Diagnostic value of PCR analysis of synovial fluid for the diagnosis of Lyme borreliosis in dogs

Lyme borreliosis, also known as Lyme disease, is a chronic multiorgan disease of humans and animals transmitted by ticks of the Ixodidae family and caused by a group of spirochetes Borrelia burgdorferi sensu lato. Dogs are one of the most susceptible animal species to Lyme disease. Symptoms of the disease in dogs can range from mild lameness and fever to more severe and potentially life-threatening conditions, such as kidney damage and neurological disorders. Due to the variety of clinical manifestations and the lack of a universal diagnostic approach, veterinarians often face difficulties in accurately diagnosing the disease. Therefore, improving the algorithms for diagnosing Lyme borreliosis in dogs remains an urgent issue for practical veterinary medicine. The article describes and analyzes data on two cases of dogs from Kyiv (Ukraine) that presented with musculoskeletal disorders, including lameness, swelling of the knee joints, and tenderness, which raised suspicion of Lyme borreliosis. The diagnostic tests used to confirm the diagnosis of Lyme borreliosis included clinical blood test, C-reactive protein test, cerebrospinal fluid cytology, enzyme-linked immunosorbent assay for IgM and IgG antigens to Borrelia burgdorferi sensu lato, computed tomography and PCR analysis of synovial fluid for the presence of Borrelia burgdorferi sensu lato DNA. As a result, the clinical blood test, C-reactive protein test, and cerebrospinal fluid cytology were not diagnostically important for the diagnosis of Lyme borreliosis. In both cases, serological tests for antibodies to Borrelia burgdorferi sensu lato were not positive. Computed tomography showed the development of an inflammatory process in the knee joints with the formation of osteophytes, enthesophytes, sclerosis of the articular surfaces, and an increase in the volume of synovial bursa. The final diagnosis of Lyme arthritis in both dogs was established by PCR analysis of synovial fluid from the affected joints for the presence of Borrelia burgdorferi sensu lato DNA. This study emphasizes the importance of considering Lyme borreliosis as a potential cause of musculoskeletal disorders in dogs. We also propose an expanded algorithm for the diagnosis of Lyme borreliosis in dogs with a pronounced symptom complex of Lyme arthritis using the method of PCR analysis of synovial fluid to detect the DNA of Borrelia burgdorferi sensu lato spirochetes

Serological screening of antibodies to Borrelia burgdorferi in stray and pet dogs populations in Ukraine

This study describes for the first time in Ukraine the results of serological screening for antibodies to Borrelia burgdorferi sensu lato (s.l.) in the population of pet and stray dogs. The study was conducted in the city of Bila Tserkva, Kyiv region, in 2021 and 2022. A total of 351 serum samples were examined, of which 168 were collected from pet dogs and 183 from stray dogs. The study included the use of serological methods, including immunochromatographic analysis, enzyme-linked immunosorbent assay and Line blot is a simplified form of Western Blot. The results of the enzyme-linked immunosorbent assay showed that 14 positive samples from stray dogs had specific antibodies to B. burgdorferi s.l. In addition, 10 questionable serum samples were received, all from stray dogs. Further testing of the questionable samples using a Line blot assay showed that five of them contained antibodies to highly specific surface proteins of B. burgdorferi s.l., in particular to p100, VlsE and p18, confirming the presence of a natural infection. The remaining five samples were negative, indicating nonspecific immunoassay reactions. In contrast, the results of immunochromatographic analysis did not reveal any positive serum samples, which casts doubt on the possibility of using this method as a rapid screening tool for seroprevalence studies and requires further investigation. In summary, the study showed that the seroprevalence of Lyme borreliosis among the studied population of stray dogs remained stable between 2021 and 2022, with rates of 10.2% and 10.7%, respectively, without a statistically significant difference (p=0.9164). In contrast, the studied population of pet dogs was consistently seronegative for B. burgdorferi s.l. in both years. Statistical analysis revealed a significant difference in seroprevalence between the stray and pet dog populations studied (p<0.00001). The stability of the seroprevalence of Lyme borreliosis in the population of stray dogs indicates the constant presence and persistence of this zoonosis in the study region. This emphasizes the need to implement long-term surveillance to better understand the dynamics of the disease and the possibility of using dogs, especially stray dogs, as a «marker» species for predicting the risks associated with the spread of Lyme borreliosis. Continuous surveillance is crucial for the development of evidence-based strategies to combat vector-borne diseases within the framework of the One Health concept

Global uncertainty in the diagnosis of neurological complications of SARS-CoV-2 infection by both neurologists and non-neurologists: An international inter-observer variability study

Introduction: Uniform case definitions are required to ensure harmonised reporting of neurological syndromes associated with SARS-CoV-2. Moreover, it is unclear how clinicians perceive the relative importance of SARSCoV-2 in neurological syndromes, which risks under- or over-reporting. Methods: We invited clinicians through global networks, including the World Federation of Neurology, to assess ten anonymised vignettes of SARS-CoV-2 neurological syndromes. Using standardised case definitions, clinicians assigned a diagnosis and ranked association with SARS-CoV-2. We compared diagnostic accuracy and assigned association ranks between different settings and specialties and calculated inter-rater agreement for case definitions as "poor" (kappa &lt;= 0.4), "moderate" or "good" (kappa &gt; 0.6). Results: 1265 diagnoses were assigned by 146 participants from 45 countries on six continents. The highest correct proportion were cerebral venous sinus thrombosis (CVST, 95.8%), Guillain-Barre ' syndrome (GBS, 92.4%) and headache (91.6%) and the lowest encephalitis (72.8%), psychosis (53.8%) and encephalopathy (43.2%). Diagnostic accuracy was similar between neurologists and non-neurologists (median score 8 vs. 7/10, p = 0.1). settings with few neurologists. However, encephalopathy, encephalitis, and psychosis were often misdiagnosed