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Current blood values - chronic Lyme disease?

Hello, I just received my current blood test results. My BSG is at 18 (normal values <=20) and my lympho is at 17 (-) (normal values between 25-40). Furthermore, GGLOB is at 20.2 (+) (normal value 11.1 - 18.8). What does this mean? Additionally, a splenic cyst was detected today by the gastroenterologist. My neurologist suspects chronic Lyme disease, as my LTT with antigens was positive at Biovis. Furthermore, the Western Blot band value 39 kmd was positive - the lab determined the value as "doubtful". I don't know what to do anymore as I still have neurological symptoms. Muscle twitches, cramps, stabbing pains, etc. What should I do? I have an appointment with a Lyme disease specialist today.

Dr. med. Ralf Berg

Hello, these are indeed a lot of questions at once and surely not all findings that have been collected are mentioned here.

Therefore, one after the other: the BSG = general evidence for inflammation in the body is normal.
Reduced lymphocyte levels are often found after viral infections (flu, diarrhea, etc). Also slightly elevated G Glob B values can indicate a past infection, but you don't need to worry about it. Cysts are fluid-filled cavities that can occur in all parenchymal organs. As long as they are not too large, do not cause any complaints, and only appear individually or in small groups, they do not have any disease-causing properties (similar to normal liver spots on the skin).
The other mentioned examinations alone do not allow for the diagnosis of Borreliosis. Other antibody determinations are necessary for this. The doctor will surely arrange this today.
Your symptoms of muscle twitching, cramps, and stabbing pains can have many other causes (electrolyte deficiency, unbalanced diet, muscle overload, back problems) and are not particularly typical for Borreliosis.
Don't panic, even if further diagnostics were to show the presence of active Borreliosis, it can be treated very well with antibiotics. The success rate of the therapy is almost 100%.
And as mentioned, not every time your symptoms indicate a serious neurological disease.

Best regards, Dr. R. Berg

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Experte für General medicine

Dr. med. Ralf Berg

Dr. med. Ralf Berg

Ühlingen-Birkendorf

Studium an der Universität Freiburg
Promotion überdas Monitoring bei Narkosen Universität Freiburg.
Facharztausbildung zum Anästhesisten und FA für Allgemeinmedizin in Freiburg und Hamburg,
Vorlesungsassisten am Lehrstuhl für Allgemeinmedizin an der Uni Hamburg

Rettungsdienstliche Tätigkeiten in Hamburg, Schleswig-Holstein, Niedersachsen, Baden-Württemberg, Hessen und in der Schweiz.

Seit 1998 in eigener Praxis niedergelassen, Nebentätigkeit als Anästhesist und Notdienstätigkeit in Kliniken und ambulant. Leitung von Fortbildungs- und Qualitätszirkeln, Mitglied im DHÄV und der AGSWN, Qualitätszirkel Moderator, Forschungspraxis der Universität Heidelberg , Ausbildungspraxis für Allgemeinmedizin im Rahmen der Verbundweiterbildung der Uni Heidelberg

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