Pourquoi la maladie de lyme n'est plus dûe aux seuls tiques : Why Is Lyme Disease Not Just Tick-Borne Anymore?

Why Is Lyme Disease Not Just Tick-Borne Anymore?


Why Is Lyme Disease Not Just Tick-Borne Anymore?
Some experts feel that almost everyone has been exposed to Lyme disease and may have it in one way, shape or form.
Whether that’s true or not is up for debate, but clearly there are those who have it and are severely disabled by it.
Dr. Klinghardt—who is one of my earliest mentors in natural health and always on the leading edge—has actually suffered from Lyme disease himself, and as a result, he’s passionate about finding effective natural treatments for Lyme.
The Ongoing Discovery of Lyme Disease
It’s now been fairly well-established that chronic infection is an underlying factor in most chronic illnesses. Diseases such as Parkinson’s, multiple sclerosis and chronic fatigue are all turning out to be expressions of chronic infections.
“Right at the center of that is the ongoing discovery of Lyme disease,” Dr. Klinghardt says.
Lyme disease has recently received a new definition. It now refers to illnesses transferred by insects, as opposed to simply a tick-borne disease. Mosquitoes can carry Lyme disease and many other serious infections, as can spiders, fleas and mites. Dr. Klinghardt says:
“Today I take a very different approach to Lyme disease. I look at it as nature mingling with our genes. They are trying to incorporate their genome into our genome… Most of the time it goes wrong but sometimes it goes well. This is like the point I want to make upfront; that I take this more evolutionary view of it.
… We know that Lyme spirochetes were around for a long time but something happened maybe 30-40 years ago, where the creatures became more aggressive, more penetrating, and more illness-producing than they were before. Some of us suspect it’s a man-made element. Some of us suspect that the global warming may play a role in it.
I personally suspect that the exposure to electromagnetic fields in the home and the microwaves from cell phone radiation are driving the virulence of many of the microbes that are naturally in us, and makes them aggressive and illness producing. There is probably evidence for all sides of the discussion.”
Why Lyme Disease is So Tough to Diagnose…
Lyme disease is notoriously difficult to diagnose using conventional tests. And there’s great variation in the presentation of the disease as well, depending on where you contracted it, and whether or not you have any other coexisting infections. There is a group of seven or eight microbes that are the most common. The worst ones are Babesia microti and the different forms of Bartonella. 
“Underneath that, there’s often an infection with Mycoplasma. We still don’t know if it’s really transferred with the same bite or if the people had it all along and become symptomatic when the immune system is suppressed by the spirochetes,” Dr. Klinghardt says.Other than the co-infections, there is what I call the “opportunistic infections.” The combined effect of the initial infection is an immune suppressive effect, and then the patient becomes vulnerable to all sorts of other things. The most common things people contract early on in the course if the illness are different forms of parasites, such as protozoa; Babesia itself being one of them.There is Giardia, amoebas, Trichomonas, malaria, and different forms of infections that aren’t labeled yet. There is a new one, called FL1953. Stephen Fry discovered that. It’s a protozoan organism that’s causing severe fatigue and illness in chronically ill people. It’s almost always present in a patient with Lyme disease.And then we find a lot of worms in people. They may be microscopic and they may be macroscopic. That means they may be visible in the stool or they may not be visible.”

Common Presentations of Lyme Disease 
The most simple presentations are the orthopedic forms of Lyme disease as they’re typically more superficial, affecting the larger joints. Interestingly, Dr. Klinghardt injects ozone into the joint in these cases, which he claims is:“100 percent effective if the Lyme disease or… whatever the microbe is, lives in the joint and is confined to the joint space. Simply putting ozone in the joint will kill the spirochetes, and often with one, sometimes two treatments, make the joint completely pain free. That’s one form of the expression of Lyme.”When the microbes and the associated immune reactions are situated in the connective tissue, the infection presents as a “vague, dispersed pain,” which oftentimes ends up being labeled as fibromyalgia by conventional doctors. The immunological expression of Lyme covers a wide variety of immune system disorders, typically with some aspect of autoimmunity. Dr. Klinghardt says:“I did my thesis in 1976 on autoimmune diseases and how the autonomic nervous system interacts with the immune system. We found then that the determining factor of the outcome of an autoimmune disease was the presence of microbes that were catastrophically unresponsive to antibiotics.Any autoimmune disease, including rheumatoid arthritis, we suspect has an underlying level of Lyme disease that needs to be treated appropriately before the patient has a chance to recover from the illness.”
 
The gastroenterological presentation, where you have constant stomach problems, constipation, recurring stomach ulcers and/or indigestion, is very common, especially with the Babesia infection. This is sometimes the direct outcome of pancreatitis or hepatitis, but it can also be due to parasites acquired after contracting Lyme disease. In these cases, aggressive treatment of the parasites typically resolves the problem.
“The most startling form of the expression of Lyme disease is a wide variety of neurological illnesses,” Dr. Klinghardt says.
“That is what we specialize in… We see a lot of cases with multiple sclerosis (MS)… ALS… [and] everything in between: the chronic fatigued patients, the patient with vague, undistinguishable neurological symptoms, the feeling of buzzing in the head, buzzing on the skin, crawling under the skin…”


How to Diagnose Lyme Disease
Insomnia is one of the key symptoms in many cases of Lyme disease, along with neurological symptoms such as headaches and a wide variety of pain syndromes. But you cannot diagnose Lyme disease on symptoms alone, because they’re so varied.
Testing is required, but even that is not a sure shot.
Most commercial tests designed to detect chronic infections are based on measuring your immune reaction—the presence of antibodies—to the invading microbe. However, one of the primary cells that get infected with Lyme spirochetes are the white blood cells themselves, which is a bit of a game-changer… because if your white blood cells are infected, they lose the ability to produce antibodies.
Hence it is relatively common to get a negative test result.
Dr. Klinghardt refers to this as “the Lyme paradox,” because in order to diagnose Lyme disease properly with one of the accepted commercial tests, you have to first treat the Lyme disease, in order for your white blood cells to be able to mount an appropriate immune response. Only then can a lab test be used to detect the presence of Lyme disease.
“An exception to that are the tests based on direct microscopy, where you’re not depending on the immune responses for the patient,” he explains.
However, this too has its drawbacks and difficulties. For example, the FISH test for Babesia is done on blood. But Babesia lives in the central nervous system, joints, and connective tissue. It doesn’t live in your blood stream, at least not in significant amounts, so it can easily be missed when looking at blood.

To get around the many testing conundrums surrounding Lyme, whenever he suspects Lyme, Dr. Klinghardt treats his patients for Lyme disease for at least six to eight weeks, followed by a Western blot test, which measures immune response. The treatment is initially based on the clinical symptoms presented, along with a form of muscle testing he developed, called autonomic response testing (ART), which incorporates both classical neurological testing and kinesiology. He explains:
“It’s not related to the applied kinesiology system that’s quite distinct. It… may look similar… [but] we’re looking for very specific reflexes that are connected to very specific illnesses. We arrive at a tentative diagnosis through history taking, through looking at skin signs; palpating the tissues; testing the normal neurological reflexes; orthopedic tests, and then we add the muscle testing as an additional tool.”
Tests and Lab Recommendations
Dr. Klinghardt exclusively uses the IGeneX Lab in Palo Alto for his blood tests, and Fry Labs in Arizona for direct microscopy testing. He says:
“I don’t have a financial investment in it, but it’s the gold standard in our field. They use two different antigens. The commercial labs and hospitals and so forth, they use one antigen and are notorious in under-diagnosing Lyme disease. We recommend to rather not test it than get a false negative, which will sometimes lead the patient 20 years on the wrong track. With the other co-infections, the detection rate drops way down.
… We do the FISH test [for Borrelia] at IGeneX Lab. It’s a direct microscopy test which has more false negatives than the western blot.
… The leading test for Bartonella that we use is Fry Labs in Arizona. Steven Fry, who does a wonderful direct microscopy test, often comes back positive with the diagnosis of hemobartonella. Hemo means simply blood – Bartonella in the blood. Remember, he’s testing the blood where the Bartonella typically does not live. It lives in the nervous system. So if you find it in the blood in small amounts it generally is an indicator that there is a high amount in other tissues in the body.”
An indirect test is the CD57 test. “CD-57″ is a specific group of natural killer cells that are particularly damaged by the Lyme spirochetes. Therefore, if your numbers drop to a certain level, it is an indirect indicator that you may have Lyme disease, because the only known infection to suppress CD57 is that of Borrelia burgdorferi.
Normally, your CD57 value should be over 100. If it’s lower than that, you’re infected with Borrelia. If it’s below 60, you probably have both Borrelia and Mycoplasma, and, most likely, some other co-infections.
Dr. Klinghardt’s Treatment Approach
Dr. Klinghardt takes microwave radiation and electromagnetic fields very seriously, as it can have a profound impact on Lyme disease. He says:
“One of my primary treatments for Lyme disease is to put people in protective clothing that shields them from incoming microwaves. We shield the bedside. We turn off the wireless internet at home. We put shielding paint on the houses. That has been a more successful strategy to treating Lyme disease and to get people neurologically well than any of the antibiotics or any of the antimicrobial compounds.

He’s convinced that the increased virulence we’re now seeing is related to the dramatic increase in electromagnetic fields and microwave radiation from cell phones, cell towers, and all manner of wireless technologies. Therefore, EMF and microwave radiation mitigation are part of the standard protocol, as any subsequent treatment of Lyme disease will not be as effective unless these external factors are addressed.
Below is a summarized outline of Dr. Klinghardt’s treatment for Lyme disease. For more information and details, please listen to the interview in its entirety, or read through the transcript.
  • First, external factors that act upon the body 24/7 are evaluated.This includes electrosmog, EMF, microwave radiation from wireless technologies, and molds. To test for the presence of mold, he uses the ERMI score, which is a semi-quantitative assessment of how much mold is in your home.  The score should not exceed 2. However, most of his patients score between 15 and 20. For more information on mold, Dr. Klinghardt recommends www.SurvivingMold.com.
  • Once external influencing factors have been determined, they’re remediated and mitigated. (For mold remediation, please refer to this previous article.) To mitigate microwave radiation, Dr. Klinghardt recommends shielding your home with a graphite paint called Y Shield outside, and use special silver-coated cloth for your curtains. These measures will compromise your ability to receive cell phone calls, so depending on your situation, you may opt to shield just your bedroom, or shield your entire home and just use a landline. All cordless telephones are removed, and patients are instructed to turn off all the fuses at night, until they have recovered from Lyme disease.
  • Next, the emotional component of the disease is addressed using Energy Psychology tools, including psychokinesiology (PK) which is similar to the Emotional Freedom Technique (EFT), but more refined and advanced.
  • Dr. Klinghardt begins the treatment for Lyme disease by addressing parasites, followed by “the Klinghardt antimicrobial cocktail,” which addresses the Lyme spirochetes, Babesia, and Bartonella. For more details and complete recipes to all his treatment cocktails, see www.KlinghardtAcademy.com or send an email to info@KlinghardtAcademy.com.  Some of the ingredients in his formula include: wormwood (artemisinin)—which has been found to be extremely effective for malaria—combined with phospholipids; vitamin C, and specific herbs. Lastly, viruses are addressed using a tincture of Native American herbs called Viressence, by BioPure.
  • Additional lifestyle factors are also addressed, including diet and vitamin supplementation.


A Word on Antibiotics
Conventional Lyme treatment hinges on long-term use of antibiotics. While this treatment can indeed be effective, there are many reasons to opt for alternatives such as those detailed by Dr. Klinghardt, as antibiotics will disrupt your gut flora, thereby exposing you to a whole host of other pathologies.
More Information
In Dr. Klinghardt’s experience, the International Lyme and Associated Disease Society (ILADS) is by far the best and most responsible group, so to learn more about Lyme disease, see www.ILADS.org. Dr. Klinghardt says:
“Depending on where you live in the U.S., consider the treatment that is offered to you through a Lyme literate physician. Most of them have been through the training at ILADS and I do recommend that.
“But there is a level beyond that, which I’m hoping I’m introducing here. If you just do antibiotics, okay, you just do antibiotics. But if you think more holistically and do the things that I recommend, then you no longer will need to resort to antibiotics because you cover your system on so many other fronts. And with that you’re not only treating Lyme disease but you’re preventing cancer, diabetes, Alzheimer’s disease—you’re preventing pretty much all the other things that we didn’t know were associated with Lyme.
So by treating the mold, by getting electrosmog under control, by treating the infections, by treating insulin resistance, we are preparing the patient for a much happier, healthier, longer, and more productive life, which is of course what I’m hoping for…”
Again, Dr. Klinghardt provides free access to all his recipes on his web site, so to learn more about his treatment, please see www.KlinghardtAcademy.com.



Read more: http://www.care2.com/greenliving/why-is-lyme-disease-not-just-tick-borne-anymore.html#ixzz22mXNGMm0
                                                                                                                                                                                    

lyme : espoirs de guérison , 6 ans apres , un message d'espoir

http://lymedisease.org/news/touchedbylyme/rachel-lyme-video.html

video sur le lien

TOUCHED BY LYME: 20-year-old’s advice to her 14-year-old self: “You gotta have hope”

1st May 2012

 
Rachel cartwheel






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The “co-stars” of this unique video are each the same person, at different stages of her Lyme journey
The young woman in the photograph is doing a cartwheel—something she couldn’t do six years ago, when she was wheelchair-bound from Lyme disease.  At that time, her body was wracked with pain, 24-7. She had a cascade of other symptoms as well, which made it impossible to go to school, to carry on with normal daily activities, and often, even to get out of bed.  Life seemed bleak indeed.
Yet, out of her pain and misery, Rachel created a gift that has just recently resurfaced.  In March 2006, she spoke to a video camera about how she was feeling and her frustrations with doctors who refused to recognize that Lyme disease even exists in California. It is a visual record of a young teenager trying to make sense of her desperate situation. Her demeanor seems calm, but if you study it closely, you can see the fear and vulnerability trembling below the surface.
But here’s the twist. Last weekend, after she re-discovered her earlier footage, Rachel recorded her present, healthy, walking self, responding to the same questions her younger self had answered.  She edited the old and new together, cutting back and forth between 2006 Rachel and 2012 Rachel.
Together, the two Rachels have valuable wisdom to impart. Take a look:
Rachel currently attends college in northern California.
TOUCHED BY LYME is written by Dorothy Kupcha Leland, LymeDisease.org’s VP for Education and Outreach. Contact her at dleland@lymedisease.org.

Water With Lyme

SUNDAY, AUGUST 5, 2012

Here we go

A rather monumental date for me is coming up soon and it's leaving me feeling all kinds of stuff.  I'm a little bundle of emotions.  ;)

Last year, on August 13th, 2011, I laid down in my Wisconsin backyard to watch the Perseid Meteor Shower.  Being the impulsive person I am, when I got home from working late that night, I just went right out and plopped myself down in the grass, no bug spray, no blanket to lie on - who cares, I was just going to be in my own backyard doing some stargazing for a bit. It was cool, clear, and the grass was a little pokey, but mostly comfortable.  The air seemed fresh and refreshing, it was nice, save for the bug bites that started after a little bit. 

That was the night I got the bite that gave me Lyme Disease.  And I didn't see even one meteor, either.

As if set on a timer, 2 weeks exactly after that night, I developed quite substantial joint pain and headaches, and there started my journey with chronic illness.  

I can't believe it's been about a whole year.  I count myself oh so very fortunate (blessed?) that I am honestly about all better.  It mystifies me that I had the right group of healers, right family, right husband, right everything to guide me through this whole mess in only one year.  It's like everything was set up just for me to have what I needed.

It's hard to believe that I had months of late assignments and dropping classes before withdrawing completely from school last fall.  And now, in less than a month, I will be picking up where I left off (just 2 classes though - the easiest ones).   

It's hard to believe that about a year ago, I became completely unreliable at work (a grieving process unique to those who get sick or injured, I think).  And soon, I'll be starting work again with a very understanding boss who knows my whole medical history.

I'm enormously glad to pick up my life again, slowly, with caution, but with an overwhelming amount of gratitude that I even get to try.

What a year it has been.  And I really do think that this episode of Lyme is just about at its close, that is, until I have some kind of trauma like a car accident or a surgery.   Hahaha.

I do have plans to watch that meteor shower this year, perhaps from the seat of my car, or slathered in insect repellent sitting on a lawn chair.  Maybe I'll get to see a meteor this time.

It ain't about how hard you hit.
It's about how hard you can GET hit,
and keep moving forward.
It's about how much you can take,
and keep moving forward.
That's how winning is done.
                   ~  Rocky Balboa

Auto Immune Disorder Diagnosis: Could it be Lyme Disease?

Auto Immune Disorder Diagnosis: Could it be Lyme Disease?

CFS/ME, MS, Fibromyalgia, Lupus



This article on auto immune disorder and Lyme disease is by Katina Makris, author of Out Of The Woods - healing Lyme disease - body, mind and spirit. I am delighted to welcome this inspiring lady to a-spiritual-journey-of-healing.com.
Katina had many years with an undiagnosed illness.
Eventually she was diagnosed with Lyme disease.It was not an easy journey, but she has gone from severe illness to being fully recovered.

I have read this book on Lyme disease cover to cover.Much of it is a beautifully written memoir of a journey with illness: a great book for anyone who feels the isolation and frustration of illness, or wants to understand how it is for their loved one to go through the same.
lyme disease book author
The last sections give practical advice on Lyme disease specialists labs and treatment for Lyme disease.
By reading this book, you will know that you are not alone in experiencing the losses that come with illness, the self doubt, the effects on relationships and the fears for the future.
By seeing Katina’s beauty and resilience, you will be better able to see your own.

Who gets Auto Immune Disorder?

Within the past thirty years the incidence of auto immune disorder disease has increased at a startling rate. The majority afflicted are women, often in the 30-60 age bracket, though men are not exempt.

Why Is Auto Immune Disorder on the increase?

One view point is that recognition and diagnosis of auto immune disorder has improved in our modern era.
Another theory is that the stressors placed on recent generations of high achieving, multi-tasking women, residing in the fast paced westernized cultures make them susceptible to an auto immune disorder as their adrenal glands and hormonal balances are taxed.

What Are The Symptoms of an Auto Immune Disorder?

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The common symptoms of an auto immune disorder include the following:
  • violent headaches
  • pronounced fatigue
  • profound body pain
  • weakness
  • mental dullness
  • depressive pall
Specifically, an auto immune disorder may manifest with severe issues, such as
  • violent headaches
  • palsies
  • skin rashes
  • neurological problems like tremors
  • speech impediment
  • cognitive dysfunction
  • anxiety
  • too ill to function, bed bound.

For many years I lived with these symptoms of auto immune disorder; unable to cook, drive, walk, shower without assistance.
My homeopathic career of 18 years washed away, along with my financial savings, marriage, home, and friendships.
Isolation, sickness and a broken spirit is an abysmal vortex to plummet through. 

Lyme Disease Diagnosis

Multitudes of doctors, hospitals and dollars later, a savvy nutritionist finally gave my CFS/ME, fibro, migraine complex the correct Lyme disease diagnosis.
“What?” I pathetically screeched. “I’ve had the test three times in five years. Each test was negative.”
“The commercial Lyme disease test is grossly inaccurate, with a 70% false negative finding,” he informed me. “Practitioners must use a Lyme disease specialists lab.”
Thus began my initially shocking, but ultimately successful road to recovery.

What is Lyme Disease?

Lyme disease is an infectious illness started by a tick bite, often a deer tick.
Lyme disease is found in 89 countries of the world. The USA, Germany, Scandinavia, Belgium, France, and Australia are currently at epidemic status. Much of Canada and Eastern Asia are under siege as well. (Note from Ed: It is in the UK too.)
The majority of doctors are working with outdated data and diagnostic information on this auto immune disorder, from the 1970’s.
This old answer for ‘What is Lyme disease?’ was: a short term infection caused by a bacterial organism, known as borrelia burgdorferi, easily eradicated with two weeks of antibiotics.
Thirty five years later, clinical findings and millions of auto immune compromised individuals paint a different portrait. Chronic Lyme disease is often misdiagnosed as an auto immune disorder.

Lyme disease treatment:

The borrelia bacteria is aggressive and replicates quickly. Two weeks of early antibiotics are insufficient, according to ILADS (International Lyme and Associated Disease Society) current understanding. Six weeks is needed up front.
Older cases, festering as CFS/ME, MS, IBS, fibromyalgia, bells palsy, dementia, require an integrative medicine approach to achieve recovery to wellness.
Chronic Lyme disease recovery is a long, slow, arduous road. I elected not to undergo the 24 months of IV antibiotics offered to me, but embraced alternative treatment for Lyme disease: a regime structured with powerful herbs known for their antibacterial qualities.
Equally critical was assessing the damage and depletions affecting multiple body systems- immune, gastrointestinal, neurological and endocrine-by the vehicle of metabolic profile analysis. From there with the help of a certified nutritionist, the treatments were a detoxification diet, and supplements supervised by an Integrative Medicine physician.
Still bedridden, it took time and patience.
Homeopathy and acupuncture gavea dditional alternative treatment.


Where can you find Lyme disease specialists testing labs?

Lyme disease test: Currently, the gold standard Lyme disease
specialists test labs of the world are Igenex, Clongen in USA; Borreliose Centrum, Augsberg, Germany.(Note from Ed: The Lyme disease
practitioners who treated Katina in the USA, New Hampshire are named in her book.)

Spirituality and Mind Body Spirit: Alternative Treatment

To recover from auto immune disorder or chronic illness, of any form, necessitates a journey to your soul’s center.
With enormous loss and trauma ransacking a once stunning life, my spirit broke in the process. Depression, anxiety and despair are common feelings for those compromised in chronic illness.
Learning to change our thoughts, by specific visualization exercises, positive affirmations, healing prayers and clear intention statements can initiate a trickle of immune enhancing brain neurotransmitters which helps our mood as well as prompts healing.
The human being is an amazing resilient creature.
My ten year healing journey through Lyme disease projected me into unknown caverns, and unveiled remarkable discoveries. Ultimately, I view the experience as one of personal transformation and spiritual growth.
I was asked to change. Stubbornly, I held onto my former belief systems and structures for many years. During the solitude of confinement in illness, I realized my spirit was asking me to expand.
In doing so, I explored metaphysics, embraced change and healed at a core level. Spirituality helped me move beyond the grip of traditional societal expectations and onto a new vibration, where the borrelia organism no longer needed to exist.
Happy and whole now, I offer hope and inspiration to the all too many living with chronic auto immune disorders.
Spirit is calling you! Listen within. Honor your intuitions and the guidance rising. Each path is unique and you can heal: mind body and spirit included.

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AUTHOR'S BIO:

Katina I. Makris, CCH, CIH is author of Out of the Woods. She has worked in health care for 27 years, as a Classical Homeopath, Intuitive Healer and Natural Health care educator. She is a former popular newspaper columnist and a past board member of The Council for Homeopathic Certification. Katina is a graduate of Duke University and The Stillpoint School of Integrative Life Healing. She lectures extensively about Lyme disease treatment and healing.

Made special for my fellow Lymies. Have you managed to still be alive? Then you are a warrior and you rock my world.




If you have a chronic illness, you've probably been acused of 



being lazy or some stupid, compassionless crap like that. I 




made this for you.

https://www.facebook.com/photo.php?fbid=10151082988689201&set=p.10151082988689201&type=1&theater 




Often people complain about the way things are, but don't do anything about it. To all of you who share information that helps spread awareness and open the minds of others, to you who sign petitions that save and/or change people's lives for the better, to those of you who go out into the world and are kind to others even when they are not kind to you...THANK YOU. You are what makes this world a place I continue to want to be in.






Made special for my fellow Lymies. Have you managed to still 


be alive? Then you are a warrior and you rock my world.




Great outcome in Boston Lyme disease claim : procès gagné à Boston concernant un cas de lyme

 http://www.socialsecuritydisabilitylawyer.us/blog/2012/07/great-outcome-in-boston-lyme-disease-claim.html

 

July 31, 2012

LA REACTION DE JARISCH-HERXHEIMER



QU'EST-CE QU'UN « HERX »? LA REACTION DE JARISCH-HERXHEIMER

 
les Réactions du Jarisch Herxheimer (J.H. Ou Herx):

Ces réactions sont été découvertes par les Dr Jarisch et Herxheimer, et proviennent de la prise d'antibiotiques. C'est une aggravation des symptômes.

Au plus les antibiotiques vont détruire de germes, au plus les toxines contenues dans ces germes se retrouvent dans le sang et causent des symptômes de type grippal.

La Borréliose (la maladie de lyme) est hautement associée aux Herx (plus facile à prononcer que Jarisch-Herxheimer)

La charge bactérienne définit la dose de bactéries présentes dans le corps du patient. Plus les bactéries sont nombreuses, plus les réactions Herxeimers devraient être fortes.

La charge bactérienne peut expliquer pourquoi des patients ont des herx plus forts que d'autres. En général les patients atteints de Borréliose se sentent de mieux en mieux, leurs réactions d'herxheimer baissent de plus en plus.
Une petite charge bactérienne entraine des Herx minimums. 

 
Si un Herx se produit, il est hautement significatif. Cliniquement, celui-ci nous dit que nous sommes sur la bonne voie.
Par ailleurs, il est inutile de forcer le passage d'un Herx. Il faut réduire ou arrêter temporairement le traitement, l'héroïsme n'apportant pas une amélioration plus rapide.
La bactérie se développant très lentement, on ne perd quasiment pas de terrain en arrêtant temporairement le traitement.

Cet arrêt temporaire pour un Herxheimer a habituellement comme conséquence une amélioration des symptômes en 3 jours, et définitivement en 6 jours.
Malheureusement, certains antibiotiques comme le Metronidazole, le Plaquenil ou l'Azithromycine sont très efficaces, donc les Herx associés sont d'autant plus désagréables ,et mettent d'autant plus de temps (+/- 1 semaine) à régresser.

Il faut donc commencer le traitement avec des antibiotiques modérés (Pénicilline), en augmenter la dose progressivement puis les changer pour d'autres plus puissants comme les tétracyclines, macrolides et Metronidazole.
Quelques patients ont eu besoin environ d'un mois pour sortir d'un Herx provoqué par un traitement trop agressif.
Il est important de stopper ces antibiotiques au premier signe d'une réaction de Jarisch-Herxheimer. Des temps prolongés d’ Herxheimers ont été vus avec les doses élevées, ou avec des patients qui ont essayé de passer outre les recommandations et sont restés sous antibiotiques alors que leurs symptômes s’empiraient.

Généralement les réactions d’ Herxheimer sont une aggravation des symptômes existant de la Borreliose. Mais il semble qu'une apparition de nouveaux symptômes peut également être due à un Herx.
Ces symptômes allaient arriver spontanément plus tard dans la maladie, le Herx jouant ici le rôle de révélateur.

Deux autres réactions doivent être distinguées de la réaction du Jarisch-Herxheimer. Ce sont des effets secondaires des médicaments et les réactions allergiques.

Mauvaise tolérance digestive:
Les effets secondaires des antibiotiques sont habituellement gastro-intestinaux. Nausées, vomissements, brûlure d'estomac, gaz, diarrhée, ballonnements, colon spastique, crampes intestinales, constipation sont des exemples.

La Borreliose peut causer tout cela aussi, mais la plupart des patients peuvent distinguer si ces douleurs viennent d’une intolérance banale ou d’un Herx. Très souvent, ces symptômes, présents avant le traitement, disparaissent sous antibiotiques alors que ceux-ci devraient les aggraver, preuve que l'infection causait ces troubles digestifs.

Réaction allergique:
Des réactions allergiques causent des éruptions rouges irritantes, un gonflement de la gorge et une respiration difficile ou brièveté de souffle. 

La peau est l'un des organes cibles de la borrélia Bugdorferi. Ainsi une grande variété d'éruptions sont vues dans des patients atteints de Borreliose. Heureusement, la plupart des patients peuvent distinguer une réaction allergique d'un Herxheimer.
Beaucoup de patients qui pensent être allergiques aux antibiotiques présentent en fait un Herxheimer. Une histoire d’allergie aux antibiotiques multiples est un indice pour rechercher une Borreliose possible.

Les stéroïdes, tels que la prednisone ou le Medrol, sont à éviter. Ils inhibent le système immunitaire et favorisent la croissance des levures. Mais si la réaction de Jarisch-Herxheimer est trop intense , des stéroïdes peuvent être nécessaires de manière exceptionnelle.

Habituellement, stopper momentanément les antibiotiques suffit pour résoudre la détérioration des symptômes. Une bonne hydratation et du repos sont également préconisés.

La Borreliose, comme la syphilis, peut imiter n'importe quelle maladie, et en cause pratiquement tous les symptômes. Ainsi, une réaction de Jarisch-Herxheimer peut être une détérioration de pratiquement n'importe quel symptôme.

Le questionnaire de la maladie de Lyme reprend environ 100 symptômes. C’est une liste ouverte. La triade classique des symptômes de la Borreliose est la fatigue intense, les douleur musculo-squelettiques (les articulations, muscles, dos, cou, mal de tête), et les changements cognitifs (perte de mémoire, concentration diminuée, désorientation, manque de forme, dépression). Ainsi, un Herxheimer habituellement inclut une détérioration de ces symptômes classiques dans la triade.

Parfois un Herx est une détérioration de tous les symptômes. Ou bien un ou quelques symptômes peut empirer, alors que d'autres sont inchangés.

La douleur musculo-squelettique, ou la douleur neurogène (produite par les nerfs) peut exiger un traitement lourd. Néanmoins, il est inutile de vouloir masquer les douleurs d'un Herx pour pouvoir continuer les antibiotiques.
Il faut arrêter les antibiotiques pour les reprendre dès que possible, mais à dose moindre ou en thérapie pulsée.
Un exemple de thérapie pulsée serait de prendre une alternance de 10j d'un macrolide adapté (Télithromycine p.ex., puis 10j de Metronidazole, puis 10j d'arrêt.

Cette dose qui permet au patient de se sentir lentement amélioré peut amener à un herx léger. Dans ce cas la dose prise est correcte. C'est le “conte” de l’infection: les tortues gagnent la course et pas les lièvres!!!

La maladie de Lyme évolue lentement, sur des années. La santé doit rester le but à atteindre, et la plupart des « Lymés » y arrivent. Le bon antibiotique donnant un bon Herx, le truc pour guérir est d'apprendre à contourner ces Herx.