lyme disease a new name for an old condition? a new name for an old condition? cecile jadin south...
TRANSCRIPT
Lyme DiseaseLyme Disease
A New Name for an Old
Condition?
A New Name for an Old
Condition?
Cecile JadinSouth AfricaCecile JadinSouth Africa
August 2008, Sonoma County California
Continued Discontinuity In Microbiology
Continued Discontinuity In Microbiology
Examples: H.Pylori,Leishmaniosis, Trypanosomiasis, Toxoplasmosis, Rickettsia…
Slows down progress in research Masks the pandemia of today's germs - already highlighted by Homer in the sixth section of the Iliad: “migration of gulls who every winter carry the carnage and war from one end of the earth to the other”
Medicine is built mainly on new findings If this were the case for Mathematics and Physics, how chaotic would it be?
Examples: H.Pylori,Leishmaniosis, Trypanosomiasis, Toxoplasmosis, Rickettsia…
Slows down progress in research Masks the pandemia of today's germs - already highlighted by Homer in the sixth section of the Iliad: “migration of gulls who every winter carry the carnage and war from one end of the earth to the other”
Medicine is built mainly on new findings If this were the case for Mathematics and Physics, how chaotic would it be?
Borreliosis’ Case
Borreliosis’ Case Drury discovers Malgache fever in 1702 - Central
Africa Early 1900’s Spirochete hispanicum in Spain A few years later, Nicolle tracks Malgache fever -
Northern Africa Scheltz, while working in Congo in 1933, reports
the same recurrent fever associated with spirochete
In 1944, Palakov publishes that the relapsing fever disabling patients in Cape Town is due to the same bug
Heisch claims the recognition of Borreliosis as causing the never-ending fever in 1950 - Kenya
Borrelia burgdoferi, isolated in 1982 by Willy Burgdorfer after a mysterious outbreak of arthritis in Connecticut in 1975, is Americanised as Lyme disease
Drury discovers Malgache fever in 1702 - Central Africa
Early 1900’s Spirochete hispanicum in Spain A few years later, Nicolle tracks Malgache fever -
Northern Africa Scheltz, while working in Congo in 1933, reports
the same recurrent fever associated with spirochete
In 1944, Palakov publishes that the relapsing fever disabling patients in Cape Town is due to the same bug
Heisch claims the recognition of Borreliosis as causing the never-ending fever in 1950 - Kenya
Borrelia burgdoferi, isolated in 1982 by Willy Burgdorfer after a mysterious outbreak of arthritis in Connecticut in 1975, is Americanised as Lyme disease
The Vector is Known
The Vector is Known
Life span of 4 Years Walking distance of 50 meters/life time Can lay 1000 eggs Can be genetically infected - trans-ovarian transmission of Rickettsia has been observed
Is more virulent than ever: Insecticides: tick & eating birds Global Warming Traffic intensity
More than one organism is needed to collapse the immune system
Life span of 4 Years Walking distance of 50 meters/life time Can lay 1000 eggs Can be genetically infected - trans-ovarian transmission of Rickettsia has been observed
Is more virulent than ever: Insecticides: tick & eating birds Global Warming Traffic intensity
More than one organism is needed to collapse the immune system
Ixodes Ricinus & OthersIxodes Ricinus & Others
Lyme is a tick-born Lyme is a tick-born diseasedisease
Lyme is a tick-born Lyme is a tick-born diseasedisease
A tick contains an A tick contains an average of 80 germsaverage of 80 germs
Check as many tick-born Check as many tick-born diseases as your lab diseases as your lab offers in presence of offers in presence of insect bites or close insect bites or close contactcontact
Our Diagnostic ToolsOur Diagnostic Tools
Medical history - Insect Bite? Contact?
Symptomatology - Headaches? Chills? Fatigue? Muscular & Joints Pains? Carditis?…
Medical examination - Rash?… Biological investigation
Medical history - Insect Bite? Contact?
Symptomatology - Headaches? Chills? Fatigue? Muscular & Joints Pains? Carditis?…
Medical examination - Rash?… Biological investigation
Biological InvestigationBiological
InvestigationInfections Rickettsia Prowazeki R. Mooseri R. Conori Q Fever Mycoplasma Pneumoniae Chlamydia Pneumoniae Chlamydia Trachomatis Chlamydia Psittaci Brucellosis Toxoplasmosis H. Pylori Bartonella Lyme Disease: Direct examination preferred Bilharzia
Infections Rickettsia Prowazeki R. Mooseri R. Conori Q Fever Mycoplasma Pneumoniae Chlamydia Pneumoniae Chlamydia Trachomatis Chlamydia Psittaci Brucellosis Toxoplasmosis H. Pylori Bartonella Lyme Disease: Direct examination preferred Bilharzia
DysfunctionDysfunction FBC ESR LFT TFT & Thyroid antibodies IgE Iron Study Kidney Study Glucose CRP RF ANF Cardiolipin Cholesterol
FBC ESR LFT TFT & Thyroid antibodies IgE Iron Study Kidney Study Glucose CRP RF ANF Cardiolipin Cholesterol
Biological WindowBiological Window
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Rickettsial InfectionLympho Study
Chlamydiae non specBartonella
LFTMycoplasma
IronCRP, RF, ANF
BorreliosisToxoplasmosis
Thyroid ABFBC (abs
ESRKFTTFT
500 Patients Randomly Sampled500 Patients Randomly Sampled
1 Germ Different Diseases1 Disease Different Causes1 Germ Different Diseases1 Disease Different Causes According to its position in the human body, spread throughout the Reticulo- Endothelial tissue
According to its specific toxicity
Facing the physiological conditions of the host
Symbiosis of germs
According to its position in the human body, spread throughout the Reticulo- Endothelial tissue
According to its specific toxicity
Facing the physiological conditions of the host
Symbiosis of germs
Neurological Disease Psychiatric Disease Rheumatologic Disease Cardio-Vascular Disease Dermatologic Disease Etcetera
Neurological Disease Psychiatric Disease Rheumatologic Disease Cardio-Vascular Disease Dermatologic Disease Etcetera
One disease at a timeOne disease at a timeOne disease after anotherOne disease after anotherAll diseases togetherAll diseases together
One disease at a timeOne disease at a timeOne disease after anotherOne disease after anotherAll diseases togetherAll diseases together
Experience with Treatment
Experience with Treatment
Established by French school 30 years ago, used in our clinic since 1992
Antibiotics Preferably orally - except for Ceftriaxone Pulse Therapy as opposed to continuous High Dosage Associated - Bacteriostatics + Bactericidals Alternated With Adjuvants: vit B com - probiotics - gastric proton inhibitor
Vaccination - Mutation - Relapse
Established by French school 30 years ago, used in our clinic since 1992
Antibiotics Preferably orally - except for Ceftriaxone Pulse Therapy as opposed to continuous High Dosage Associated - Bacteriostatics + Bactericidals Alternated With Adjuvants: vit B com - probiotics - gastric proton inhibitor
Vaccination - Mutation - Relapse