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» LymeNet Flash » Questions and Discussion » Medical Questions » Long-term antibiotics for bartonella

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Author Topic: Long-term antibiotics for bartonella
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From :

In people, cat scratch disease {batonella} responds to several different oral antibiotics, such as erythromycin, clarithromycin, azithromycin and doxycycline. Antibiotics are usually given for 2 to 3 months unless there is bloodstream or internal organ involvement. In advanced HIV disease, long-term management with lower doses is usually necessary to prevent relapse.
IDSA's new guidelines seem to say that we cannot get bartonellosis from a tick bite. Perhaps they feel they have to deny it, or the argument that long-term antibiotics work would be too strong.

Let's get tested for Bart whenever possible, as a positive test might insure longer antibiotic treatment, at least for 3 months anyway. Perhaps you should tell your doctor about your cat (or the neighbor's cat [Wink] ) scratched you at just about the same time you got bitten by a tick....

And if you can prove that your immune system is compromised, you might be able to argue for even longer treatment.

Also, add this to your mental list of instances (HIV + bart) where antibiotics are given forever, not just for a month. Relapsing fever is another one where lifetime maintenance antibiotics are prescribed.


Posts: 1558 | From the Berkshires | Registered: Jul 2001  |  IP: Logged | Report this post to a Moderator
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This is a good point - my IVs treatments were not approved for lyme but were approved due that I tested positive for ehrlichia babs and myco. I had no problem or questions with co-infection coming up positive.

Also for the men, have your prostate checked, if your exam shows inflamation and you are having some symtoms of infection approval of long term ABX should not be an issue. It can take months to clear out a prostate infection. Any of the lyme infections can get in there.

Posts: 582 | From milwaukee wi | Registered: May 2005  |  IP: Logged | Report this post to a Moderator
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When my daughter first started getting antibiotics, the pharmacist had never heard of anyone being on zithromax longer than five days.

The called our LLMD and he told them she had bartonella (which she tests pos for two strains). After that, there are no questions.

Maybe bartonella is the key word. Lyme doesn't open doors. I know for my daughter to get disability services at the local comm college, lyme didn't mean a thing...fibromyalgia/chronic fatigue was the magic word.


Posts: 2903 | From AZ | Registered: Feb 2006  |  IP: Logged | Report this post to a Moderator

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