Improving the Yield of Blood Cultures from Patients with Early Lyme Disease

Autor: Denise Cooper, Gary P. Wormser, Dionysios Liveris, Radha Iyer, Mary E. Cox, Susan Bittker, Ira Schwartz
Rok vydání: 2011
Předmět:
Zdroj: Journal of Clinical Microbiology. 49:2166-2168
ISSN: 1098-660X
0095-1137
DOI: 10.1128/jcm.00350-11
Popis: Approximately 45% of untreated United States patients with early Lyme disease associated with erythema migrans have a positive blood culture based on microscopic detection of Borrelia burgdorferi in Barbour-Stoenner-Kelly medium after 2 to 12 weeks of incubation. In this study we demonstrate that the yield of blood cultures can be significantly increased to 70.8% by the use of a combined culture-quantitative PCR technique and that among those patients found to have a positive blood culture, positivity was detected in over 90% within just 7 days of incubation. Patients with multiple erythema migrans were almost uniformly culture positive by this technique.
Databáze: OpenAIRE