Acute Cpn

I would appreciate your guidance on treatment for my husband.  I have been down the chronic lyme/CFS route, so I understand the need to be on antibiotics longer than the IDSA recommends for treatment. 

My husband, who has always been extremely healthy (except for annual sinus infections) was just released from the hospital after two weeks of treatment for both bacterial and viral infections.  I actually think this whole thing started with Whopping Cough, brought home by our daughter from school.   They broncioscoped his throat and cultured Cpn and Herpes Simplex 1.  

My question is; do you treat acute Cpn differently than chronic Cpn?   Of course we left the hospital with five days of antibiotics and five days of antivirals.  I'm sure that is not sufficient to resolve anything completely.

He was on antibiotics weeks before going to the hospital: Omnicef, Cipro and Zithromax.  In the hospital they had him on Biaxin and Ceftin.  Upon leaving they hospital they switched to Avelox.  I have made appointments with my LLMD, an Integrative doctor, and another doctor that I know treats both lyme and viral, just to cover our bases.  We are waiting for any cancellations to get in sooner.

Where do we go from here with treatment? .  Does he need to be on CAP, and for how long? Any gidance and input would be appreciated.

 

Yes, he needs to be on CAP, but you already know that. Read the getting started section (tab at top) and you will see which (very few) antibiotics will work on the protocol. Print out the bare minimum to take along to the doctor, so as not to overwhelm him/her and offer to sign a waiver for the treatment if the dr is at all hesitant.  (You might want to start him on Vitamin D and N-Acetyl Cysteine now.)

I see RA in your list. One year of this treatment 'cured' one of my good friends of RA and she stopped using her very expensive arthritis meds altogether.

By the way, have you had your daughter tested for CPn?

The difference between what we do and what we are capable of doing would suffice to solve most of the world’s problems. Mohandas Gandhi

Thanks MacKintosh for your feedback. 

 When the Infectious Disease Doctor at the hospital told us my husband had Chlamydia, I asked Chlamydia Pneumoniae, and he said "How do you know Cpn".  I said, isn't it a resistant infection that requires multiple antibiotics?  He immediately decided to up the abx from biaxin alone to biaxin and ceftin.  I was afraid it wasn't going to be enough.

I will take along the treatment protocol for the doctor.  One of the questions I have is regarding pulsing.  I know CAP uses pulsing of different abx.  I have been on lyme/babesia protocol, and my LLMD does not believe in pulsing for lyme.  Do you have to follow the procotol exactly, or can you choose, if tolerated, to not pulse? 

 I have started him on the two supplements you mentioned; Vit D3 and NAC, along with probiotics.  He's just taking one NAC daily; should it be more?  I tested negative for Cpn, but thanks to lyme/babesia treatment have resolved most RA symptoms.   I should get my daughter tested for Cpn too, especially since they both seemed to have the same bug.  I'm not a believer in vaccinations, but after witnessing what my husband has gone through with "suspected" Whopping Cough, I would encourage anyone to get vaccinated.  It's brutal!

 Any other advice is appreciated...

 

CFS (EBV, HHV-6, CMV, Coxsackie), Reactive Arthritis; mycoplasma hominis, toxoplasmosis, lyme negative, babesia equivocal. Minocin, zithromax, tindamax, mepron, lariam, bromelain, probiotics, ALA, apple pectin, etc.  IV clindamycin `1200 mg. seven days/mo

Sounds like you've been doing your homework before posting (for which I commend you).   Yes, if he's tolerating the NAC, he should be taking roughly 2400mg/daily.

 As for pulsing, it's the pulse (metronidazole or tinidazole) that kills the bacteria, so yes. We generally pulse five days out of every twenty-eight.

The idea was to work your way up to being able to take the metro or tini daily, along with the others, but you can't do that to start. (No need to kill the host while killing the bacteria!  Wink )

Ask the llmd why the resistance to pulsing?  Maybe if you explain that the plan is to work up to the point of taking the 'pulsed' abx daily,  that might work?

The difference between what we do and what we are capable of doing would suffice to solve most of the world’s problems. Mohandas Gandhi

Thanks again MacKintosh....

 We willl see what his primary doctor has to say today.  Can minocycline be taken instead of doxy, and is it as effective?

 Look at my signature; I've been on Minocycline, Tindamax and Zithromax, and now my LLMD wants to add Rifampin.  Sounds like it's very similar to CAP (except for the anti-malarial drugs).  She's probably the best one to manage CAP treatment for my husband.

CFS (EBV, HHV-6, CMV, Coxsackie), Reactive Arthritis; mycoplasma hominis, toxoplasmosis, lyme negative, babesia equivocal. Minocin, zithromax, tindamax, mepron, lariam, bromelain, probiotics, ALA, apple pectin, etc.  IV clindamycin `1200 mg. seven days/mo

That is everything I am on every day with the exception of Amoxicillin (I take 500 mg bid), which is somewhat a redundancy of NAC, which I still take.  You are definitely on the right track.

I have never taken minocycline, but from what happens here, it sounds as - if not more - effective.

Rica

3/9 Symptoms returning. Began 5 abx protocol 5/9 Rifampin 600, Amox 1000, Doxy 200, MWF Azith 250, flagyl 1000 daily. Began Sept 04 PPMS EDSS 6.7 Now good days EDSS 1 Mind, like parachute, work only when open. Charlie Chan  In for the duration.&am

Thanks Rica, 

(whisper) part of me knows that if we can't find someone to prescribe CAP, which I'm sure we can, there's always my drugs...

CFS (EBV, HHV-6, CMV, Coxsackie), Reactive Arthritis; mycoplasma hominis, toxoplasmosis, lyme negative, babesia equivocal. Minocin, zithromax, tindamax, mepron, lariam, bromelain, probiotics, ALA, apple pectin, etc.  IV clindamycin `1200 mg. seven days/mo