TABLE 1.
Infection stage | Single serum samples from treated patientsa
|
Serial serum samples from untreated patientsb
|
||||
---|---|---|---|---|---|---|
Time after onset of infection | No. positive/total patientsc (%)
|
Time after onset of infection | No. positive/total patients (%)
|
|||
GST-Arp | Sonicated | GST-Arp | Sonicate | |||
Erythema migranse | ||||||
Acute | 1-21 days | 13/30 (43) | 7/30 (23) | 2-12 wks | 15/20 (75) | 7/19 (37) |
Convalescent | 16-39 days | 16/30 (53) | 20/30 (67) | |||
Facial palsy/arthralgia | 2-6 wks | 19/32 (59) | 21/32 (66) | 2-12 mo | 16/20 (80) | 12/19 (63) |
Arthritis | 6-28 mo | 42/62 (68) | 59/59 (100) | 7-52 mo | 15/20 (75) | 17/17 (100) |
Thirty patients with culture-confirmed erythema migrans, 32 patients with facial palsy, and 62 patients with arthritis.
Twenty patients with untreated Lyme arthritis; serial serum samples were obtained during erythema migrans, during the initial episodes of joint pain (arthralgia), and during the maximal period of arthritis.
Number of patients with positive IgG antibody response/total no. of patients.
Sonicate results were not obtained in single serum samples from three treated patients and in five samples from three untreated patients because insufficient serum remained.
Samples were obtained at the time of initial presentation (acute) and at the conclusion of antibiotic therapy 2 to 4 weeks later (convalescent) in treated patients.