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Posted by seibertneurolyme (Member # 6416) on :
 
Case 40-2009

A 29 Year Old Man with Fever and Respiratory Failure

http://content.nejm.org/cgi/content/full/361/26/2558

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I really wish there had been an autopsy. Very curious as to whether a secondary tick-borne infection was missed.

Maybe I overlooked it, but can't find any mention of testing for bartonella at all??? Also, not sure that a clean bloodslide for babesia would necessarily rule that out either.

The blood in the urine showed up quite a few days before the patient became critically ill. That could be caused by either bart or babs.

Bea Seibert
 
Posted by purplemom (Member # 21064) on :
 
I would have liked to have known to about a tick borne infection.
 
Posted by map1131 (Member # 2022) on :
 
It was too early for blood detection? The autopsy could of shown cause of illness in tissue from lungs etc. So sad.

I didn't see any of bart family testing done either?

Pam
 
Posted by Pinelady (Member # 18524) on :
 
They said he lived in a tick endemic area so I am going to assume like the first docs did it was TBD.
Then I think he got the flu on top of it. The

family did not pursue autopsy and the doc's did

not push it like they could have so I suspect

both. They first shot him full of antibiotics-we

know what that does to us-then they did not treat

him for the flu. Either one could have killed

him. If they had just treated him for flu with

antivirals,(he was neg.for flu) and left off the

antibiotics, I am not sure that would have saved

him from H1N1 but it might have. We know the

antibiotics and then antivirals did not save him.

It's looking bad. And maybe autopsy in those

patients should be mandatory. But then how many

are going to get a WB by a B.specific lab? It

sounds useless.
 
Posted by coltman (Member # 21272) on :
 
quote:
Originally posted by seibertneurolyme:

I really wish there had been an autopsy. Very curious as to whether a secondary tick-borne infection was missed.


Seriously doubt that. He received hard core abx treatment with no improvement. onset and deterioration were too rapid. All signs point to viral origin

I think it was viral- possibly H1N1 as they claim
 


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