I am a big biaxin supporter but if you throw toxoplasmosis into your mix then you are on the best combo possible for that and babesia. Clindamycin works well for babesia, malaria and toxoplasmosis. Mepron(atovaquone) also works well for babs and toxoplasmosis. Plaquenil is a good antimalarial and is supposedly used to lower cellular ph to allow for better abx penetration(again, that is a theory, i don't think anyone has proven it)
If you do have lyme on top of the other two infections then the zithromax might not be enough.
Another possible good mix could be biaxin, clindamycin, mepron and bactrim. However, you would really have to keep an eye on the liver with that combo. I have always felt that babesia treatment is more complete when bactrim is added to the mepron and macrolide antibiotic mix. But i feel the mix you are doing should work fine but do not stop until 2 months or more after symptom free.
The main thing to watch with clindamycin is that it has a well known connection with c-diff infections that usually start in the lower GI or colon. Do not miss a single day of acidophilus.
I didn't see that you have a possible bart infection too.
I would just follow your dr's orders because whoever he/she is, they know what they are doing. I don't know many that would even bother to look for toxoplasmosis.
It might be best to focus on the babs and toxo for now because your liver can only handle so much. Then go back after bart in the end possibly. Toxoplasmosis also has a highly protective cyst state that is difficult to penetrate. Did you own any cats throughout your life? Maybe the toxo was transmitted with the main tick bite.
Zithromax and clindamycin have some effect on bartonella so don't expect it to reproduce out of control or anything.
lillimul, could you please tell me the LLMD you are using. I am in the UK and would like to travel to USA for diagnosis/treatment.
I have "urethral pain syndrome" - I have had it for 6 years. Doctors don't find anything in swabs. I recently got a positive Fry test for the Bartonella like organism in my blood. I had a Lyme Panel C done through a Lyme doctor here (neuroimmunology labs) - it came back indeterminate for Lyme but abnormal neurologic antibodies. I feel upset that other tests (mycoplasma, virus, CD57 etc) could be done but I can't find anyone to help me.
I've definately got something as I have a high temperature and the pain/swelling improves after antibiotics. In the last 18 months I have started to get loads of digestive problems and back/rib pain more suggestive of Lyme.
My email is firstname.lastname@example.org. Thanks very much. Louise