Bartonellosis / Bartonella

The Bartonella Checklist

Battling Bartonella Facebook Group

Beating Bartonella with Dr. Evan Hirsch, MD

Short pleomorphic rods

• Fastidious: division time 22-24 hours
• Cellular targets:
  • Erythrocytes
  • Endothelial cells
  • Microglia cells
  • Macrophages
  • CD34 Progenitor Cells in the bone marrow (which may have some clinical context in bone marrow disease)

It can be transmitted from the mother to the fetus

Bartonellaspp. And disease causation:

• Endocarditis
• Granulomatous Inflammatory Disease
• Chronic Intravascular infection
• Vasoproliferative Tumors

Symptoms

Typical manifestations:

Papule (rash) / regional lymphadenopathy

Atypical manifestations: these tend to appear in patients with Lyme & Bartonella or Lyme/Babesia/Bartonella

• Encephalopathy/chronic demyelinating Peripheral Neuropathy
• Radiculitis / Transverse Myelitis / Vasculitis
• Very bad Ophthalmologic manifestations such as neural retinitis
• Sarcoid like presentations with erythema nodosum, arthritis, osteolytic lesions

It causes very bad neurological symptoms and in a Lyme patient who is failing standard treatment, such as very bad encephalopthy and failing treatments for Lyme consider treating for Bartonella.

Bartonella rash:usually not in the skin planes, but transverse.

If double intracellular regimens like Doxy and Rifampin are used these patients who failed Lyme treatment or even Babesia treatment, will get better.

Conventional Med. Treatment

• Doxy (oral/IV) + Rifampin (+ CoQ10)
• Macrolide + Rifampin
• Quinolones + Tetracycalines
• Tetracyclines

• Macrolides with Septra/Bactrim DS

The above regimens generally include Plaquenil 200 mg bid

Buhner's recommendation

Sida acuta tincture (from Woodland Essence or julie@gaianstudies.org) ¼ tsp 3x day for 30 days

Hawthorn tincture, same

Japanese knotweed, (tincture, same dose (from same sources as Sida acuta, above), or capsules from Green Dragon Botanicals 2 capsules 3x daily)

EGCG 400mg +- daily

Houttuynia (Yu Xing Cao – 1st Chinese Herbs, powder – use “LYME” code at checkout for 10% off) 1 tbl daily

L-arginine 5000 mg daily in divided doses

Milk Thistle seed, standardized, 1200 mg daily

All for 30 days.

PLEASE NOTE: If you have active herpes, chicken pox, or shingles DO NOT USE L-arginine.