Evidence map›Paper›PMID 39747734›Full record

ArticleInfection2025

Proportion of confirmed Lyme neuroborreliosis cases among adult patients with suspected early European Lyme neuroborreliosis.

Katarina Ogrinc, Petra Bogovič, Tereza Rojko, Vera Maraspin, Eva Ružić-Sabljić, Andrej Kastrin, Klemen Strle, Gary P Wormser, Franc Strle

Abstract read
In one paragraph

Article in Infection, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Serum Borrelia IgG as a rule-out test in suspected lyme neuroborreliosis: a large retrospective cohort study.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  2. Lyme borreliosis.Nature reviews. Disease primers · 2026
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Katarina OgrincDepartment of Infectious Diseases, University Medical Centre Ljubljana, Ljubljana, Slovenia. katarina.ogrinc@kclj.si.ORCID http://orcid.org/0000-0002-8134-749X
Petra BogovičDepartment of Infectious Diseases, University Medical Centre Ljubljana, Ljubljana, Slovenia.
Tereza RojkoDepartment of Infectious Diseases, University Medical Centre Ljubljana, Ljubljana, Slovenia.
Vera MaraspinDepartment of Infectious Diseases, University Medical Centre Ljubljana, Ljubljana, Slovenia.
Eva Ružić-SabljićInstitute of Microbiology and Immunology, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
Andrej KastrinInstitute for Biostatistics and Medical Informatics, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
Klemen StrleTufts University School of Medicine, Boston, Mass, USA.
Gary P WormserNew York Medical College, Valhalla, NY, USA.
Franc StrleDepartment of Infectious Diseases, University Medical Centre Ljubljana, Ljubljana, Slovenia.

Funding

Defining Host Genetic Factors in Adverse Clinical Outcomes in Lyme DiseaseR21AI144916 · NIAID · WADSWORTH CENTER · PI LIN, YI-PIN, STRLE, KLEMEN · 2019 to 2020
$449k
Defining Microbial and Host Factors in Innate Immune Responses in Lyme ArthritisK01AR062098 · NIAMS · MASSACHUSETTS GENERAL HOSPITAL · PI STRLE, KLEMEN · 2012 to 2014
$398k
NIAID NIH HHS R21 AI144916NIAMS NIH HHS K01 AR062098NIH HHS R21AI144916, K01AR062098Slovenian Research Agency P3-0296, J3-1744, J3-8195University Medical Centre Ljubljana, Slovenia 20220127
6 · The paper itself

Abstract

purposeTo determine the frequency of confirmed Lyme neuroborreliosis (LNB) cases in adult patients with three different clinical presentations consistent with early LNB.

methodsData were obtained through routine health care at the UMC Ljubljana, Slovenia from 2005 to 2022, using clinical pathways. The patients were classified into three groups: (i) radicular pain of new onset (N = 332); or (ii) involvement of cranial nerve(s) but without radicular pain (N = 997); or (iii) erythema migrans (EM) skin lesion(s) in conjunction with symptoms suggestive of nervous system involvement but without either cranial nerve palsy or radicular pain (N = 240). The diagnosis of LNB considered the following variables: the presence of: (1) neurologic symptoms consistent with LNB (with no other obvious explanation); (2) cerebrospinal fluid (CSF) pleocytosis (> 5 × 10

resultsOf 1569 adult patients, 348 (22.2%) had confirmed LNB and 70 (4.5%) others had possible LNB. The proportion of confirmed LNB cases was the highest for patients with radicular pain (217/332, 65.4%), followed by the group with EM and neurologic symptoms (47/240, 19.6%), and those with cranial neuritis (84/997, 8.4%).

conclusionOnly 22% of patients evaluated had confirmed LNB. The proportion of confirmed LNB cases correlated with clinical presentation and was highest among patients with recent onset of radicular pain.

Indexed as

Lyme NeuroborreliosisAdultAgedAntibodies, BacterialFemaleHumansMaleMiddle AgedSloveniaYoung AdultAntibodies, BacterialBannwarth syndromeBorrelia culture from cerebrospinal fluidBorrelial meningitisCranial neuritisIntrathecal borrelial antibody synthesisLyme neuroborreliosis

Identifiers

PMID39747734
PMCPMC12316712

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Registered trials

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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.