Join experts Drs Felicia Chow and Karen Roos as they discuss the diagnosis and treatment of Lyme meningitis and other emerging neuroborreliosis.
with spinal cord involvement. Do you think part of the reason why we see or don't see those types of presentations with Lyme is because we're mostly seeing early infection?than it is to the time, because the neurological manifestations occur during early disseminated disease. Late disseminated diseases are when more of the arthritis-type complications occur that people are familiar with, especially in the New England area. But I think it's really the species ofGreat.
We're looking for a number greater than 1.3 to 1.5. Using the antibody index to demonstrate intrathecal production of antibodies to any pathogen you can substitute any pathogen for is very helpful in making a diagnosis of a CNS infection.Yes, I agree with that thinking about that ratio as opposed to just looking at antibody testing from CSF. Fortunately, there are some commercially available tests to help us with that specific index for Lyme infection. That has helped in terms of diagnosis.
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