10 April 2022
: Case report 
A 60-Year-Old Swiss Woman Presenting with Migratory Radicular Pain Diagnosed with Lyme Disease by Western Blot
Unusual clinical course, Challenging differential diagnosis
Gisela Marcelino1BCDEF*, João Cerveira2DEF, André Teychené1DEF, Armand Eichenberger1DEFDOI: 10.12659/AJCR.935717
Am J Case Rep 2022; 23:e935717
Table 1. Patient’s serological results for Lyme disease.
| Patient’s results | Reference ranges | |
|---|---|---|
| (Diasorin, Saluggia, Italy) | ||
| IgG | <5.0 | <10 negative 10–15 threshold result >15 positive |
| IgM | 9.4 | <18 negative 18–22 threshold result >22 positive |
| (Viramed, Biotech AG, Germany) | ||
| IgG | Negative | |
| VIsE | – | |
| 100/p83 | – | |
| p58 | – | |
| 45/p43 | +/– | |
| BmpA/P39 | – | |
| p30 | – | |
| OspC/p25 | – | |
| 22/p21 | – | |
| 21/Osp17 | – | |
| DbpA | – | |
| 18/p14 | – | |
| IgM | Positive | |
| VIsE | – | |
| Fla/p41 | + | |
| BmpA/p39 | – | |
| OspC/p25 | + | |
| 21/Osp17 | – | |
| These analyses were performed on 4 June 2020 by MCL medical laboratories, Switzerland. The IgM in the immunoblot is considered positive if 2 out of 3 bands – OspC, BmpA (39 kDa), and Fla (41 kDa) – are detected []. | ||