Evidence map›Paper›PMID 39305492›Full record

ArticleAmerican journal of clinical pathology2025

Culture and other direct detection methods to diagnose human granulocytic anaplasmosis.

Maria E Aguero-Rosenfeld, Lois Zentmaier, Dionysios Liveris, Paul Visintainer, Ira Schwartz, J Stephen Dumler, Gary P Wormser

Abstract read
In one paragraph

Article in American journal of clinical pathology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Seroprevalence ofMicroorganisms · 2025
    Article
  4. 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.

Maria E Aguero-RosenfeldDepartment of Pathology, Microbiology and Immunology and Department of Medicine, New York Medical College, Valhalla, NY, US.ORCID 0000-0002-1994-367X
Lois ZentmaierClinical Laboratories, Westchester Medical Center, Valhalla NY, US.
Dionysios LiverisDepartment of Pathology, Microbiology and Immunology, New York Medical College, Valhalla, NY, US.
Paul VisintainerUMass Chan Medical School-Baystate, Springfield, MA, US.
Ira SchwartzDepartment of Pathology, Microbiology and Immunology, New York Medical College, Valhalla, NY, US.
J Stephen DumlerDepartment of Pathology, Uniformed Services University of the Health Sciences, Bethesda, MD, US.
Gary P WormserDepartment of Medicine, Division of Infectious Diseases, New York Medical College, Valhalla, NY, 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 R01 AR041511NIH HHS AR41511The Westchester County Department of Health HLT 27017
6 · The paper itself

Abstract

objectivesWe sought to assess the performance of 3 laboratory tests on blood specimens for direct detection of Anaplasma phagocytophilum, the cause of human granulocytic anaplasmosis (HGA), in patients tested at a single medical institution in New York State.

methodsDirect tests included microscopic blood smear examination for intragranulocytic inclusions, polymerase chain reaction (PCR), and culture using the HL-60 cell line. The HGA cases testing positive by only 1 direct test were not included, unless HGA was confirmed by acute or convalescent serology using an indirect immunofluorescent assay.

resultsFrom 1997 to 2009, 71 patients with HGA were diagnosed by at least 1 of the 3 direct test methods. For the subgroup of 55 patients who were tested using all 3 methods, culture was positive for 90.9% (50/55) vs 81.8% (45/55) for PCR vs 63.6% (35/55) for blood smear (P =.002). Most cultures (79.3%) were detected as positive within 1 week of incubation.

conclusionsAlthough using culture to detect A phagocytophilum is likely not amenable for implementation in most hospital laboratories, in our experience, culture had the highest yield among the direct tests evaluated.

Indexed as

Anaplasma phagocytophilumAnaplasmosisEhrlichiosisAdultAgedFemaleHL-60 CellsHumansMaleMiddle AgedPolymerase Chain ReactionAnaplasma phagocytophilumanaplasmosisblood culturediagnosishuman granulocytic anaplasmosispolymerase chain reactionsmear

Identifiers

PMID39305492
PMCPMC11821265

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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.