Disease Presentation

Lyme Disease Information for Doctors in Australia

Lyme Disease Australia

Lyme disease in Australia is a neurological disease with no arthritis. It is outstanding the degree of cranial nerve involvement. As such it needs to be distinguished from sarcoid, amyloid, autoimmune diseases and Bartonella neurological disease. It can now be proven by nested PCR to 

Borrelia Burgdorferi 

Borrelia Garinii

and a Borrelia Valaisiana 

In addition Borrelia Afzelii is most likely here in Australia as judged by a patient case load of 5 people having ACA the advanced skin disease found in some Lyme sufferers, and 8 others with the nummular truncal rash. ACA can be caused by Bb and Bg as well as Afzelii viz: http://www.ncbi.nlm.nih.gov/pubmed/11864084?dopt=Abstract

Two Proofs on this link for Bb in Australia, one by blood the other by tissue. 

Two more proofs

The man in the case history presentation of EM was also positive to Bb on nested pcr testing in mid 2009.

The case presented on the previous page show positive PCR to Borrelia in July 2010

Guidelines in treating Lyme and co-infections in Australia have been put forward by ACIDS - Australian Chronic Infectious Disease Society and are available at this link:
http://www.acids.org.au/Borrelia and coinfection Disease Guidelines 2014 Ver 1.51.pdf

ILADS is The International Lyme and Associated Disease Society

Here is the main link to the society

A key Board member of ILADS is Joseph Burruscano MD a physician. He is the author of

"Advanced topics in Lyme disease"

The 2008 edition is available free on the net at ILADS
If a slow download try refreshing or

here is the 2005 version

I am going to attempt to give a brief overview on Lyme information. The topic is vast with many tangents and it takes very many hours to integrate this information into a sensible synthesis. I will heavily rely on the above information. Medical Practitioners have enough to do without taking on this subspecialty with its extreme time consumption, unless particularly motivated to learn more. The aim is to arm you with enough information to suspect this diagnosis. 

Dr Peter Mayne