in nematode starvation and death. If enough spirochetes are destroyed and enough nematodes die of starvation, eventually there might be no one left to run the farm. A patient recovers.

However if nematode filaria causes some chronic Lyme, it might be more prudent to stop the farmer. Ivermectin causes starvation and death of nematodes by interfering with their ability to eat/digest. Although antibiotics have been our primary defense, a doctor once told me Ivermectin was the best medicine for Lyme disease. Interesting to note that since 1982, filariasis victims in WHO’s reported 80 countries were given millions of free doses of Ivermectin as part of a Global Health Initiative, but in the USA and Europe, it is typically not prescribed. A surging idea is that all we need is to live healthy and take vitamins and supplements but I suspect that what would CURE chronic Lyme would be a remedy for the cause!

Other causes may be virulent Borrelia, Mycoplasma, Morgellons, Candida, other Fungi, Molds, XMRV, (Xenotropic Murine Retrovirus) and/or other microbes or filaria.

The average chronic Lyme patient suffers a gradual decline into poverty and a lifetime of pain and debilitation. Find the cause, treat and have compassion.

Eva Haughie

EMPIRE STATE LYME DISEASE ASSOCIATION, INC


Posted 04 January 2011 – 10:10 AM

Thank you very much for posting this. I have heard for quite a while that often with chronic lyme, the parasites/worms are a real part of the problem to deal with. Perhaps this explains why it is so important to deal with this issue, and another good reason to start on worms FIRST, before abx, as Dr. Klinghardt suggests in his slides/talks. I started on abx first, not knowing about the parasites/worms at that time, and while it helped me a lot, helped me keep my job, I do think it resulted in the parasites/worms becoming even more of a problem to deal with later.

Posted 04 January 2011 – 11:40 AM

This was a very interesting article. We are seeing a Dr. in Klinghardt’s office and Ivermectin was one of the first meds (after 2 days of biltricide and along with pyrantel pamoate) prescribed but I did not know why. Thank you so much.

Ds16: 5/10-PANS; 10/10 -lyme; Babesia [parasite]; Mico. & chlamydia pneumonieae; mold; T&A done; GcMAF done 12/13;

Current treatment

  Maintenance:  Vit. D3/Omega 3’s; Detox [chlorella-Chia seeds-charcoal/clay for stomach detox(during illness only)];  probioticKidney detox drink-electrolytes/’M’ Water/Galactose

PANS Support (mood/brain/anti-bacterial:  Kavinace;   B12 Spray; Calming Cream; Neuro-Immune Stabilizer cream; SpiroNil-Biocidin (anti-bacterial)

Immune Support-Winter:  Chaga mushroom; Vit. A pushes once a month to keep viruses away.

Prescriptions:  thyroid; Desmopressin [Urinary tract support]; neurofeedback (weekly);  Psychologist (bi-weekly); Exercise (finally!)

Manuka honey [+35]/distilled water for nasal spray/ear drops and in tea for throat)<p>Wow!–LOVE THIS HONEY for ears, nose (we keep to once/week or less), & throat!


Lyme Disease UK Discussion Group

Several of us were found to have this worm in 2007……
New Research Into Multiple Chemical Sensitivities: The Possible Role Of Varestrongylus klapowii…
gordonmedical.com
By Neil Nathan MD Dr. Lawrence Klapow discovered a “new” roundworm, or nematode, approximately 15 years ago. As…

Neelu Bird y is worm tx only given to dogs these days and not humans?

  • Nina Maggs Seems medical treatment for dogs is better than for humans these days. If only the medical authorities knew that a dog can’t unfortunately pay tax or contribute to revenue…
    12 hours ago · Like · 3
  • Natalie Mischief So how do you find out if you have it? And have they successfully treated it in the patients they found it in?
  • Jacqui Butterworth More important what do you treat it with?This study is closed to new participants. If you are interested in possibly being included in the future, send your information to Susan. We are sorry, but most GMA studies, including this one, are open only to GMA patients.
    Tried Susan but not got through!
  • Michelle Rowland Denise Longman is this the nematode that was found by Wally Burgdorfer when he dissected tick guts?
  • Louise Dean Animal worming meds can be taken by humans with the dosages adjusted to our body weight I would assume.
    3 hours ago · Like · 1
  • Clare Turner Yes Louise, following initial treatment as advised by LLMD (no longer allowed to treat Lyme etc) I take a monthly dose of anti- worming medicine on the full moon, which is when they hatch.
    3 hours ago · Like · 2

Continue reading New roundworm may be connected with CFS/Lyme

Chronic Lyme Disease and Co-infections: Differential Diagnosis

Chronic Lyme Disease and Co-infections: Differential Diagnosis

Abstract

In Lyme disease concurrent infections frequently occur. The clinical and pathological impact of co-infections was first recognized in the 1990th, i.e. approximately ten years after the discovery of Lyme disease. Their pathological synergism can exacerbate Lyme disease or induce similar disease manifestations. Co-infecting agents can be transmitted together with Borrelia burgdorferi by tick bite resulting in multiple infections but a fraction of co-infections occur independently of tick bite. Clinically relevant co-infections are caused by Bartonella species, Yersinia enterocoliticaChlamydophila pneumoniaeChlamydia trachomatis, andMycoplasma pneumoniae. In contrast to the USA, human granulocytic anaplasmosis (HGA) and babesiosis are not of major importance in Europe. Infections caused by these pathogens in patients not infected byBorrelia burgdorferi can result in clinical symptoms similar to those occurring in Lyme disease. This applies particularly to infections caused by Bartonella henselaeYersinia enterocolitica, and Mycoplasma pneumoniaeChlamydia trachomatis primarily causes polyarthritis. Chlamydophila pneumoniae not only causes arthritis but also affects the nervous system and the heart, which renders the differential diagnosis difficult. The diagnosis is even more complex when co-infections occur in association with Lyme disease. Treatment recommendations are based on individual expert opinions. In antibiotic therapy, the use of third generation cephalosporins should only be considered in cases of Lyme disease. The same applies to carbapenems, which however are used occasionally in infections caused by Yersinia enterocolitica. For the remaining infections predominantly tetracyclines and macrolides are used. Quinolones are for alternative treatment, particularly gemifloxacin. For Bartonella henselaeChlamydia trachomatis, and Chlamydophila pneumoniae the combination with rifampicin is recommended. Erythromycin is the drug of choice forCampylobacter jejuni.

Keywords: Bartonellosis, Borellia burgdorferi, Chlamydophila pneumoniae, Chlamydia trachomatis, co-infection, Lyme disease, Mycoplasma pneumoniae, treatment, Yersinia enterocolitica.

INTRODUCTION

In Lyme disease, other infections, whose pathological synergism exacerbate the disease or induce similar clinical manifestations, can exist concurrently. Such concomitant infections are termed co-infections. Co-infections can be transmitted together with Borrelia burgdorferi by tick-bite, and result in multiple infection. Part of co-infections is independent of tick-bite.

The goal of this review was to summarize the more important co-infections completed with some personal experiences and with a short summary on reactive arthritis. Because of the similarity of the clinical symptoms of tularemia, Q fever, parvovirus B19 and Campylobacter jejuni infections to those of Lyme disease a short summary of these infections are also included.

Continue reading Chronic Lyme Disease and Co-infections: Differential Diagnosis

Lab Tests to be undertaken

A number of tests are available :

NHS Funded

  • Two Tier Testing
    • ELISA test  – Many false positives
    • Western Blot test  – <50% effective and many false negatives

Must Have

  • CD57 Count – An immune marker for Lyme
  • LTT-Elispot  –  97% Infectolab
  • Panel for co-infections
    • bartonella, ehrlichia, babesia
  • Candida
  • Vitamin D / Calcium / B12

Advised

  • Chlamydia pneumoniae
  • Mycoplasma
  • Rickettsia 
  • Ehrlichiosis

Others

  • Melissa –  (Dale had this tested positive 2011 on two bands)
  • PCR (Red Labs)
  • DNA
  • Hilysen (New in Europe)
  • Borrelia-Immunoblot
  • Troponin blood test  (Cardiac Muscle)
  • Coxsackie-Virus antibodies
  • Ehrlichia
  • EBV

Co Infections

Can either:
  • pre-exist and be activated after Lymes disease de-activated immune system
  • be acquired by tick born infection at the same time as Lyme
  • be opportunistic infections that are acquired after lyme
Typical are:
  • Borrelia
  • Babesia
  • Bartonella
  • Borrelia
  • Erhlichia
  • CPN
  • Chl. Trachomatis
  • EBV  (Virul)
  • Yersinia (Virul)

Tick Bytes

  • If you suspect you have been bitten by a tick take it seriously.
  • We are not always aware of a tick bite as the smallest is the size of a poppy seed and we cannot feel it bite because it injects an anesthetic.
  • Only about 50% of people get a typical bulls eye rash. The rash is the hall mark of Lyme’s Disease and so it is not necessary or advisable to wait for a positive blood test, by then the organism has had chance to disseminate throughout your system.
  • Three genospecies, Borrelia burgdorferi sensu stricto, Borrelia afzelli and Borrelia garinii, represent the predominant pathogenic variants in the UK.
  • Erythema migrans is the commonest manifestation, occurring in 60%-91% of cases.