6 doctors weighed in:

My husband has elevated liver enzymes and an enlarged spleen. He was bitten by a tick about 4 yrs ago and was treated for Lyme disease with a zpack.?

6 doctors weighed in
Dr. Randy Baker
Holistic Medicine
3 doctors agree

In brief: Needs evaluation

Not all tick bites cause lyme, but if he got lyme a z-pak is not adequate treatment so he likely has chronic lyme.
Ticks can also transmit babesia, bartonella, rickettsia & other serious infections. These might be causing his problems & his problems might be unrelated to the bite. He needs a thorough medical evaluation including a doc knowledgeable about lyme & co-infections. See www.Ilads.Org.

In brief: Needs evaluation

Not all tick bites cause lyme, but if he got lyme a z-pak is not adequate treatment so he likely has chronic lyme.
Ticks can also transmit babesia, bartonella, rickettsia & other serious infections. These might be causing his problems & his problems might be unrelated to the bite. He needs a thorough medical evaluation including a doc knowledgeable about lyme & co-infections. See www.Ilads.Org.
Dr. Randy Baker
Dr. Randy Baker
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1 comment
Dr. Camilla Graham
I'll add that while he undergoes the evaluations for tick borne infections, he also needs to be checked for hepatitis B and C. In the meantime, he should not drink any alcohol until this is figured out.
Dr. Larry Lutwick
Internal Medicine - Infectious Disease
1 doctor agrees

In brief: Not likely Lyme

Although a 5 day course of Azithromycin is not adequate therapy for lyme borreliosis, elevated liver enzymes and splenomegaly are not likely due to this infection and arizona, if that is where the bite occurred, is not lyme country.
Your doctor should look elsewhere and the tick bite is likely a "red herring". Let us know what happens.

In brief: Not likely Lyme

Although a 5 day course of Azithromycin is not adequate therapy for lyme borreliosis, elevated liver enzymes and splenomegaly are not likely due to this infection and arizona, if that is where the bite occurred, is not lyme country.
Your doctor should look elsewhere and the tick bite is likely a "red herring". Let us know what happens.
Dr. Larry Lutwick
Dr. Larry Lutwick
Thank
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