TABLE 2.
Clinical and serologic information from children with positive conventional two-tiered testing and negative modified two-tiered testing (n = 12)a
Suspected stage of Lyme disease | Age (yr) | Symptom duration ≤30 days | eIA |
Band(s) (kDa) |
Classification | Subcategoryb | ||
---|---|---|---|---|---|---|---|---|
WCS | C6 | IgG | IgM | |||||
Early disseminated | 8 | N | 1.21 | 0.73 | 58, 45, 41, 39, 28, 23, 18 | 23 | PSR | PSR1 |
9 | Y | 4.45 | 0.42 | 66, 45, 41, 23, 18 | 41, 23 | FNM | FNM1 | |
11 | Y | 1.28 | 0.40 | None | 41, 23 | PSC | PSC1 | |
13 | Y | 1.19 | 0.22 | None | 41, 23 | PSC | PSC1 | |
15 | Y | 1.70 | 0.80 | 93, 58, 41, 39, 18 | 23 | PSR | PSR2 | |
17 | Y | 1.12 | 0.32 | 93, 66, 45, 41, 23 | None | PSR | PSR2 | |
Late | 3 | Y | 6.30 | 0.07 | 93, 66, 58, 45, 41, 39, 30, 28, 23, 18 | 41, 39, 23 | PSR | PSR4 |
3 | Y | 1.60 | 0.88 | 93, 66, 58, 41, 39, 23, 18 | 39, 23 | FNM | FNM2 | |
14 | Y | 1.07 | 0.45 | 66 | 41, 23 | PSR | PSR5 | |
15 | N | 2.04 | 0.80 | 58, 41, 39, 23, 18 | None | PSR | PSR1 | |
15 | Y | 1.73 | 0.87 | 66, 58, 45, 41, 39, 23, 18 | None | PSR | PSR3 | |
16 | Y | 1.06 | 0.66 | 66 | 41, 23 | PSC | PSC1 |
PSC, partial seroconversion; PSR, partial seroreversion; FNM, false-negative MTTT.
See the the supplemental material for category descriptions.