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Volume 25, Number 4—April 2019
Research

Co-infections in Persons with Early Lyme Disease, New York, USA

Gary P. WormserComments to Author , Donna McKenna, Carol Scavarda, Denise Cooper, Marc Y. El Khoury, John Nowakowski, Praveen Sudhindra, Alexander Ladenheim, Guiqing Wang, Carol L. Karmen, Valerie Demarest, Alan P. Dupuis, and Susan J. Wong
Author affiliations: New York Medical College, Valhalla, New York, USA (G.P. Wormser, D. McKenna, C. Scavarda, D. Cooper, M.Y. El Khoury, J. Nowakowski, P. Sudhindra, A. Ladenheim, G. Wang, C.L. Karmen); New York State Department of Health, Albany, New York, USA (V. Demarest, A.P. Dupuis II, S.J. Wong)

Main Article

Table 2

Participants with evidence of Babesia microti co-infection in study of co-infections in persons with Lyme disease, New York, USA, June 2, 2011, through July 30, 2015*

Age, y Fever No. symptoms at baseline visit Tick exposure in LHV Tick exposure outside LHV Baseline B. microti antibody titer Convalescent-phase B. microti antibody titer (timing, d)† Blood smear PCR for Babesia DNA
69
 Yes, but began 4 d after baseline visit while taking amoxicillin for treatment of Lyme disease
 1
 Yes
 No
 >1:1,024
 >1:1,024 (12)
 +
 +
58
 Yes, began 1 or 2 d before the baseline visit
 10
 Yes
 Yes
 <1:64
 >1:1,024 (14)
 –
 +
61
 No
 2
 Yes
 No
 >1:1024
 >1:1,024 (21)
 –
 +
45
 No
 1
 Yes
 No
 <1:64
 1:512 (18)
 ND
 ND
54
 No
 2
 No
 Yes
 >1:1024
 >1:1,024 (19)
 ND
 ND
32 No 4 Yes No >1:1024 >1:1,024 (14) ND ND

*LHV, Lower Hudson Valley of New York state, USA (includes Westchester, Putnam, Dutchess, Rockland, Orange, Ulster, and Sullivan Counties); ND, not done; +, positive; –, negative.
†Time from baseline visit.

Main Article

Page created: March 18, 2019
Page updated: March 18, 2019
Page reviewed: March 18, 2019
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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