Improving the Yield of Blood Cultures from Patients with Early Lyme Disease

被引:37
作者
Liveris, Dionysios [2 ]
Schwartz, Ira [1 ,2 ]
Bittker, Susan [1 ]
Cooper, Denise [1 ]
Iyer, Radha [2 ]
Cox, Mary E. [1 ]
Wormser, Gary P. [1 ]
机构
[1] New York Med Coll, Div Infect Dis, Dept Med, Valhalla, NY 10595 USA
[2] New York Med Coll, Dept Microbiol & Immunol, Valhalla, NY 10595 USA
关键词
POLYMERASE CHAIN-REACTION; BORRELIA-BURGDORFERI;
D O I
10.1128/JCM.00350-11
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Approximately 45% of untreated United States patients with early Lyme disease associated with erythema migrans have a positive blood culture based on microscopic detection of Borrelia burgdorferi in Barbour-Stoenner-Kelly medium after 2 to 12 weeks of incubation. In this study we demonstrate that the yield of blood cultures can be significantly increased to 70.8% by the use of a combined culture-quantitative PCR technique and that among those patients found to have a positive blood culture, positivity was detected in over 90% within just 7 days of incubation. Patients with multiple erythema migrans were almost uniformly culture positive by this technique.
引用
收藏
页码:2166 / 2168
页数:3
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