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. 2024 Oct 5;6:100219. doi: 10.1016/j.crpvbd.2024.100219

Table 5.

Summary of co-infection studies in humans presenting direct evidence. All reported co-infection studies included clinical examinations.

Reference Country No. of samples evaluated Diagnostic method
Borawski et al. (2019) Poland 704 ‣Serological: Antibodies against Rickettsia, TBE, Borrelia burgdorferi;
‣Molecular: PCR: Rickettsia spp. Borrelia burgdorferi, Anaplasma phagocytophilum
Boyer et al. (2018) France 1 ‣Serological: Detection of anti-TBEv IgG in paired sera + presence of anti-TBEv IgM in the first serum (ECDC confirmed TBE case criteria);
‣ELISA + Western Blot: Borrelia burgdorferi (s.l.)
Diallo et al. (2017) Senegal 1 ‣Malaria rapid diagnostic test for Plasmodium falciparum;
‣Blood smear: Borrelia + Plasmodium falciparum
Dong et al. (2013) China 30 ‣Serological: IFA for Anaplasma phagocytophilum and Ehrlichia chaffeensis;
‣Molecular: real-time PCR, nested PCR for Anaplasma phagocytophilum and Ehrlichia chaffeensis
Dumic et al. (2021) USA 1 ‣Serological: Borrelia burgdorferi detection of anti-IgM and anti-IgG in serum; detection of IgM in CSF and plaque reduction neutralization test against POWV;
‣Molecular: PCR for Borrelia burgdorferi in CSF
Dunaj et al. (2018) Poland 118 ‣Serological: ELISA, Western blot for Borrelia burgdorferi (s.l.) and/or TBEV on serum and CSF;
‣Molecular: PCR for Borrelia burgdorferi (s.l.), Anaplasma phagocytophilum and Babesia spp.;
‣Blood smear: Anaplasma phagocytophilum spp. and Babesia spp.
Gęgotek et al. (2022) Poland 21 ‣TBE diagnosed according the European Academy of Neurology;
‣Lyme disease and Lyme neuroborreliosis diagnosed according to Stanek et al., (2011)
‣HGA diagnosed according to the case definition by Dahlgren et al., (2015) (see Supplementary Table S3)
Groth et al. (2022) Poland 22 ‣TBE diagnosed according the European Academy of Neurology;
‣Lyme disease and Lyme neuroborreliosis diagnosed according to Stanek et al., (2011) (see Supplementary Table S3)
Liu et al. (2019) China 180 ‣Serological: IFA on serum for TBE, Borrelia burgdorferi, Rickettsia heilongjiangensis, Anaplasma phagocytophilum;
‣Molecular: Nested PCR for Borrelia burgdorferi, Rickettsia spp., Babesia spp.;
‣Blood smear: Anaplasma phagocytophilum spp., Babesia spp.
Moniuszko-Malinowska et al. (2021) Poland 120 ‣Serological: IFA for antibodies detection against Anaplasma phagocytophilum; ELISA for anti-Borrelia burgdorferi (s.l.) antibodies and TBEV antibodies;
‣Molecular: PCR for Anaplasma phagocytophilum, Babesia spp., Borrelia burgdorferi (s.l.), Bartonella spp., Coxiella burnetii, “Candidatus Neoehrlichia mikurensis”;
‣Blood smear
Moniuszko et al. (2014) Poland 110 ‣Serological: ELISA for anti-Borrelia burgdorferi (s.l.) antibodies and TBEV antibodies on serum and CSF;
‣Molecular: PCR for Anaplasma phagocytophilum, Babesia spp., Borrelia burgdorferi (s.l.);
‣Blood smear for Anaplasma phagocytophilum, Babesia spp.
Primus et al. (2018) USA 192 ‣Serological: ELISA for antibodies of B. burgdorferi (s.l.);
‣Molecular: Multiplex qPCR for the detection of Borrelia burgdorferi (s.l.), Babesia microti
Tijsse-Klasen et al. (2013) Croatia 1 ‣Eritema migrans skin biopsy;
‣Molecular: PCR for Rickettsia spp., duplex qPCR for Borrelia burgdorferi (s.l.)
Wormser et al. (2019) USA 52 ‣Serological: IFA for antibodies to Anaplasma phagocytophilum, Babesia microti, Babesia miyamotoi, POWV;
‣Molecular: PCR for the dection of Babesia microti;
‣Blood smear for Anaplasma phagocytophilum, Babesia microti