Evidence map›Paper›PMID 11923340›Full record

ArticleJournal of clinical microbiology2002

Quantitative detection of Borrelia burgdorferi in 2-millimeter skin samples of erythema migrans lesions: correlation of results with clinical and laboratory findings.

Dionysios Liveris, Guiqing Wang, Gary Girao, Daniel W Byrne, John Nowakowski, Donna McKenna, Robert Nadelman, Gary P Wormser, Ira Schwartz

Open access · greenAbstract readEvaluation Study
In one paragraph

Article in Journal of clinical microbiology, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 1 synthesis or guideline pooled it, 100 citations in OpenAlex.

  1. Pooled it
  2. The New England journal of medicine · 2026
    Article
  3. Observational
  4. Review
  5. Article
  6. Frontiers in cellular and infection microbiology · 2023
    Article
  7. Article
  8. Review
  9. Pathogens (Basel, Switzerland) · 2022
    Article
  10. Laboratory Diagnosis of Lyme Borreliosis.Clinical microbiology reviews · 2021
    Review
  11. Immune Response toCurrent issues in molecular biology · 2021
    Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Dionysios LiverisDepartment of Biochemistry & Molecular Biology, New York Medical College, Valhalla, New York 10595, USA.
Guiqing Wang
Gary Girao
Daniel W Byrne
John Nowakowski
Donna McKenna
Robert Nadelman
Gary P Wormser
Ira Schwartz
New York Medical College · USVanderbilt University Medical Center · US

Funding

NUCLEIC ACID-BASED DIANOSTIC PROBES FOR LYME DISEASER01AR041511 · NIAMS · NEW YORK MEDICAL COLLEGE · PI SCHWARTZ, IRA S. · 1991 to 2009
$4.1M
NIAMS NIH HHS AR41511NIAMS NIH HHS R01 AR041511
6 · The paper itself

Abstract

Variability of disease manifestations has been noted in patients with Lyme disease. A contributing factor to this variation may be the number of spirochetes present in infected patients. We evaluated clinical and laboratory findings for patients with erythema migrans with regard to the number of Borrelia burgdorferi organisms detected by quantitative PCR (qPCR) in 2-mm skin biopsy specimens. B. burgdorferi was detected in 80% (40 of 50) of the specimens tested; the mean number of spirochetes in these specimens ranged over 3 orders of magnitude (10 to 11,000 spirochetes per 2-mm biopsy specimen). Larger numbers of spirochetes were significantly associated with a shorter duration of the erythema migrans skin lesion (P = 0.020), smaller skin lesions (P = 0.020), and infection with a specific genotype of B. burgdorferi (P = 0.008) but not with the number or severity of symptoms. Skin culture positivity was significantly associated with skin lesions containing larger numbers of spirochetes (P = 0.019).

Indexed as

AdultAgedBiopsyBorrelia burgdorferiColony Count, MicrobialCulture MediaErythema Chronicum MigransFemaleHumansMaleMiddle AgedPolymerase Chain ReactionPolymorphism, Restriction Fragment LengthSkinCulture Media

Identifiers

PMID11923340
PMCPMC140402
OpenAlexW2096537028

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.