| Title: | Microbiologic findings in a cohort of patients with erythema migrans |
|---|
| Authors: | ID Ružić-Sabljić, Eva (Author)
ID Maraspin-Čarman, Vera (Author)
ID Bogovič, Petra (Author)
ID Rojko, Tereza (Author)
ID Jaklič, Martina (Author)
ID Strle, Franc (Author) |
|---|
| Files: |  PDF - Presentation file, download (371,71 KB)
MD5: 78D42796184F4D86B0E69FC4C6967645
 URL - Source URL, visit https://www.mdpi.com/2076-2607/12/1/185
|
|---|
| Language: | English |
|---|
| Typology: | 1.01 - Original Scientific Article |
|---|
| Organization: |  UKC LJ - Ljubljana University Medical Centre
|
|---|
| Abstract: | Erythema migrans (EM) is the initial and the most frequent clinical manifestation of Lyme borreliosis (LB). Herein, we report on the capacity of culture and serology for the demonstration of Borrelia infection in a cohort of 292 patients diagnosed with typical EM at a single medical center. The median duration of EM at diagnosis was 12 days, and the largest diameter was 16 cm; 252 (86.3%) patients presented with solitary EM, whereas 40 (13.7%) had multiple EM. A total of 95/292 (32.5%) patients had positive IgM, and 169 (57.9%) had positive IgG serum antibodies; the Borrelia isolation rate was 182/292 (62.3%). The most frequent species by far was B. afzelii (142/148, 95.9%) while B. garinii (2.7%) and B. burgdorferi s.s. (1.4%) were rare. IgM seropositivity was associated with a younger age, multiple EM and the absence of underlying chronic illness; IgG seropositivity was associated with the duration of EM at diagnosis, the diameter of the EM, having had a previous episode of LB and the absence of symptoms at the site of the EM. Furthermore, the Borrelia isolation rate was statistically significantly lower in patients with positive Borrelia IgM antibodies. Although microbiologic analyses are not needed for the diagnosis of typical EM, they enable insights into the etiology and dynamics of the immune response in the course of early LB. |
|---|
| Keywords: | erythema migrans, Lyme borreliosis, Borrelia afzelii, culture, serology |
|---|
| Publication status: | Published |
|---|
| Publication version: | Version of Record |
|---|
| Year of publishing: | 2024 |
|---|
| Number of pages: | str. 1-10 |
|---|
| Numbering: | Vol. 12, iss. 1, [article no.] 185 |
|---|
| PID: | 20.500.12556/DiRROS-30061  |
|---|
| UDC: | 61:579 |
|---|
| ISSN on article: | 2076-2607 |
|---|
| DOI: | 10.3390/microorganisms12010185 |
|---|
| COBISS.SI-ID: | 183169027 |
|---|
| Note: | Nasl. z nasl. zaslona;
Opis vira z dne 31. 1. 2024;
|
|---|
| Publication date in DiRROS: | 12.06.2026 |
|---|
| Views: | 110 |
|---|
| Downloads: | 88 |
|---|
| Metadata: |    |
|---|
|
:
|
Copy citation |
|---|
| | | | Share: |  |
|---|
Hover the mouse pointer over a document title to show the abstract or click
on the title to get all document metadata. |
