Lyme Disease

Infection   Stages   Symptoms   Misdiagnosis   Diagnosis   Testing   Impact on vision   Prevention   Nutrients   Treatment

Lyme disease, arising from a bacterial infection transmitted by deer ticks, is a condition whose chronic condition causes eye and vision disturbances, head, face and neck symptoms, heart problems, immune system weakness, endocrine disorders, damage to locomotor systems and the reproductive system. It is frequently misdiagnosed by physicians because of the wide range of confusing symptoms. Further, testing for the condition sometimes results in false negatives and the hallmark bullet rash may not always appear.

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bacteriaLyme is caused by a corkscrew-shaped bacteria, a 'spirochete' (Borrelia burgdorferi) which burrows into connective and other tissues in the body most frequently causing aching and tender muscles, sore joints, headaches, and even intermittent paralysis. Transmitted by deer ticks (Ixodes ticks), a pin-head version of the common wood tick, people who live, play, or travel in forested and grassy areas are most vulnerable although the tick may be found almost anywhere that deer or white-footed mice are found. Although white mice are known to be part of the deer tick life cycle, researchers now think that the bacteria life cycle may also include birds, other mammels, and insects like mosquitos.

Lyme can masquerade as fibromyalgia, carpal tunnel, multiple sclerosis, chronic fatigue, depression, thyroid disfunction, arthritis, heart arrhythmia and many other conditions. With an estimated 300,000 new cases annually, Lyme is a more serious health threat than West Nile disease which is transmitted by mosquito bites.

Infection

Most people get Lyme from the bite of the nymphal, or immature form of the tick. Deer tick larva become infected in August and September when they feed on an animal that is infected. They molt over the winter and in May appear as poppy-seed sized nymphs. Humans become infected when they are bitten, usually from May through July. The adult deer ticks appear in October, and survive the winter in leaf litter. They begin laying eggs in late May, which hatch in July, and the cycle begins again.

Because the nymphal ticks are so tiny with a painless bite, many people do not even realize they have been bitten. The longer they remain on the skin, as long as several days before they drop off, the more likely they will transmit disease to your bloodstream.

If the tick that bites you (often on the nape of the neck, or in your hair) is infected (not all are) then within 3-30 days you may feel flu-like symptoms, headache and see the typical bulls-eye rash, a series of expanding circular red rings.

Uncommonly, pregnant women can pass Lyme to their unborn child, sometimes resulting in stillbirth. Human-to-human infection is thought a possibility by some but there is little evidence of this.

Stages of Lyme Disease

There are 3 stages of Lyme disease.

Stage 1. The bull's-eye rash is not the most common rash perhaps appearing only 20% of the time. One of the first symptoms of Lyme disease might be a bulls-eye rash, called erythema chronicum migrans, appearing in only 20% of cases. This rash usually radiates from the bite site as a red blotch or a central spot with a bull’s-eye ring around it. The rash usually appears from one to two weeks after transmission of the disease and can be accompanied by joint pain (particularly in the knees), chills, fever, fatigue, and "brain fog."

Seventy-five percent of Lyme disease patients will have a skin discoloration that lasts from several days to several weeks, and it gets larger. The bulls-eye rash, not the most common manifestation of Lyme, occurs only 20% of the time. "Rather, a uniformly red or reddish-blue rash, round or oval in shape, with sharply demarcated borders is most common."7 The rash commonly occurs in places that are moist and where clothing is snug: knee, groin, or armpit, occurring at prime tick season, such as the late spring and early summer. The multiple ways in which the immune system responds may explain the variety of outcomes.8 The spirochete that causes Lyme disease has the ability to avoid immune cell attacks by creating a "biofilm" around itself. This takes time to do, which may account for why Lyme disease can develop slowly.

Stage 2 includes multi-organ involvement with a predilection for affecting the cardiovascular and central nervous systems. As the disease progresses, the symptoms can include severe fatigue, stiff neck, persistent headaches, and often tingling or numbness of the extremities and face. The central nervous system is invaded. If the disease progresses, the symptoms do as well, which can include cardiac abnormalities as well as cognitive and mental problems.

Stage 3 is the chronic stage affecting the joints, peripheral nervous system, central nervous system, and subcutaneous tissues. This can occur months after the initial tick bite. Because the spirochetes causing Lyme disease can invade almost every organ system of the body, symptoms such as nausea or vomiting, and a change in bowel functions such as constipation, diarrhea, or cramping can sometimes occur. If the urinary system is infected, it can create cystitis, or irritable bladder syndrome. Other neurological symptoms often include Bell’s palsy (facial paralysis), poor balance, tremor, difficult speech, blurry vision, and neuropathies.

Common Symptoms of Lyme Disease

Not all of these symptoms may appear.

Acute Lyme Disease. Acute conditions appear suddenly and can be fairly severe. In the case of Lyme, they are the initial sign that something is wrong.

  • Flu-like symptoms, sometimes with sore throat and swollen glands, nausea and vomiting, fever and chills
  • Generalized soreness
  • Headaches and migraines
  • Fatigue
  • Swelling. Often there is no swelling.
  • Bull's eye rash. Frequently the rash does not appear, leading to misdiagnosis.

Chronic Lyme Disease. Once the disease is established and the bacteria invades a wide variety of tissue, then more diverse symptoms develop.

  • Vision & eye conditions: blurry or double vision, lazy eye, pink eye (conjuntivitis), red eye (iritis), light sensitivity, eye pain and/or eye swelling,
  • Musculoskeletal: Arthritis-like joint pain, muscle pain and cramps, loss of muscle tone and reflexes or muscle weakness. Pain that spreads throughout the joints, most often in the knees and elbows.
  • Head, face, neck pain: Migraines and headaches, nerve sensations (tingling), allergen sensitivity, TMJ-like jaw pain, changes in the sense of smell and taste.
  • Digestive & elimination systems: Upset stomach and poor digestion, irritated bladder, changes in weight, appetite loss, liver and kidney problems.
  • Circulatory system: Heart irregularities such as palpitations, arrhythmia, murmur, chest pain.
  • Respiratory system: Difficulty breathing, rib soreness, persistant fatigue.
  • Nervous system: Numbness, prickling, tingling, burning, stabbing sensations; weakness, tremors, seizures; dizziness, balance issues, light-headedness; brain impairments such as encephalopathy, encephalitis, meningitis, encephalomyelitis.
  • Cognitive functioning: Dementia, mental performance impairment, confusion, brain fog, disorientation, memory loss.
  • Reproductive system: Reproductive system pain, problems, irregularities.
  • Endocrine system: Thyroid, adrenal disorders.
  • General health: Severe fatigue, disinterest in daily activities, lethargy, symptoms seem to appear and disappear irregularly.

Misdiagnosis is Common

Only 50–60% of patients recall a tick bite; the rash is reported in only 35–60% of patients; and joint swelling occurs in only 20–30% of patients. A significant number of people who contract Lyme disease are misdiagnosed during the early stages, leading to a progression of the disease. In one study, 54% of the patients were initially misdiagnosed. Of these, 13% did not present with a rash, and of those with a rash, 23% were not diagnosed correctly, initially.6

Diagnosis

The hallmark bulls-eye rash is called erythema migrans and occurs in about 20% to 70% of cases (depending who you talk to). The rash usually centers on the bite site, and often appears as a red blotch, or a central spot with a bull's-eye ring around it. The rash usually appears from 3 days to two weeks after you are bitten and may be accompanied by flu-like symptoms and/or 'brain fog.'

One of the reasons the bacteria causes such a wide variety of symptoms and makes them tenacious once established is that they have the ability to move around the body lodging into different tissues. With time they become more resistant to antibiotics; research indicates that the bacteria releases a substance "biofilm" that helps protect it from antibiotics.

Complicating a diagnosis is that Lyme resembles other tick-borne diseases with similar symptoms, but requires different treatment. For example, Babesia is a parasite carried by the deer tick that lives in red blood cells. Doctors rarely test for Babesiosis and if untreated patients have weak immune systems, it can be fatal. In 2010, an estimated 1,000 cases were reported in the U.S. Treatments need to target immune support and broad-spectrum antimicrobial actions rather than antibiotics. Babesiosis can be transmitted through the blood and is currently the most frequently reported infection transmitted through transfusion in the United States, responsible for at least 12 deaths.1

Testing for Lyme disease

Immediate treatment with antibiotics after a tick bite can often resolve a Lyme disease infection if caught early. Lyme disease is known to inhibit the immune system and 20-30% of patients have falsely negative antibody tests making the test fairly unreliable. The standard blood tests, which test only the antibody produced by the body in response to Lyme disease, have been shown to have many "false negative" readings. These tests include the ELISA, as well as the IgG and IgM Western Blot tests. A better test is an actual culture, but it is difficult to do, and most insurance will not reimburse for it.

Lyme Disease Impact on Vision

Lyme disease

The symptoms of Lyme disease can mimic many health conditions. Eye conditions related to Lyme disease include:

  • Conjunctivitis, or redness and discharge due to inflammation of the conjunctiva, can occur in the early phase of Lyme disease.
  • Uveitis is an inflammation of the uvea. The uvea is made up of the iris, the colored part of the eye; the ciliary body, which makes the fluid that fills the eye and flexes the eye lens; and the choroid, the layer beneath the retina.
  • Optic neuritis is an inflammation of the fibers that cover the optic nerve. Symptoms include pain in the eye, inability to see color, and vision loss.
  • Keratitis is inflammation of the cornea. Symptoms may include pain in the eye, light sensitivity, tearing, and blurred vision.
  • Retinal vasculitis is an inflammation of the blood vessels of the retina. Though painless, symptoms could include gradual vision loss.
  • Branch retinal vein occlusion (BRVO) is a blockage in the veins of the retina. There is no pain associated with a BRVO, but vision loss occurs if the blockage causes swelling in the macula and is not treated.
  • Diplopia or blurred vision or changes in vision
  • Strabismus and eye tracking conditions
  • Sensitivity to light and glare and eye pain
  • Swelling around the eyes
  • Eye floaters

Prevention & Complementary Treatment

The first line of defense against Lyme disease is prevention. The following are a few simple important steps to take:

  • Early detection is important because early intervention with simple antibiotics is often effective. If you are out working in your yard or woods, or have taken a hike and several days to 2 weeks later feel like you've got flu with fever, check with your doctor. Medical professionals disagree about how often the rash appears - we've read everywhere from it appearing in only 20% of cases to appearing in 70% of incidents.
  • If possible avoid walking in tall grass or brush, and wear a non-toxic insect repellant. But deer ticks are found in a wide range of locations, even at the beach!
  • ticksWhen you come inside, take a shower and do a careful tick-check, including running your fingers through your hair. Note: the common wood tick is larger and its bite leaves a single red bump or soreness that goes away after several days.
  • If you find a tick, take a tweezer and pull the tick gently but firmly straight out. Apply alcohol to the skin after removal for antiseptic action.
  • You can save the tick and have it analyzed for tick-borne diseases.
  • Support your immune functions by following these steps: consume probiotics, eat nutritious food with amino acids, antioxidants, vitamin D, drinks lots of pure water, get plenty of sleep and daily exercise, and decrease sugar consumption.
  • If your physician prescribes antibiotics be sure to take probiotics daily to protect the bio-organisms in your digestive system.
  • Antibiotics also create extreme sensitivity to the sun, putting one at risk of severe sunburn. Cover your skin at all times when outdoors, wear sunglasses, and use a good sunblock.

Nutrient Discussion

Cellular silver Bacteria is vulnerable to silver. Silver has been used on traditional medicine for thousands of years to fight infection. Researchers verified that silver in the form of dissolved ions, known as silver attacks both gram-negative bacteria and gram-positive bacteria3 by making their cell walls more permeable and interferes with their metabolism. Silver acts as a helpful boost to antibiotics by making bacteria more vulnerable to antibiotic action.1, 3 While other metals also have some antibiotic capacity, silver's is strongest and it additionally is the least toxic to animals.2

Zeolite clinoptilolite is one of a variety of natural salts containing silicon and oxygen that display a variety of biological activities including boosting vaccines, treating digestive upsets such as diarrhea, in anti-cancer treatments4, and in removing radioactive materials and heavy metals due to its ability to attract and bond to metals like mercury, arsenic, lead and aluminium.5

Glutathione The most important intracellular antioxidant of the body is glutathione, is essential for tissue enzyme production and stopping free radical damage. It protects, heals, and rejuvenates cells everywhere in the body, including the immune system and cellular metabolism.

N-Acetyl L-Cysteine (NAC) supports the production of glutathione and is therefore considered an essential antioxidant since it is not commonly found in foods. NAC supports lens and optic nerve health.

Amino Acids There are a number of other amino acids such as Acetyl l-carnitine, l-glutamine and alpha lipoic acid which are powerful antioxidants further supporting cellular health.

Herbs A number of herbs are useful in supporting the health of the nervous system.

  • In addition to being a digestive aid, peppermint helps normalize enzyme activity and absorb toxins.
  • Devil's claw supports joint health, reduces pain and supports digestive functioning.
  • Mugwort (wormwood) supports nervous system health and is a mild stimulant, diuretic and diaphoretic.
  • Chamomile is known for its calming capacity, but it also helps heal tissue and calm muscle spasms.
  • Cat's claw has been credited with antioxidant, antimicrobial, and anti-inflammatory properties.
  • Astragalus is an herb that supports immune system health with antibacterial and anti-inflammatory properties.
  • Olive leaf also supports the immune system and helps the body cope with stress.
  • Sarsparilla also helps support the health of the immune system.
  • Barberry has traditionally been used for respiratory tract and fever related disorders including infections.
  • Clivers has traditionally been used to treat skin ailments, wounds and burns as well as kidney disorders and high blood pressure.
  • Eleuthero (Siberian ginseng) supports the body's ability to respond to stress as well as supporting adrenal functioning.

Western Treatment of Lyme Disease

There is a general consensus that the best treatment for Lyme Disease is a short course of antibiotics (typically 3 weeks), supported by the Infectious Diseases Society of America (IDSA). In contrast, the International Lyme and Associated Diseases Society (ILADS) considers Lyme Disease to be a long term condition, often resulting in ongoing symptoms so requires individual treatment strategies. Unfortunately, a substantial portion of patients treated with short-term antibiotics continue to have significant symptoms, which may represent a possibly autoimmune condition referred to as "post-Lyme syndrome" that is not responsive to antibiotics.

There is no one antibiotic considered effective for Lyme, so depending on the patient's specific situation and the doctor's own experience, he/she may vary the specific antibiotic recommended or combine different antibiotics together as the treatment strategy.

We do not offer information or advice about the types and uses of individual antibiotics. For treatment you should consult a Lyme disease-literate physician.

You can find a Lyme disease specialist through the following organizations:

  • ILADS International Lyme and Associated Diseases Society https://www.ilads.org Phone: (301) 263-1080
  • Lyme Disease Association https://www.lymediseaseassociation.org Phone: (888) 366-6611
  • Lyme Disease Foundation https://www.lyme.org Phone: (860) 870-0070

Footnotes

1. Jose Ruben Morones-Ramirez, et al, Silver Enhances Antibiotic Activity Against Gram-Negative Bacteria, Science Transitional Medicine, June, 2013.
2. Silver as an Antimicrobial Agent, Microbewiki.kenyon.edu
3. Olesja Bondarenko, et al, Particle-Cell Contact Enhances Antibacterial Activity of Silver Nanoparticles, PLoS One, May, 2013
4. K. Pavelic, Natural zeolite clinoptillite: new adjuvant in anticancer therapy, Journal of Molecular Medicine, 2001
5. James Flowers, et al, Clinical evidence supporting the use of an activated clinoptilolite suspension as an agent to increase urinary excretion of toxic heavy metals, Dove Press, November, 2009
6. Aucott, J., Morrison, C., Munoz, B., Rowe, P.C., Schwarzwalder, A., et al. Diagnostic challenges of early Lyme disease: lessons from a community case series.
7. Columbia University Medical Center. Lyme and Tick-Borne Disease Research Center. 2011 Lyme and Tick Borne Diseases National Conference. Retrieved Feb 10 2018 from http://columbia-lyme.org/research/scientific.html.
8. Ibid. Columbia. 2011.