This is topic Bartonella and testing in forum Medical Questions at LymeNet Flash.


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Posted by seibertneurolyme (Member # 6416) on :
 
Lymenet won't let me do a search so I hope someone can help.

I would like to hear from anyone who tested negative for Bartonella and was treated anyway with Bartonella meds such as Levaquin, Zithromax, Cipro or Rifampin.

Did your symptoms improve? Did/do you have mainly GI or neuro symptoms? How bad was the herx and what symptoms did you have?

I wish there was some way to know if my husband really has Bartonella before we spend any more time and money chasing what may be a ghost.

Bea Seibert
 


Posted by janet thomas (Member # 7122) on :
 
Dr j b says if you have lyme you have bartonella and need tx for bart
it's on the video from www.Lymepa.com
 
Posted by Gabrielle (Member # 5329) on :
 
My LLMD also always treats for Bart - no matter what test results say.

For me it helped a lot - I never had a test but I have symptoms of Bart.

Gabrielle
 


Posted by lla2 (Member # 2364) on :
 
they say in the new england area 85% of ticks are infested with bartonella as well, maybe that's why lllmds are also treating for bart automaticallly now?

the lyme lab at University of Rhode island has this data ...they do research on ticks etc...

Lisa
 


Posted by Nal (Member # 6801) on :
 
I tested positive for Bart. My gut hurts like you would not believe!! Burns from the top of the stomach all the way to the bottom. Is it because of the Bart? We arent positive. Ive been on prevacid for 4 years and they just switched me to prilosec-no improvement. Im having lots of trouble with antibiotics so its tough to treat right now.

Nancy
 


Posted by Kara Tyson (Member # 939) on :
 
I had bartonella years ago. I was treated with Keflex and was fine. But I was infected from a cat bite and not a tick...so perhaps that made the situation less severe.
 
Posted by Lymetoo (Member # 743) on :
 
up
 
Posted by Mo (Member # 2863) on :
 
Doc E in NJ (specializing in tick-borne co-infections of bart and myco, published)..

says sometimes depending on what abx you have been on, or even sometimes as the nature of the disease..

he will get repeated negative blood pcr's and also negative antibody tests, only to have bartonella (and/or mycoplasma) show up in the spinal fluid.

It can become encapsulated in the CNS.

(btw, in his experience, though not formally studied, he has also found that IV Claforan is effective against both bart and lyme cns infection)

In our experience with myself and my son, as well, all our treating LLMD, LL neuro, and Doctor Jones, ect. suspected bart strongly as neurological symptoms got worse while in treatment for Lyme.

(in our cases it was noted that long term zithromax at high doses may have contributed to 'driving bart' into the cns)

They tested his spinal fluid and didn't find the DNA, but also expected there was a good chance they may not pick it up in the testing specimin, and treated for bart anyway with Rifampin. It may not be worth tapping the patient if the Docs will treat for bartonella empirically and watch for response, and if response indicates infection..continue therapy long enough.
The yeild is low in pos cns pcr, tho - in many cases it has been found, which goes to show it can be there when not found in the blood.

One of the initial improvements on the drug was that he too became much more lucid..
a return of his personality.

Improvement continued from there. He was on 300mg 2x a day..for a year and a half.

Rifampin is given a minimum of 9 months in children with TB, and requires longer tx at a high enough dose I believe in cns bart/lyme infections.

Some Docs are skiddish of the drug, but those with experience (and TB Docs) know it can be a safe therepy as long as liver functions are monitored once a week, every two weeks at the least.

Best,
Mo

[This message has been edited by Mo (edited 16 June 2005).]
 


Posted by susscho (Member # 7429) on :
 
How do you get liver levels checked every week -- especially if you and kids are sick?
My husband is running around trying to keep eveything together and we haven't got the kids treated yet -- Taking them to Dr. J in CT next week -- want to be aware of what the follow-up is if put on medications --

I am now on Zithromax and FLagyl and have worsening of my bowel symptoms, unabated for 5 months since before Lyme was confirmed.

Just wanted to know how the liver functions are checked weekly if can't get to office that frequently and insurance won't cover labs?

THanks
 


Posted by trails (Member # 1620) on :
 
It is routine lab testing...nothing special really. Your insurance doesnt cover basic CBC and CMP panels? Man, I thought MY insurance was bad. They do pay for me to get checked every 2 weeks. Standing orders.

Most places have a local blood draw facility (like qwest or tricore)you can go to before work or after work or whatever. The hopsital also has labs to do these tests.

Your local doctor (pcp) should order them so that insurance covers them.

Trails
 


Posted by lymeloco on :
 
quote:
Originally posted by trails:
It is routine lab testing...nothing special really. Your insurance doesnt cover basic CBC and CMP panels? Man, I thought MY insurance was bad. They do pay for me to get checked every 2 weeks. Standing orders.

Most places have a local blood draw facility (like qwest or tricore)you can go to before work or after work or whatever. The hopsital also has labs to do these tests.

Your local doctor (pcp) should order them so that insurance covers them.

Trails



Trails,
how often are you supposed to have liver function test?

I keep bringing it up to my pcp, but she's not buying the antibiotcs for this long.
She thinks the bacteria should be gone by now!

I think ducks have an ego problem!

Rhonda

 


Posted by liz28 on :
 
I'm on low doses of rifampin, because I have to take it with Lyme and babs medicine at the same time. Even at low doses (150mg 2x/day), it works beautifully.

For me, the bart symptoms are pretty clear. They are continuous instead of relapsing, and include:

Insomnia
Splitting sinus headache
Swollen lymph glands from the base of my neck to my ears
Short fuse, revved adrenals
Scritchy eyes

Apparently, bart is dangerous on many levels, so you might want to err on the side of caution.
 




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