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Dr J Question & Chlamydia Pneumonia

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Posted 10/15/2021 1:11 PM (GMT 0)
Dr J is an infectious disease doc, right?

Does he test or treat or have anything to say about Chlamydia pneumonia?

Of all the stuff the docs test for, this was the only one that was both IGM and IGG positive. It stayed positive for ever, and then once in the last 1.5 years, IGM was negative and titers came down.

Just got labs back. First time tested in over a year. Both are positive. Titers higher than ever. Symptoms also much worse than in a really long time. Thinking this could be the cause.

I looked at the cpn help site but didn’t find it very helpful and people on there treat for years and years with no success, so No.

I asked specifically about Dr J, but if anyone knows any LLMD who has information about CPN, please tell. Thx!
Posted 10/15/2021 1:30 PM (GMT 0)
Buhner has a section about Chlamydia pneumoniae, I think in his Lyme book
Posted 10/15/2021 2:01 PM (GMT 0)
Don't Dr. J protocols include ABX that hit multiple infections including Chlamydia pneumoniae?
At my last appointment (not with Dr. J), I believe it was mentioned that Rifampin hits Chlamydia.
Posted 10/15/2021 2:32 PM (GMT 0)
i have done a little reading into Chlamydia Pn WBF

its an odd one - not a straightforward organism at all
- has the largest genome of any bacteria so far discovered (apart from borrelia that is)
- little things with big genomes usually are using them to do something unusual / complex
- this bug has a multi-stage lifecycle ( probably what that extra genetic material is for)
- making it v hard to treat with abx
- intracellular - so all the usual things apply with protected niches in the body etc etc
- typically community acquired - but possible from other sources
- linked to people with asthma and type 1 diabetes - also linked to MS and other odd auto-immune diseases

found this site very interesting - this guy, a well educated UK pathologist if i recall correctly, set about treating his wife based on his own research into the subject Chlamydia infection - combination of tetracyclines, macrolides and pulses of flagy i think - it worked but took 18months or more i think
he includes explanations of his findings and references
https://www.davidwheldon.co.uk/ms-treatment1.html
Posted 10/15/2021 4:34 PM (GMT 0)

JMF84 said...
Don't Dr. J protocols include ABX that hit multiple infections including Chlamydia pneumoniae?
At my last appointment (not with Dr. J), I believe it was mentioned that Rifampin hits Chlamydia.

Yes. I think what DrJ prescribes for the trio (Babs, Bart, Lyme) will treat Cpn
Posted 10/15/2021 4:42 PM (GMT 0)
yep - i did quite a bit of research to understand which antibiotics were active for which co-infections

tetracyclines, marcolides and rifamycins are all the main active for c.pn

the metronidazole / tinidazole also active ( i think for the second hard to kill form so can be pulsed)

penicillin's partially active - but from what read i wouldn't bother with them

dapsone was found to be remarkable effective in cpn in children in one study

i have a spreadsheet summarising this if anyone would like it
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