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» LymeNet Flash » Questions and Discussion » Medical Questions » Best lab for Bartonella tests is..?

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Author Topic: Best lab for Bartonella tests is..?
Toppers
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Galaxy is not doing human tests until further notice.

Anyone know another good one besides IgeneX that's a little more up to date on all the species?

Please don't mention Labcorp or Quest, they are terrible. [Smile]

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5vforest
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Fry labs gets a lot of positive results.
Posts: 340 | From san francisco, ca | Registered: Nov 2010  |  IP: Logged | Report this post to a Moderator
Lemon-Lyme
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I've wondered if Igenex is even better than most commercial labs regarding Bartonella testing. I mean, can they test for species besides henselae + quintana?

Maybe their PCR testing is better, but isn't that still finding a needle in a haystack?

For Lyme testing, I can see how Igenex is more accurate, as they use two species, test for more bands, use different criteria, etc. But for Bartonella, besides checking for antibodies, what else do they do differently?

I used Sunrise Labs and got a positive, but that may have been from taking Doxy/Bactrim beforehand, spurring on a Bart reaction.

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Hambone
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What about Spirostat?
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Toppers
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Fry Labs only tests for two hens and quintana as well?

Arghh this is so frustrating, impossible to find an LLMD who knows how to treat this, nevermind a mainstream ID.

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2roads
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Howsabout Specialty Labs, IgG/IgM antibody testing.
Posts: 2214 | From West Chester, PA | Registered: Aug 2003  |  IP: Logged | Report this post to a Moderator
t9im
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Our LLMD uses Specialty for Bart and IGeneX for Lyme and Babs.

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Tim

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sk8ter
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Spirostat does multiple species as well as so many other pathogens included in test.
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richedie
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I say none. They are innacurate and also can only test for 3 strains out of over 30!

--------------------
Mepron/Zith/Ceftin
Doxy/Biaxin/Flagyl pulse.
Artemisinin with Doxy/Biaxin.
Period of Levaquin and Ceftin.
Then Levaquin, Bactrim and Biaxin.
Bactrim/Augmentin/Rifampin.
Mepron/Biaxin/Artemisinin/Cat's Claw
Rifampin/Bactrim/Alinia
Plaquenil/Biaxin

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seibertneurolyme
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You could try the new species bartonella test from Clongen. If you pay an extra $125 they will do an enrichment culture for 10 days similar to what Galaxy lab had been doing.

This is a species PCR test.

Hubby has the kit to do the babesia test with the enrichment culture.

The lab will have to mail you the test kit -- they send a test tube with the culture medium in it.

Bea Seibert

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little_olive
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What about the new FISH test that IGeneX has for bartonella?

quote:
"They now offer a Bartonella FISH (Fluorescent In Situ Hybridization) test which may prove useful for those people infected with Bartonella but not showing any immune-response to it as the result of a depressed immune system. A FISH test is an antigen based test, not an antibody test. IGeneX has had the Babesia FISH test available for some time and now offers a similar test for Bartonella. The new test looks for four types of Bartonella including B. vinsonii, B. berkhoffi, B. henselae, and B. quintana."
little olive

--------------------
Myalgic encephalomyelitis, 2002 | Viral onset, following Hep B vaccine
Lyme since '06 | Bartonella since '08 (cured) | Mycoplasma pneumoniae since '08
IGeneX: IgM 31IND 34IND 41+ | IgG 39IND 58+ 41+++
IgG deficiencies and MTHFR 677TT mutations

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Beagle
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What about Clongen Labs in Maryland? I heard from my LLMD's aid that it was the best for Bartonella, although my LLMD was going to send blood to Fry for a PCR for Bart.
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tls122269
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little olive -

My daughter just had the Igenex Fish test for Bartonella and it came back negative. She has all the symptoms and originally tested positive at three different labs approximately three years ago. Does this mean the Bart is gone?

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little_olive
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Well, I was just suggesting it! I have had the FISH test myself and it came back negative, despite me VERY VERY obviously having bartonella. Perhaps if I had gotten it at the beginning of infection it wuold have showed something?

Her bartonella is not gone until the SYMPTOMS are gone. It does not matter if the tests don't find it, especially when the infection goes chronic. They are just there to hopefully confirm that you have it, if you can manage to get a positive, but unfortunately a negative result means nothing.

I tested negative through ALL labs, at least ten times, across a three year time span, but still had it. I finally tested positive with the Bartonella IFA (igm and igg levels) from IGeneX, and I think that was a miracle!

You treat bart at LEAST one year, and if you need longer, wait until two months of no symptoms, or it WILL come back. The coinfections such as babesia and bartonella are very prone to quick relapse if you don't eradicate them.

Good luck!

--------------------
Myalgic encephalomyelitis, 2002 | Viral onset, following Hep B vaccine
Lyme since '06 | Bartonella since '08 (cured) | Mycoplasma pneumoniae since '08
IGeneX: IgM 31IND 34IND 41+ | IgG 39IND 58+ 41+++
IgG deficiencies and MTHFR 677TT mutations

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tls122269
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This whole disease is so frustrating. She tested positive for rocky mountain spotted fever, bartonella and lyme. None of her symptoms have gone away...most of them are worse. Thanks for explaining.
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little_olive
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Try Rifampin and Doxycycline together. It's a potent combination that will attack everything she's tested positive for, and even more that she hasn't tested positive for, but may still have (such as Ehrlichiois or Mycoplasma).

Whatever approach, if you're doing things right and it's still not working, try something else! [group hug]

little olive

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Kramberry
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Does different strain of bart need different drugs too? Thats why its hard to treat it? Or i.e. Rifampin covers all strain? Im confused

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 -

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little_olive
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You make a good point, Kramberry. There are over 20 different species of bartonella, and certain strains are prone to doing different things. More are being discovered every year.

Most of what we know about treatment is based off of b. quintana and b. henselae, while treatment for strains like b. vinsonii subsp. berkhoffii is more complicated.

There are several antibiotics we know work--Rifampin, Cipro, Levaquin, Bactrim, in combination with macrolides and tetracyclines--but there's always the chance someone will have a complicated strain, or worse, unintentionally make their easier-to-treat strain resistant to the antibiotics due to poor management of treatment (i.e., skipping doses or changing abx strengths).

--------------------
Myalgic encephalomyelitis, 2002 | Viral onset, following Hep B vaccine
Lyme since '06 | Bartonella since '08 (cured) | Mycoplasma pneumoniae since '08
IGeneX: IgM 31IND 34IND 41+ | IgG 39IND 58+ 41+++
IgG deficiencies and MTHFR 677TT mutations

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CSS
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Hey little_olive. I have tested positive for hemobartonella or hemoplasma by Fry labs. Is this the same thing as Bartonella?

I am currently taking rifampin, doxy, and tindamax. It's been 1 1/2 months and no improvement at all.

I have developed what I believe to be neuroma's in my feet along with sore to burning nerve pain in parts of my legs and elbow area.

Thanks

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little_olive
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Hi CSS,

Haemobartonella/haemoplasma are actually more closely related to Mycoplasma than bartonella. I don't think they have anything more to do with one another.

That said, the treatment you're on is GREAT for mycoplasma-related bugs, also! I have Mycoplasma pneumoniae in addition to bartonella--I actually got them at the same time (freak chain of events) and the symptoms are really hard to tell apart.

However, improvement might take longer because the mycoplasma species typically replicate over the course of weeks, not every 5-7 days like real bartonella does. The antibiotics can only eradicate the infections whenever they replicate. This is why treatment for Lyme is so slow--because it only replicates about every four weeks!

I didn't see any improvement in my symptoms until about two-three months into it, and everything before that point was pretty horrible. The longer you've been sick the longer it will take to feel better. Give it three months and see if there's anything you can do then, that you couldn't do before treatment.

Hope this helps [Smile]


little olive

--------------------
Myalgic encephalomyelitis, 2002 | Viral onset, following Hep B vaccine
Lyme since '06 | Bartonella since '08 (cured) | Mycoplasma pneumoniae since '08
IGeneX: IgM 31IND 34IND 41+ | IgG 39IND 58+ 41+++
IgG deficiencies and MTHFR 677TT mutations

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CSS
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Thanks for the information little_olive. I will give it time and hope for better times ahead.

One major irratation right now is in the balls and arch of my feet. A constant pressure type numb/burning feeling. Sometimes also get a cool flowing type feeling also. After I walk for awhile feeling goes from like a rock in my shoe to a mushy type feeling.

I have bought padded sole supports. Any other suggestions that might help alleviate this issue? My feet also cramp very easily. Sound like this stuff has gotten into my nerves. Anything that will give relief to inflamed nerves? Thanks for your help!

CSS

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little_olive
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I had a ton of neuropathy in my feet before treatment, and it got worse before getting better--there were days I couldn't even feel my toes.

Very important is to take magnesium and calcium supplementation--100% of each, when you read on the back of the bottles--every day to prevent cramping and generally help neuromuscular function. Some people say don't take them in the same pill, but this is how I take mine and my bloodwork says it works just fine. Most of us are on the lower end of the magnesium spectrum, and you need extra when trying to heal nerves.

I've no idea about the other stuff. You can go to the Medical Questions section of the forum and click the "post new topic" button--I'm sure someone here has had similar experiences. [Smile]


little olive

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CSS
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Thanks little_olive. Any suggestion on how much Mag to supplement with? I also heard alpha lipoic acid is good to heal nerves?

Thanks

Posts: 22 | From California | Registered: Oct 2011  |  IP: Logged | Report this post to a Moderator
   

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