Journal
JOURNAL OF CLINICAL MICROBIOLOGY
Volume 54, Issue 5, Pages 1191-1196Publisher
AMER SOC MICROBIOLOGY
DOI: 10.1128/JCM.03394-15
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Lyme disease prevails as the most commonly transmitted tick-borne infection in the United States, and serologic evaluation for antibodies to Borrelia burgdorferi remains the recommended modality for diagnosis. This review presents a brief historical perspective on the evolution of serologic assays for Lyme disease and provides a summary of the performance characteristics for the currently recommended two-tiered testing algorithm (TTTA). Additionally, a recently proposed alternative to the traditional TTTA is discussed, and novel methodologies, including immuno-PCR and metabolic profiling for Lyme disease, are outlined.
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