61. Care For Animals lyme disease Top. What Is lyme disease? lyme disease is an infectious disease syndrome spread primarily by a tick no larger than the head of a pin. http://www.avma.org/careforanimals/animatedjourneys/pethealth/pethealth.asp

Pet Health General Illnesses Pet Health General Illnesses and Diseases ... Equine Health General Illnesses and Diseases Signs of Ill Health Cancer Lyme Disease Parasites ... Toxoplasmosis Other Pet Health Concerns: Dental Health Vaccinations First Aid Signs of Ill Health Top Only a healthy pet is a happy companion. Assuring your pet's daily well-being requires regular care and close attention to any hint of ill health. The American Veterinary Medical Association therefore suggests that you consult your veterinarian if your pet shows any of the following signs: Abnormal discharges from the nose, eyes, or other body openings Loss of appetite, marked weight losses or gains, or excessive water consumption Difficult, abnormal, or uncontrolled waste elimination Abnormal behavior, sudden viciousness, or lethargy Abnormal lumps, limping, or difficulty getting up or lying down Excessive head shaking, scratching, and licking or biting any part of the body Dandruff, loss of hair, open sores, and a ragged or dull coat. Foul breath or excessive tarter deposits on teeth Cancer Top How Common is Cancer?

62. Lyme Disease - Arthritis: Health And Medical Information About Arthritis And Oth lyme disease. What is lyme disease? lyme disease is spread by ticks when they bite the skin permitting the bacterium to infect the body. http://www.medicinenet.com/Lyme_Disease/article.htm

MedicineNet Home Arthritis Home > Lyme Disease Advanced Search Printer-Friendly Format Add to Favorites Email to a Friend ... Next page Lyme Disease Medical Author: William C. Shiel Jr., MD, FACP, FACR What is Lyme disease? What are symptoms and signs of Lyme disease? How is Lyme disease diagnosed? ... Lyme Disease At A Glance What is Lyme disease? Lyme disease is a bacterial illness caused by a bacterium called a "spirochete." The actual name of the bacterium is Borrelia burgdorferi. Lyme disease is spread by ticks when they bite the skin permitting the bacterium to infect the body. Lyme disease can cause abnormalities in the skin, joints, heart and nervous system. What are symptoms and signs of Lyme disease? Lyme disease affects different areas of the body in varying degrees as it progresses. The site where the tick attaches to the body is where the bacteria enter through the skin. Initially, the disease affects the skin and also causes "flu-like" symptoms. Later, it produces abnormalities in the joints, heart and nervous system. Lyme disease is medically described in three phases as: (a) Early localized disease with skin inflammation (b) Early disseminated disease with heart and nervous system involvement, including palsies and meningitis (c)

63. Southern Tick-Associated Rash Illness (STARI) - CDC Division Of Vector-Borne Inf Detailed information from the U.S. Centers for Disease Control and Prevention on this recently discovered disease, which is similar to lyme disease. http://www.cdc.gov/ncidod/dvbid/stari/

Southern Tick-Associated Rash Illness (STARI) Lyme Disease Contents Introduction Questions and Answers The Bacterium Vector Ecology ... PBS Documentary Other Tick-Borne Diseases Babesiosis (DPD site) Ehrlichiosis (DVRD site) Rocky Mountain Spotted Fever (DVRD site) Southern Tick-Associated Rash Illness Introduction: A rash similar to the rash of Lyme disease has been described in humans residing in southeastern and south-central states and is associated with the bite of the lone star tick, Amblyomma americanum . This Lyme disease -like rash has been named Southern tick-associated rash illness (STARI). Image: Adult female Amblyomma americanum View enlarged image. Vector: Amblyomma americanum ticks are found through the southeast and south-central states. Their life cycle and ecologic requirements are similar to Ixodes ticks with minor exceptions not described here. All three life stages of

64. Getting Lyme Disease To Take A Hike (June 1994) Getting lyme disease To Take A Hike by Ricki Lewis, Ph.D. Now that summer is here, many people are hitting the hiking trail. But http://www.fda.gov/bbs/topics/CONSUMER/CON00281.html

This article was published in FDA Consumer magazine several years ago. It is no longer being maintained and may contain information that is out of date. You may find more current information on this topic in more recent issues of FDA Consumer or elsewhere on the FDA Website, by checking the site index or home page , or by searching the site. FDA Home Page Search A-Z Index Site Map ... Contact FDA FDA/Website Management Staff Web page updated by smc 2001-APR-02.

65. Connecticut Children's Medical Center: Rheumatology Evaluates children with known or suspected rheumatic diseases, undiagnosed musculoskeletal pain, lyme disease, chronic fatigue syndrome, chronic pain disorders, fever of unknown origin, and autoimmune disorders. http://www.ccmckids.org/departments/rheu.htm

Staff Office Locations The Division of Pediatric Rheumatology evaluates children with known or suspected rheumatic diseases, undiagnosed musculoskeletal pain, Lyme disease, chronic fatigue syndrome, chronic pain disorders, fever of unknown origin, and autoimmune disorders. Diagnostic and therapeutic services are provided in a teaching setting. Procedural sedation and analgesia is employed for most children. A family-centered approach is emphasized and community-based resources are utilized when appropriate. Staff Lawrence Zemel, M.D. - Director lzemel@ccmckids.org Brooklyn College, 69, B.S. State University of New York (Buffalo), 73, M.D. Internship/Residency: Buffalo Children's Hospital, Pediatrics 73-75 Fellowship: New England Medical Center, Rheumatology, 75-77; Children's Hospital, Boston, Rheumatology, 76-77 Board Certification: Pediatrics, 77; Pediatric Rheumatology, 92 Faculty Appointment: Associate Professor, Pediatrics Barbara S. Edelheit, M.D. bedelhe@ccmckids.org

66. New Vaccine Targets Lyme Disease: New Hope For Diminishing 'Great Masquerader' If you live in a tickinfested area, there are several precautions you can take to reduce the risk of getting lyme disease. New Vaccine Targets lyme disease. http://www.fda.gov/fdac/features/1999/399_lyme.html

U.S. Food and Drug Administration FDA Consumer magazine May-June 1999 Table of Contents Publication No. (FDA) 99-1304 The manufacturer of the vaccine LYMErix discontinued distribution in the United States in 2001. This article is no longer being updated. For current information on Lyme disease and treatment, see the CDC's Lyme page or the other references in "For More Information" at the end of this article. Email this Page To a Friend New Vaccine Targets Lyme Disease New Hope for Diminishing 'Great Masquerader' by Carol Lewis Don C.'s hands hurt for months. He kept getting sore throats. When he turned his head to either side, it was painful to move it back. He suffered from a lack of concentration, memory loss, aching joints, and depression. Yet, the then-41-year-old New Jersey native just assumed it was all part of getting older. As symptoms worsened, Don became concerned that he was suffering from far more than the effects of middle age. A diagnostic questionnaire and extensive testing eventually confirmed that he had Lyme disease. In December 1998, the Food and Drug Administration licensed the first vaccine to help prevent Lyme disease, a bacterial infection transmitted by tick bites. LYMErix, distributed by SmithKline Beecham Pharmaceuticals, Philadelphia, is an unusual vaccine. Like most vaccines, it stimulates the human immune system to produce antibodies, in this case directed against

67. Lyme Disease Facts Factsheet with cause, symptoms, risk factors, diagnosis, complications, treatment, and prevention. http://www.astdhpphe.org/infect/Lyme.html

Lyme Disease Lyme disease is a rapidly emerging bacterial infection that is spread to people by the bite of infected ticks. Lyme disease can cause a rash, flu-like symptoms, and aching joints. Lyme disease can be treated with antibiotics. Without treatment, Lyme disease can cause serious, long-term health problems. To prevent Lyme disease: 1) protect yourself from tick bites, 2) remove attached ticks promptly, and 3) get early diagnosis and treatment. What is Lyme disease? Lyme disease is an infection transmitted by the bite of certain, very small, infected ticks. Lyme disease gets its name from the town of Lyme, Connecticut, where the illness was first identified in the United States in 1975. What is the infectious agent that causes Lyme disease? Lyme disease is caused by a corkscrew-shaped bacterium, or spirochete, called Borrelia burgdorferi . Ticks infected with the bacterium spread the disease to humans. Where is Lyme disease found? Cases of Lyme disease have been reported by nearly every state in the United States, but the disease is concentrated in the east coastal states, the north central states, and northern California. Connecticut, Rhode Island, New York, New Jersey, Delaware, Pennsylvania, Maryland, and Wisconsin account for about 90% of all cases. In the Northeast and Great Lakes region, Lyme disease is spread by the black-legged tick, which lives in wooded areas, grasslands, and yards. In the Pacific Northwest, the disease is spread by the western black-legged tick. In the Southeast, the disease is thought to be spread by the black-legged tick.

68. Lyme Disease Subscribe to the About Arthritis newsletter. Search. Arthritis, lyme disease Guide picks. lyme disease The Basics Learn the basic facts about lyme disease. http://arthritis.about.com/cs/lyme/

zJs=10 zJs=11 zJs=12 zJs=13 zc(5,'jsc',zJs,9999999,'') About Arthritis Lyme Disease Home Essentials zau(256,152,145,'gob','http://z.about.com/5/ad/go.htm?gs='+gs,''); Learn the Basics Medications/Supplements Arthritis by Anatomy Assistive Devices ... Help zau(256,138,125,'el','http://z.about.com/0/ip/417/0.htm','');w(xb+xb); Stay Current Subscribe to the About Arthritis newsletter. zau(256,152,100,'hs','http://z.about.com/5/ad/hs.htm?zIhsid=00',''); Search Arthritis Lyme Disease Arthritis can be a secondary consequence of Lyme disease, a condition caused by a bacterial infection transmitted by a tick which feeds on deer. The name of the disease is derived from the town in Connecticut where it was first recognized. Alphabetical Recent CDC Reports Lyme Disease At Record High Level During 2002, a total of 23,763 cases of Lyme Disease were reported to the Centers for Disease Control and Prevention (CDC), up 40 percent from the previous year. Why is Lyme Disease at a record high level and what can people do to prevent it? Lizards Lessen Lyme Disease Researchers have found a protein in lizard's blood which kills Lyme disease bacteria in ticks.

69. EMedicine - Tick-Borne Diseases, Lyme : Article By Jonathan A Edlow, MD TickBorne Diseases, Lyme - lyme disease is a systemic infection caused by the spirochete Borrelia burgdorferi. Tick-Borne Diseases, Lyme. http://www.emedicine.com/EMERG/topic588.htm

(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Emergency Medicine Infectious Diseases Tick-Borne Diseases, Lyme Last Updated: December 13, 2002 Rate this Article Email to a Colleague Synonyms and related keywords: Borrelia burgdorferi, Ixodes, vector-borne disease AUTHOR INFORMATION Section 1 of 11 Author Information Introduction Clinical Differentials ... Bibliography Author: Jonathan A Edlow, MD , Associate Chief, Assistant Professor, Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School Jonathan A Edlow, MD, is a member of the following medical societies: American College of Emergency Physicians Editor(s): Dan Danzl, MD , Chair, Professor, Department of Emergency Medicine, University of Louisville Hospital; Francisco Talavera, PharmD, PhD , Senior Pharmacy Editor, Pharmacy, eMedicine; Jon Mark Hirshon, MD, MPH , Assistant Professor, Division of Emergency Medicine, University of Maryland Medical Center; John Halamka, MD

70. Relapsing Fever Brief description from the lyme disease Foundation. http://www.lyme.org/otherdis/relapse.html

Relapsing Fever Click on picture to go to Image Gallery Tick-borne Relapsing Fever Residual tick bites This is a multisystem disease caused by the spirochetes Borrelia (B.) hermsii B. turicatae , and B. parkeri . The disease occurs primarily in the western U.S. The pathogen is transmitted by soft ticks, which feed mainly at night and can transmit spirochetes within minutes. Signs/Symptoms: Repeating bouts of fever and chills, headache, muscle and joint pain lasting 2 - 9 days, alternating with days of no fever. Blood tests detect the bacterium during fever episodes. Back to Other Diseases About the LDF Updates Awards ... Vaccines

71. EMedicine - Lyme Disease : Article By John Meyerhoff, MD lyme disease lyme disease is due to infection with a spirochete, Borrelia burgdorferi, and the body s immune response to the infection. lyme disease. http://www.emedicine.com/MED/topic1346.htm

(advertisement) Home Specialties Resource Centers CME ... Patient Education Articles Images CME Patient Education Advanced Search Consumer Health Link to this site Back to: eMedicine Specialties Medicine, Ob/Gyn, Psychiatry, and Surgery Rheumatology Lyme Disease Last Updated: February 27, 2004 Rate this Article Email to a Colleague Synonyms and related keywords: Lyme borreliosis, parasite infection, spirochete infection, tick bite, tick infestation, Lyme tick, Ixodes, Borrelia burgdorferi, B burgdorferi, deer tick, bull's eye lesion, neuroborreliosis, Lyme titer, tick-borne illness, erythema migrans AUTHOR INFORMATION Section 1 of 11 Author Information Introduction Clinical Differentials ... Bibliography Author: John Meyerhoff, MD , Assistant Professor, Department of Internal Medicine, Johns Hopkins University School of Medicine John Meyerhoff, MD, is a member of the following medical societies: American College of Physicians , and American College of Rheumatology Editor(s): Kristine M Lohr, MD

72. The Heimlich Institute A nonprofit organization involved in medical research on the Heimlich maneuver for choking, drowning and asthma; malariotherapy for HIV and lyme disease; and the Heimlich MicroTrach for oxygen delivery in lung disease. http://www.heimlichinstitute.org/

Malariotherapy: An Affordable and Accessible Treatment for HIV/AIDS. Presented by Dr. Henry Heimlich at the PanAfrica 2002 AIDS Conference, October 31, 2002 The Validity of Malariotherapy The Discovery of an Esophagus Operation in Romania and the United States Correcting Medical Mistakes Mission of The Heimlich Institute: "Benefiting Humanity Through Health and Peace." In June 1998, The Heimlich Institute became a member of Deaconess Associations Inc., to help advance and promote the mission and vision of The Heimlich Institute in perpetuity. Founded in New York in the 1960s, The Heimlich Institute moved to Cincinnati 30 years ago. Now located on the campus of Deaconess Hospital in Cincinnati, the Institute continues to conduct scientific, cultural and social research into issues of importance to the medical and scientific community, as well as addressing social concerns in the United States and abroad. Henry J. Heimlich , M.D., president, is best known for the lifesaving Heimlich Maneuver, for which he won the Lasker Award in 1984. But the technique is just part of the work of the institute that bears his name. Through The Heimlich Institute, Dr. Heimlich is researching new treatments for AIDS and cancer, and teaching the expanded use of the Heimlich Maneuver to save drowning victims, asthma sufferers and cystic fibrosis patients. Dr. Heimlich also works to promote peaceful solutions to international problems through the "A Caring World" program. The Institute places emphasis on using the creative portion of our minds in medicine and life. Each person creates within the limits of his or her knowledge and capability. With this creativity comes challenge, frustration and controversy. Dr. Heimlich's favorite phrase is: "If all of your peers understand what you have done, you are not creative," but when ideas are proven successful, in spite of attempts to interfere, inevitably truth prevails, and the joys and rewards of one's work are insurmountable.

73. Lyme Disease And Other Diseases Spread By Ticks lyme disease is an infection caused by the corkscrewshaped bacteria em Borrelia burgdorferi /em that are transmitted to humans by the bite of infected deer http://www.mass.gov/dph/cdc/epii/lyme/lymehp.htm

Bureau of Communicable Disease Control HIV/AIDS Surveillance STD Prevention Related Sites Centers for Disease Control Contact Information Division of Epidemiology and Immunization State Laboratory Institute 305 South Street Jamaica Plain, MA 02130 Tel. Fax Search the DPH Website Lyme Disease and Other Diseases Spread by Ticks Adult Female Deer Tick What is Lyme disease and how big of a problem is it for Massachusetts and nationwide? Materials and Information for HealthCare Providers on Lyme Disease Tickborne Disease in Massachusetts: a Physician's Reference Manual Lyme Disease in Massachusetts, 2002 : An Update for Health Care Providers (PDF) Reporting Diagnosed Cases of Lyme disease Where should health care providers report Lyme disease? How should Lyme disease cases be reported? Laboratory Testing for Lyme Disease Materials and Information for Local Boards of Health Educational Materials on Diseases Spread by Ticks Seasonal Ideas for Promoting Awareness and Prevention of Tickborne Disease Tips on Holding a Press Conference or Airing a Public Service Announcement MDPH Lyme Disease Educational Materials Preventing Disease Spread by Ticks brochure Public Health Fact Sheets on Lyme Disease Steps You Can Take to Prevent Tick Bites Lyme Disease awareness poster Tick Identification Card Ticked Off!! Preventing Lyme Disease

74. Arthritis Insight-Lyme Disease Information Information, including statistics, diagnosis, treatment, community center, news, tips and resources. http://www.arthritisinsight.com/medical/disease/lyme.html

In this section: Rheumatoid Arthritis Lupus (SLE) Juvenile Arthritis Osteoarthritis Fibromyalgia Gout Psoriatic Arthritis Ankylosing Spondylitis Spinal Stenosis Sjogren's Syndrome Lyme Disease Still's Disease Osteoporosis Carpal Tunnel Syndrome Polymyalgia Rheumatica Reiter's Syndrome Avascular Necrosis deQuervain’s tendinitis Dupuytren’s disease MP Joint Arthritis Behcet's Disease Raynaud's phenomenon Reflex sympathetic dystrophy 171 Types of Arthritis Current Discussion Archives Survey Disease Index ... Disease Index Lyme Disease Lyme Disease Statistics For Lyme disease to exist in an area, at least three closely interrelated elements must be present in nature: the Lyme disease bacteria, ticks that can transmit them, and mammals. What is Lyme Disease? Lyme disease was first recognized in the United States in 1975, after a mysterious outbreak of arthritis near Lyme, Connecticut. Children in the town began having arthritis-like symptoms. Medical researchers soon recognized the illness as a distinct disease, which they called Lyme disease. What causes it?

75. Die Deutsche Lyme-Disease-Website: Zecken: Geisseln Der Menschheit, Http://www.a lyme disease ? http://www.ariplex.com/lyme/lyme_top.htm

Die Deutsche Lyme-Disease-Website B O Y C O T T ! Wichtige Meldungen Artikel des "New England Journal of Medicine" Arthritis durch Genmanipulation durch Chlamydien Das BGVV warnt: Vorsicht Zecke! - Der "Gemeine Holzbock" kann für Mensch und Tier gefährlich werden ... Dr. Burrascano 14th. Edition, amerikanische Originalfassung Lyme-Borreliose: Dr. Burrascano Das Archiv: 14th. Edition, amerikanische Originalfassung 13th. Edition, amerikanische Originalfassung 12th. Edition, amerikanische Originalfassung Lyme-Borreliose: ... Liste medizinischer und politischer Selbsthilfe-Gruppen Weitere wichtige medizinische Informationen finden Sie hier: Die Deutsche Amalgam-Page und hier Aribert Deckers and Antares Real-Estate

76. Is Your Dog At Risk For Lyme Disease? - Tomball Veterinary Clinic Is Your Dog at Risk for lyme disease? lyme disease is a devastating disease that can cause serious problems for your dog. What is lyme disease? http://www.thevet.com/yourdog.htm

Is Your Dog at Risk for Lyme Disease? What is Lyme disease? Why is Lyme Disease spreading so rapidly? What are the symptoms of Lyme disease in dogs? ... What are the danger months for contracting Lyme disease? Is Your Dog at Risk for Lyme Disease? Do you take your dog on walks? Does your dog travel with you? Do you take your dog camping? Does your dog "tag" along? Does your dog hunt with you? Does your dog come along on family picnics? Do you take your dog jogging? Does your dog go to parks? What is Lyme disease? Lyme disease, or Borreliosis, is a tick-borne bacterial disease affecting both humans and animals. First discovered in the U.S. in humans in 1975 and reported in dogs in 1984, it has spread rapidly across the country, affecting more victims every year. It is caused by a corkscrew-shaped bacteria called Borrelia Burgdorferi. Why is Lyme Disease spreading so rapidly? Studies have shown that waterfowl and other migratory birds have helped disperse the infected tick. Dogs and wildlife that run in infected fields can bring infected ticks back to suburban locations and backyards. Dogs traveling with their owner can spread infected ticks to distant locations. Secluded wooded areas where people live or spend leisure time are the natural environments for ticks and the Lyme disease bacteria.

77. Lyme Disease About.com page with links to news, information, and support for patients with lyme disease. http://arthritis.about.com/cs/lyme/index.htm

zJs=10 zJs=11 zJs=12 zJs=13 zc(5,'jsc',zJs,9999999,'') About Arthritis Lyme Disease Home Essentials zau(256,152,145,'gob','http://z.about.com/5/ad/go.htm?gs='+gs,''); Learn the Basics Medications/Supplements Arthritis by Anatomy Assistive Devices ... Help zau(256,138,125,'el','http://z.about.com/0/ip/417/0.htm','');w(xb+xb); Stay Current Subscribe to the About Arthritis newsletter. zau(256,152,100,'hs','http://z.about.com/5/ad/hs.htm?zIhsid=00',''); Search Arthritis Lyme Disease Arthritis can be a secondary consequence of Lyme disease, a condition caused by a bacterial infection transmitted by a tick which feeds on deer. The name of the disease is derived from the town in Connecticut where it was first recognized. Alphabetical Recent CDC Reports Lyme Disease At Record High Level During 2002, a total of 23,763 cases of Lyme Disease were reported to the Centers for Disease Control and Prevention (CDC), up 40 percent from the previous year. Why is Lyme Disease at a record high level and what can people do to prevent it? Lizards Lessen Lyme Disease Researchers have found a protein in lizard's blood which kills Lyme disease bacteria in ticks.

78. Recognition And Management Of Lyme Disease / August 1997, AFP Recognition and Management of lyme disease. 8. TABLE 1 Centers for Disease Control and Prevention Surveillance Definition of lyme disease. http://www.aafp.org/afp/970800ap/lymedis.html

Advanced Search American Family Physician Articles Departments Patient Information Editorials ... Special Medical Reports Recognition and Management of Lyme Disease MARY E. VERDON, M.D. Hunterdon Medical Center Family Practice Residency Hunterdon Medical Center, Flemington, New Jersey LEONARD H. SIGAL, M.D. New Brunswick, New Jersey Lyme disease, the most common tick-borne illness in the United States, has an annual incidence of 0.5 percent in endemic areas. It most commonly occurs in the Northeast and upper Midwest, in areas that encourage and harbor the deer tick. The tick transmits an infection of the spirochete Borrelia burgdorferi that typically manifests as a localized skin lesion, erythema migrans. Rarely, Lyme disease manifests as localized arthritis, heart block or disease of the nervous system. Lyme disease is a clinical diagnosis, and laboratory tests should only be used to clarify diagnostic issues. The current standard for laboratory diagnosis includes a two-step approach using an initial immunoassay with a confirmatory Western blot. Treatment includes 10 to 21 days of oral doxycycline in nonpregnant adults or a similar course of amoxicillin in children or pregnant women. Overdiagnosis and overtreatment of Lyme disease have become common. Lyme disease is a multisystem disorder caused by the tick-borne spirochete Borrelia burgdorferi . Lyme disease usually begins with an erythematous skin lesion, erythema migrans, which is often associated with a self-limited virus-like illness. If the infection is untreated, within days to weeks the infection may spread to a number of organs, including the nervous system, the joints and the heart.

79. Lyme Disease - Arthritis: Health And Medical Information About Arthritis And Oth A definition of this disorder along with a look at the symptoms, diagnoses, treatment and prevention. http://www.aboutarthritis.com/script/main/art.asp?articlekey=407

80. Breeder Vet: Heartworm, Lyme Disease And Pregnancy The Show Dog Super Site, lyme disease, PREGNANCY AND MONTHLY HEARTWORM. The manifestations of lyme disease in dogs are exactly the same as in humans. http://www.showdogsupersite.com/kenlclub/breedvet/herx.html

The Show Dog Super Site LYME DISEASE, PREGNANCY AND MONTHLY HEARTWORM Mary C. Wakeman, D.V.M. Ashford Animal Clinic Canine Fertility Center Ashford, CT Let's start this discussion with the big word and get it out of the way. Jarisch-Herxheimer Reaction; Herxheimer or Herks for short. When the body is harboring a significant amount of foreign protein, for instance, as in the form of migrating heartworm larvae, migrating larvae of intestinal worms, or the very large spirochaete bacteria that cause Lyme disease, it is faced with a set of problems which cause disease (such as Lyme). When those living organisms die, due to treatment with monthly heartworm medication (any of the monthly meds) or due to treatment of Lyme disease with a good antibiotic, the body reacts differently to the dead protein in its tissues and blood stream. The dead spirochaetes may not be causing symptoms of Lyme any longer, but they now cause an extreme inflammatory response in the individual. The migrating larvae of intestinal parasites usually do no great amount of harm while live, but when dead they, too, cause a massive inflammatory reaction. Killing intestinal parasites as adults does not entail any such risk. Likewise, killing heartworm stages with the daily heartworm medications causes no risk of this nature. The Herxheimer reaction in those of us who have Lyme disease usually manifests itself as feeling really 'sick' one to five days after starting on antibiotic medication, or after starting a different antibiotic medication, and often periodically while continuing on the same medication. This is taken clinically as proof that the disease is still active, and that the antibiotic is effective as well. So there is something good about feeling bad under these circumstances.

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