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» LymeNet Flash » Questions and Discussion » Medical Questions » Tell me about Bartonella!

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Author Topic: Tell me about Bartonella!
HopesAlive
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Hello Everyone!

I found this thread very helpful, in regard to Babesia:

http://flash.lymenet.org/ubb/ultimatebb.php/topic/1/108668#000004

I was wondering if you could do the same thing as the OP asked of you, except this time with Bartonella?

As some of you know, last week I was clinically diagnosed with Bartonella, but like the OP, there are many of my symptoms that could cross over and be attributed to "just Lyme," (yeah right, "just Lyme").

Can you take a peek at the thread on Babs and help me out by listing what you know about Bart? I would find that most helpful!

Thank you, so very much, in advance! [Smile]

--------------------
Best Wishes,

Hope

"Hope is a good thing, maybe the best of things, and no good thing ever dies."

~~The Shawshank Redemption~~

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Toppers
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I know of no better description of Bartonella than the following site, you should check it out. It describes my life with Bartonella perfectly.

http://www.benbrew.com/lb/lb.html

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FuzzySlippers
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Here is the Bartonella/Babesia Symptom Questionnaire thread:

http://flash.lymenet.org/scripts/ultimatebb.cgi?ubb=get_topic;f=1;t=062704;p=0#000035


Here is a Bartonella Information Thread (contains symptoms lists and descriptions, articles and medical abstracts, links to photos, etc):

http://flash.lymenet.org/scripts/ultimatebb.cgi?ubb=get_topic;f=1;t=065655;p=0#000000

Even though it's linked above, I'll past the questionnaire again here, but it's very helpful to have a look at the two threads above, in my opinion:

Bartonella/Babesia Symptom Questionnaire


Bartonellosis

Common symptoms of bartonellosis include:

___Fatigue (often with agitation, unlike Lyme disease, which is more exhaustion)

___Low grade fevers, especially morning and/or late afternoon, often associated with feelings of "coming down with the flu or a virus"

___Sweats, often morning or late afternoon (sometimes at night) - often described as "thick" or "sticky" in nature

___Headaches, especially frontal (often confused with sinus) or on top of head

___Eye symptoms including episodes of blurred vision, red eyes, dry eyes

___Ringing in the ears (tinnitus) and sometimes hearing problems (decreased or even increased sensitivity - so-called hyperacusis)

___Sore throats (recurring)

___Swollen glands, especially neck and under arms

___Anxiety and worry attacks; others perceive as "very anxious"

___Episodes of confusion and disorientation that are usually transient (and very scary); often can be seizure-like in nature

___Poor sleep (especially difficulty falling asleep); poor sleep quality

___Joint pain and stiffness (often both Left and Right sides as opposed to Lyme which is often on one side only with pain and stiffness that changes locations)

___Muscle pains especially the calves; may be twitching and cramping also

___Foot pain, more in the morning involving the heels or soles of the feet (sometimes misdiagnosed as plantar fasciitis)

___Nerve irritation symptoms which can be described as burning, vibrating, numb, shooting, etc.

___Tremors and/or muscle twitching

___Heart palpitations and strange chest pains

___Episodes of breathlessness

___Strange rashes recurring on the body often, red stretch marks, and peculiar tender lumps and nodules along the sides of the legs or arms, spider veins

___Gastrointestinal symptoms, abdominal pain and acid reflux

___Shin bone pain and tenderness

Bartonella is a bacterium that causes illness, the most commonly known of which is a disease called "Cat Scratch Fever." Thousands of known cases of Bartonella occur in the U.S. each Year, with the vast majority of known cases due to bites from fleas that infest cats or infected dogs (may also occur directly from bites and scratches from infected dogs or cats). Bartonella can also be transmitted by ticks that transmit Lyme Disease. In fact, in a study published recently, deer ticks from New Jersey had a higher prevalence of Bartonella organisms than of Lyme organisms.

It is unclear whether the organism that we see transmitted along with Lyme disease is actually a Bartonella species (such as B. henselae or B. quintana) or is "Bartonella-Like Organism" (BLO) that is yet to be fully identified. While BLO has features similar to organisms in the Bartonella family, it also has features slimiar to the Mycoplasma and the Francisella (causes tularemia) families.

_________________


Babesiosis

As with other co-infections, there is a lot of overlap of symptoms between Lyme disease and Babesiosis. An accumulation of the following signs and symptoms probably warrant testing and/or treatment of Babesiosis:

___Chills

___Fatigue and often excessive sleepiness

___High fever at onset of illness

___Night sweats that are often drenching and profuse

___Severe muscle pains, especially the large muscles of the legs (quads, buttocks, etc.)

___Neurological symptoms often described as "dizzy, tipsy, and spaciness," similar to a sensation of "floating" or "walking off the top of a mountain onto a cloud"

___Depression

___Episodes of breathlessness, "air hunger", and/or cough

___Decreased appetite and/or nausea

___Spleen and/or liver enlargement

___Abnormal labs (low white blood count, low platelet counts, mild elevation of liver enzymes, and elevated sed rate)

___Headaches (migraine-like, persistent, and especially involving the back of the head and upper neck areas)

___Joint pain (more common with Lyme and Bartonella)

___anxiety/panic (more common with Bartonella)

___Lymph gland swelling (more common with Bartonella and Lyme)


By the way, I fixed the link to the Bartonella Information Thread up there. I mistakenly pasted both highlighted links to the questionnaire. doh!

It's fixed now.

Fuzzy

[ 06-30-2011, 01:53 PM: Message edited by: FuzzySlippers ]

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tickbiter
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Looks like another good thread so far. Toppers, that was a great link really well thought out!
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FuzzySlippers
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Although this is in the Bart Information Thread, here is some more info:


Taken from Lymeinfo.net

BARTONELLA ALERT
By Lucy Barnes
It is well known that co-infections may occur with Lyme Disease relatively frequently. Patients with a history of Lyme Disease who have incomplete resolution of symptoms should be evaluated for Bartonella infections. Bartonella is an intracellular, gram-negative bacteria that can become chronic. Certain lab tests may not detect the infection due to a variety of strains and the lack of sensitivity of the tests. It is advised to use both PCR and IFA methods of testing and not to dismiss the disease due to negative tests when symptoms are present. Various Bartonella species have been recognized since the early 1950s.

Bartonella may not present in its usual form when additional infections, such as Lyme or Babesia are present. In addition, typical Bartonella lesions are not always seen in patients, therefore, a diagnosis of "fever of unknown origin" should alert a physician to consider Bartonella. It is estimated that approximately 2/3 of the patients with Bartonella have a fever. Involvement of practically every organ has been reported.

There are a variety of symptoms associated with Bartonella, including, but not limited to, the following:

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.

TREATMENT: You MUST consult a knowledgeable physician for information on treatment for disseminated Bartonella. Some of the medications which have been used in the past have included Doxycycline (with or without Rifampin), Ciprofloxacin, Erythromycin, Azithromycin, trimethoprim-sulphamethoxazole, gentamicin, and other macrolide antibiotics.


Taken from the Bart Info Thread and Doc B's Guidelines:

BARTONELLA & �BARTONELLA-LIKE ORGANISMS�-

� Gradual onset of initial illness.

� CNS symptoms are out of proportion to the musculoskeletal ones- if a patient has no or minimal joint
complaints but is severely encephalopathic (see below), then think of Bartonella/BLO.

� Obvious signs of CNS irritability can include muscle twitches, tremors, insomnia, seizures, agitation,
anxiety, severe mood swings, outbursts and antisocial behavior.

� GI involvement may present as gastritis or abdominal pain (mesenteric adenitis).

� Sore soles, especially in the morning.

� Tender sub-cutaneous nodules along the extremities, especially outer thigh, shins, and occasionally
along the triceps.

� Occasional lymphadenopathy.

� Morning fevers, usually around 99. Occasionally light sweats are noted.

� Elevated vascular endothelial growth factor (VEGF) occurs in a minority, but the degree of elevation
correlates with activity of the infection and may be used to monitor treatment.

� Rapid response to treatment changes- often symptoms improve within days after antibiotics are begun,
but relapses occur also within days if medication is withdrawn early.

� May have papular or linear red rashes (like stretch marks that do not always follow skin planes),
especially in those with GI involvement.


And From the Truth About Lyme Disease Forum http://www.truthaboutlymedisease.com/phpBB3/viewtopic.php?f=10&t=313&p=1670&hilit=bartonella#p1670

The following info was gathered from a Lyme conference ILADS LLMD during his presentation:

Bartonella
Brain Fog
Fever
Foot/heel pain
Ice pick headaches
Photophobia
Tachycardia
Bowel problems IBS/IBD
Swollen Glands
OCD behavior
Anxiety
Endocarditis
Retinitis
Peripheral Neuropathy
Rapid relapse off abx
Immediate illness following tick bite
Subcutaneous nodules
Swollen Joints
Swollen lymph nodes
Psychiatric problems
Shin pain
No response to previous abx
Plantar and costal margin pain (plantar=soles of feet costal margin = The lower edge of the chest (thorax) formed by the bottom edge of the rib cage)
Rapid mood shifts
Development of these symptoms during Babesia Treatment

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HopesAlive
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This is incredible! Thank you so much, everyone. How nice to have all these resources, right here in one place.

Heading to sleep now, but I will let you know what I think when I have more time to read and absorb.

Thanks to ALL! [Smile]

--------------------
Best Wishes,

Hope

"Hope is a good thing, maybe the best of things, and no good thing ever dies."

~~The Shawshank Redemption~~

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canefan17
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I've REALLY studied Bartonella.

I encourage anyone to try and find the following.

1) Does Bart encyst
2) Does it reproduce fast
3) What can we do to penetrate the endothelial cells and disrupt Bartonella or force it out into the open.

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Jamers
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Come on Canefan just tell us!!! Pretty please!

--------------------
Diagnosed Pos. Lyme Nov. 17, 2010, Igx.
Pos. Babesia Duncani March 2011, Igx.
Clinical diagnosis for Bartonella

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