Jain V K, Hilton E, Maytal J, Dorante G, Ilowite N T, Sood S K
Division of Infectious Diseases, Schneider Children's Hospital, New Hyde Park, New York 11040, USA.
J Clin Microbiol. 1996 Aug;34(8):2033-5. doi: 10.1128/jcm.34.8.2033-2035.1996.
We used immunoblotting to improve the specificity of the serologic diagnosis of Lyme borreliosis in cases of acute facial palsy. Twelve of 15 patients (80%) with suspected Lyme borreliosis, versus 0 of 10 controls, were positive by immunoglobulin M immunoblotting of acute-phase sera and 3 were negative, including 2 with borderline enzyme immunoassay results. Immunoglobulin M immunoblotting is a useful test to confirm Borrelia burgdorferi infection in patients with acute facial palsy and a positive enzyme immunoassay result.
我们采用免疫印迹法提高急性面神经麻痹患者莱姆病血清学诊断的特异性。15例疑似莱姆病患者中有12例(80%)急性期血清免疫球蛋白M免疫印迹检测呈阳性,而10例对照者均为阴性,3例呈阴性,其中2例酶免疫测定结果为临界值。免疫球蛋白M免疫印迹法对于确诊急性面神经麻痹且酶免疫测定结果为阳性的患者是否感染伯氏疏螺旋体是一项有用的检测方法。