Infectiologic differential diagnosis of chronic Lyme disease and so ...

Table 2
LD coinfections (not tick-borne)
Disease* Pathogen
Mycoplasma infections Mycoplasma pneumoniae
Chlamydophila pneumoniae infection Chlamydophila pneumoniae
Chlamydia trachomatis infection Chlamydia trachomatis
Yersiniosis Yersinia enterocolitica
(Y. pseudotuberculosis (USA))
Parvovirus B19 infection Human parvovirus B19
* The relevant coinfections are highlighted in bold type.
The frequency of seropositivity and positive LTT (lymphocyte transformation test)
was studied on my own clientele (n = 108). The results are presented in Table 3.
The investigations were conducted at the Institute for Medical Diagnostics (IMD) in
Berlin. For more detailed information, please refer to the corresponding reference
[339]. An LTT is not available for Bartonella. An LTT was not performed for
Mycoplasma pneumoniae. The high incidence of the Chlamydia trachomatis LTT is
conspicuous and unresolved.
Table 3
Seropositivity and positive LTT with regard to coinfections in %
(in patients with chronic Lyme disease)
Seropositivity Positive LTT
Mycoplasma pneumoniae 36 -
Chlamydophila p. 62 66
Chlamydia trachomatis 5 100
Yersinia enterocolitica 58 50
Bartonella henselae 78 -
According to investigations on my own clientele, CD57 NK cells are frequently
diminished in chronic Lyme disease, but seldom in cases involving coinfections.
However, the basic principle is that CD57 NK cells can be diminished in all chronic
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