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Table of contents
LYME DISEASE A comprehensive guide to Diagnosis and Treatment Joseph J. Burrascano Jr. M.D.
WHAT IS LYME DISEASE?
INCREDIBLY COMPLEX!
MORE THAN AN INFECTION
STATISTICS
WORLDWIDE PUBLIC HEALTH THREAT
WHY THE CONCERN?
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THE TICKS
The Ixodes Tick
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DIAGNOSING LYME
WHY SO DIFFICULT TO DIAGNOSE?
HOW DO YOU MAKE THE DIAGNOSIS?
POINT SYSTEM
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TYPES OF LYME DISEASE
EARLY LYME
Erythema Migrans
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Other Rashes Not Lyme Disease
Lymphocytoma
TREATING EARLY LYME (“Stage I”)
DISSEMINATED LYME (“Stage II”)
GENERAL FEATURES
DISSEMINATED LYME (STAGE II) Approach to treatment
CHRONIC LYME DISEASE (“Stage III”)
CHRONIC LYME DISEASE-Why are patients more ill?
IMMUNE SUPPRESSION BY Borrelia burgdorferi
CD-57 COUNT (Natural Killer Cells)
TREATMENT
LYME TREATMENT Pharmacology
LYME TREATMENT Alternate forms of Bb
LYME TREATMENT Antibiotic Types
LYME TREATMENT Design of Regimen
TYPICAL REGIMENS IN CHRONIC LYME
ANTIBIOTICS- ROUTE OF ADMINISTRATION
INDICATIONS FOR INTRAVENOUS THERAPY
ASSOCIATED CONDITIONS Borrelia Neurotoxin
ASSOCIATED CONDITIONS Heavy Metals
ASSOCIATED CONDITIONS Hormonal Dysfunction
ASSOCIATED CONDITIONS Neurally Mediated Hypotension
CHRONIC LYME Treatment Issues-1
CHRONIC LYME Treatment Issues-2
CHRONIC LYME Treatment Issues-3
CHRONIC LYME Treatment Issues-4
CO-INFECTIONS IN LYME
BARTONELLA-LIKE ORGANISMS
Bartonella Rashes
Slide 56
More Linear Bartonella
Linear Bartonella Rashes
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PIROPLASMS (Babesia species)
BABESIOSIS
BABESIA TESTING
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DIAGNOSING ACUTE BABESIOSIS
DIAGNOSING CHRONIC BABESIOSIS
TREATING BABESIOSIS
EHRLICHIA & ANAPLASMA
MYCOPLASMA
OTHER CO-INFECTIONS
SORTING IT ALL OUT !
TREATMENT General Principles
TREATING THE CO-INFECTED PATIENT
TREATMENT More Than Antibiotics!
REFERENCES
Chronic LB Syndrome: Problems with Testing and Treatment
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Treatment Relapses and Failures with Short-term Therapy
Benefit of Longer treatment Regimes for Disseminated Lyme Disease
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Positive Response on Retreatment for Chronic Lyme Borreliosis
Slide 89
Columbia University Study of Chronic Lyme Encephalopathy
Slide 91
Problems with Babesia Testing and Treatment
Slide 93
HEAVY METALS
BEST WISHES IN LICKING YOUR LYME!!!