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Need to talk to someone about tic borne diseases. I received a tic bite in
April and am still having major complications from same. Have exhausted all local expertise (not much help) and need to seek other options.
Leonard


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Posts: 2608 | Location: Moore, Oklahoma, USA | Registered: 28 December 2003Reply With Quote
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My wife got tick fever. On a different trip, so did both of my cousins. Reoccurs from time to time with a slight fever and aches. Treatment was pretty successful, though. Antibiotics of some kind from our tropical medicine doctor in San Diego (La Jolla), Dr. Eva Abbo. Nothing extraordinary was given her as I recall, but she was really sick ahead of time and much better very soon after seeing Dr. Abbo.

Hope this helps.
 
Posts: 742 | Location: Kerrville, TX | Registered: 24 May 2002Reply With Quote
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quote:
Originally posted by lb404:
Need to talk to someone about tic borne diseases. I received a tic bite in
April and am still having major complications from same. Have exhausted all local expertise (not much help) and need to seek other options.
Leonard


What meds have you taken for tick fever so far? My wife and I got it in 2008 and were able to stop it with doxy and cipro. We both had mild fever, chills and aches.


I hunt, not to kill, but in order not to have played golf....

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Posts: 839 | Location: LA | Registered: 28 May 2002Reply With Quote
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I got it in Idaho one summer liked to killed me tetracycline or teramycine is the only thing that kills it. The doctor kept giving me penicilin but that didn't touch it finally my wife a nurse talked them into the teramicine type drugs and they worked. Now I watch for ticks and if bit watch for a circular rash around the bite. If it's there you got it.
 
Posts: 307 | Location: Dye Mound , Texas | Registered: 06 December 2009Reply With Quote
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Tropical infectious disease can be puzzling. Some of this stuff can be treated presumptively, with certain antibiotics. How sure are you this relates to the tick bite? Where were you at? There are some nasties available right here at home, from tick bites. Rocky mountain spotted fever, and ehrlichia come to mind. You may need to travel to see an infectious disease doctor, or telemedicine consults may be available in your area.
I live near Aberdeen SD, and when I needed an ID consult a couple of years ago, it came via TV/computer networking. Turns out I was having a funky drug cross reaction, but my internist was suspiscious because of recent southern African travel. You may need to ask after this option.
 
Posts: 1981 | Location: South Dakota | Registered: 22 August 2004Reply With Quote
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Tetracycline is first line treatment....then you move onto more effective stuff like ceftrioxone injectable.

Lawn Dart here on the forums gave me 'FIRST CLASS' advice and assistance for a friend who picked up a rare strain of something in Mozambique. She was sick as a dog for three months until I got in the ceftrioxone and ??? that Lawn dart sent me. Ran in 1gram a day through a drip ? the pills ( I want to say Azithromyacin but better ask John)and that was the end of the problem - symptoms gone in 3 days but continued tratment as advised to prevent relapse.
 
Posts: 3026 | Location: Zimbabwe | Registered: 23 July 2003Reply With Quote
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Leonard,
Knowing your level of medical sophistication,
this is indeed troubling.
PM me if I may be of any assistance.
Your friend,
Doc Rip Wink
 
Posts: 28032 | Location: KY | Registered: 09 December 2001Reply With Quote
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What are your signs and symptoms?
 
Posts: 405 | Location: Dallas, Pennsylvania | Registered: 16 January 2006Reply With Quote
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Tic bit behind left knee, unrecognized for a week until cellulitis of my lower leg. Found the tic and Dr. ordered bactrium to treat cellulitis. Leg got a bit better. A week later tripped over my new puppy and injured left leg. This caused more swelling in the leg. Bite area began getting worse. Retreated with bactrium again. getting better but swelling is not going away in leg. Have a Hx. dvt w/PE so saw cardiologist. Ultrasound of both legs =NEG for DVT. Started on another antibiotic?? leg getting better but not healed. Finally on Doxicycline bid for 20 days. Fever and chills are better but not great. Legs still swolen, Jobst stockings all the time now.Three weeks ago developed severe pain in L hip area and anterior area Poss piraformes area. Knees hurt like hell as well as sacrum and muscle strength is getting worse. Have seen more docs this last month than the rest on my life and no resolution.??? Now have to take lortab 3-4 times a day!!!!


square shooter
 
Posts: 2608 | Location: Moore, Oklahoma, USA | Registered: 28 December 2003Reply With Quote
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I wish you a complete recovery from this, lb404. Those tick-borne diseases can be wicked. I treat them in dogs all the time, and the presentation is usually different for almost every patient.

Do any of the MD's recommend prophylactic doxycycline or ciprofloxacin for African visits?


Good hunting,

Andy

-----------------------------
Thomas Jefferson: “To compel a man to furnish funds for the propagation of ideas he disbelieves and abhors is sinful and tyrannical.”

 
Posts: 6711 | Location: Oklahoma, USA | Registered: 14 March 2001Reply With Quote
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If the bite area is still very tender, red, swollen, and tight, it is possible you may have developed an abscess.


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Posts: 8100 | Location: NW Arkansas | Registered: 09 July 2005Reply With Quote
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quote:
Originally posted by lb404:
Tic bit behind left knee, unrecognized for a week until cellulitis of my lower leg. Found the tic and Dr. ordered bactrium to treat cellulitis. Leg got a bit better. A week later tripped over my new puppy and injured left leg. This caused more swelling in the leg. Bite area began getting worse. Retreated with bactrium again. getting better but swelling is not going away in leg. Have a Hx. dvt w/PE so saw cardiologist. Ultrasound of both legs =NEG for DVT. Started on another antibiotic?? leg getting better but not healed. Finally on Doxicycline bid for 20 days. Fever and chills are better but not great. Legs still swolen, Jobst stockings all the time now.Three weeks ago developed severe pain in L hip area and anterior area Poss piraformes area. Knees hurt like hell as well as sacrum and muscle strength is getting worse. Have seen more docs this last month than the rest on my life and no resolution.??? Now have to take lortab 3-4 times a day!!!!


African tick or Oklahoma tick?

The Bactrim was to cover for staph, and much feared MRSA, not even related to tick???

Staph does have a great tendency to abscess.
Consider a repeat of the ultrasound or even an MRI if some time has passed since the last venous Doppler ...

An abscess means surgery.
Hyperbaric oxygen is nearby at Wilford Hall. Wink

Muscle weakness and bone pain:
Tick paralysis is a strange thing that resolves spontaneously when the tick is removed, I have not heard of it coming on later ...

Hematogenous spread of sepsis to bone is a yikes to consider ... bone scan or tagged white cell scan ... have you seen a real Infectious disease specialist?
 
Posts: 28032 | Location: KY | Registered: 09 December 2001Reply With Quote
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tic bite area is healed, thank goodness. Am sill on doxicycline for two more days. Oklahoma tic so small it was passed over as a freckle originally.I feel better most days,but, the joint pain in hips and knees is so awful. Its probably good I do anesthesia and can sit through most cases or I would be SOL for sure!!! Saw the infectious disease doc today. Nothing to offer as way of possibilities. Asked who my primary doc was?? I said if I need anything I just go to the source dont have time to sit in a family docs office for hours. My partners would have a fit!!!


square shooter
 
Posts: 2608 | Location: Moore, Oklahoma, USA | Registered: 28 December 2003Reply With Quote
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Leonard,
Please clarify...was this tick an Oklahoma (IE: USA) tick or an African tick.

In USA ticks either give you Lymes disease (Borrelia burgdorferi), Rocky Mountain Spotted Fever (Rickettsia rickettsii...parkeri...or phillipi), one of the Ehrlichia (ewingii or chaffeesis), or Anaplasmosis (Anaplasma phagocytophilum).

Most of these are treated with a "tetracycline" Doxy being probably the widest used.

The key to a refractory case...will probably be in determining which you have as they all have their little idiosynchracies.


~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
J. Lane Easter, DVM

A born Texan has instilled in his system a mind-set of no retreat or no surrender. I wish everyone the world over had the dominating spirit that motivates Texans.– Billy Clayton, Speaker of the Texas House

No state commands such fierce pride and loyalty. Lesser mortals are pitied for their misfortune in not being born in Texas.— Queen Elizabeth II on her visit to Texas in May, 1991.
 
Posts: 38628 | Location: Gainesville, TX | Registered: 24 December 2006Reply With Quote
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Lane,
Easy for you to say that, my dictonary don't even know how to spell those word rotflmo
 
Posts: 3818 | Location: kenya, tanzania,RSA,Uganda or Ethophia depending on day of the week | Registered: 27 May 2009Reply With Quote
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That's why they pay Lane the big bucks! hilbily


Good hunting,

Andy

-----------------------------
Thomas Jefferson: “To compel a man to furnish funds for the propagation of ideas he disbelieves and abhors is sinful and tyrannical.”

 
Posts: 6711 | Location: Oklahoma, USA | Registered: 14 March 2001Reply With Quote
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Got it in South Africa in 2004. It knocked the shit oout of me. I kind of self diagosed it by reading about it on the net. Went to my Dr. with all the info. He read it & treated me with antibiotics and I got better right away. It should have never happened. My PH was knocking ticks off himself for several days ( about 7 days )) before I asked why he kept brushing off his cloths. He then told me about the tricks but it was too late I had already been bitten. I now take meds with me when I go.
 
Posts: 900 | Registered: 25 February 2009Reply With Quote
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I forgot to add that my Dr. later told me trhat he was at a convention & they gave a class on
this. He said it is occuring more often as more people travel to Africa and elsewhere. It is my opinion that most Dr.s here are nor aware of proper meds to use. Insist your Dr get information from Africa or another knoweleble source.
 
Posts: 900 | Registered: 25 February 2009Reply With Quote
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I think "tick bite fever" in Africa is almost always an erhlichia. Hence...the use of tetracyclines in early stages.


~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
J. Lane Easter, DVM

A born Texan has instilled in his system a mind-set of no retreat or no surrender. I wish everyone the world over had the dominating spirit that motivates Texans.– Billy Clayton, Speaker of the Texas House

No state commands such fierce pride and loyalty. Lesser mortals are pitied for their misfortune in not being born in Texas.— Queen Elizabeth II on her visit to Texas in May, 1991.
 
Posts: 38628 | Location: Gainesville, TX | Registered: 24 December 2006Reply With Quote
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Doxycycline is the right stuff for Riketsia, which is what I got in SA last year. The Doc put me on Flucloxicilin at first, which is no good.

Do get a proper test to check for Riketsia and Lymes disease.
 
Posts: 160 | Registered: 29 May 2008Reply With Quote
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quote:
Originally posted by lb404:
tic bite area is healed, thank goodness. Am sill on doxicycline for two more days. Oklahoma tic so small it was passed over as a freckle originally.I feel better most days,but, the joint pain in hips and knees is so awful. Its probably good I do anesthesia and can sit through most cases or I would be SOL for sure!!! Saw the infectious disease doc today. Nothing to offer as way of possibilities. Asked who my primary doc was?? I said if I need anything I just go to the source dont have time to sit in a family docs office for hours. My partners would have a fit!!!


Leonard,
Better make sure you are not diabetic, etc., if you are not doing any regular health screenings.
An infected bug bite of any kind could be fatal to some people.
The tick bourne illnesses are easy if treated early.
Azithromycin or clarithromycin works for kiddies less than 8 years old who can't take the doxycycline because tetracyclines stain their developing teeth.
Works for adults too.
I would recommend anyone take a 10 day supply of doxycycline or a Z-pak along for the ride if there is any chance of getting thickly into the ticks.
I prefer Malarone for malaria prophylaxis,
but would promptly switch to doxy if tick bourne illness became a possible issue.
Doxy has lesser effectiveness as malaria prophylaxis,
and it does interact with Malarone to decrease the atovaquone component blood levels by 40%,
but that would be a lesser evil.
I would continue both drugs.
The Zithromax and Biaxin do not interact with the Malarone.
I will be taking along all four of those drugs ... Wink
 
Posts: 28032 | Location: KY | Registered: 09 December 2001Reply With Quote
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Both Small bore and I had the same last year in RSA. Because I was slow getting treated the infection spread and I think my recovery was noticably impaired.

Even after the course of Doxy and the bloods confirming the infection to have been cleared, I was off work for about 8 weeks. I think it was about 6 months before I could do any real form of exertion and I'm now working to get fitness back for our trip in August!!

A freind suggested the use of permethrin on clothing which once sprayed will last for about 3 washes. That goes a long way to repel the ticks and prevention is always better than the cure.

I hope you feel better soon as I remember it being a miserable time especially with the light sensitivity from the Doxy, I was almost vampiric!!

Rgds,
FB
 
Posts: 4096 | Location: London | Registered: 03 April 2003Reply With Quote
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Rule out other possibilities....for example...it may have been a spider bite.

Take the doxycycline for sure. And you may want to repeat the antibiotics 3-4 weeks later.


Consider IV antibiotics as well.
 
Posts: 405 | Location: Dallas, Pennsylvania | Registered: 16 January 2006Reply With Quote
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For Lyme and other Rickettsials, doxy 100mg twice/day 4 weeks if you catch it early should do the trick. Things aren't as clear later, but seems like serological testing should be in your future to rule out continued active disease. But I'm with some of the others when they said seek an Infectious Disease doctor's care...


Andy
 
Posts: 166 | Registered: 12 October 2008Reply With Quote
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