could this be lyme disease

[maxat7]

hi thanxs for letting me post. i am a 37 yr old female that has had multiple symptoms for over a year.i first prsented to the doctor with persisting pins and needles,aching sore feeling all over fbe e/lfts,esr,tsh,ana,rh factor and rrf tests were preformed and all came back normal.progressed to legs feeling really cold, had an episode of feeling spaced out and couldnt focas lasted about a minute ct of brain normal. In august presented with dizzyness and felt as if i had to hold onto the wall to stay uright and right arm achingalso feeling abit confused,examined positive rombergs sign,heel toe very slow. two days latter colapsed at home taken to hospital by ambulance i have no reclection of this spent 6 days in hospital with extensive tests, i had right side weakness and positive plantar toe reflex.Mri taken of brain that showed lesions in the white matter,was told that i had ms by phsyian but later told by nueroligist that it wasnt,inflammatory markers were normal in terms of c reactive protein but the esr was elevated to 48 there was a normal ck level and normal electrolytes,fbc and tft(i am not sure what all this means but have got letter fom hospital that was sent to my gp)after getting out of hospital it around 3 months to feel even slighty better, i have been suffering fom many symptoms,fatigue,chronic pain sometimes like stabbing feeling sometimes fleeting and sometimes like electric shocks(gp put me on neurotin 600mg 3 times a day which is helping)numbness in feet,tips of fingers sore when i touch things,pain in joints and feeling like i have a fever but when i take my temp its normal,muscles tighteing,and feeling like i have the flu but i dont. Seen by doc i saw in hospital again ordered another mri that came back the same as the first one,sugested that i see new neuro and start again as cannot diagnose, plantar toe reflex still present, as there are only 2 neuroligists where i live my doctor and i have decided that i go to the mainland, i am unable to get in untill march and wondered if i could have lyme disease,as i live in australia and there is little kown about this could you please give me any sugestions, i have not had a rash that i can remember but about 2 months ago i feel of a stool and bruised tha bone above my ankle, this still hasnt completly healed and have noticed a unusual type of rash looks sort of square in shape not very big but clear middle and red on the outside also is sore to touch. My son was bitten by a tick a few moths ago no reaction but i know that they must be around the property. it has been sugested that there could be a psychlogical or stress related problem but i know that its not as i am a happy go lucky person but am getting frustrated at not being able to be diagnosed. thanxs again

[Kevin Pho, MD]

Lyme disease is possible.  The best way to tell would be to obtain the appropriate blood testing for the disease.  

As for other options - there clearly has been an extensive workup.   Many of the major diseases that can cause these symptoms have been ruled out.  

I would continue down the neurological route.  Electrodiagnostic testing (i.e. with an EMG) can be considered to further evaluate the peripheral neuropathy.

These options can be discussed with your personal physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
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