The usefulness of ‘in vivo’ antigens in the diagnosis of human Lyme borreliosis

Abstract A total of 161 positive sera of the IgM class against Borrelia burgdorferi s.l. and 149 positive sera of the IgG class obtained from screening tests with Polish forestry workers (ELISA recombinant Borrelia IgM and IgG, Biomedica, Austria) were tested with IgM and IgG immunoblot -Borrelia LI...

Full description

Saved in:
Bibliographic Details
Published in:International journal of medical microbiology Vol. 298; pp. 361 - 364
Main Authors: Zajkowska, Joanna, Kondrusik, Maciej, Grygorczuk, Sambor, Pancewicz, Sławomir, Iżycka, Aneta
Format: Journal Article
Language:English
Published: Elsevier GmbH 01-09-2008
Subjects:
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Abstract Abstract A total of 161 positive sera of the IgM class against Borrelia burgdorferi s.l. and 149 positive sera of the IgG class obtained from screening tests with Polish forestry workers (ELISA recombinant Borrelia IgM and IgG, Biomedica, Austria) were tested with IgM and IgG immunoblot -Borrelia LINE (Genzyme Virotech GmbH, Germany). Of the IgM ELISA-positive sera, 72% were positive using Borrelia LINE IgM. IgM antibodies against particular antigens in Borrelia LINE tests were as follows: OspC (70%), VlsE (1.8%), P39 (40%), EBV (0.6%). All sera which were positive for IgG using ELISA were also found to be positive for IgG in Borrelia LINE IgG. IgG antibodies against individual antigens using Borrelia Line tests were as follows: VlsE (100%), p39 (95%), p83 (67.5%), iv1-BBA36 (42.5%), iv2-BBO323 (72.5%), iv3-Crasp3 (50%), iv4-p4 (12.5%). Antibodies against VlsE in the IgM class undergo quick seroconversion to the IgG class (demonstrated by Borrelia LINE tests) in an ongoing infection despite a persistingly positive result for the IgM class obtained using ELISA with recombinant antigens. The presence of numerous antibodies indicates the varied immunological response against B. burgdorferi antigens. A broad range of ‘in vivo’ IgG class antigens may be very helpful to confirm B. burgdorferi infection using Borrelia LINE tests.
AbstractList Abstract A total of 161 positive sera of the IgM class against Borrelia burgdorferi s.l. and 149 positive sera of the IgG class obtained from screening tests with Polish forestry workers (ELISA recombinant Borrelia IgM and IgG, Biomedica, Austria) were tested with IgM and IgG immunoblot -Borrelia LINE (Genzyme Virotech GmbH, Germany). Of the IgM ELISA-positive sera, 72% were positive using Borrelia LINE IgM. IgM antibodies against particular antigens in Borrelia LINE tests were as follows: OspC (70%), VlsE (1.8%), P39 (40%), EBV (0.6%). All sera which were positive for IgG using ELISA were also found to be positive for IgG in Borrelia LINE IgG. IgG antibodies against individual antigens using Borrelia Line tests were as follows: VlsE (100%), p39 (95%), p83 (67.5%), iv1-BBA36 (42.5%), iv2-BBO323 (72.5%), iv3-Crasp3 (50%), iv4-p4 (12.5%). Antibodies against VlsE in the IgM class undergo quick seroconversion to the IgG class (demonstrated by Borrelia LINE tests) in an ongoing infection despite a persistingly positive result for the IgM class obtained using ELISA with recombinant antigens. The presence of numerous antibodies indicates the varied immunological response against B. burgdorferi antigens. A broad range of ‘in vivo’ IgG class antigens may be very helpful to confirm B. burgdorferi infection using Borrelia LINE tests.
A total of 161 positive sera of the IgM class against Borrelia burgdorferi s.l. and 149 positive sera of the IgG class obtained from screening tests with Polish forestry workers (ELISA recombinant Borrelia IgM and IgG, Biomedica, Austria) were tested with IgM and IgG immunoblot -Borrelia LINE (Genzyme Virotech GmbH, Germany). Of the IgM ELISA-positive sera, 72% were positive using Borrelia LINE IgM. IgM antibodies against particular antigens in Borrelia LINE tests were as follows: OspC (70%), VlsE (1.8%), P39 (40%), EBV (0.6%). All sera which were positive for IgG using ELISA were also found to be positive for IgG in Borrelia LINE IgG. IgG antibodies against individual antigens using Borrelia Line tests were as follows: VlsE (100%), p39 (95%), p83 (67.5%), iv1-BBA36 (42.5%), iv2-BBO323 (72.5%), iv3-Crasp3 (50%), iv4-p4 (12.5%). Antibodies against VlsE in the IgM class undergo quick seroconversion to the IgG class (demonstrated by Borrelia LINE tests) in an ongoing infection despite a persistingly positive result for the IgM class obtained using ELISA with recombinant antigens. The presence of numerous antibodies indicates the varied immunological response against B. burgdorferi antigens. A broad range of ‘in vivo’ IgG class antigens may be very helpful to confirm B. burgdorferi infection using Borrelia LINE tests.
Author Iżycka, Aneta
Kondrusik, Maciej
Grygorczuk, Sambor
Zajkowska, Joanna
Pancewicz, Sławomir
Author_xml – sequence: 1
  fullname: Zajkowska, Joanna
– sequence: 2
  fullname: Kondrusik, Maciej
– sequence: 3
  fullname: Grygorczuk, Sambor
– sequence: 4
  fullname: Pancewicz, Sławomir
– sequence: 5
  fullname: Iżycka, Aneta
BookMark eNp9kM9KxDAQxoMo6K6-gKe-QOukyaYpiCDiP1jwoJ5Dmk41tU0l2S7sbR9DX88nMXU9efA0w8z3fcz8ZmTfDQ4JOaWQUaDirM1s2_dZDiAzYBlAuUeOqKAyBQHFfuw5kynPc3pIZiG0AJCXTByRx6dXTMaAzdg5DCEZmuRr-2Fdsrbr4Wv7mWi3si_oQhJnq6itrX5xQ7A_0tex1y5ZbnpMqsF77Oy0OSYHje4CnvzWOXm-uX66ukuXD7f3V5fL1DAQq3Sha-SyhhoKLhCFMFUlkC8a2ZQ5l5yVRtKm4si0rgrGpQGueQHVopYGa2Rzku9yjR9C8Niod2977TeKgpqwqFZNWNSERQFTEUs0ne9MGC9bW_QqGIsuBlqPZqXqwf5vv_hjN5111ujuDTcY2mH0Lv6sqAq5AvU4cZ-wg4zIeQnsG8QwhV4
Cites_doi 10.1128/IAI.00189-06
10.1086/323392
10.1086/315862
10.1089/153036603322662200
10.1074/jbc.M201547200
10.1016/S1433-1128(04)80034-2
10.1128/IAI.72.9.5063-5072.2004
10.1007/s00415-003-0205-2
ContentType Journal Article
Copyright Elsevier GmbH
2008 Elsevier GmbH
Copyright_xml – notice: Elsevier GmbH
– notice: 2008 Elsevier GmbH
DBID AAYXX
CITATION
DOI 10.1016/j.ijmm.2008.03.009
DatabaseName CrossRef
DatabaseTitle CrossRef
DatabaseTitleList

DeliveryMethod fulltext_linktorsrc
Discipline Biology
EISSN 1618-0607
EndPage 364
ExternalDocumentID 10_1016_j_ijmm_2008_03_009
S1438422108000490
1_s2_0_S1438422108000490
GroupedDBID ---
--K
--M
.1-
.FO
.~1
0R~
0SF
1B1
1P~
1~.
1~5
29J
3O-
3V.
4.4
457
4G.
53G
5GY
5VS
7-5
71M
7X7
88A
88E
88I
8AF
8C1
8CJ
8FE
8FH
8FI
8FJ
8P~
8R4
8R5
AAAJQ
AABNK
AACTN
AAEDT
AAEDW
AAFWJ
AAIKJ
AAKOC
AAKPP
AALRI
AAOAW
AAQFI
AAQXK
AARKO
AAXKI
AAXUO
ABBQC
ABFNM
ABFRF
ABGSF
ABJNI
ABKYH
ABMAC
ABMZM
ABOHT
ABRWV
ABUDA
ABUWG
ABXDB
ABZDS
ACDAQ
ACGFO
ACGFS
ACGOD
ACPRK
ACRLP
ADBBV
ADEZE
ADKUU
ADMUD
ADUVX
ADVLN
AEBSH
AEFWE
AEHWI
AEKER
AENEX
AEVXI
AEXOQ
AFCTW
AFJKZ
AFKRA
AFKWA
AFPKN
AFRHN
AFTJW
AFXIZ
AGEKW
AGHFR
AGRDE
AGUBO
AGYEJ
AHMBA
AI.
AIEXJ
AIKHN
AITUG
AJOXV
AJRQY
AJUYK
AKRWK
ALIPV
ALMA_UNASSIGNED_HOLDINGS
AMFUW
AMRAJ
ANZVX
ASPBG
AVWKF
AXJTR
AZFZN
AZQEC
BBNVY
BENPR
BES
BHPHI
BKOJK
BLXMC
BNPGV
BPHCQ
BVXVI
CAG
CCPQU
CJTIS
COF
CS3
D1J
DU5
DWQXO
EBS
EFJIC
EJD
EO8
EO9
EP2
EP3
F5P
FDB
FEDTE
FGOYB
FIRID
FNPLU
FYGXN
FYUFA
G-Q
GBLVA
GNUQQ
GROUPED_DOAJ
HCIFZ
HVGLF
HZ~
IHE
J1W
KOM
LK8
LUGTX
M0L
M1P
M2P
M2Q
M41
M7P
MO0
N9A
NCXOZ
O-L
O9-
OAUVE
OD-
OGGZJ
OK1
OO.
OZT
P-8
P-9
P2P
PC.
PQQKQ
PROAC
PSQYO
Q2X
Q38
R2-
RIG
ROL
RPZ
S0X
SDF
SDG
SES
SEW
SNL
SPCBC
SSH
SSI
SSU
SSZ
T5F
T5I
T5J
T5K
UNMZH
VH1
Z5R
~G-
AAIAV
ABLVK
ABYKQ
AESVU
AJBFU
DOVZS
EFLBG
HMCUK
LCYCR
QYZTP
UKHRP
AAYXX
CITATION
ID FETCH-LOGICAL-c306t-5ade48d0d0746ee66cbb6e45f8f9248439c81fb4e3aab7348c04a470b5d8cede3
ISSN 1438-4221
IngestDate Fri Nov 22 00:41:54 EST 2024
Fri Feb 23 02:27:47 EST 2024
Tue Oct 15 22:58:01 EDT 2024
IsPeerReviewed true
IsScholarly true
Keywords Lyme borreliosis
VlsE
‘in vivo’ antigens
Language English
LinkModel OpenURL
MergedId FETCHMERGED-LOGICAL-c306t-5ade48d0d0746ee66cbb6e45f8f9248439c81fb4e3aab7348c04a470b5d8cede3
PageCount 4
ParticipantIDs crossref_primary_10_1016_j_ijmm_2008_03_009
elsevier_sciencedirect_doi_10_1016_j_ijmm_2008_03_009
elsevier_clinicalkeyesjournals_1_s2_0_S1438422108000490
PublicationCentury 2000
PublicationDate 2008-09-01
PublicationDateYYYYMMDD 2008-09-01
PublicationDate_xml – month: 09
  year: 2008
  text: 2008-09-01
  day: 01
PublicationDecade 2000
PublicationTitle International journal of medical microbiology
PublicationYear 2008
Publisher Elsevier GmbH
Publisher_xml – name: Elsevier GmbH
References Crother, Champion, Whitelegge, Aguilera, Wu, Blanco, Miller, Lovett (bib1) 2004; 72
Nowalk, Gilmore, Carroll (bib8) 2006; 74
Hofmann, Wallich, Lorenz, Bechtel (bib5) 2006; 296
Zajkowska, Kondrusik, Pancewicz, Sienkiewicz, Grygorczuk, Świerzbińska, Hermanowska-Szpakowicz (bib16) 2006; 296
Wilske, B., 2002. Diagnosis of Lyme borreliosis in Europe – status report. In: IX International Conference on Lyme Borreliosis and Other Tick-borne Diseases, NY (USA), 2002, Abstracts.
Liang, Aberer, Cinco (bib7) 2000; 182
Pannelius, J., Lahdenne, P., Saxen, H., Carlsson, S.A., Heikkilä, T., Lauhio, A., Seppälä, I., 2002. Improved laboratory diagnosis of Lyme neuroborreliosis with antibodies to recombinant proteins DbpA, BBK32 and OspC and VlsE IR6 protein. In: IX International Conference on Lyme Borreliosis and Other Tick-borne Diseases, NY (USA), 2002, Abstracts.
Zajkowska, Grygorczuk, Kondrusik, Pancewicz, Hermanowska-Szpakowicz (bib14) 2006; 60
Wilske (bib12) 2003; 3
Eicken, Sharma, Klabunde, Lawrenz, Hardham, Norris, Sacchettini (bib2) 2002; 277
Doctoral Thesis, Wroclaw.
Hofmann, H., Lorenz, I., Magyar, E., Helbi, V., Thüring-Nahler, H., 2003. Diagnostic value of a new C6 and C10 peptide ELISA for the serodiagnosis of early Lyme borreliosis – comparison to the European two-step protocol. VII. In: International Potsdam Symposium on Tick-borne Diseases, Berlin (Germany), Abstracts.
Witecka-Knysz, E., Klimczak, M., 2005. Evolution of humoral response after exposition of
Philipp, Bowers, Fawcett, Jacobs, Liang, Marques, Mitchell, Purcell, Ratterree, Straubinger (bib10) 2001; 184
Levin, A., Talaska, T., Kovalenko, V., 2002. C6 peptide ELISA: Universal assay for detection of European Lyme borreliosis. In: IX International Conference on Lyme Borreliosis and Other Tick-borne Diseases, NY (USA), Abstracts.
Zajkowska, Kondrusik, Pancewicz, Grygorczuk (bib15) 2006; 60
Goettner, G., Schulte-Spechtel, U., Wilske, B., 2003. Analysis of the heterogeneity of the immunodominant surface protein VlsE among the three European genospecies of
s.l. VII. In: International Potsdam Symposium on Tick-borne Diseases, Berlin (Germany), Abstracts.
Nowalk (10.1016/j.ijmm.2008.03.009_bib8) 2006; 74
Eicken (10.1016/j.ijmm.2008.03.009_bib2) 2002; 277
Philipp (10.1016/j.ijmm.2008.03.009_bib10) 2001; 184
Zajkowska (10.1016/j.ijmm.2008.03.009_bib16) 2006; 296
10.1016/j.ijmm.2008.03.009_bib9
Liang (10.1016/j.ijmm.2008.03.009_bib7) 2000; 182
10.1016/j.ijmm.2008.03.009_bib6
Zajkowska (10.1016/j.ijmm.2008.03.009_bib14) 2006; 60
10.1016/j.ijmm.2008.03.009_bib11
10.1016/j.ijmm.2008.03.009_bib3
10.1016/j.ijmm.2008.03.009_bib13
10.1016/j.ijmm.2008.03.009_bib4
Crother (10.1016/j.ijmm.2008.03.009_bib1) 2004; 72
Zajkowska (10.1016/j.ijmm.2008.03.009_bib15) 2006; 60
Wilske (10.1016/j.ijmm.2008.03.009_bib12) 2003; 3
Hofmann (10.1016/j.ijmm.2008.03.009_bib5) 2006; 296
References_xml – volume: 277
  start-page: 21691
  year: 2002
  end-page: 21696
  ident: bib2
  article-title: Crystal structure of Lyme disease variable surface antigen VlsE of
  publication-title: J. Biol. Chem.
  contributor:
    fullname: Sacchettini
– volume: 296
  start-page: 288
  year: 2006
  end-page: 290
  ident: bib5
  article-title: Comparison of a new line assay using purified and recombinant antigens with a European lysate blot for serodiagnosis of Lyme borreliosis
  publication-title: Int. J. Med. Microbiol.
  contributor:
    fullname: Bechtel
– volume: 60
  start-page: 167
  year: 2006
  end-page: 170
  ident: bib14
  article-title: New aspects of pathogenesis of Lyme borreliosis
  publication-title: Przegl. Epidemiol.
  contributor:
    fullname: Hermanowska-Szpakowicz
– volume: 3
  start-page: 215
  year: 2003
  end-page: 227
  ident: bib12
  article-title: Diagnosis of Lyme boreliosis in Europe
  publication-title: Vector Borne Zoonotic Dis.
  contributor:
    fullname: Wilske
– volume: 296
  start-page: 291
  year: 2006
  end-page: 293
  ident: bib16
  article-title: Laboratory diagnosis of early Lyme borreliosis – comparison of ELISA, Western blot (EcoLine), and PCR results
  publication-title: Int. J. Med. Microbiol.
  contributor:
    fullname: Hermanowska-Szpakowicz
– volume: 60
  start-page: 177
  year: 2006
  end-page: 185
  ident: bib15
  article-title: Western blot with VlsE protein and ‘in vivo’ antigens in Lyme borreliosis diagnosis
  publication-title: Przegl. Epidemiol.
  contributor:
    fullname: Grygorczuk
– volume: 184
  start-page: 870
  year: 2001
  end-page: 878
  ident: bib10
  article-title: Antibody response to IR6, a conserved immunodominant region of the VlsE lipoprotein, wanes rapidly after antibiotic treatment of
  publication-title: J. Infect. Dis.
  contributor:
    fullname: Straubinger
– volume: 74
  start-page: 3864
  year: 2006
  end-page: 3873
  ident: bib8
  article-title: Serologic proteome analysis of
  publication-title: Infect. Immun.
  contributor:
    fullname: Carroll
– volume: 72
  start-page: 5063
  year: 2004
  end-page: 5072
  ident: bib1
  article-title: Temporal analysis of the antigenic composition of
  publication-title: Infect. Immun.
  contributor:
    fullname: Lovett
– volume: 182
  start-page: 1455
  year: 2000
  end-page: 1462
  ident: bib7
  article-title: Antigenic conservation of an immunodominant invariable region of the VlsE lipoprotein among European pathogenic genospecies of
  publication-title: J. Infect. Dis.
  contributor:
    fullname: Cinco
– volume: 74
  start-page: 3864
  year: 2006
  ident: 10.1016/j.ijmm.2008.03.009_bib8
  article-title: Serologic proteome analysis of Borrelia burgdorferi membrane-associated proteins
  publication-title: Infect. Immun.
  doi: 10.1128/IAI.00189-06
  contributor:
    fullname: Nowalk
– volume: 60
  start-page: 177
  issue: Suppl. 1
  year: 2006
  ident: 10.1016/j.ijmm.2008.03.009_bib15
  article-title: Western blot with VlsE protein and ‘in vivo’ antigens in Lyme borreliosis diagnosis
  publication-title: Przegl. Epidemiol.
  contributor:
    fullname: Zajkowska
– volume: 184
  start-page: 870
  year: 2001
  ident: 10.1016/j.ijmm.2008.03.009_bib10
  article-title: Antibody response to IR6, a conserved immunodominant region of the VlsE lipoprotein, wanes rapidly after antibiotic treatment of Borrelia burgdorferi infection in experimental animals and in humans
  publication-title: J. Infect. Dis.
  doi: 10.1086/323392
  contributor:
    fullname: Philipp
– ident: 10.1016/j.ijmm.2008.03.009_bib6
– ident: 10.1016/j.ijmm.2008.03.009_bib4
– volume: 182
  start-page: 1455
  year: 2000
  ident: 10.1016/j.ijmm.2008.03.009_bib7
  article-title: Antigenic conservation of an immunodominant invariable region of the VlsE lipoprotein among European pathogenic genospecies of Borrelia burgdorferi s.l
  publication-title: J. Infect. Dis.
  doi: 10.1086/315862
  contributor:
    fullname: Liang
– volume: 3
  start-page: 215
  year: 2003
  ident: 10.1016/j.ijmm.2008.03.009_bib12
  article-title: Diagnosis of Lyme boreliosis in Europe
  publication-title: Vector Borne Zoonotic Dis.
  doi: 10.1089/153036603322662200
  contributor:
    fullname: Wilske
– volume: 60
  start-page: 167
  issue: Suppl. 1
  year: 2006
  ident: 10.1016/j.ijmm.2008.03.009_bib14
  article-title: New aspects of pathogenesis of Lyme borreliosis
  publication-title: Przegl. Epidemiol.
  contributor:
    fullname: Zajkowska
– volume: 277
  start-page: 21691
  year: 2002
  ident: 10.1016/j.ijmm.2008.03.009_bib2
  article-title: Crystal structure of Lyme disease variable surface antigen VlsE of Borrelia burgdorferi
  publication-title: J. Biol. Chem.
  doi: 10.1074/jbc.M201547200
  contributor:
    fullname: Eicken
– ident: 10.1016/j.ijmm.2008.03.009_bib3
  doi: 10.1016/S1433-1128(04)80034-2
– ident: 10.1016/j.ijmm.2008.03.009_bib11
– ident: 10.1016/j.ijmm.2008.03.009_bib13
– volume: 296
  start-page: 291
  issue: Suppl. 40
  year: 2006
  ident: 10.1016/j.ijmm.2008.03.009_bib16
  article-title: Laboratory diagnosis of early Lyme borreliosis – comparison of ELISA, Western blot (EcoLine), and PCR results
  publication-title: Int. J. Med. Microbiol.
  contributor:
    fullname: Zajkowska
– volume: 72
  start-page: 5063
  year: 2004
  ident: 10.1016/j.ijmm.2008.03.009_bib1
  article-title: Temporal analysis of the antigenic composition of Borrelia burgdorferi during infection in rabbit skin
  publication-title: Infect. Immun.
  doi: 10.1128/IAI.72.9.5063-5072.2004
  contributor:
    fullname: Crother
– volume: 296
  start-page: 288
  issue: Suppl. 40
  year: 2006
  ident: 10.1016/j.ijmm.2008.03.009_bib5
  article-title: Comparison of a new line assay using purified and recombinant antigens with a European lysate blot for serodiagnosis of Lyme borreliosis
  publication-title: Int. J. Med. Microbiol.
  contributor:
    fullname: Hofmann
– ident: 10.1016/j.ijmm.2008.03.009_bib9
  doi: 10.1007/s00415-003-0205-2
SSID ssj0002936
Score 1.8634758
Snippet Abstract A total of 161 positive sera of the IgM class against Borrelia burgdorferi s.l. and 149 positive sera of the IgG class obtained from screening tests...
A total of 161 positive sera of the IgM class against Borrelia burgdorferi s.l. and 149 positive sera of the IgG class obtained from screening tests with...
SourceID crossref
elsevier
SourceType Aggregation Database
Publisher
StartPage 361
SubjectTerms Infectious Disease
Lyme borreliosis
Medical Education
VlsE
‘in vivo’ antigens
Title The usefulness of ‘in vivo’ antigens in the diagnosis of human Lyme borreliosis
URI https://www.clinicalkey.es/playcontent/1-s2.0-S1438422108000490
https://dx.doi.org/10.1016/j.ijmm.2008.03.009
Volume 298
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
link http://sdu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtV3NbtNAEF6lrZC4IH5FKKA90FPkyrHX9vpYlUD5EUJKkXqzbO8Y2antKq4bpac-Brxen4TZ7K7tUoQAiYuVbOJ4tfNlZnb2mxlCXgUMfAcYs0QKmcWCOLbCdBpaKQg7TH3fEXzTxHYefDrhr2dsNhqZTqD92H-VNI6hrGXm7F9Iu_tRHMDXKHO8otTx-sdybxvI2tONEkNf0PAZeF5NLvKL2rwPJ7iqshhnY8iOQvHuVIkS1b3v47qESSJbeJzm8pOhM3szmjioQVHq058y78s8dRHquFjUq2ahOLp1XFWdYfhQV2LZNvlCJRGh1il6etD6a71ML9uFCmOXSd2xij9L4K7ydBMKn-8denvciVd1mS9vhDR4x9nScTaTa_O2TI4GupmhbmaOSqjeBzXmT_FuXzXONQrdUX2ttUp2_enAuruqZvotw6FiGMV-XpSlZtjK0rdhbyY78uJcTkTOQzrb8uB0i-w4qOZQy-4cvJudvO88AXSlVHabnrhO2lL8wp-f9GvHaODsHN8n9_QuhR4oeD0gI6gekjuqb-n6EZkjyGgPMlpn9PrqW15RCa_rq-_UAIviGAKLdsCSX90Ai0pg0QGwHpMvb2bHh0eW7s5hpbjNPLe8WADjwhayYw2A76dJ4gPzMp7hnp6jo5vyaZYwcOM4kTWUUpvFLLATT3DUBOA-IdtVXcFTQsGT5_U2gOu6LHAgDtEWgCf8jHEnZNmYTMzSRGeqCEtk2IlFJBdSd1N1I1zIMQnM6kUmvRgNIjT6f9BE06hxIju6Jcgx8bo7tQOqHMsIYfKbJz77x_t2yd0e_s_J9vmyhRdkqxHtSw2lH7i-ql0
link.rule.ids 315,782,786,27933,27934
linkProvider Elsevier
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=The+usefulness+of+%E2%80%98in+vivo%E2%80%99+antigens+in+the+diagnosis+of+human+Lyme+borreliosis&rft.jtitle=International+journal+of+medical+microbiology&rft.au=Zajkowska%2C+Joanna&rft.au=Kondrusik%2C+Maciej&rft.au=Grygorczuk%2C+Sambor&rft.au=Pancewicz%2C+S%C5%82awomir&rft.date=2008-09-01&rft.pub=Elsevier+GmbH&rft.issn=1438-4221&rft.eissn=1618-0607&rft.volume=298&rft.spage=361&rft.epage=364&rft_id=info:doi/10.1016%2Fj.ijmm.2008.03.009&rft.externalDocID=S1438422108000490
thumbnail_m http://sdu.summon.serialssolutions.com/2.0.0/image/custom?url=https%3A%2F%2Fcdn.clinicalkey.com%2Fck-thumbnails%2F14384221%2FS1438422108X00049%2Fcov150h.gif