LymeNet Home LymeNet Home Page LymeNet Flash Discussion LymeNet Support Group Database LymeNet Literature Library LymeNet Legal Resources LymeNet Medical & Scientific Abstract Database LymeNet Newsletter Home Page LymeNet Recommended Books LymeNet Tick Pictures Search The LymeNet Site LymeNet Links LymeNet Frequently Asked Questions About The Lyme Disease Network LymeNet Menu

LymeNet on Facebook

LymeNet on Twitter

The Lyme Disease Network receives a commission from for each purchase originating from this site.

When purchasing from, please
click here first.

Thank you.

LymeNet Flash Discussion
Dedicated to the Bachmann Family

LymeNet needs your help:
LymeNet 2020 fund drive

The Lyme Disease Network is a non-profit organization funded by individual donations.

LymeNet Flash Post New Topic  New Poll  Post A Reply
my profile | directory login | register | search | faq | forum home

  next oldest topic   next newest topic
» LymeNet Flash » Questions and Discussion » Medical Questions » Information For Those With Shin Bone Pain

 - UBBFriend: Email this page to someone!    
Author Topic: Information For Those With Shin Bone Pain
LymeNet Contributor
Member # 13658

Icon 1 posted      Profile for FuzzySlippers     Send New Private Message       Edit/Delete Post   Reply With Quote 
There seems to have been alot of posts recently inquiring about which infection(s) might cause shin bone pain.

As Lyme patients, we know all too well how many symptoms overlap among the various infections that we are fighting. However, it is undeniable, that one strain of Bartonella in particular will cause shin bone pain. It is Bartonella Quintana.

The shin bone pain is so prevalent in this infection that the illness is also known as "Shin Bone Fever."

Other names for this infection are Trench Fever, 5-day fever (when it's not chronic), Wolhynia fever, Quintana fever, His-Werner disease and there are other names as well.

Here is a portion of an article from the Bartonella Information Thread here on Lymenet which speaks a little on the common symptoms with this strain:

Clinical manifestations of trench fever may range from asymptomatic infection to severe, life-threatening illness. Classical trench fever, the presentation most often reported among troops, corresponds to a febrile illness of acute onset and of a periodic nature often accompanied by severe headache and pain in the long bones of the legs. However, the sudden development of a wide range of symptoms can indicate the onset of trench fever.

Such symptoms include headache, weakness, pain in the legs, malaise, dyspnea, giddiness, pain in the loins, shivering, abdominal pain, diarrhea, constipation, anorexia, nausea, frequent micturition, restlessness, and insomnia.

The prodromal period may last for 2 days or more. The severity of symptoms increases gradually over the first few days of disease. Headache is most often severe, especially at the front of the head and behind the eyes. When occipital, it is often accompanied by a stiffness of the neck, and symptoms may therefore suggest meningitis.

Pain may spread to the back and limbs, with leg pain being the most severe. This pain is often felt in the bones, specifically in the tibia. The patient will suffer regular cycles of profuse sweating and then shivering.

On examination, the tongue is often slightly furred, and conjunctival congestion and a decrease in the pulse rate in relation to the severity of the fever may be present. Areas of tenderness are associated with the pains involving muscles, tendons, bones, and joints.

The spleen often becomes palpable. The pyrexia associated with trench fever is often periodic, although the cycles may be of irregular duration. The level of the pyrexia is also variable, and there may be a relationship between the degree of pyrexia and its duration.

The interval between attacks of pyrexia is usually between 4 and 8 days, with 5 days being the most commonly observed period. The term quintan fever refers to the 5-day recurrences. Usually each succeeding attack is less severe than its predecessor, although in profound cases the patient becomes weaker and leg pains become more persistent.

Major polymorphonuclear leukocytosis often accompanies the febrile stages of the disease. Anemia may also occur, especially in chronically ill patients.

Although trench fever often results in prolonged disability, no fatalities have been recorded. Patients are most profoundly ill during the early stages of the disease, which usually continues for 4 to 6 weeks.

A minority of illnesses will become chronic, during which time the following signs and symptoms may develop: exhaustion, headaches, recurrent limb pains, irritability, nervous manifestations such as depression, abnormal response to stimuli, tendency to sweat, coldness of extremities, fever, anemia, and loss of weight.

The chronically ill patient often also complains of breathlessness on exertion, palpitations, pain over the precordium, giddiness, and disordered activity of the heart. Damp weather exacerbates all pain.

In some cases, the infection is very persistent and acute febrile lapses occur months after quiescence. Byam et al. (18) defined chronic trench fever as a state of marked debility, with or without attacks of slight fever and aching, and characterized by a hyperexcitability of the nervous system in general.

CLINICAL MICROBIOLOGY REVIEWS, July 1996, p. 273292 Vol. 9, No. 3 0893-8512/96/$04.0010 Copyright q 1996, American Society for Microbiology
[This Message was Edited on 07/28/2008]

The above article is rather old. I suspect that the sentence indicating that only a "minority" of patients will end up with chronic Bartonella infections would be hotly disputed today. lol

Anyway, hope this helps.

Posts: 503 | From Maryland | Registered: Oct 2007  |  IP: Logged | Report this post to a Moderator
Frequent Contributor (1K+ posts)
Member # 20157

Icon 1 posted      Profile for nefferdun     Send New Private Message       Edit/Delete Post   Reply With Quote 
I read a lot of homeless people have that type of bartonella. I have many of those symptoms including the shin pain. There are a lot of symptoms not mentioned like indentations in the skin where it is "eaten out", nodules, swelling, cramps, etc.

old joke: idiopathic means the patient is pathological and the the doctor is an idiot

Posts: 4676 | From western Montana | Registered: Apr 2009  |  IP: Logged | Report this post to a Moderator
Frequent Contributor (5K+ posts)
Member # 81

Icon 1 posted      Profile for lou     Send New Private Message       Edit/Delete Post   Reply With Quote 
I have also read that shin bone pain can be caused by lyme disease. This is in Dr. Blewiss's wonderful paper. But it seems to be a matter of pressure on the bone that causes the pain. A nurse practitioner checked me for this some time ago, and when she found the right place, the pain was excruciating.

So, are there multiple causes or did this doctor not know about bartonella coinfection, since it has been more or less discovered after his death. Don't think I have bartonella.

There is also a similar symptom in syphilis.

Posts: 8430 | From Not available | Registered: Oct 2000  |  IP: Logged | Report this post to a Moderator
Frequent Contributor (5K+ posts)
Member # 18524

Icon 1 posted      Profile for Pinelady     Send New Private Message       Edit/Delete Post   Reply With Quote 
I just watched a show about Trench Fever. How the soldiers in WWI were grossly infected with it while they lived in the trenches in Europe.

Sad. Many had no idea what was wrong with them if they were lucky enough to get home.

Suspected Lyme 07 Test neg One band migrating in IgG region
unable to identify.Igenex Jan.09IFA titer 1:40 IND
IgM neg pos
31 +++ 34 IND 39 IND 41 IND 83-93 +

Posts: 5850 | From Kentucky | Registered: Dec 2008  |  IP: Logged | Report this post to a Moderator

Quick Reply

HTML is not enabled.
UBB Code is enabled.

Instant Graemlins

Post New Topic  New Poll  Post A Reply Close Topic   Feature Topic   Move Topic   Delete Topic next oldest topic   next newest topic
 - Printer-friendly view of this topic
Hop To:

Contact Us | LymeNet home page | Privacy Statement

Powered by UBB.classic™ 6.7.3

The Lyme Disease Network is a non-profit organization funded by individual donations. If you would like to support the Network and the LymeNet system of Web services, please send your donations to:

The Lyme Disease Network of New Jersey
907 Pebble Creek Court, Pennington, NJ 08534 USA

| Flash Discussion | Support Groups | On-Line Library
Legal Resources | Medical Abstracts | Newsletter | Books
Pictures | Site Search | Links | Help/Questions
About LymeNet | Contact Us

© 1993-2020 The Lyme Disease Network of New Jersey, Inc.
All Rights Reserved.
Use of the LymeNet Site is subject to Terms and Conditions.