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» LymeNet Flash » Questions and Discussion » Medical Questions » Cdifficile feedback needed: Western blots repeated

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Author Topic: Cdifficile feedback needed: Western blots repeated
pamn
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I have posted before but want to recap here.

I was bitten by something twice. I don't know what it was. But there was a clear bite marks & then a blotchy rash that spread around the bite. No bullseye & it didn't look anything like what I have seen of the Lyme's rashes onlinr. It wasn't solid or raised or all red. A friend of mine had the same kind of bite & rash at the same time. It itched like mad, lasted about 2 weeks. I am sensitive to bites & right now have a little one that is driving me crazy.

I originally got tested because I was having labwork anyway & my doc & I decided to test for the Lyme's at the same time. On that test, the 23 & 41 bands were positive on both the IgG & IgM blots. The Elisa was positive.

Everything I have read about the Elisa including Joseph Burrascano's EXCELLENT long paper in Advanced Topics in Lyme's Disease, says that the Elisa is horribly inaccurate, gives false positives & negatives. Burrascano thinks it should not even be used at all.

Upon retest, I had the Western blot only & the result of that was positive reaction on the IgG 41 & 23 bands only. 0 on the IgM bands. Since neither of those bands are specific for Lyme ONLY, the report & my doctors said no reason to treat, especialy considering that I am just recovering from a year with Cdiff.

Much of what I have read also stipulates that treatment should only be begun IF treatment confirms clinical symptoms. I do not have those. I had a slight sore throat at the time of one of the rashes but I also have hay fever at this time of year. I had a slight fever at the time of the second rash but that was back in mid June & I have been fine since. There were no clinical symptoms at the time of testing & there haven't been since & are none now.

If it weren't for the Cdiff, I would probably go ahead & take a course of the Doxy as a precaution, but I do not want to relapse on the Cdiff & the doctors do not want me to either. If you haven't had Cdiff, then you can't imagine how bad it can be. Yes, I know Lymes's is bad too but most people know nothing of Cdiff & therefore discount it. Believe me, Cdiff should NOT be discounted anymore than Lyme's should! Anyway given my recent history of a year with Cdiff plus the results of the tests, especially the second, I guess I will go with the doctors' recommendations.

I would very much like to hear back from anyone here who has had Cdiff.

Pam

[ 06. August 2007, 09:37 AM: Message edited by: pamn ]

Posts: 34 | From Wisconsin | Registered: Jul 2007  |  IP: Logged | Report this post to a Moderator
Lymetoo
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I would be VERY SUSPICIOUS of a positive ELISA!! VERY!!

Have you read this??

Western Blot explanation:
http://tinyurl.com/ffn3x

DR C of MO says this in the link:

"The significant antibodies, in my opinion, are the 18, 23-25, 28, 30, 31, 34, 39, 58, 66 and 93."

Read the entire link....including the replies by MichelleM.

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

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Lymetoo
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up

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

Posts: 96239 | From Texas | Registered: Feb 2001  |  IP: Logged | Report this post to a Moderator
lymebytes
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Hi, Dr. Burrascano means it is inaccurate because it is rarely positive. To be tested correctly using the western blot, the lab must report all bands, the standard test does not. You need to be tested through a tick borne specialty lab, Igenex for accurate testing for Lyme and all co-infections. This link explains the inacurate elisa screening and standard western blot (read both pages: http://www.ilads.org/basic.html

Rashes are never typical or necessarily in a bullseye, here are some pictures of how different the rash can look: http://www.canlyme.com/rash.html

Lyme can be a progressive very serious illness, not to mention the co-infections (other bacteria transmitted by ticks). I would not wait and see a Lyme literate Md asap.

Take care.

--------------------
www.truthaboutlymedisease.com

Posts: 2003 | From endemic area | Registered: May 2007  |  IP: Logged | Report this post to a Moderator
bettyg
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hi pam,

since you want input from C DIFFICILE folks, please edit your topic title ok.

click on pencil icon to right of your name. this opens both the subject line an body text; you can change/add anything you want to at this time.

i'd change topic line to:

c difficile feedback needed; Western blots repeated

after you marked the lower left hand corner for getting all replies, click EDIT SEND; you are done!


now you'll get c difficile folks attention! good luck. [Wink] did you post also in mdjunction site too? i've read this story somewhere lately. [confused]

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hanginginthere
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About c. diff--Having struggled with recurrent c. diff I know you're right--there's nothing quite like it [Frown]

I've upped all my probiotics and so far (knock on wood!) I've been keeping c. diff at bay.

Here's my regime: I've named the specific brands I happen to take, but I'm sure there are other good options!

High potency saccharamyces boulardii w/ MOS (right now I use Jarrow Formulas). Since this is a beneficial yeast, take it away from any difulcan.

Theralac: 1 capsule, 2x/day, one, first thing in the morning and the other right before bed...away from antibiotics.

Culturelle: Lactobacillus GG (taken 1 capsule, 2x/day, same time as Theralac)

MegaFlora: 3 capsules per day, 2 first thing in the morning and one right before bed (again, same time as the above two)

Udo's Choice enzyme blend: plant-based digestive enzymes. I take one with every meal and snacks. This helps break down food for better digestion/absorbtion

Good luck! I know since c. diff makes spores, it's a nasty bugger to get rid of (I don't think we ever get rid of it entirely...we can just keep its numbers down!)

I hope this is helpful!

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merrygirl
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I thought band 23 was specific to lyme????


Could someone explain your symptoms for c. diff?

I hear it is bad, and I have chronic diarrhea and just want to know w hat to look for.

Thanks

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pamn
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Merrygirl,

If you google Cdiff, you can get a lot of information. The way it started with me was one night I got cold chills, extreme anxiety, & dreadful diarrhea. It continued all night long & into the next day & by early afternoon I was in the ER getting 2 bags of IV fluids. Cdiff is a nasty nasty bug. The lucky ones get rid of it in one or two rounds of antibiotics. It has taken me almost a year & others on the Cdiff forum that I am on have had it for years. I lost 30 pounds in 2 months.

If you have continuing diarrhea, it would be worth while getting tested. Chances are you do not have it since I can't imagine anyone going on with their life without being treated while having Cdiff.

It's a terrible disease.

Pam

Posts: 34 | From Wisconsin | Registered: Jul 2007  |  IP: Logged | Report this post to a Moderator
Geneal
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Band 23 is Lyme specific. That is all I had show up positive via Quest.

However, I also was highly symptomatic.

My husband had a positive Elisa. Our LLMD ran tests for all

Other possible infections that could cause a possible "cross reaction" on the Elisa.

The only thing that was positive was the Elisa.

Then of course WB via Igenex, which also showed many Lyme specific bands.

I, myself would rather err on the side of caution and treat.

I believe I contracted Lyme in the Summer of 2002.

Didn't really become symptomatic other than chronic sinus issues,

Until Aug-Sept of last year. Then the dam broke.

I have been on Flagyl 250mg once a week along with antibiotic protocol since October.

That is to prevent C. Diff.

Hugs,

Geneal

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pamn
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Have you had Cdiff or do you already have it? Or are the antibiotics a precaution against getting it?

What is Quest?

Did you know you had been bitten by a tick? Did you have a characteristic rash?

I am going to talk with Dr Harris with Igenex tomorrow. I called them today & told whoever answered the phone that I had tested first positive, then negative (altho my first WB was iffy, not positive) & that I wanted to talk to someone about it. She told me to talk to him but he's not in today so I'll call him tomorrow.

Pam

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hanginginthere
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I sent you a pm, but also wanted to add--for someone that has a c.diff problem--flagyl isn't always enough of a preventative...I had recurrent c.diff while on 250 mg. oral flagyl and 250 mg. IV flagyl daily! I've upped all my probiotics and gone to only IV antibiotics to try to survive [Roll Eyes]
Posts: 136 | From North Carolina | Registered: Apr 2007  |  IP: Logged | Report this post to a Moderator
pamn
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Why haven't you gone to Vancomycin instead of staying with Flagy? Flagyl is very hard on the system & if you haven't gotten significantly better on it, it's definitely time to change to Vanco. Most people do when Flagyl doesn't do the job. And I should add that Flagyl makes you feel sick too so it's hard to tell what's making one feel miserable, the disease or the med.

The forum is at http://cdiffsupport.com/phpBB/index.php Do join as there is a lot of information there & good people.

Pam

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lyme in Putnam
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My son's last treatment for lyme was about a year ago. When he was 7, it was discovered he

had lyme, positive ANA, positive igg for parvo, many miscellaneous mystery viruses and several

positive igg/igm from Igenex for lyme. He was on treatment on and off for 3 years of zithro.

About 2 mos. ago he had a "mystery stomach ache" that the local pediatricians took as the stomach

virus going around. This continued for 3 more days. Took him back to his lyme doc and he

tested him for c-diff. Came back positive. He prescribed flagyl.On his third day of flagyl, he

was so much back to himself.I thought that if he was to get c-diff that it would have been

actively on antibiotic. He's symptom free and his IGM's are no longer positive and he still

has a positive 41 in the igg and igm for borrelia. I don't know what the relationship is,

but as long as a 41 is lying around, I'm under the impression that he can get c-diff

again.That's the only experience I had with C-diff.He was on many acidophillus when he was on

antibiotic. If you can make heads or tales out of this, I hope it can help.

I wish you well and hope your bout with cdiff is no longer. He was in much pain when it was

undiagnosed.

--------------------
He took u to it, He'll you through

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