I wrote this a couple of weeks ago and forgot to post it.
I was recently prescribed Azithromycin to treat Bartonella. This time it will be 30 days of 500mg. This treatment jogged my memory that my Bartonella rash disappeared to never return after a routine treatment with Azithromycin (the z-pack; 500mg for 3 days) by my regular doctor. I had wondered if this treatment cured me of the Bartonella. Unfortunately, I think one of the classic symptoms of Bartonella is shin pain, and I started having some once starting Levaquin (see more below). Of course on the negative side is the Canadian Lyme Disease Foundation: “In the co-infected Lyme patient, eradication may be difficult.”ref. regardless, if a significant dent was made with a couple of days worth of treatment I am hopeful that a more concerted treatment with Azithromycin and Levaquin will take care of the problem.
The shin pain from Levaquin is a little cause for concern because I believe that the drug carries a black box warning for permanent tendon damage. And from the label: “Ruptures of the shoulder, hand, Achilles tendon, or other tendons that required surgical repair or resulted in prolonged disability have been reported in patients receiving quinolones, including levofloxacin.” I personally think the shin problem is disease related since I seem to recall it happening before any treatment began. As it turns out the pain disappeared as soon as it came so no worries from the Levaquin and my tendons.