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Borrelia miyamotoi Serology in a Clinical Population With Persistent Symptoms and Suspected Tick-Borne Illness
被引:4
作者:
Delaney, Shannon L.
[1
,2
]
Murray, Lilly A.
[1
,2
]
Aasen, Claire E.
[1
]
Bennett, Clair E.
[1
,2
]
Brown, Ellen
[1
,2
]
Fallon, Brian A.
[1
,2
]
机构:
[1] Columbia Univ, Lyme & Tick Borne Dis Res Ctr, Irving Med Ctr, New York, NY 10032 USA
[2] Columbia Univ, Irving Med Ctr, New York State Psychiat Inst, New York, NY 10032 USA
关键词:
Borrelia miyamotoi disease;
relapsing fever borrelia;
Lyme disease;
serodiagnosis;
post-treatment Lyme disease syndrome;
borreliosis;
RELAPSING FEVER;
LYME-DISEASE;
UNITED-STATES;
TRANSMISSION;
ATTACHMENT;
DURATION;
VECTOR;
D O I:
10.3389/fmed.2020.567350
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
Eighty-two patients seeking consultation for long-term sequalae after suspected tick-borne illness were consecutively tested for Borrelia miyamotoi antibodies using a recombinant glycerophosphodiester phosphodiesterase (GlpQ) enzyme immunoassay. Twenty-one of the 82 patients (26%) tested positive on the GlpQ IgG ELISA. Nearly all of the patients (98%) had no prior B. miyamotoi testing, indicating that clinicians rarely test for this emerging tick-borne pathogen. Compared to patients who solely tested positive for Lyme disease antibodies, patients with B. miyamotoi antibodies presented with significantly more sleepiness and pain. A prospective study is needed to ascertain the relationship between the presence of B. miyamotoi antibodies and persistent symptoms.
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