Comparison of the Yields of Blood Cultures Using Serum or Plasma from Patients with Early Lyme Disease

Author:

Wormser Gary P.1,Bittker Susan1,Cooper Denise1,Nowakowski John1,Nadelman Robert B.1,Pavia Charles12

Affiliation:

1. Division of Infectious Diseases, Department of Medicine, New York Medical College, Valhalla, New York 10595,1 and

2. New York College of Osteopathic Medicine Microbiology and Immunodiagnostic Laboratory of the New York Institute of Technology, Old Westbury, New York 115682

Abstract

ABSTRACT In an initial experiment, culture-grown Borrelia burgdorferi was added to freshly collected uninfected human blood. This in vitro study demonstrated that more spirochetes were distributed into the plasma than into the serum fraction. In a subsequent clinical study, B. burgdorferi was recovered from plasma cultures of approximately 50% of 42 patients with early Lyme disease associated with erythema migrans. The rate of recovery from plasma cultures was significantly greater than that from serum cultures ( P < 0.001).

Publisher

American Society for Microbiology

Subject

Microbiology (medical)

Reference17 articles.

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2. Pneumococcal bacteremia with special reference to bacteremic pneumococcal pneumonia;Austrian R.;Ann. Intern. Med.,1964

3. Isolation and cultivation of Lyme disease spirochetes;Barbour A. G.;Yale J. Biol. Med.,1984

4. Spirochetes isolated from the blood of two patients with Lyme disease;Benach J. L.;N. Engl. J. Med.,1983

5. Case definitions for infectious conditions under public health surveillance: Lyme disease (revised 9/96);Centers for Disease Control and Prevention;Morbid. Mortal. Weekly Rep.,1997

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