Guest guest Posted August 24, 2004 Report Share Posted August 24, 2004 here are the symptoms of an acquaintance (whose English is not so good) : (probable) tick-bite 4 weeks ago. A thick tick was found walking near (but not in) a small (3-5mm) dark-red wound 1-2 days after walking in forest (Germany). 1 week later there was a 3cm light-red wound around the dark-red one. No pain or other problems at that time. 3 weeks later : headache and pressure-pain in an area of ~10cm in the left face, around the left ear. Fiever about 38C=100.4F concentrated in 4-5 intervals per day. Next day more local pain in the earlobe in concentrated in an area of 1-2cm. Also migraine-headache and nausea with vomiting. The ear-pain decreases and increases in 1-2min. intervals. Then medication : 200mg Doxicyllin per day Some days later it pain became constant and in a bigger area. Left ear is red. Little food, no appetite. Then dizzyness, walking like alcoholized and pain in a ring around the body beneath the breast at each step (for some hours only) Does that sound like lyme (European variant) ? Is ot normal that the pain only starts 4 weeks after tick-bite ? thanks in advance,Werner. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 24, 2004 Report Share Posted August 24, 2004 Sounds like Lyme to me. I saw , a few years ago, a TV show about Lyme in Germany. Its like it is here, some say its there, others flatly refuse to see it. If this person has Lyme, and it does sound like it, they need to find a Dr that will take them seriously. If they are getting migraines then it has passed the blood-brain barrier and needs aggressive treatment. best of luck! Subject: [ ] is this Lyme ? > here are the symptoms of an acquaintance (whose English is not so > good) : > > (probable) tick-bite 4 weeks ago. A thick tick was found walking > near (but not in) a small (3-5mm) dark-red wound 1-2 days after > walking in forest (Germany). 1 week later there was a 3cm light-red > wound > around the dark-red one. > No pain or other problems at that time. > > 3 weeks later : headache and pressure-pain in an area of ~10cm > in the left face, around the left ear. Fiever about 38C=100.4F > concentrated in 4-5 intervals per day. > > Next day more local pain in the earlobe in concentrated in an area > of 1-2cm. Also migraine-headache and nausea with vomiting. > The ear-pain decreases and increases in 1-2min. intervals. > Then medication : 200mg Doxicyllin per day > > Some days later it pain became constant and in a bigger area. > Left ear is red. Little food, no appetite. > Then dizzyness, walking like alcoholized and pain in a ring around > the body beneath the breast at each step (for some hours only) > > Does that sound like lyme (European variant) ? > Is ot normal that the pain only starts 4 weeks after tick-bite ? > > thanks in advance,Werner. > > > > > > Questions and/or comments can be directed to the list owner at -Owner > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 24, 2004 Report Share Posted August 24, 2004 thanks for answering. Meanwhile I found an article (see below), which says that there is a rare form of Lyme (5%) called BL, where people often have this earlobe-pain. We are still not sure, since some other symptoms don't quite match. Is anyone here, who has BL ? from _http://www.mf.uni-lj.si/acta-apa/acta-apa-01-4/muelleger.html_ (http://www.mf.uni-lj.si/acta-apa/acta-apa-01-4/muelleger.html) .... Borrelial Lymphocytoma BL is a subacute cutaneous manifestation of LB that has been defined as a stage 2 (early disseminated infection) manifestation, but may also occur directly at the site of a tick bite (15). Thus, BL can also represent a stage 1 (early localized infection) manifestation of LB. BL is the least common manifestation of LB (5%) and occurs more often in children than in adults. Extracutaneous signs and symptoms are very infrequent. BL is a solitary lesion in most patients. It is a bluish-red nodule or plaque with a size between 1-5cm, sharply demarcated, and often with a slightly atrophic surface. On palpation, BL is a soft and non-tender lesion. BL is located typically on the earlobe (Fig. 6), breast (nipple, areola), and less frequently on the scrotum or the (anterior) axillary fold. The diagnosis is based primarily on the clinical aspect, but histopathology, which reveals a B-cell pseudolymphoma, is mandatory for the definite diagnosis of BL, in particular to rule out B-cell lymphoma of the skin. For this differentiation, it is sometimes necessary to perform additional immunohistochemical and PCR studies to exclude monoclonality. Although some patients with BL may be seronegative, Bb IgG and/or IgM antibodies are found in the serum of 80% of all BL patients. Direct detection of Bb or Bb specific DNA in lesional skin by culture or PCR are helpful addition to the diagnosis. Differential diagnoses of BL include insect bite reactions, cutaneous lymphoma, foreign body granuloma, sarcoidosis, cutaneous metastasis, keloid, perichondritis, and granulomatous contact dermatitis due to golden earrings Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 25, 2004 Report Share Posted August 25, 2004 Do you know about the german lyme website? See it at http://www.lymenet.de/ Quote Link to comment Share on other sites More sharing options...
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