ANTIBIOOTTIA NIVELTULEHDUKSEEN

[Bb]

Lähettäjä: Soijuv Lähetetty: 2.2.2006 12:33

Tri Mirkin sanoo:" Minua hämmästyttää toistuvasti se tosiseikka että lääkärit eivät hoida niveltulehduksista kärsiviä potilaitaan antibiooteilla. Niveltulehduksen yleisin syy on jokin infektiotauti (mm. borrelioosi). Lääkäreillä ei ole juurikaan laboratoriotestejä joilla testata erilaisia mikrobeja, mutta sadoissa tutkimuksissa on osoitettu lukuisien eri mikrobien aiheuttavan niveltulehduksia. Mikäli hoitoa ei aloiteta ajoissa, seurauksena on pysyviä vaurioita.

Hoidan niveltulehduspotilaitani seuraavasti:

Minosykliini 100mg x 2 2 kk. Mikäli vointi ei parane, lisään Zithromaxia 500mg 2 x viikossa 6 kk:n ajan. Mikäli vointi ei vieläkään parane lisään steroideja. Niiden käyttö lopetetaan heti kun oireet ovat helpottaneet ja hoitoa jatketaan yksinomaan antibiooteilla.


http://www.drmirkin.com/joints/J159.htm

REACTIVE ARTHRITIS

Gabe Mirkin, M.D.

I am amazed that more doctors do not treat at least some of their arthritis
patient with antibiotics because there are hundreds of papers showing that
hundreds of different infections cause arthritis. Doctors do not have
laboratory tests to diagnose many of the germs that cause arthritis. Failure
to treat arthritis early can cause permanent cartilaginous damage so that no
treatment can be effective later. The most common cause of arthritis,
particularly in people under 50, is reactive arthritis that often follows an
infection.

If you develop sudden unexplained pain in one or more joints, your doctor
should check you for an infection. You should be asked if you have a urinary
tract infection: burning on urination, discomfort when your bladder is full,
a feeling that you have to urinate all the time, getting up in the middle of
the night to urinate. Check for a stomach infection: belching and burning in
stomach or chest. Check for a lung infection: chronic cough, shortness of
breath, wheezing, burning in your nose or soreness in your throat. Check for
intestinal infection: diarrhea, belly cramps or blood in stool. Also check
for gum disease, chronic stuffy nose, chills or fever.

The following can cause reactive arthritis: Salmonella intestinal infection
(1), mononucleosis (2,21,25), parvovirus, chronic hepatitis B virus and
hepatitis C) virus infections (3), Retroviruses (4,5). Venereal diseases,
such as chlamydia, mycoplasma, ureaplasma, gonorrhea and Gardnerella cause
arthritis (6,7,8 ), mycoplasma (9), Human T Cell Leukemia Virus-1 (10,33),
chlamydia (11,15,16,17,18,24,34), urinary infections with chlamydia,
ureaplasma and mycoplasma (12,26,27,39), many different intestinal
infections (13,35,41,42,43,44,45,46), ureaplasma (14,27), Lyme disease
(19,23), Salmonella diarrhea (20), parvovirus B19 (22,36), cytomegalovirus
(25,26,32), streptococcal sore throat (28 ), cat scratch disease (29), human
herpes virus-6 (30), hemophilus influenza bacteria (31), AIDS (HIV) (33),
hepatitis B and C (36). staph aureus bacterial infections (37,38 ).
Additional references are provided below.

I treat my reactive arthritis patients with Minocycline 100 mg twice a day,
but this must still be considered experimental; many doctors are not yet
ready to accept antibiotics as a treatment for reactive arthritis. Many
patients with rheumatoid arthritis do not feel better for the first few
months after they start taking minocycline. If a patient does nor feel
better after taking 100 mg of minocycline twice day for 2 months, I add
Zithromax 500 mg twice a week. If the patient does not feel better after
taking the two antibiotics for 6 months, I do add the immune suppressants
that most rheumatologists prescribe. But as soon as they feel better, I stop
the immune suppressants and continue the antibiotics. The treatment of
reactive arthritis with antibiotics is controversial and not accepted by
many doctors; discuss this with your doctor.