CASE STUDIES


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For 3 months. Returning from camp, he developed encephalitis. He was hospitalised for 1 week, and was discharged with serious aggressive tendencies and depression. He was initially diagnosed as a psychopath, by 3 different psychiatrists. He was treated with antidepressants and sedatives, and was on the point of being admitted to a psychiatric hospital. The second diagnosis: chronic rickettsial infection. He was given 3 courses of treatment of tetracyclines and stopped all other medication. He subsequently became a school prefect and his condition is maintained to the present day.

First diagnosed as M.E. after 6 years of fatigue. Neurological symptoms then appeared. The second diagnosis was Multiple Sclerosis. She was treated repeatedly with cortisone for her many relapses. She eventually was confined to a wheelchair for most of the time. She eventually came to see me and her blood tests showed chronic active rickettsial and chlamydial infection. She was treated for 18 months with pulse antibiotic therapy and stays in remission since 1994.

Was an insulin dependant, stabilized diabetic since the age of 15. She became very tired and depressed after working in a nursery school, where she came into contact with head lice. She was hospitalised many times for hypoglycemia (severe lowering of blood sugar) in a comatose state – no longer stable. She saw a psychiatrist, but her depression did not improve and also she complained of joint pains. After establishing active rickettsial infection through blood tests, she was treated with tetracycline pulse therapy for 6 months and recovered completely. Her diabetes is stable again.

A psychiatrist by profession. He was ill for 4 years, initially diagnosed as having endogenic depression. He recovered completely after 8 treatments of tetracycline. Subsequently he has treated 300 of his own patients with great success with the same antibiotic therapy

He was tired, depressed and complained of body pains for 4 years. Diagnosed as positive for rickettsia, chlamydia and mycoplasma. He was improving well after 3 treatments, but was then hospitalised for hepatitis. During his stay in hospital he developed pneumonia, and required intensive care. He tested positive again for mycoplasma and was treated for it successfully

Has been fatigued for years and despite seeking medical help, her condition keeps on deteriorating. Later on, she is hospitalised for a myocardial infarction, while she is showing the first symptoms of multiple sclerosis. Shortly after this, epileptic fits happen more and more frequently and become difficult to control. Three years after the epileptic onset, she undergoes a total colectomy for hemorrhagic colitis. When i first saw her, she could hardly stand and had a major difficulty to find her words. Seizures were happening daily. After six months of antibiotherapy, she progressed to the point that she was writing a thesis, had about no epileptic fits and could walk without hesitation. Four years along the line, she is still on treatment and maintains her progress, although epilepsy has to be controlled by medication and fits are happening now and then. Her main problem is that lasting heavy tiredness.

Is admitted to hospital for pneumonia after a trip to Australia via Malaysia.
He does not recover and becomes excessively tired and unwell. After consulting many doctors, the findings of m.e. as a diagnosis is not much of a help. He reaches the point of considering suicide as the only exit. Fortunately his health condition improves dramatically under my regime of pulse antibiotherapy. But a few months later, he is rushed to hospital for hepatitis followed by a severe pneumonia. Again, he progresses rapidly under antibiotherapy. Recently he is diagnosed with an enlarged liver, the cause of this being attributed to his previous attack of hepatitis. Further investigations reveal a constrictive pericarditis showing calcification of 1 cm thick around both ventricles which will require a pericardial decortication. He stopped in Johannesburg on his way to cape town where surgery was scheduled. His attitude before this major procedure to come is that it cannot be worse than when he had m.e. As his clinical condition was the one of a fit young man, i referred him for another evaluation of his heart. The sophisticated tri-dimensional scan done in Luxemburg’s proved wrong and new pressure measurements saved him from a major intervention.

Is first diagnosed with crohn disease fifteen years ago, followed two years later with rheumatoid arthritis. The year after, she shows the symptoms for bornholm disease. She then develops a severe fatigue preventing her from attending work, accompanied with headaches that require the daily use of morphine. On her first visit, she presented with continuous headaches, permanent backaches, bilateral hip pain and chronic diarrhea. The abdominal disturbances were the first one to subside after 2-3 months of antibiotherapy. She now suffers rarely of these debilitated headaches and her body aches are somehow bearable.

Suffers from pernicious anaemia for many years starting after a tick bite fever. Four years later she is diagnosed with”discoid lupus”. She comes to see me for fatigue and generalised body aches. She is doing well on my antibiotherapy and the treatment is discontinued after one year. A brain scan performed to investigate a persistent loss of balance reveals the onset of multiple sclerosis. Three months later, a total mammectomy is performed for cancer. She is still on antibiotics with very little results until now.

Farmer and polo player. at the age of 34, develops extreme fatigue and a generalised eczema for nine years, soon not responding to the administration of a growing dosage of cortisone, or to chemotherapy. No need to add that he is also given antidepressants. After six to eight months of antibiotherapy he recovered to the extend that cortisone is not necessary anymore. His skin looks healthy again.

Suffers from high blood pressure since the age of 52. At the age of 62, he needs a colectomy for cancer. In the last four years, he presents with a chronic uveitis while he is diagnosed with rheumatoid arthritis and cfs. He contracts Lyme disease in the united states after tick bites. The brain mri performed to investigate his headaches shows hyper-intensities in the white matter. Two years later a growth appears on the third right metacarpal, first confirmed by a radio nuclear study as part of a chronic infection (brodies abscess). Refusing the amputation of his hand, the patient goes for second opinion which confirms my diagnosis, a Paget disease. This has been treated successfully wth chemotherapy and the patient is asymptomatic.

This is a side-effect of antibiotics. Also CFS patients, due to their poor vascularisation, will be more sensitive to any light.

According to my personnel experience, vitamins are important in presence of digestive problems with a limitation of normal food absorption. The same applies for athletes and for pregnant women. I have not done any research on vitamins because my patients recover well on antibiotherapy. I would not be confident to use vitamins or any other supplement in presence of germs as this could contribute to its growth.

The sulpha group, as they enhance the growth of rickettsia in guinea pigs. So does magnesium. Vitamin A and E are to be avoided because of their tendency to produce intra cranial micro-hemorrhages.

To minimise Herxheimer reaction increase your intake of water. Regular daily exercise for short periods of time will help the circulation of your toxins and hot baths will expel them through the skin.

DO:

  • Take medicine AFTER food despite chemists’ advice
  • Drink lots of fluid — at least 2—2.5 litres per day. Your aim is to pass at least 1.5 litres of urine daily
  • If you can drink Indian tonic water: the quinine it contains helps the medication’s absorption
  • Take HOT baths( 40CC) or a Sauna nightly – (no steam/Turkish baths) for at least 10 minutes. This is to sweat out (remove) toxins via the skin and to increase blood circulation. Add 5 capfuls of Algibad (available from Canyon Product agents) or 2 tablespoons of Epsom Salts to your bath to assist this process
  • Exercise. if you are fit, keep to your normal exercise program as normally as possible: if you are not fit, try to become lit as soon as possible, with short and repetitive periods of gentle exercise
  • Keep out of the sun, as your skin will be more sensitive to sun and you could burn
  • Take extra precautions against pregnancy if on oral contraceptives, as they are less efficient during antibiotherapy
DO NOT:
  • Take medication on an empty stomach
  • Consume any dairy products (milk, yoghurt, fresh cream, Ice cream, cheese) as this changes the PH of your stomach and Interferes with the absorption of the medicine
  • Take any analgesics, antacids, vitamins, minerals, homeopathic medicines, or any other drugs, Including Legal on, without first discussing with Dr Jadin
  • Smoke at all
  • Drink alcohol with FLAGYL
  • Become pregnant until after all treatments have been completed
  • Breastfeed. Stop before commencing treatment
  • Stop your 7 day medication
AT ALL TIMES
  • Avoid caffeine (Coffee, tea, Coke etc) and nicotine, because of their vaso-constrictive action
  • Flu vaccine, Gamma globulin, Berlgiobulin and cortisone are not recommended
  • Avoid Sulfa drugs
  • Local anesthesia should be used without adrenalin
  • Avoid sugar — if you crave sugar, DO NOT give in to it!
  • Keep away from places where there could be fleas, ticks, lice like stables, manure etc. As a precaution, fumigate your house. In any circumstances, do not touch ticks
  • DO NOT consume unpasteurised milk
  • DO NOT eat raw meat (biltong, dry wors etc.) or raw fish
  • Avoid, If possible, close contact with chemicals like paint and fertilizers
  • Body massages are not recommended
  • Avoid Magnesium Glutamate. Take Vitamins A, D, E and K very sparingly, if at all
  • All patients, especially children, must de-worm themselves and their animals on a regular basis
  • If you suffer of an auto immune disease, any laser treatment should be avoided

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I have come across many patients who developed multiple sclerosis, cerebellum atrophy or indefinite neuropathies after a short or long trip in the cfs mode. 78% of my multiple sclerosis patients present with hashimoto disease, and the majority of auto-immune sufferers also have cardiac complications. I observe that practically all my female lupus or sclerodermia patients develop endometriosis. We could mention here the encephalomyocarditis described by JB Jadin. He also published the fact that ocular rickettsioses are mainly seen a long time after a systemic attack such as after flu, guillain barre or pneumonia.

All of these patients have fatigue as a common denominator.

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