Evidence map›Paper›PMID 23303504›Full record

ArticleJournal of clinical microbiology2013

Differences and similarities between culture-confirmed human granulocytic anaplasmosis and early lyme disease.

Gary P Wormser, Maria E Aguero-Rosenfeld, Mary E Cox, John Nowakowski, Robert B Nadelman, Diane Holmgren, Donna McKenna, Susan Bittker, Lois Zentmaier, Denise Cooper and 3 more

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Journal of clinical microbiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.7field-weighted citation impact, top 7% 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

17 citing papers in PubMed, 35 citations in OpenAlex.

  1. Article
  2. Tick-borne anaplasmosis and myocarditis in eastern Ontario.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Laboratory Diagnosis of Lyme Borreliosis.Clinical microbiology reviews · 2021
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Fatigue in patients with erythema migrans.Diagnostic microbiology and infectious disease · 2016
    Article
  14. Article
  15. Review
  16. Human granulocytic anaplasmosis.Infectious disease clinics of North America · 2015
    Review
  17. 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

13 authors at 1 institution in 1 country.

Gary P WormserDepartment of Medicine, Division of Infectious Diseases, New York Medical College, Valhalla, New York, USA. gary_wormser@nymc.edu
Maria E Aguero-Rosenfeld
Mary E Cox
John Nowakowski
Robert B Nadelman
Diane Holmgren
Donna McKenna
Susan Bittker
Lois Zentmaier
Denise Cooper
Dionysios Liveris
Ira Schwartz
Harold W Horowitz
New York Medical College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lyme disease is transmitted by the bite of certain Ixodes ticks, which can also transmit Anaplasma phagocytophilum, the cause of human granulocytic anaplasmosis (HGA). Although culture can be used to identify patients infected with A. phagocytophilum and is the microbiologic gold standard, few studies have evaluated culture-confirmed patients with HGA. We conducted a prospective study in which blood culture was used to detect HGA infection in patients with a compatible clinical illness. Early Lyme disease was defined by the presence of erythema migrans. The epidemiologic, clinical, and laboratory features of 44 patients with culture-confirmed HGA were compared with those of a convenience sample of 62 patients with early Lyme disease. Coinfected patients were excluded. Patients with HGA had more symptoms (P = 0.003) and had a higher body temperature on presentation (P < 0.001) than patients with early Lyme disease. HGA patients were also more likely to have a headache, dizziness, myalgias, abdominal pain, anorexia, leukopenia, lymphopenia, thrombocytopenia, or elevated liver enzymes. A direct correlation between the number of symptoms and the duration of illness at time of presentation (rho = 0.389, P = 0.009) was observed for HGA patients but not for patients with Lyme disease. In conclusion, although there are overlapping features, culture-confirmed HGA is a more severe illness than early Lyme disease.

Indexed as

AdultAgedAnaplasma phagocytophilumAnaplasmosisAnimalsBloodDiagnosis, DifferentialFemaleHumansLyme DiseaseMaleMiddle AgedProspective Studies

Identifiers

PMID23303504
PMCPMC3592036
OpenAlexW2057601177

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.