Dynamics of Spirochetemia and Early PCR Detection of Borrelia miyamotoi

Details

• Alternative Title:
  Emerg Infect Dis
• Personal Author:
  Karan, Lyudmila ; Makenov, Marat ; Kolyasnikova, Nadezhda ; Stukolova, Olga ; Toporkova, Marina ; Olenkova, Olga
• Description:
  We investigated whether Borrelia miyamotoi disease can be detected in its early stage by using PCR for borrelial 16S rRNA, which molecule (DNA or RNA) is the best choice for this test, and whether spirochetes are present in blood during the acute phase of B. miyamotoi disease. A total of 473 patients with a suspected tickborne infection in Yekaterinburg, Russia, in 2009, 2010, and 2015 were enrolled in this study. Blood samples were analyzed by using quantitative PCR or ELISA, and a diagnosis of borreliosis was confirmed for 310 patients. For patients with erythema migrans, 5 (3%) of 167 were positive for B. miyamotoi by PCR; for patients without erythema migrans, 65 (45%) of 143 were positive for B. miyamotoi by PCR. The median concentration for RNA was 3.8 times that for DNA. Median time for detection of B. miyamotoi in blood was 4 days.
• Subjects:
  Bacteremia Borrelia Borrelia Infections DNA, Bacterial Erythema Chronicum Migrans False Negative Reactions Humans Polymerase Chain Reaction Research RNA, Bacterial RNA, Ribosomal, 16S

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• Source:
  Emerg Infect Dis. 24(5):860-867
• Pubmed ID:
  29664394
• Pubmed Central ID:
  PMC5938775
• Document Type:
  Journal Article
• Place as Subject:
  Russia
• Location:
  Europe
• Volume:
  24
• Issue:
  5
• Collection(s):
  Emerging Infectious Diseases
• Main Document Checksum:
  urn:sha256:34ebcf5a151bc1210bc498e1fd3f282c9d7b99c7fc038ece4f2cd1f5f88b6c75
• Download URL:
  https://stacks.cdc.gov/view/cdc/54017/cdc_54017_DS1.pdf
• File Type:
  [PDF - 1.33 MB ]