Evidence map›Paper›PMID 29662016›Full record

ArticleHealthcare (Basel, Switzerland)2018

Persistent Borrelia Infection in Patients with Ongoing Symptoms of Lyme Disease.

Marianne J Middelveen, Eva Sapi, Jennie Burke, Katherine R Filush, Agustin Franco, Melissa C Fesler, Raphael B Stricker

Open access · goldAbstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
10.1field-weighted citation impact, top 1% 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

42 citing papers in PubMed, 69 citations in OpenAlex.

  1. Article
  2. Presence of Borrelia Spirochetes in White Stork (Animals : an open access journal from MDPI · 2024
    Article
  3. Article
  4. Article
  5. Article
  6. Concurrent Infection of the Human Brain with MultipleInternational journal of molecular sciences · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Antibiotics (Basel, Switzerland) · 2020
    Article
  14. Article
  15. Lyme Disease: Diversity ofHealthcare (Basel, Switzerland) · 2020
    Article
  16. Article
  17. Novel targets and strategies to combat borreliosis.Applied microbiology and biotechnology · 2020
    Review
  18. Frontiers in medicine · 2020
    Article
  19. Classification and Staging of Morgellons Disease: Lessons from Syphilis.Clinical, cosmetic and investigational dermatology · 2020
    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

7 authors at 4 institutions in 3 countries.

Marianne J MiddelveenAtkins Veterinary Services, Calgary, AB T3B 4C9, Canada. middel@telus.net.
Eva SapiDepartment of Biology and Environmental Science, University of New Haven, West Haven, CT 06516, USA. unh@evasapi.net.ORCID 0000-0003-3733-1455
Jennie BurkeAustralian Biologics, Sydney, NSW 2000, Australia. Jennie.burke@australianbiologics.com.au.
Katherine R FilushDepartment of Biology and Environmental Science, University of New Haven, West Haven, CT 06516, USA. katherine.r.filush@gmail.com.
Agustin FrancoSchool of Health Sciences, Universidad Catolica Santiago de Guayaquil, Guayaquil 090615, Ecuador. agustin.franco@optusnet.com.au.
Melissa C FeslerUnion Square Medical Associates, 450 Sutter Street, Suite 1504, San Francisco, CA 94108, USA. melissacfesler@gmail.com.
Raphael B StrickerUnion Square Medical Associates, 450 Sutter Street, Suite 1504, San Francisco, CA 94108, USA. rstricker@usmamed.com.ORCID 0000-0003-2149-8517
Medical Research Associates · USUniversity of New Haven · USCalgary Laboratory Services · CAUniversidad Católica de Santiago de Guayaquil · EC

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLyme disease is a tickborne illness that generates controversy among medical providers and researchers. One of the key topics of debate is the existence of persistent infection with the Lyme spirochete,

methodsIn this pilot study, culture of body fluids and tissues was performed in a randomly selected group of 12 patients with persistent Lyme disease symptoms who had been treated or who were being treated with antibiotics. Cultures were also performed on a group of ten control subjects without Lyme disease. The cultures were subjected to corroborative microscopic, histopathological and molecular testing for

resultsMotile spirochetes identified histopathologically as

conclusionsUsing multiple corroborative detection methods, we showed that patients with persistent Lyme disease symptoms may have ongoing spirochetal infection despite antibiotic treatment, similar to findings in non-human primates. The optimal treatment for persistent

Indexed as

Borrelia burgdorferichronic infectionLyme diseasespirochete culturetickborne disease

Identifiers

PMID29662016
PMCPMC6023324
OpenAlexW2789728425

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.