Opinion: Methodological Shortcomings in the Study on a Prophage-based PCR Test for Lyme Borreliosis

Schoor, Freek R. van de; Baarsma, M E; Leeflang, Mariska; Fingerle, Volker; Margos, Gabriele; Hovius, Joppe W.; Dam, Alje P. van

doi:10.3389/fmicb.2021.802131

Cited by 1 publication

(1 citation statement)

References 16 publications

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“…These latter have been determined to be Bb prophages within the B31 genome [ 197 , 198 ]. Even if this technique is promising, an analysis of this study shows inaccuracies in terms of statistical analysis or cohort composition and comparison with healthy controls, thus requiring validation [ 199 ].…”

Section: Direct Diagnosismentioning

confidence: 99%

Lyme borreliosis diagnosis: state of the art of improvements and innovations

Guérin,

Shawky,

Zedan

et al. 2023

BMC Microbiol

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With almost 700 000 estimated cases each year in the United States and Europe, Lyme borreliosis (LB), also called Lyme disease, is the most common tick-borne illness in the world. Transmitted by ticks of the genus Ixodes and caused by bacteria Borrelia burgdorferi sensu lato, LB occurs with various symptoms, such as erythema migrans, which is characteristic, whereas others involve blurred clinical features such as fatigue, headaches, arthralgia, and myalgia. The diagnosis of Lyme borreliosis, based on a standard two-tiered serology, is the subject of many debates and controversies, since it relies on an indirect approach which suffers from a low sensitivity depending on the stage of the disease. Above all, early detection of the disease raises some issues. Inappropriate diagnosis of Lyme borreliosis leads to therapeutic wandering, inducing potential chronic infection with a strong antibody response that fails to clear the infection. Early and proper detection of Lyme disease is essential to propose an adequate treatment to patients and avoid the persistence of the pathogen. This review presents the available tests, with an emphasis on the improvements of the current diagnosis, the innovative methods and ideas which, ultimately, will allow more precise detection of LB.

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Section: Direct Diagnosismentioning

confidence: 99%