From: Lyme borreliosis diagnosis: state of the art of improvements and innovations
Methods used | Symptoms / Stage of the disease | Patient's localization | ||||||
---|---|---|---|---|---|---|---|---|
America | Europe | |||||||
First test | Second test | Sensitivity | Specificity | References | Sensitivity | Specificity | References | |
VlsE C6-ELISA | na | Erythema migrans or early Lyme borreliosis AP | 29% | 96% | [68] | 65–68% | 91–92% | |
Erythema migrans or early Lyme borreliosis CP | 56% | 96% | 80–82% | |||||
Acute-phase neurologic or cardiac involvement | 98–100% | 96% | 94–100% | |||||
Arthritis or late neurologic involvement | 98–100% | 96% | 94–100% | |||||
Enzygnost-2® | C6-ELISA | Erythema migrans or early Lyme borreliosis | na | 78% | 96% | [59] | ||
Whole-Cell Sonicate ELISA | C6-ELISA | Erythema migrans or early Lyme borreliosis AP | 38–58% | 98–100% | na | |||
Erythema migrans or early Lyme borreliosis CP | 76–79% | 98–100% | ||||||
Borrelia DotBlot G® | na | nd | 93% | 35% | [69] | |||
MarDx® EIA | na | 100% | 92% | |||||
VIDAS® | na | 100% | 90% | |||||
VlSE1-IgG | pepC10-IgM | Erythema migrans or early Lyme borreliosis AP | 46% | 96% | [54] | |||
Erythema migrans or early Lyme borreliosis CP | 89% | |||||||
Acute-phase neurologic or cardiac involvement | 100% | |||||||
Arthritis or late neurologic involvement | 100% | |||||||
VlsE1-pepC10 | C6-ELISA | Erythema migrans or early Lyme borreliosis AP | na | 51% | 94–95% | [61] | ||
Erythema migrans or early Lyme borreliosis CP | 67% | |||||||
Acute-phase neurologic or cardiac involvement | 88% | |||||||
Arthritis or late neurologic involvement | 90% |