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» LymeNet Flash » Questions and Discussion » Medical Questions » bartonella

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Author Topic: bartonella
DocAllegra
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does anyone have leg pain from the knee down, esp. bad at night when you sleep. also, terrible foot pain and the feeling that something very tight is compressing my leg and feet. can hardly walk in the morning
Posts: 33 | From Silver SPring, MD | Registered: Sep 2010  |  IP: Logged | Report this post to a Moderator
nefferdun
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Classic bartonella! Especially the foot pain in the mornings.

I do not get foot pain although most people complain of that. I do get shin pain and if I wear socks it feels like my circulation is cut off.

--------------------
old joke: idiopathic means the patient is pathological and the the doctor is an idiot

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tick battler
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Yes the sore feet upon waking up is a classic bart symptom...one good way to distinguish from the other infections.

Psych issues are big with bart as well - quick temper and irritability. My 6 year old was recently reinfected with bart and is terribly oppositional now...talking back and saying inapprorpriate things constantly.

Other symptoms I have had are sore throat and enlarged gland in the neck. Two of my kids had headaches lasting months until they took Rifampin.

tickbattler

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renny1985
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What about severe leg pain from knee up? Bart related?
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DocAllegra
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not from knee up, but knee down.
Posts: 33 | From Silver SPring, MD | Registered: Sep 2010  |  IP: Logged | Report this post to a Moderator
tick battler
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When my kids and husband started Rifampin, they would say that "everything hurt" for the first two weeks. Then things slowly started to get better. So I think the muscle pain can be bart as well but some think this may be from babesia. And pain in the calves I have also heard can be bart.
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Tincup
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Bartonella quintana- aka shinbone fever.

https://sites.google.com/site/marylandlyme/tick-borne-diseases/bartonella

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FuzzySlippers
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From an article listed in the Bartonella Information Thread kept here on Lymenet on Bartonella Quintana, also known as Trench Fever, or Shin Bone Fever:


Clinical manifestations of trench fever may range from asymptomatic infection to severe, life-threatening illness. �Classical� trench fever, the presentation most often reported among troops, corresponds to a febrile illness of acute onset and of a periodic nature often accompanied by severe headache and pain in the long bones of the legs.

However, the sudden development of a wide range of symptoms can indicate the onset of trench fever. Such symptoms include headache, weakness, pain in the legs, malaise, dyspnea, giddiness, pain in the loins, shivering, abdominal pain, diarrhea, constipation, anorexia, nausea, frequent micturition, restlessness, and insomnia.

The prodromal period may last for 2 days or more. The severity of symptoms increases gradually over the first few days of disease. Headache is most often severe, especially at the front of the head and behind the eyes. When occipital, it is often accompanied by a stiffness of the neck, and symptoms may therefore suggest meningitis.

Pain may spread to the back and limbs, with leg pain being the most severe. This pain is often felt in the bones, specifically in the tibia. The patient will suffer regular cycles of profuse sweating and then shivering. On examination, the tongue is often slightly furred, and conjunctival congestion and a decrease in the pulse rate in relation to the severity of the fever may be present. Areas of tenderness are associated with the pains involving muscles, tendons, bones, and joints.

The spleen often becomes palpable. The pyrexia associated with trench fever is often periodic, although the cycles may be of irregular duration. The level of the pyrexia is also variable, and there may be a relationship between the degree of pyrexia and its duration. The interval between attacks of pyrexia is usually between 4 and 8 days, with 5 days being the most commonly observed period. The term �quintan fever� refers to the 5-day recurrences. Usually each succeeding attack is less severe than its predecessor, although in profound cases the patient becomes weaker and leg pains become more persistent.

Major polymorphonuclear leukocytosis often accompanies the febrile stages of the disease. Anemia may also occur, especially in chronically ill patients. Although trench fever often results in prolonged disability, no fatalities have been recorded. Patients are most profoundly ill during the early stages of the disease, which usually continues for 4 to 6 weeks.

A minority of illnesses will become chronic, during which time the following signs and symptoms may develop: exhaustion, headaches, recurrent limb pains, irritability, nervous manifestations such as depression, abnormal response to stimuli, tendency to sweat, coldness of extremities, fever, anemia, and loss of weight.

The chronically ill patient often also complains of breathlessness on exertion, palpitations, pain over the precordium, giddiness, and disordered activity of the heart. Damp weather exacerbates all pain. In some cases, the infection is very persistent and acute febrile lapses occur months after quiescence. Byam et al. (18) defined chronic trench fever as �a state of marked debility, with or without attacks of slight fever and aching, and characterized by a hyperexcitability of the nervous system in general.�

CLINICAL MICROBIOLOGY REVIEWS, July 1996, p. 273�292 Vol. 9, No. 3 0893-8512/96/$04.0010 Copyright q 1996, American Society for Microbiology

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katiebobatie
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yes!! shinbone pain is my absolute worst symptom! and my feet hurt ALL the time too.
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littlebit27
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I'm so sick of leg pain...when I saw "Bartonella" I said sucks outloud, lol.

My legs are always killing me. Between that and the Lyme that seems to be loving my hip and knee joint I would just like to cut off my legs [Smile]

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