You'd think after researching till almost 4 AM I could have done better. Sorry.This will have to do for now.. but I can check back after I get some sleep... ok?
This doctor is THE man. He has been doing biopsies and may be able to help??
He biopsied a number of patients and found evidence of Bart in the tummy... and throat area from what I recall... and I THINK he works a lot with children.. or only children.
Sorry.. gonna fall over if I don't quit here...
http://www.lymepa.org/html/about_martin_fried__md.html
Martin Fried, MD
Director of Pediatric Gastroenterology and Nutrition
Assistant Program Director, Department of Pediatrics
Jersey Shore Medical Center, Neptune, New Jersey
Dr. Fried has been treating patients with Lyme and its co-infections for many years in an
endemic area of New Jersey. He has participated in tick studies and published the first
paper showing a high percentage, over 40%, of ticks collected from patients in NJ were
predominantly infected with Bartonella henselae. Borrelia burgdorferi (Lyme) was found
in about 30% of the ticks in the sample. As a recognized expert, he also testifies in behalf
of patients in legal cases involving potential misdiagnosis of tick-borne disease.
Publications & presentations (not inclusive):
``Confirmation of Chronic Lyme by PCR of Intestinal Biopsies''
Martin D. Fried, MD; Dorothy Pietrucha, MD; Gaye Madigan, RN; and Aswine Bal, MD.
Borrelia burgdorferi Persists in the Gastrointestinal tract of Children and Adolescents
with Lyme Disease. Journal of Spirochetal and Tick-Borne Diseases. Vol. 9, No. 1, 2002.
pp. 11-15.
``Co-infections in Persons with Chronic Lyme Disease''
Presented at the 2003 Lyme Disease Foundation International Conference
Hartford, Ct. ``Co-infections and the GI System''
The Lyme Disease Association Conference, November 4, 2000
Lyme & Other Tick-borne Diseases: Focus on Children & Adolescents
``Review of Borrelia-driven Infections of the Gastrointestinal Tract in Children and
Adolescents''
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Int J Surg Pathol. 2003 Jul;11(3):241-4.
Upper gastrointestinal bacillary angiomatosis causing hematemesis: a
case report.
Chetty R, Sabaratnam RM.
Department of Pathology, Nelson R Mandela School of Medicine, University of
Natal, Durban, South Africa.
A 38-year-old HIV-positive woman presented with massive hematemesis on initial
admission to hospital. Endoscopy revealed ulcerated nodular lesions in the
esophagus, stomach, and duodenum. The clinical impression was of Kaposi's
sarcoma. The stomach was biopsied when the patient re-presented, and another
endoscopy was performed. The biopsy showed mucosal ulceration with a
proliferation of vascular channels associated with neutrophils and clumps of purplish,
granular bacterial colonies, which were highlighted by a Warthin-Starry stain. The
histopathological features were typical of bacillary angiomatosis. This case highlights
bacillary angiomatosis involving the gastrointestinal tract at multiple sites, the cause
of massive upper gastrointestinal hemorrhage that was the initial presentation of an
HIV-positive patient, and the occurrence of visceral bacillary angiomatosis in the
absence of cutaneous lesions.
Publication Types:
Case Reports
PMID: 12894361 [PubMed - indexed for MEDLINE]
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Clin Infect Dis. 2004 Aug 1;39(3):e21-4. Epub 2004 Jul 9.
Disseminated infection with Bartonella henselae as a cause of
spontaneous splenic rupture.
Daybell D, Paddock CD, Zaki SR, Comer JA, Woodruff D, Hansen KJ, Peacock
JE Jr.
Section on Infectious Diseases, Department of Internal Medicine, Wake Forest
University School of Medicine, Winston-Salem, NC 27157, USA.
A 65-year-old man developed massive hemoperitoneum secondary to spontaneous
splenic rupture. Histopathological analysis of the spleen demonstrated necrotizing
granulomas. Results of serological tests indicated infection with a species of
Bartonella, and immunohistochemical staining established Bartonella henselae as the
cause of splenitis. To our knowledge, this represents the first reported case of
spontaneous splenic rupture caused by infection with a species of Bartonella.
Publication Types:
Case Reports
PMID: 15307019 [PubMed - indexed for MEDLINE]
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