How To Remove A Tick
A tick must remain attached to the skin for at least 36 hours to spread Lyme disease. The best way of preventing Lyme disease is to remove a tick as soon as possible.
The blacklegged tick that spreads disease-causing bacteria resembles a tiny spider. Young ticks are around the size of a poppy seed, while adult ticks are around the size of a sesame seed. Ticks of all ages are reddish-brown.
Below are some steps for tick removal.
- Step 1: Use fine-tipped tweezers to gently grasp the tick near its head or mouth. Avoid squeezing the tick.
- Step 2: Using the tweezers, pull the tick carefully and steadily away from the skin. Avoid yanking or twisting the tick, as this could cause its mouthparts to remain in the skin.
- Step 3: After removing the tick, dispose of it by putting it in some alcohol or flushing it down the toilet.
- Step 4: Apply antiseptic to the tick bite.
S Used To Develop Guideline
This guideline is based on an update of the S1 guideline Neuroborreliosis No. 030-071 issued by a panel of experts in 2012 . The guideline was created in accordance with the methodological guidelines of the German Association of Scientific Medical Societies for the development and further development of diagnosis and treatment guidelines. It corresponds to an S3 guideline in accordance with AWMFs three-stage concept. The composition of the guideline group was interdisciplinary .
Uniform formulations are used in order to standardise the recommendations of the guideline. The following gradations shall apply here:
Strong recommendation: shall
Open recommendation: may be considered
Recommendation against an intervention: should not
Strong recommendation against an intervention: shall not
Treating Neurological Lyme Disease
Though neurological and psychiatric symptoms can be reduced with antibiotic treatment, emotional and cognitive problems arising from late-stage or chronic Lyme often call for a broader range of interventions. This includes lifestyle changes in such areas as diet, exercise, and environment.
Again, its worth reiterating that the longer an infection goes undetected, the harder it is to treat, and the more likely it is that symptoms will require multi-pronged, multi-system interventions besides antibiotics alone.
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Risk Factors For Post
Youre at a greater risk for post-treatment Lyme disease syndrome if youre infected by the bite of a diseased tick. If the infection progresses to the chronic stage, your symptoms might continue for weeks, months, or even years after the initial tick bite.
You may also be at a higher risk for these long-term symptoms if youre not treated with the recommended antibiotics. However, even people who receive antibiotic therapy are at risk. Because the cause of post-treatment Lyme disease syndrome is unknown, theres no way to determine whether it will progress to the chronic stage.
Typically, the symptoms of post-treatment Lyme disease syndrome resemble those that occur in earlier stages. People with persistent symptoms often experience lingering episodes of:
Intrathecal Antibody Synthesis Borrelia
In most patients with Lyme neuroborreliosis the suspected clinical diagnosis can be confirmed by detecting Borrelia-specific intrathecal antibody synthesis related to inflammatory changes in their cerebrospinal fluid , , , . The production of specific intrathecal antibodies is detected by determining the Borrelia-specific CSF/serum antibody index , , .
3.4.2 Determination method
Methods used to determine the AI should take into account the blood/CSF barrier function, as otherwise false negative results may be produced . The determination of the antibody index according to Reiber is a proven method that is recommended , , , . The following formula is used to calculate the Borrelia-specific AI : Antibody index =
If intrathecal immunoglobulin synthesis is present in the Reiber diagram , the total IgG ratio must be replaced by the Q-Lim ratio . In this case: Antibody index =
A value of =1.5 is recommended as the cut-off for a positive AI, unless otherwise evaluated , , , previously recommended higher limit values of 2.0 are considered less sensitive when a reliable test performance can be ensured . Quantitative measuring methods are usually used to determine the AI and are implemented in commercial, EDP-supported systems .
It is important to note that there can be considerable fluctuations in the determination of AI . Hence antibody testing and AI determination should be conducted in accredited microbiology laboratories.
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How Is Lyme Disease Diagnosed And Treated
Lyme disease is usually diagnosed when a person develops a bull’s-eye rash, flu-like symptoms , or both. These symptoms usually start a few days or weeks after the person is bitten by an infected tick.
A two-step blood test can verify the presence of Lyme disease antibodies, although it does take a few weeks for those antibodies to develop. And despite what some physicians and advocacy groups claim, a blood test is the only way Lyme disease can be confirmed, Larry Zemel, MD, head of rheumatology at Connecticut Childrens Medical Center, tells Health. Some doctors say they can diagnose Lyme even when patients test negative repeatedly, but that has not been borne out by any scientific study, he says.
When people are diagnosed with Lyme disease in its early stages, a 10- to 20-day course of oral antibioticsusually with a drug called doxycyclinewill clear the infection and help them feel better fairly quickly. This cures the vast majority of people, and they have a 100% recovery with no lasting effects, says Dr. Zemel.
If Lyme disease isnt diagnosed right away, it can cause more serious symptoms like arthritis and memory problems. These people may need a full month of oral antibiotics, says Dr. Zemel. About 20% of these patients will need IV antibiotics , and they may also need other medications to treat symptoms like pain and muscle stiffness.
Learn The Stages Of Lyme Disease
Lyme disease occurs in three stages: early localized, early disseminated and late disseminated. However the stages can overlap and not all patients go through all three. A bulls-eye rash is usually considered one of the first signs of infection, but many people develop a different kind of rash or none at all. In most cases, Lyme symptoms can start with a flu-like illness. If untreated, the symptoms can continue to worsen and turn into a long-lived debilitating illness.
Stage 1: Early Localized Disease
Symptoms with early localized Lyme disease may begin hours, a few days or even weeks after a tick bite. At this point, the
infection has not yet spread throughout the body. Lyme is the easiest to cure at this stage.
Symptoms may include:
- skin rash, which may or may not look like a bulls eye
- flu-like illness, including chills and fever
- muscle soreness and joint pain
- swollen lymph nodes
- sore throat
Stage 2: Early Disseminated Lyme
Early disseminated Lyme may occur several weeks or months after the tick bite. Bacteria are beginning to spread throughout the body. In addition to flu-like symptoms, this stage is often characterized by increase in symptoms such as:
- pain, weakness or numbness in the arms, legs
- vision changes
- heart problems, such as palpitations, chest pain
- rash may appear on body
- facial paralysis
Stage 3: Late Disseminated Lyme Disease
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Getting A Correct Diagnosis
Diagnosing Lyme is often a complicated process, most physicians are not adequately qualified to identify Lyme disease and the common tests used to confirm a Lyme diagnosis can report incorrect results 50% of the time . To make matters more complex, Lyme patients with neurological symptoms are often misdiagnosed with neurological diseases like Multiple Sclerosis, Lupus, Parkinson’s disease, or even worse, their symptoms are dismissed altogether. The symptoms that they are experiencing are frustrating and maddening, especially when they are being told it’s all in your head. The struggle to find the right diagnosis is extremely draining for patients who are already facing depression, brain fog, memory loss, tremors, and other crippling symptoms.
At Envita our doctors and staff are highly trained in identifying Lyme disease our physicians utilize a proprietary PCR diagnosis protocol which allows them to not only accurately diagnose Lyme disease, but be able to monitor the Lyme infection and co-infection levels in the body throughout treatment. While this technology is still in research-and-development and is currently only available at Envita, it is proving to be a vitally important diagnostic tool for our Lyme patients. Correctly diagnosing the disease is always the first step in reaching a solution and at Envita we understand the importance of quickly and accurately diagnosing our patients.
Borrelia Releasing Neurotoxins in the Brain
Everything About Neurological Lyme Disease
Neurological Lyme disease is an insidious disease that very often produces neurological symptoms that resemble other diseases, such as, for example, multiple sclerosis, amyotrophic lateral sclerosis, or lupus. A large proportion of sick people do not even remember contact with the tick, which is why the diagnosis of the disease is such a big problem. Patients symptoms are often nonspecific and diffuse, so the doctor rarely makes an accurate diagnosis at the very beginning.
How to recognize Lyme disease and what are the symptoms? Can you have joint and neurological symptoms at the same time? Can Lyme disease develop into other incurable neurological diseases? We will try to answer these and more questions in this article.
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Can Lyme Disease Cause Trigeminal Neuralgia
causetrigeminal neuralgiacausecausestrigeminal neuralgiadiseasesLyme disease
. Considering this, can Lyme disease affect cranial nerves?
Lyme neuroborreliosis can present as aseptic meningitis, recurrent meningoencephalitis, and cranial or spinal neuropathies, with the seventh cranial nerve being the most commonly involved . There are few reports on cases of Lyme disease with more than one cranial neuropathy.
Similarly, what can trigger trigeminal neuralgia? Trigeminal neuralgia can occur as a result of aging, or it can be related to multiple sclerosis or a similar disorder that damages the myelin sheath protecting certain nerves. Trigeminal neuralgia can also be caused by a tumor compressing the trigeminal nerve.
People also ask, can neck problems cause trigeminal neuralgia?
Therefore, concussive trauma to the head and neck or upper back that cause injury to nerve pathways in the spinal cord and brain stem and it can be cause of trigeminal neuralgia. After cervical trauma, facial pain can be triggered immediately or can occur months or years later.
Can Lyme disease cause thyroid issues?
Many Lyme patients experience hypothyroidismmyself includedat some point during treatment. When a person is hypothyroid, the thyroid gland fails to produce sufficient amounts of thyroid hormone, which makes it difficult for the body to function optimally.
Routine Laboratory Parameters In Blood
In the routine laboratory, patients with Lyme neuroborreliosis have normal or slightly elevated values for ESR, CRP, leukocytes and transaminases that indicate a systemic infection ). When diagnosing Lyme neuroborreliosis, the routine laboratory results only play a role in differential diagnosis.
Routine lab parameters for patients with early or late manifestations of Lyme neuroborreliosis
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Why Choose Hope Brain & Body Recovery Center For Treatment
When seeking treatment for neurological conditions, you shouldnt settle for anything but the most premium treatment. Dr. Joseph Schneider has over 30 years of clinical experience and has attended to over 11,000 patients with a wide array of neurological conditions.
Dr. Schneider has firsthand experience with neurological treatment, having suffered a stroke in 2017. Thanks to his incredibly talented associates and personal knowledge of treatment methods, has made a miraculous recovery. He has devoted his life to the neurological health of his patients and uses his firsthand experience of the recovery process to improve the treatment methods used at Hope Brain & Body Recovery Center.
Choosing Hope Brain & Body Recovery Center gives you access to some of the most modern technical treatment equipment available. We utilize a wide range of modern diagnostic equipment that helps our specialists build some of the most comprehensive neurological profiles for our patients. This means we are able to offer more accurate diagnoses, discover underlying conditions, as well as use the information to create therapy plans that are uniquely designed for each patient.
Support/financing Of The Guideline
This guideline was created without the influence or financial support of sponsors.
The funds required to create and to translate this guideline were provided by the Society for Promotion of Quality Assurance in Medical Laboratories , Düsseldorf.
Travel expenses were provided by the respective expert medical societies.
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Cerebral Vasculitis Resulting From Lyme Borreliosis
There are no controlled studies on the treatment of very rare cerebral vasculitis resulting from Lyme borreliosis. Case reports, case series and narrative reviews have reported that early antibiotic treatment with ceftriaxone and/or doxycycline has very good results , , , , , , . Several authors administer steroids in addition to antibiotics , , , . Despite antibiotic and steroid administration, clinical stabilization was achieved in 2 casuistics only after a subsequent immunosuppressive cyclophosphamide treatment two cases involving the basilar artery were lethal , . In summary, in the case of cerebral vasculitis due to Lyme borreliosis, the earliest possible antibiotic treatment is in the foreground whether the addition of steroids and/or prophylactic platelet function inhibition with ASA 100mg, in analogy to the recommendations in autoimmune mediated cerebral vasculitis, results in an advantage is unclear .
Is There A Cure For Late Stage Lyme Disease
Late stage Lyme disease is the third and final stage of a Lyme infection. It is referred to as stage 3 Lyme disease or rather late disseminated Lyme disease. This stage of the infection should not be taken lightly as it can be disabling and even life-threatening. Nonetheless, death from Lyme disease is a rare occurrence. The seriousness of Lyme disease lies on the severity of the symptoms one is experiencing and for how long one has been infected. If it is not treated promptly and appropriately, then Lyme disease can become chronic, which then makes it harder to treat. Since there is no definitive way to prove that one is Lyme free after antibiotic treatment, the course of treatment may be prolonged. This can be done until one no longer exhibits any symptoms of a Lyme infection.
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Early Disseminated Lyme Disease
If Lyme disease is left untreated, it may progress to early disseminated Lyme disease, which spreads from the bite location to other parts of the body. It may begin to affect the skin, nervous system, and heart. This stage can occur days to months following the initial infection.Neurologic symptoms occur in approximately 10% of untreated people.
Inflammation of the nervous system can cause:
- Facial paralysis
- Numbness, tingling, shooting pain, or weakness in the arms or legs
- Sensitivity to light
- Severe headache or neck stiffness
Lyme carditis, which affects approximately 5% of people in this stage, occurs when the infection reaches the heart tissue and slows down the heart rate too much. Some people may not have any symptoms, while others may experience severe effects requiring hospitalization.
- Shortness of breath
During this stage, you may develop multiple erythema migrans rashes on areas distant from the original bite. You may also experience headaches, muscle or joint pain, or extreme fatigue.
Early disseminated Lyme disease can be treated with oral or intravenous antibiotics for two or more weeks, depending on the severity of the symptoms.
Making Connections To Clarify Diagnosis
Chronic Lyme disease shares many symptoms with other chronic illnesses. This is especially true of Lyme neuroborreliosis and chronic neuroinflammatory illnesses such as multiple sclerosis, Alzheimers disease, amyotrophic lateral sclerosis , Parkinsons disease, and traumatic brain injury.
Not surprisingly, new sophisticated methods of microbial detection are showing potential links between these neuroinflammatory illnesses and many of the microbes associated with chronic Lyme disease.
For instance, both mycoplasma and chlamydia have been closely linked to multiple sclerosis. Mycoplasma, borrelia, and chlamydia have been associated with demyelination. Parkinsons and ALS have been linked to borrelia and other microbes commonly associated with Lyme disease. Borrelia and other stealth pathogens have been found in the brains of patients who died of Alzheimers disease.
The connections go well beyond Lyme disease microbes. Two recent studies are shedding new light on how closely disruptions in the microbiome are linked to neuroinflammation. One, published in Frontiers of Aging Neuroscience, evaluated the presence of microbes in the autopsied brains of deceased Alzheimers patients. The other, published in Scientific Reports, evaluated the presence of microbes in the autopsied brains of people who had died of multiple sclerosis.
So what does restore well-being? Therapy that comprehensively addresses chronic immune dysfunction and widespread disruption of the microbiome.
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Stage : Late Disseminated Lyme Disease
Stage 3 or late disseminated Lyme disease is the final stage of the disease. A person may enter this stage if they did not receive treatment for Lyme disease in the early stages, or if their symptoms persisted despite treatment. As such, doctors sometimes refer to this stage as chronic or post-treatment Lyme disease .
Stage 3 Lyme disease can occur after an infected tick bites a person.
A person with stage 3 Lyme disease may experience additional symptoms, including:
- severe joint pain and swelling, known as chronic Lyme arthritis
- heart palpitations or irregular heartbeat, due to Lyme carditis
- inflammation of the brain and spinal cord
- mental fogginess
Lyme The Nervous System And Neuropathy
Unfortunately, once the infection begins to spread throughout the body, many people will develop Lyme neuroborreliosis that is, neurological Lyme disease, which affects and inflames the central and peripheral nervous systems. Research suggests the neurologic manifestations of Lyme disease may be present in approximately 15% of the patient population. However, the exact incidence of LNB isnt well known a brief stint in an online Lyme patient forum will quickly reveal that most individuals report experiencing at least some amount of neurological involvement on a routine basis.
One debilitating symptom that may be present among those with LNB is peripheral neuropathy , a disease process that impacts the nerves located outside of the brain and spinal cord. Neuropathy occurs when there is damage or dysfunction of neurons in one or more nerves.
The damage results in interference among the neurons, and they begin to have difficulty communicating with each other and the brain. To make matters worse, coinfections like Babesia and Bartonella can contribute to neuropathy as well, according to a study in the International Journal of General Medicine.
So how do you know if the symptoms youre facing are neuropathy, and what can you do to find some relief? Read on to learn about the symptoms, diagnosis, and ideas on how to manage the pain and discomfort associated with neuropathy more effectively.
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