A Neuropsichiatric, Musculoskeletal, Multisystemic Disease similar to Leptospirosis and Treponema.
Dr. Manuel R. Lazo, Mexico Hospital , Tijuana, México
Tel. in California 619-581-4081, in Mexico 52-664-683-6363
Pagina en español: www.enfermedaddelyme.com
The first case of Erithema Migrans was reported in 1970, in Lyme, Connetticut and its cause was reported to be a Tick . In 1977 Steer and Colaborators detected an outbreak of Juvenile Arthritis in Conneticut. In 1978 the relashionship between Arthritis, Face Paralysis and the and tick bite was established. In 1982 Burdorferi and collaborators isolated the ethiologic agent of the Ixodes Tick, a spirochete that is now known as Borrelia Burgdorferi. At the beginning treatment with penicillin was given which showed improvement in the disease.
My first case of lyme disease was about 20 years ago , a young 18 year old girl that came in for consult had been already diagnosed with Juvenile Arthritis. I had been reading up on lyme disease , and I decided to treat this patient with a month of antibiotics. Within the first month patient showed 50 % improvement, and to this day patient is now asymptomatic.
Lyme Disease Symptoms
The classic symptom is that the patient refers that after a tick bite they present with a round lesion or target lesion that grows up to 5 cm. Patient also presents erithema migrans and unspecific cold symptoms.
The symptoms of lyme disease are so many that it is hard to diagnose at times because the patient can present with Heart problems, Neurological problems, muscular, or Psychiatric problems.
Some of the frequent symptoms are; Migraines, Discal hernias, Arthritis, Facial Paralysis, Sicknesses, Depression, Irritability, Insomnia.
At any moment, whether it be at the beginning or long after the first tick bite, Arthritis with migratory arthralgias can appear , along with Hydrarthrosis (swelling of joints because of excess fluid ) of the hands and in the knees. Usually it is wrongly diagnosed and patient will get steroid shots in these joint to try to reduce the inflammation, which at first may help but later on will not cure it completely.
Lyme Disease Transmission
A patient with lyme disease can be contaminated through his/her mother or any time in their life. The symptoms can vary at first, they can be minimal or in some cases even severe. As with Syphilis, it can have a period of latency of months until years so that the first symptoms are manifested. Borreliosis or lyme illness is transmitted by bite of a contaminated insect or transfusion of blood, but I find absurd that the great majority of doctors mention only the famous tick without mentioning that any other insect that has contact with blood like the mosquito, bedbugs, body and hair lice, etc.
Animals that can transmit the borreliosis or lyme disease
In my experience, I believe that not only insects but animals such deer, dogs, cats, rabbits, rats, can also be carriers and transmit the lyme disease. I also believe that the humans are important transmitters of the disease.
A FAMILY ILLNESS.- The human is the most important vector, it is attacked by many insects that have not been studied and in my consultation when a patient shows up with borreliosis symptoms or lyme illness, another member of the family is almost always has some if not all the same symptoms as the patient.
Lyme Disease, A premalignant disease.- I am probably getting ahead of myself by making the next statement, but I have observed that patients with lyme disease symptoms, have someone in their family with cancer. This makes me in turn think that maybe, with this disease there is an immunosuppression which makes the patient susceptible to cancer..
Diagnose.- In our consultation we almost have 10% of patients that you/they mention us that Arthritic, Neurological problems or Siquiátricos present, immediately we practice them the modified Questionnaire of Dr. Burrascano and if the symptoms are enough, immediately we classify them as patient with borreliosis or lyme disease and after making them Rx, Laboratory, Ultrasonidos, or what needs, begins them treatment, verifying that the great majority you begins to improve considerably after the first month that arrives to consultation, the appointment it is monthly until their cure for 3 to 6 months, later it is strange that the patient returns for new treatment, that is to say that is cured permanently.
If one doesn't make the Diagnose, the patient is a correspondent with the Rheumatologist, Oculist, Cardiologist, Otorrino, Internist, Gynecologist, etc. and ultimately the I Prescribe they don't know what she has and they tell him/her that you/he/she is Stress or that you/he/she is her imagination and the patient is a correspondent with THE PSYCHIATRIST.
Lyme Disease Diagnostic Criteria
The CDC in the United States since 1991 demands that the diagnosis be made on the following requirments: patient has to have had contact or been in an endemic area, clinical evidence of eithema migrans or confirmations through lab analysis, as well as neurologic, musculoskeletal or cardiac symptoms.
With these requirements, very few diagnosis can be made. Many of these patients have never been to Conneticut, never been anywhere near deer or visited any farms.In my many years of practice I have only seen less then ten cases Erythema Migrans .
Lyme Disease Treatment.- In order to start lyme disease treatment, full panel labs are taken in order to asses the overall health. Our treatments are based solely on antibiotics , so patient as to come in monthly in order to see the evolution and monitor white blood cells and liver enzymes.
Depending on the symptoms of the patients, other tests like MRI, CT scans, Xray are done as well to rule out any other causes.
Borreliosis,Leptospirosis and Syphilis are alike:
1.- All penetrate for the skin
2.- All are caused by an spirochete
3.- All can cause Neurological problems, Musculoskeletal and Psychiatric problems.
4.- All respond to antibiotics.
5.- All are easily to diagnose.
Our lyme disease treatment is only with ANTIBIOTICS . The duration of the treatment is from four to six months, but the patien has to come once a month in order to see the progress. Depending on each patient , some of the antibiotics used are Tetracycline, Penicillin, and Clarythromicin.
Conclusion.- The diagnosis of lyme disease is increasing each year because there are more doctors now that have a better understanding of what this disease is. It is also our obligation to give out as much information as we can about this disease to our patients, friends and family members. I only have to ask : Do you have headaches, back pain, dizziness, insomnia? You will realize the amount of people with these symptoms. he/she will realize the quantity of patients that there are around us..
Our Hospital is one of the few places in the world with patients with migraine, arthritis, lumbalgia and facial paralysis that can be cured. Lyme disease can be cured.
If you are a patient that has these symtoms, you should call us as soon as possible to get more information.
Tel. in Mexico, Tijuana 52-664-683-63-63
Tel. in California. (619)581-4081
Here is what our patients have to say after been totally cured!
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Karla, who had migraine for 6 years, Says: "I had migraines about 3 to 4 times a week, it started when I was thirteen and I would locked my self in my room in the dark and just sleep all day, I saw like 5 doctors, they just gave me painkillers, I don't have migraines anymore, I feel perfectly fine!"
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Karina, who had migraine for 10 years, Says: "I came here with a lot of different symptoms, headaches, a lot of joint pain, I felt very depressed, very strange, I just felt lost, very lost. Now I'm feeling new, like a new person and I'm very satisfied!"
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Marina, who had migraine and chronic fatigue for 7 years, Says: "I came 'cause I was tired and sleepy; had headaches, lot of headaches. Now I don't have headaches, my fatigue, I dont' have it, and dont't sleep as much and I feel much much better!"
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Margarita, who had carpal tunnel syndrome and migraine for 10 years, Says: "I had pain in my hands, arms and elbows; some doctors offered a surgery but I decide not to take it. Instead I looked for other options so I came here and I'm felling a lot better!"