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» LymeNet Flash » Questions and Discussion » Medical Questions » Igenex Interpretation

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Author Topic: Igenex Interpretation
thomasx
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Results show igM positive with the following:

31 IND
39 IND
41 ++
83-93 +

Tested in 10/07. Bitten in 9/06. I assume this means exposure to BB. Anything else jump out? igG negative.

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webmeg
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Time for antibiotics! If you've had it over a year you'll need to plug along on antibiotics for a while, not just 6 weeks or something.

What kind of symptoms do you have?

~webmeg

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h8lyme
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in normal bacterial infections igg = long term antibodies. Your body hasn't had time to form these yet. The igm is like spurt short term antibodies, usually last 6 months or so.

I'm not a doc, just someone that has been doing a lot of reading.

Go strong on the antibiotics, and stay on them for 2 months after all symptoms are gone. So I have heard =).

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thomasx
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Yeah. I've been doing Doxy for about 7 weeks now. Current symptoms? Fatigue, a bit of "tingling" (lessening). The almost daily headaches have gone away since starting Doxy. The same with the joint pain affecting hands, wrists, hip, feet. (It was actually amazing how quickly the joint pain reacted to the antibiotics.) Since my dose of Doxy was upped, I finally feel like I'm moving in the right direction. It certainly is a test of one's patience. Who would have thought that such a teeny weeny bug (deer tick) could have had such a teenier weenier bug inside of it that could wreak such havoc. Simply amazing (er, scary).
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Lymetoo
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quote:
Originally posted by h8lyme:
in normal bacterial infections igg = long term antibodies. Your body hasn't had time to form these yet. The igm is like spurt short term antibodies, usually last 6 months or so.

This is NOT true for Lyme disease.

"With most infections, your immune system first forms IgM antibodies, then in about 2 to 4 weeks, you see IgG antibodies. In some infections, IgG antibodies may be detectable for years.

Because Borrelia burgdorferi is a chronic persistent infection that may last for decades, you would think patients with chronic symptoms would have positive IgG Western blots.

But actually, more IgM blots are positive in chronic borreliosis than IgG. Every time Borrelia burgdorferi reproduces itself, it may stimulate the immune system to form new IgM antibodies.

Some patients have both IgG and IgM blots positive. But if either the IgG or IgM blot is positive, overall it is a positive result.


Response to antibiotics is the same if either is positive, or both. Some antibodies against the borrelia are given more significance if they are IgG versus IgM, or vice versa.

Since this is a chronic persistent infection, this does not make a lot of sense to me. A newly formed Borrelia burgdorferi should have the same antigen parts as the previous bacteria that produced it.

But anyway, from my clinical experience, these borrelia associated bands usually predict a clinical change in symptoms with antibiotics, regardless of whether they are IgG or IgM."
by Dr C of MO

Thomas...You have Lyme disease. Bands 83-93 is the DNA of the Bb spirochete.

from Dr C's link:
83: This is the DNA or genetic material of Borrelia burgdorferi. It is the same thing as the 93, based upon the medical literature. But laboratories vary in assigning significance to the 83 versus the 93.

93: The DNA or genetic material of Borrelia burgdorferi.


You can read about your other Lyme-specific bands below. It also explains about the "IND".

Dr C's Western Blot explanation:
http://tinyurl.com/ffn3x

--------------------
--Lymetutu--
Opinions, not medical advice!

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Geneal
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I hope you are seeing a LLMD as you also need to review symptoms for and possibly

Test for co-infections. For being so little, those ticks

Can deliver a life changing punch! [Mad]


Hugs,

Geneal

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thomasx
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Can you speak a bit more to "reviewing symptoms and possibly testing for co-infections?" What are the major co-infections, their symptoms and treatment? Thanks.
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Lymetoo
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Here ya go!!

Lyme Disease Symptoms List
1. Unexplained fevers, sweats, chills, or flushing
2. Unexplained weight change--loss or gain
3. Fatigue, tiredness, poor stamina
4. Unexplained hair loss
5. Swollen glands: list areas____
6. Sore throat
7. Testicular pain/pelvic pain
8. Unexplained menstrual irregularity
9. Unexplained milk production: breast pain
10.Irritable bladder or bladder dysfunction
11.Sexual dysfunction or loss of libido
12.Upset stomach
13.Change in bowel function-constipation, diarrhea
14.Chest pain or rib soreness
15.Shortness of breath, cough
16.Heart palpitations, pulse skips, heart block
17.Any history of a heart murmur or valve prolapse?
18.Joint pain or swelling: list joints_____________
19.Stiffness of the joints, neck, or back
20.Muscle pain or cramps
21.Twitching of the face or other muscles
22.Headache
23.Neck creeks and cracks, neck stiffness, neck pain
24.Tingling, numbness, burning or stabbing sensations, shooting pains
25.Facial paralysis (Bell's Palsy)
26.Eyes/Vision: double, blurry, increased floaters, light sensitivity
27.Ears/Hearing: buzzing, ringing, ear pain, sound sensitivity
28.lncreased motion sickness, vertigo, poor balance
29.Lightheadedness, wooziness
30.Tremor
31.Confusion, difficulty in thinking
32.Diffculty with concentration, reading
33.Forgetfuiness, poor short term memory
34.Disorientation: getting lost, going to wrong places
35.Difficulty with speech or writing
36.Mood swings, irritability, depression
37.Disturbed sleep-too much, too little, early awakening
38.Exaggerated symptoms or worse hangover from alcohol


The following signs/symptoms may be present in those infected with Babesiosis:
Fatigue
Arthralgias
Myalgia
Drenching sweats
Headaches
Emotional lability
Depression
Dark urine
Splenomegaly
Dizziness
Nausea and vomiting
Cough
Dyspnea
Fever
Chills
Hepatosplenomegaly
Jaundice
Malaise
Shortness of breath
Bleeding tendencies, bruising
Thrombocytopenia
Hemoglobinuria
Hyperesthesia
Pulmonary edema
Encephalopathy
Low to normal range leukocyte counts
Possible elevated levels of dehydrogenase, bilirubin,
transaminase*
Anorexia
Approximately 25%- 66% of Babesia patients are known to be co-infected with Lyme disease. These symptoms may continue for long periods of time, decrease, then return. A low Babesiosis titer (IgG) often indicates a chronic infection.
An acute or current infection may show a higher reading on the IgM test initially. There are over 100 species of Babesia in the United States but only ONE or TWO species are currently checked by commercial labs.


BARTONELLA SYMPTOMS

GENERAL: Fatigue, Restlessness, Combative behavior, Myalgias, Malaise, Liver and/or Spleen
involvement, Abdominal pain, Infectious Mononucleosis-like Syndrome, Granulomatous Hepatitis

BRAIN: Encephalopathy may occur 1-6 weeks after the initial infection and is fairly common in patients
with Bartonella. Note: Approximately 50 percent of patients who develop Encephalopathy can be affected
by seizures (from focal to generalized, and from brief and self-limited to status epilepticus). Headaches,
Cognitive Dysfunction, and CNS Lesions may be evident.

RASH AND LYMPHADENITIS: Erythematous papules (red splotches or slightly raised red spots) may
develop. Such papules occasionally occur on the lower limbs but are more common on the upper limbs, the
head, and neck. The papules may appear on the skin or mucous membranes. Bartonella may also cause
subcutaneous nodules, with some bone involvement possible. The nodules may show some
hyperpigmentation, be tender, fester, and/or be enlarged or swollen, but not always.

EYES: Conjunctivitis, Bartonella Neuroretinitis, Loss of Vision, Flame Shaped Hemorrhages, Branch
Retinal Artery Occlusion with Vision Loss, Cotton Wool Exudates, Parinaud's Oculoglandular Syndrome,
and Papilledema.
BONES AND MUSCLES: Osteomyelitis, Myositis, Osteolytic Lesions (softening of bone), Myelitis,
Radiculitis, Transverse Myelitis, Arthritis, Chronic Demyelinating Polyneuropathy.

HEART: Endocarditis, Cardiomegaly.
Possible lab findings: The following may show up during standard testing:
Thrombocytopenia, pancytopenia, anemia, elevated serum alkaline phosphatase level, elevated bilirubin, abnormal liver enzymes.
X-ray of the bone may show areas of lysis or poorly-defined areas of cortical destruction with periosteal
reaction. Cardiomegaly may show up on a chest X-Ray.

Biopsies of lymph nodes reveal pathology often indistinguishable from sarcoidosis. Reports of biopsies
strongly suggestive of lymphoma do occur.
Tests occasionally show an enlarged liver with multiple hypodense areas scattered throughout the
parenchyma.

--------------------
--Lymetutu--
Opinions, not medical advice!

Posts: 96222 | From Texas | Registered: Feb 2001  |  IP: Logged | Report this post to a Moderator
   

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