Hola Amaya,

respecto a la reaccion Herx, yo la tuve al cabo de una semana
(aprox.), mientras que mi marido la tuvo al cabo de pocos dias de
empezar el antibiotico. Tambien he leido que no siempre se tiene
esta reaccion, y esto no implica necesariamente que el tratamiento
no funciona.

Felices fiestas a todos!

Montse


--- En
lyme_y_otras_zoonosis_cronicas_espanol@yahoogroups.com, "agaztelu123"
<amayagaztelu@...> escribió:
>
> Hola, gracias Miguel y demás compañeros por los correos y la
información.
> Miguel, no he tenido por el momento ninguna reacción de tipo Herx
(4 dias de
> tratamiento). habís leido algo sobre ello y estaba pensando que a
los dos o tres días
> notaría algo, pero por ahora nada.
> Estoy mas cansada que antes pero no se si es por los antibioticos
(ya que tb ahora estoy
> mas liada con clases y trabajo). Lo que siento es la boca seca y
pastosa y no paro de beber
> agua... pero esto no es nada del otro mundo claro (comparado con
las épocas que tengo
> dolores musculares, fasciculaciones y demas). Asi que en general
va bien.
>
> Quería haceros una pregunta, he leido en la guia de Burrascano que
es conveniente no
> comer o limitar los hidratos de carbono por el tema de la candida
y hongos, pero es muy
> importante? yo ahora estoy sólo en 44.5 kg y si no como hidratos
ni azucares me da
> miedo bajar más asi que no sé que hacer al respecto. ¿es corriente
tener problemas con la
> candida en un tratamiento de 3 o 4 meses (en principio)?
>
> Gracias,
> Amaya
>
> --- En lyme_y_otras_zoonosis_cronicas_espanol@yahoogroups.com,
Miguel Ramírez
> Ortega <ramirezortega@> escribió:
> >
> > Hola Amaya,
> > No sé si te habran hablado ya de las reacciones de tipo Jarich-
Herxheimer (Herx).
> Espero llegar a tiempo.
> > No ocurre siempre pero sé por experiencia que Iniciar un
tratamiento tan deseado y
> encontrarte con esto puede ser lo más decepcionante que te ocurra
en la vida.
> > Yo fue cuando tomé conciencia de qué eran realmente las
manifestaciones
> neuropsiquiatricas del Lyme, y como realmente afectan a tu cabeza,
hasta entonces no
> había sido consciente de ello.
> >
> >
> > Esto es un fragmento del Dr. Burrascano de su: "ADVANCED TOPICS
IN LYME
> > DISEASE DIAGNOSTIC HINTS AND TREATMENT GUIDELINES FOR LYME AND
OTHER TICK
> > BORNE ILLNESSES"
> > http://www.ilads.org/burrascano_1102.htm
> > ..."Several days after the onset of appropriate antibiotic
therapy, symptoms
> > often flare due to lysis of the spirochetes with release of
increased amount
> > of antigenic material and possibly bacterial toxins. This is
referred to as
> > a Jarish Herxheimer-like reaction. Because it takes 48 to 72
hours of
> > therapy to initiate bacterial killing, the Herxheimer reaction
is therefore
> > delayed. This is unlike syphilis, in which these reactions can
occur within
> > hours
> >
> > It has been observed that symptoms will flare in cycles every
four weeks. It
> > is thought that this reflects the organism's cell cycle, with
the growth
> > phase occurring once per month (intermittent growth is common in
Borrelia
> > species). As antibiotics will only kill bacteria during their
growth phase,
> > therapy is designed to bracket at least one whole generation
cycle. This is
> > why the minimum treatment duration should be at least four
weeks. If the
> > antibiotics are working, over time these flares will lessen in
severity and
> > duration. The very occurrence of ongoing monthly cycles
indicates that
> > living organisms are still present and that antibiotics should
be continued.
> >
> > With treatment, these monthly symptom flares are exaggerated and
presumably
> > represent recurrent Herxheimer-like reactions as Bb enters its
vulnerable
> > growth phase then are lysed. For unknown reasons, the worst
occurs at the
> > fourth week of treatment. Observation suggest that the more
severe this
> > reaction, the higher the germ load, and the more ill the
patient. In those
> > with long-standing highly symptomatic disease who are on I.V.
therapy, the
> > week-four flare can be very severe, similar to a serum sickness
reaction,
> > and be associated with transient leucopenia and/or elevations in
liver
> > enzymes. If this happens, decrease the dose temporarily, or
interrupt
> > treatment for several days, then resume with a lower dose. If
you are able
> > to continue or resume therapy, then patients continue to
improve. Those
> > whose treatment is stopped and not restarted at this point
usually will need
> > retreatment in the future due to ongoing or recurrent symptoms
because the
> > infection was not eradicated..."
> >
> > Algunos links:
> >
> > Lyme Disease What is a Herxheimer Reaction
> > http://www.x-l.net/Lyme/HERX.html
> > Some Herx Info
> > http://www.sky.net/~dporter/Seronegative_Lyme_or_CFS.txt
> > Herxes (lots of links)
> > http://www.geocities.com/HotSprings/Oasis/6455/lyme-links.html#J-
H
> > Jarisch-Herxheimer / Jarisch-Herxheimer-like Reactions - Lyme
Disease
> > http://www.x-l.net/Lyme/abstracts/herx/herx.collection.html
> > Response to "Is there a cycle w/ Lyme ?"
> >
http://www2.lymenet.org/domino/flash.nsf/3e157dfbb6c018d78525679f0001
026
> > 0/fce2f20cc566fec28525669b006a2a63?OpenDocument
> > Evaluation of Symptom Log
> > http://www.lymenet.de/symptoms/cycles/statistics.htm
> > An Evaluation of Flare Cycles
> > http://www.lymenet.de/symptoms/cycles/evalsum.htm
> > Late Stage Lyme Disease,
> > http://www.angelfire.com/me2/StarShar/Herx1.html
> >
> >
> > http://www.fasthealth.com/dictionary/j/Jarisch-
Herxheimer_reaction.php
> >
> > n : an increase in the symptoms of a spirochetal disease (as
syphilis, Lyme
> > disease, or relapsing fever) occurring in some persons when
treatment with
> > spirocheticidal drugs is started - called also Herxheimer
reaction
> >
> > Jarisch, Adolf (1850-1902), Austrian dermatologist. Jarisch
published his
> > description of the Jarisch-Herxheimer reaction in 1895, seven
years before
> > Herxheimer published his own description.
> >
> > Herxheimer, Karl (1861-1944), German dermatologist. Herxheimer
published his
> > description of the Jarisch-Herxheimer reaction in 1902. In that
same year he
> > also described acrodermatitis chronica atrophicans.
> >
> > Published under license with Merriam-Webster, Incorporated.
©1997-2004.
> >
> > ===
> >
> > http://www.whonamedit.com/synd.cfm/3161.html
> >
> > A transient inflammatory reaction following treatment with
Salvarsan,
> > mercury, or antibiotics of early and later stages of syphilis.
It is seen in
> > 50% of patients with primary syphilis and about 90% of patients
with
> > secondary syphilis. Also seen in other diseases, such as
borreliosis,
> > brucellosis, typhoid fever, and trichinellosis. It is manifested
by fever,
> > chills, headache, myalgias, and exacerbation of cutaneous
lesions. Duration
> > is normally only a few hours. The intensity of the reaction
reflects the
> > intensity of inflammation present. Herxheimer observed his
reaction on
> > patients he had treated with mercury.
> >
> > ===
> >
> > http://www.gpnotebook.co.uk/cache/2140798985.htm
> >
> > Jarisch-Herxheimer reaction
> >
> > The Jarisch-Herxheimer reaction describes the release of
endotoxin when
> > large numbers of organisms are killed by antibiotics. It is seen
in 50% of
> > patients with primary syphilis and about 90% of patients with
secondary
> > syphilis. It is not a dose related phenomenon; thus giving a
smaller dose is
> > of no value.
> >
> > It occurs about 8 hours after the first injection and usually
consists of
> > mild fever, malaise and headache lasting a few hours.
> >
> > Rarely, in quarternary syphilis, a severe reaction can occur,
prednisolone
> > is therefore given to reduce its effects. 30-40 mg /day is given
in divided
> > doses for 2-3 days before and after the first dose of
antibiotics, reducing
> > by 5mg/day thereafter.
> >
> > It can be seen in other conditions also, for example in the
treatment of
> > leptospirosis, tetracycline therapy in brucellosis, dapsone
therapy in
> > leprosy (Lepra reaction), antibiotic treatment of Lyme disease.
> >
> > Suerte con el tratamiento,
> >
> > Miguel
> >
> > ----- Original Message -----
> > From: agaztelu123
> > To: lyme_y_otras_zoonosis_cronicas_espanol@yahoogroups.com
> > Sent: Tuesday, December 05, 2006 4:54 PM
> > Subject: [Lyme-E] Mi medica ha diccho que adelante!!
> >
> >
> > Hola a todos, ayer fui a ver a mi medica y me dijo que tras
leer la carta del Dr O y
> estudiar
> > el caso, estaba de acuerdo en recetarme la doxiciclina y hacer
el seguimiento del
> > tratamiento!!! la verdad es que en principio no me lo podia
creer, pero aqui tengo las
> > recetas, tambien me ha recetado un protector para el estomago,
y me ha dado cita
> para un
> > analisis dentro de un mes para ver como van los niveles de
todo lo normal en el
> > hemograma.
> > Lo unico que queda es que alli en la consulta no se acordaba
exactamente de la dosis
> > diaria aunque pensaba que eran 200mg al dia (yo no me acordaba
tampoco), asi que
> tiene
> > que ponerse en contacto conmigo, yo ya he visto que la dosis
es 100mg tres veces al
> dia,
> > pero bueno el caso es que empezare el tratamiento en cuanto
tenga un momento de ir
> a la
> > farmacia..
> > Por un lado estoy muy contenta de al fin hacer algo (despues
de 3 agnos), pero
> tambien
> > tengo un poquillo de susto de tomar tanta pastilla. algun
consejo de ultima hora?
> >
> > Saludos, Amaya
> >
>