10 June 2023>: Articles
Diagnostic Dilemma in a Case of Lyme Borreliosis Presenting as Severe Anion Gap Metabolic Acidosis: A Case Report
Unusual clinical course, Challenging differential diagnosis, Rare coexistence of disease or pathology
Lindsey A. Wallace A* , Sarah Cullison A , Jacob Bowdon B , Aditya Shah D , Sumera Ahmad ADOI: 10.12659/AJCR.939196
Am J Case Rep 2023; 24:e939196
Table 3. Tickborne laboratory results.
Patient’s result | Reference range | |
---|---|---|
Lyme Ab IgM/IgG (blood) | Positive/positive | Negative/negative |
Anaplasma phagocytophilum antibody IgG (blood) | 1: 1024 | |
Anaplasma phagocytophilum antibody IgG (blood) | 1: 128 | |
Lyme IgG (CSF) | Reactive | Non-reactive |
Lyme CNS IgG Ab Index (CSF) | 1.0 | 0.7–1.3 |
Ab – antibody; CSF – cerebrospinal fluid; CNS – central nervous system. |