To bring you up to speed on my fascinating life:A while ago I posted that the hubby was having what appeared to be a major babesia relapse. This is after a year and a bit of bicillin, 10 months of mepron/zith/art, and 4 months of bartonella tx.
He'd been off the mepron/zith/art for 2 months almost to the day. He'd been doing great -- exercising daily, cheerful, hopeful, fixing things around the house that had been unfixed for years.
I still think the relapse may have started with the flu. The hubby thinks it was all babs. He ran fevers of about 100F for 4 days, had a sore throat, a mild cough, ached all over, very weak. When this went into the second week, and he was having lots of rage and depression, headache, muscle ache, and heavy sweats every night from 3-5 am (and some during the day) we both thought "babesia".
He tried one course of Riamet. I think this may have worked better if he'd started on it the instant the babs restarted; as it was, it might have helped marginally but the single course wasn't enough and we didn't have more.
He started back on Mepron/ketek, and within 6 days many of the sx had resolved. He's now mostly dealing with fatigue and headache. Sweats are completely gone, mood is infitely better, cognitive function is back.
I did ask the doc about the clindamycin/quinine tx, but he said given the abx we've already had and some other factors, he wants to re-treat with mepron/zith for now, and will be changing abx in about 6 weeks (dunno what; he's looking into a new combo and a drug that's just now on the market -- the new tinidazole).
The doc has seen several such relapses. The bad news is that they occur. The good news is that within 2 weeks on Mepron/ketek, the hubby was doing quite well, and was at a point that it took him 5 months to get to the first time around.
So we're disappointed but hopeful.
I'm editing to add that the mepron/zith/art were apparently very successful in my case -- I've been off babs tx for 6 mo, and not even a whiff of a relapse. My treatment has been similar but not identical to the hubby's. I'm doing quite well now, on the home stretch, but am doing a retreatment for bart (I never made it through my original bart tx). We've had LD/Co for almost 2 decades.
I want to warn anyone who goes through this, and their significant other/caretaker/family: The relapse kicked of a very scary depression that was partly the babs itself, and partly the despair of having to go through this again. Hard on me, hard on him. Although the word "hard" covers it the way "tall" describes Mt. Everest.
I hope we find a way to deal with this other than mepron -- the expense is horrific -- but life is livable again.
That sense of hope, which sometimes feels absurd, has been the most necessary and most fragile part of our long, battering trek to recovery. It's easier for me to sustain, because I'm a Celt and a fantasist and connect only loosely with the real world. It's harder for the hubby, who is a realist and a scientist and a Westerner, all of which are very fine traits on a practical plane but of no use at all when you want to keep Tinkerbell's light from going out.
Clap, everybody.
[This message has been edited by minoucat (edited 25 May 2005).]