Table 1.
Group, Patient No., and Serum Phase† |
Assay method | Coinfection‡ | No. of symptoms |
||
---|---|---|---|---|---|
ELISA | Western blot |
||||
IgM | IgG | ||||
Group 1 | |||||
Patient 1 | Positive at 1:320 dilution | Positive | Positive | None | None |
Patient 2 | Positive at 1:320 dilution | Positive | Negative | None | None |
Patient 3 | Positive at 1:320 dilution | Positive | Positive | None | None |
Patient 4 | Positive at ≥1:320 dilution§ | Not done | Positive | None | None |
Patient 5 | Positive at ≥1:320 dilution§ | Not done | Positive | None | None |
Patient 6 | Positive at 1:320 dilution | Positive | Positive | None | None |
Group 2 | |||||
Patient 7 | Positive at ≥1:320 dilution§ | Not done | Positive | None | 5 |
Patient 8 | Positive at 1:320 dilution | Negative | Positive | None | 9 |
Patient 9 | Positive at 1:320 dilution | Negative | Positive | None | 8 |
Patient 10 | Positive at ≥1:320 dilution§ | Not done | Positive | None | 6 |
Patient 11 | Positive at ≥1:320 dilution§ | Not done | Positive | None | 3 |
Patient 12 | Positive at 1:1280 dilution | Negative | Positive | Lyme disease | 4 |
Patient 13 | Positive at 1:320 dilution | Negative | Positive | Lyme disease | Uncertain |
Patient 14 | Positive at 1:320 dilution | Positive | Positive | Lyme disease | Uncertain |
Patient 15 | |||||
Acute | Negative at 1:160 dilution | Negative | Negative | Babesiosis | 12 |
Convalescent | Positive at 1:1280 dilution | Positive | Positive | ||
Group 3 | |||||
Patient 16 | Positive at 1:1280 dilution | Positive | Positive | None | 5 |
Patient 17 | |||||
Acute | negative at 1:80 dilution | Positive | negative | None | 10 |
Convalescent | Positive at 1:320 dilution | Positive | Positive | ||
Patient 18 | |||||
Acute | negative at 1:80 dilution | Positive | Positive | Lyme disease | 12 |
Convalescent | Positive at 1:320 dilution | Negative | Positive |
ELISA denotes enzyme-linked immunosorbent assay.
See text for the definition of various groups
The diagnosis of Lyme disease was based on a typical erythema migrans skin lesion in Patients 12, 13, 14, and 18. Patients 8 and 16 had an atypical erythema migrans skin lesion (<5 cm in diameter).
Tests to determine the presence of antibody in serum dilutions greater than 1:320 were not performed.