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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chronic fatigue, joint pain and insomnia after having bite marks on the body. Difficulty in speech. Lyme disease?

for years i have walked in a dual trail area and have come home with bites several times. I have had chronic fatigue, joint pain and insomnia for sometime. I also have had a chronic infection on my bottom treated with antibiotics twice but never gone for good. I've also had a very difficult time putting sentences together and finding the proper words to use, very embarrassing as I used to speak at conferences and am well spoken. Could I possibly have Lyme disease and how do I get tested?
Tue, 25 Jun 2013
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Infectious Diseases Specialist 's  Response
Hi
Welcome to HCM,
If there is a high exposure risk, yes the possibility can not be avoided.

Diagnosis of Lyme disease is usually based on the recognition of a characteristic clinical picture, exposure in an endemic area, and, except in those with EM, a positive antibody response to B. burgdorferi.
For serologic testing recommendtion is a two-test approach in which samples are first tested by enzyme-linked immunosorbent assay (ELISA) and those with equivocal or positive results are tested by Western blotting.
Hope it's clear.
Regards.
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Chronic fatigue, joint pain and insomnia after having bite marks on the body. Difficulty in speech. Lyme disease?

Hi Welcome to HCM, If there is a high exposure risk, yes the possibility can not be avoided. Diagnosis of Lyme disease is usually based on the recognition of a characteristic clinical picture, exposure in an endemic area, and, except in those with EM, a positive antibody response to B. burgdorferi. For serologic testing recommendtion is a two-test approach in which samples are first tested by enzyme-linked immunosorbent assay (ELISA) and those with equivocal or positive results are tested by Western blotting. Hope it s clear. Regards.