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Anna Moniuszko-Malinowska
Department of Infectious Diseases and Neuroinfections, Medical University of Bialystok, 15-089 Białystok, Poland

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Journal article
Published: 07 August 2021 in Vaccines
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Since the declaration of the SARS-CoV-2 pandemic confirmed by World Health Organization, work on the development of vaccines has been stimulated. When vaccines are commonly available, a major problem is persistent vaccine hesitancy in many European countries. The main goal of our study was to understand the multidimensional factors inducing this phenomenon in Poland. Our study was carried out at the third wave’s peak of the pandemic, with record rates of daily cases and deaths associated with COVID-19. The results indicate that vaccine hesitancy/acceptability should always be considered in an interdisciplinary manner and according to identified factors where most negative attitudes could be altered. Our analyses included the assessment of a representative quota sample of adult Poles (N = 1000). The vaccine hesitancy in the studied group reached 49.2%. We performed stepwise logistic regression modeling to analyze variables set into six trajectories (groups) predicting the willingness to vaccinate. Apart from typical, socio-demographic and economic determinants, we identified the fear of vaccines’ side effects, beliefs in conspiracy theories and physical fitness. We were also able to establish the order of importance of factors used in a full model of all impact trajectories.

ACS Style

Paweł Sowa; Łukasz Kiszkiel; Piotr Laskowski; Maciej Alimowski; Łukasz Szczerbiński; Marlena Paniczko; Anna Moniuszko-Malinowska; Karol Kamiński. COVID-19 Vaccine Hesitancy in Poland—Multifactorial Impact Trajectories. Vaccines 2021, 9, 876 .

AMA Style

Paweł Sowa, Łukasz Kiszkiel, Piotr Laskowski, Maciej Alimowski, Łukasz Szczerbiński, Marlena Paniczko, Anna Moniuszko-Malinowska, Karol Kamiński. COVID-19 Vaccine Hesitancy in Poland—Multifactorial Impact Trajectories. Vaccines. 2021; 9 (8):876.

Chicago/Turabian Style

Paweł Sowa; Łukasz Kiszkiel; Piotr Laskowski; Maciej Alimowski; Łukasz Szczerbiński; Marlena Paniczko; Anna Moniuszko-Malinowska; Karol Kamiński. 2021. "COVID-19 Vaccine Hesitancy in Poland—Multifactorial Impact Trajectories." Vaccines 9, no. 8: 876.

Journal article
Published: 29 June 2021 in Journal of Clinical Medicine
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Background: Tick-borne encephalitis (TBE) is inflammation of the central nervous system (CNS) caused by a viral infection which may be associated with increased synthesis of immunoglobulins. It can lead to inter alia, breakdown of the blood-brain barrier (BBB), or even death and, unfortunately, treatment is only symptomatic. Therefore, the aim of the present study was assessment of the concentrations of free light chains (FLC) kappa (κ) and lambda (λ in the cerebrospinal fluid (CSF) and serum of patients with TBE. Methods: A total of 58 cerebrospinal fluid and serum sample pairs were analyzed. Samples were collected from patients with TBE before and after treatment. FLC were measured using the turbidimetric method. The values of κIgG-index, λIgG-index, κFLC-index and λFLC-index were calculated using relevant formulas. Results: Pre-treatment serum λFLC concentrations were higher in comparison to post-treatment levels. Moreover, it was observed that CSF λFLC, TBEV IgM, TBEV IgG, and serum TBEV IgG, as well as the values of λFLC-index, κFLC-index, and λIgG-index were elevated after treatment. In the total study group, the concentrations of CSF κFLC and λFLC, and values of four indexes: κFLC-index, λFLC-index, κIgG-index, and λIgG-index correlated with each other and with CSF TBEV IgM and IgG antibodies. The CSF level of TBEV IgG was also associated with serum IgG TBEV and CSF IgM TBEV antibodies. Additionally, serum κFLC correlated with serum and CSF λFLC. Conclusion: This is the first study that demonstrates statistically significant differences in serum and CSF λFLC, as well as in the calculated values of three algorithms: λIgG-index, κFLC-index, and λIgG-index prior to and following treatment of TBE. Our findings may indicate that these differences reflect the intrathecal synthesis of immunoglobulins and increased permeability of BBB in patients with TBE. Moreover, it could provide the basis for developing new therapeutic strategies.

ACS Style

Monika Gudowska-Sawczuk; Piotr Czupryna; Anna Moniuszko-Malinowska; Sławomir Pancewicz; Barbara Mroczko. Free Immunoglobulin Light Chains in Patients with Tick-Borne Encephalitis: Before and after Treatment. Journal of Clinical Medicine 2021, 10, 2922 .

AMA Style

Monika Gudowska-Sawczuk, Piotr Czupryna, Anna Moniuszko-Malinowska, Sławomir Pancewicz, Barbara Mroczko. Free Immunoglobulin Light Chains in Patients with Tick-Borne Encephalitis: Before and after Treatment. Journal of Clinical Medicine. 2021; 10 (13):2922.

Chicago/Turabian Style

Monika Gudowska-Sawczuk; Piotr Czupryna; Anna Moniuszko-Malinowska; Sławomir Pancewicz; Barbara Mroczko. 2021. "Free Immunoglobulin Light Chains in Patients with Tick-Borne Encephalitis: Before and after Treatment." Journal of Clinical Medicine 10, no. 13: 2922.

Brief report
Published: 16 June 2021 in International Journal of Environmental Research and Public Health
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Background: The aim of our study was to examine the performance of two assays in detecting SARS-CoV-2 antibodies. Methods: A total of 127 COVID-19 disease contacts from the Infectious Diseases Department were included. Two serological tests were used: SARS-CoV-2 IgG CMIA on the Alinity system (Abbott) and LIAISON® SARS-CoV-2 S1/S2 IgG CLIA (DiaSorin). Results: The assays exhibited a 96.85% (123/127 patients) test result agreement. In two cases, the positive results obtained by SARS-CoV-2 IgG CMIA on the Alinity system (Abbott) were negative based on the LIAISON® SARS-CoV-2 S1/S2 IgG CLIA (DiaSorin) test, and in two cases, negative results from the LIAISON® SARS-CoV-2 S1/S2 IgG CLIA (DiaSorin) test were positive with the SARS-CoV-2 IgG CMIA on the Alinity system (Abbott). Conclusions: Based on the results of our study, we conclude that in population medicine, the assessments of anti-SARS-CoV-2 antibodies after exposure to SARS-CoV-2 virus based on spike protein or nucleocapsid protein show comparable effectiveness.

ACS Style

Anna Moniuszko-Malinowska; Wojciech Jelski; Justyna Dunaj; Barbara Mroczko; Piotr Czupryna; Ewelina Kruszewska; Sławomir Pancewicz. Serology in COVID-19: Comparison of Two Methods. International Journal of Environmental Research and Public Health 2021, 18, 6497 .

AMA Style

Anna Moniuszko-Malinowska, Wojciech Jelski, Justyna Dunaj, Barbara Mroczko, Piotr Czupryna, Ewelina Kruszewska, Sławomir Pancewicz. Serology in COVID-19: Comparison of Two Methods. International Journal of Environmental Research and Public Health. 2021; 18 (12):6497.

Chicago/Turabian Style

Anna Moniuszko-Malinowska; Wojciech Jelski; Justyna Dunaj; Barbara Mroczko; Piotr Czupryna; Ewelina Kruszewska; Sławomir Pancewicz. 2021. "Serology in COVID-19: Comparison of Two Methods." International Journal of Environmental Research and Public Health 18, no. 12: 6497.

Journal article
Published: 02 June 2021 in Ticks and Tick-borne Diseases
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The aim of our study was to clarify the clinical picture of anaplasmosis through analysis of the symptoms and clinical signs presented by infected patients in a cohort of tick-bitten individuals. The study included 1375 patients with suspicion of tick-borne disease. Finally, 120 patients (8.7%) were diagnosed with anaplasmosis (HGA). Blood samples were examined by PCR for Anaplasma phagocytophilum, Candidatus Neoehrlichia mikurensis, Borrelia burgdorferi sensu lato, Babesia spp., and Bartonella spp.. Based on analysis of 120 patients with HGA we concluded that anaplasmosis is not as rare in Europe, as it is thought to be and often appears as a co-infection with other tick-borne pathogens. The co-infection rate of patients with A. phagocytophilum infection in tick endemic area is high. Co-infection of A. phagocytophilum with B. burgdorferi s.l. or tick-borne encephalitis virus may influence symptoms frequency. PCR together with medical history, clinical picture and basic laboratory tests is a sufficient method for the diagnosis of anaplasmosis. Doxycycline is an effective drug leading to complete recovery.

ACS Style

Anna Moniuszko-Malinowska; Justyna Dunaj; Martin O. Andersson; Tomasz Chmielewski; Piotr Czupryna; Monika Groth; Sambor Grygorczuk; Joanna Zajkowska; Maciej Kondrusik; Ewelina Kruszewska; Sławomir Pancewicz. Anaplasmosis in Poland – analysis of 120 patients. Ticks and Tick-borne Diseases 2021, 12, 101763 .

AMA Style

Anna Moniuszko-Malinowska, Justyna Dunaj, Martin O. Andersson, Tomasz Chmielewski, Piotr Czupryna, Monika Groth, Sambor Grygorczuk, Joanna Zajkowska, Maciej Kondrusik, Ewelina Kruszewska, Sławomir Pancewicz. Anaplasmosis in Poland – analysis of 120 patients. Ticks and Tick-borne Diseases. 2021; 12 (5):101763.

Chicago/Turabian Style

Anna Moniuszko-Malinowska; Justyna Dunaj; Martin O. Andersson; Tomasz Chmielewski; Piotr Czupryna; Monika Groth; Sambor Grygorczuk; Joanna Zajkowska; Maciej Kondrusik; Ewelina Kruszewska; Sławomir Pancewicz. 2021. "Anaplasmosis in Poland – analysis of 120 patients." Ticks and Tick-borne Diseases 12, no. 5: 101763.

Preprint content
Published: 02 March 2021
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Background Tick-Borne Encephalitis (TBE) is a viral infection of the Central Nervous System (CNS) caused by Tick-Borne Encephalitis Virus (TBEV). It might take several clinical courses such as: meningitis, meningoencephalitis or meningoencephalomyelitis. The aim this study was to compare the YKL-40 concentration in cerebrospinal fluid (CSF) of patients with different clinical presentations of TBE and patients with excluded meningitis (control group). Methods The concentration of YKL-40 in CSF was determined using Fujirebio tests (Ghent, Belgium) in 32 patients with TBE: group I—patients with meningoencephalitis (n = 16); group II—patients with meningitis (n = 16). The control group (CG) consisted of 17 patients in whom inflammatory process in central nervous system was excluded. Results The concentration of YKL-40 was significantly higher in encephalitis group than in CG after 7 days from the last dose of treatment. The concentration in patients with neuroinflammation had significantly different concentration of YKL-40 compared to patients with no neuroinflammation control groups. ROC curve analysis indicates that: CSF YKL-40 concentration at cut off 783.87 differentiated TBE patients from CG with 100% specificity and 70% sensitivity and CSF YKL-40 concentration at cut off 980.11 differentiated meningitis from meningoencephalitis with 87.5% specificity and 62.5% sensitivity. Conclusions YKL-40 takes part in TBE pathogenesis, its concentration is the highest at the early stage of Central Nervous System involvement and decreases in the convalescent period. As YKL-40 is significantly higher in meningitis than in meningoencephalitis, it might be used as biomarker in differentiation of these clinical forms of TBE.

ACS Style

Piotr Czupryna; Agnieszka Kulczyńska-Przybik; Barbara Mroczko; Mulugeta Wondim; Sambor Grygorczuk; Karol Borawski; Sławomir Pancewicz; Anna Moniuszko-Malinowska. Assessment of the YKL-40 concentration in patients with tick-borne encephalitis. 2021, 1 .

AMA Style

Piotr Czupryna, Agnieszka Kulczyńska-Przybik, Barbara Mroczko, Mulugeta Wondim, Sambor Grygorczuk, Karol Borawski, Sławomir Pancewicz, Anna Moniuszko-Malinowska. Assessment of the YKL-40 concentration in patients with tick-borne encephalitis. . 2021; ():1.

Chicago/Turabian Style

Piotr Czupryna; Agnieszka Kulczyńska-Przybik; Barbara Mroczko; Mulugeta Wondim; Sambor Grygorczuk; Karol Borawski; Sławomir Pancewicz; Anna Moniuszko-Malinowska. 2021. "Assessment of the YKL-40 concentration in patients with tick-borne encephalitis." , no. : 1.

Journal article
Published: 16 January 2021 in Advances in Medical Sciences
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Dermacentor reticulatus is the second most common tick species in Poland after Ixodes ricinus. The aim of the study was to analyze the presence of pathogen DNA in D. reticulatus. Ticks were collected in The Protected Landscape Area of the Bug and Nurzec Valley (52°40′ N and 22°28’ E) between 2016 and 2017. End-point PCR for Borrelia burgdorferi sensu lato, Anaplasma phagocytophilum, Babesia spp., Rickettsia spp., Bartonella spp. and Coxiella burnetii detection was performed. Tick-borne pathogens’ DNA was detected in 11.3% of 301 ticks: B. burgdorferi s.l. in 3.6%, Babesia spp. in 6.3%, A. phagocytophilum in 0.7% and B. burgdorferi s.l.-Babesia spp. co-infection in 0.7%. In all 21 Babesia spp. positive samples, sequence analysis confirmed the presence of Babesia canis with an 80.3%–98.3% homology with the B. canis sequences in GenBank. C. burnetii, Bartonella spp., and Rickettsia spp. DNA were not detected. Dermacentor reticulatus from north-eastern Poland were found to carry three of the most common tick-borne pathogens (B. burgdorferi s.l., Babesia canis, A. phagocytophilum) which lead to single and mixed infections. Babesia canis was the most prevalent pathogen identified in D. reticulatus.

ACS Style

Justyna Dunaj; Adam Trzeszczkowski; Anna Moniuszko-Malinowska; Krzysztof Rutkowski; Sławomir Pancewicz. Assessment of tick-borne pathogens presence in Dermacentor reticulatus ticks in north-eastern Poland. Advances in Medical Sciences 2021, 66, 113 -118.

AMA Style

Justyna Dunaj, Adam Trzeszczkowski, Anna Moniuszko-Malinowska, Krzysztof Rutkowski, Sławomir Pancewicz. Assessment of tick-borne pathogens presence in Dermacentor reticulatus ticks in north-eastern Poland. Advances in Medical Sciences. 2021; 66 (1):113-118.

Chicago/Turabian Style

Justyna Dunaj; Adam Trzeszczkowski; Anna Moniuszko-Malinowska; Krzysztof Rutkowski; Sławomir Pancewicz. 2021. "Assessment of tick-borne pathogens presence in Dermacentor reticulatus ticks in north-eastern Poland." Advances in Medical Sciences 66, no. 1: 113-118.

Preprint content
Published: 29 December 2020
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Background Tick-Borne Encephalitis (TBE) is a viral infection of the Central Nervous System (CNS) caused by Tick-Borne Encephalitis Virus (TBEV). It might take several clinical courses such as: meningitis, meningoencephalitis or meningoencephalomyelitis. The aim this study was to compare the YKL-40 concentration in cerebrospinal fluid (CSF) of patients with different clinical presentations of TBE and patients with excluded meningitis (control group). Methods The concentration of YKL-40 in CSF was determined using Fujirebio tests (Ghent, Belgium) in 32 patients with TBE: group I—patients with meningoencephalitis (n = 16); group II—patients with meningitis (n = 16). The control group (CG) consisted of 17 patients in whom inflammatory process in central nervous system was excluded. Results The concentration of YKL-40 was significantly higher in encephalitis group than in CG after 7 days from the last dose of treatment. The concentration in patients with neuroinflammation had significantly different concentration of YKL-40 compared to patients with no neuroinflammation control groups. ROC curve analysis indicates that: CSF YKL-40 concentration at cut off 783.87 differentiated TBE patients from CG with 100% specificity and 70% sensitivity and CSF YKL-40 concentration at cut off 980.11 differentiated meningitis from meningoencephalitis with 87.5% specificity and 62.5% sensitivity. Conclusions YKL-40 takes part in TBE pathogenesis, its concentration is the highest at the early stage of Central Nervous System involvement and decreases in the convalescent period. As YKL-40 is significantly higher in meningitis than in meningoencephalitis, it might be used as biomarker in differentiation of these clinical forms of TBE.

ACS Style

Piotr Czupryna; Agnieszka Kulczyńka-Przybik; Barbara Mroczko; Mulugeta Wondim; Sambor Grygorczuk; Karol Borawski; Sławomir Pancewicz; Anna Moniuszko. Assessment of the YKL-40 concentration in patients with tick-borne encephalitis. 2020, 1 .

AMA Style

Piotr Czupryna, Agnieszka Kulczyńka-Przybik, Barbara Mroczko, Mulugeta Wondim, Sambor Grygorczuk, Karol Borawski, Sławomir Pancewicz, Anna Moniuszko. Assessment of the YKL-40 concentration in patients with tick-borne encephalitis. . 2020; ():1.

Chicago/Turabian Style

Piotr Czupryna; Agnieszka Kulczyńka-Przybik; Barbara Mroczko; Mulugeta Wondim; Sambor Grygorczuk; Karol Borawski; Sławomir Pancewicz; Anna Moniuszko. 2020. "Assessment of the YKL-40 concentration in patients with tick-borne encephalitis." , no. : 1.

Journal article
Published: 24 December 2020 in Journal of Clinical Medicine
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Because the optimal treatment for COVID-19 is still unknown, it is important to explore every potential way of improving the chances of survival for COVID-19 patients. The aim of the study was to analyze the effectiveness of convalescent plasma on COVID-19 patients. The study population consisted of 78 patients diagnosed with COVID-19, selected from the SARSTer national database, who received convalescent plasma. The impact on clinical and laboratory parameters was assessed. A clinical improvement was observed in 62 (79%) patients, and 10 (13%) patients died from COVID-19. No side effects of the convalescent plasma treatment were observed. When plasma was administered earlier than 7 days from diagnosis, the total hospitalization time was shorter (p < 0.05). Plasma efficacy was inferior to remdesivir in endpoints such as the necessity and duration of oxygen therapy, the duration of hospitalization, and mortality rate, and inferior to other drugs in the case of the duration of hospitalization and the necessity of constant oxygen therapy, but comparable in most other measured endpoints. A comparison of a 30-day mortality rate in patients who received plasma and remdesivir (4/25, 16%) and who received only plasma (6/53, 11%) showed no significant difference. Convalescent plasma efficacy is inferior to remdesivir when treating COVID-19 patients but the addition of remdesivir to plasma does not improve the treatment effectiveness. In most endpoints, plasma was comparable to other treatment options. In our opinion, convalescent plasma may be used as a supportive treatment in COVID-19 patients because of the low frequency of adverse effects and availability, but must be given as early from the diagnosis as possible.

ACS Style

Anna Moniuszko-Malinowska; Piotr Czupryna; Dorota Zarębska-Michaluk; Krzysztof Tomasiewicz; Sławomir Pancewicz; Marta Rorat; Anna Dworzańska; Katarzyna Sikorska; Beata Bolewska; Beata Lorenc; Andrzej Chciałowski; Dorota Kozielewicz; Barbara Oczko-Grzesik; Anna Szymanek-Pasternak; Bartosz Szetela; Magdalena Figlerowicz; Magdalena Rogalska; Izabela Zaleska; Robert Flisiak. Convalescent Plasma Transfusion for the Treatment of COVID-19—Experience from Poland: A Multicenter Study. Journal of Clinical Medicine 2020, 10, 28 .

AMA Style

Anna Moniuszko-Malinowska, Piotr Czupryna, Dorota Zarębska-Michaluk, Krzysztof Tomasiewicz, Sławomir Pancewicz, Marta Rorat, Anna Dworzańska, Katarzyna Sikorska, Beata Bolewska, Beata Lorenc, Andrzej Chciałowski, Dorota Kozielewicz, Barbara Oczko-Grzesik, Anna Szymanek-Pasternak, Bartosz Szetela, Magdalena Figlerowicz, Magdalena Rogalska, Izabela Zaleska, Robert Flisiak. Convalescent Plasma Transfusion for the Treatment of COVID-19—Experience from Poland: A Multicenter Study. Journal of Clinical Medicine. 2020; 10 (1):28.

Chicago/Turabian Style

Anna Moniuszko-Malinowska; Piotr Czupryna; Dorota Zarębska-Michaluk; Krzysztof Tomasiewicz; Sławomir Pancewicz; Marta Rorat; Anna Dworzańska; Katarzyna Sikorska; Beata Bolewska; Beata Lorenc; Andrzej Chciałowski; Dorota Kozielewicz; Barbara Oczko-Grzesik; Anna Szymanek-Pasternak; Bartosz Szetela; Magdalena Figlerowicz; Magdalena Rogalska; Izabela Zaleska; Robert Flisiak. 2020. "Convalescent Plasma Transfusion for the Treatment of COVID-19—Experience from Poland: A Multicenter Study." Journal of Clinical Medicine 10, no. 1: 28.

Preprint content
Published: 23 December 2020
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The aim of our study was to investigate the difference in the anti-SARS-CoV-2 antibodies assessment with two various assays. 127 patients exposed to SARS-CoV-2 were included. Two serological tests were used: SARS-CoV-2 IgG CMIA on the Alinity system (ABBOTT) and LIAISON® SARS-CoV-2 S1/S2 IgG CLIA (DiaSorin). Both assays exhibited 96.85% (123/127 patients) overall compatibility. In 2 cases the positive results in N-based test, were negative in S-based test, and in 2 cases negative results in S-based test were positive in N-based test. Based on the results of our study we concluded that the assessment of anti-SARS-CoV-2 antibodies against N and S protein in population medicine shows comparable usefulness of both tests.

ACS Style

Anna Moniuszko-Malinowska; Wojciech Jelski; Justyna Dunaj; Barbara Mroczko; Piotr Czupryna; Ewelina Kruszewska; Sławomir Pancewicz. Serology in COVID-19 – Comparison of Two Methods. 2020, 1 .

AMA Style

Anna Moniuszko-Malinowska, Wojciech Jelski, Justyna Dunaj, Barbara Mroczko, Piotr Czupryna, Ewelina Kruszewska, Sławomir Pancewicz. Serology in COVID-19 – Comparison of Two Methods. . 2020; ():1.

Chicago/Turabian Style

Anna Moniuszko-Malinowska; Wojciech Jelski; Justyna Dunaj; Barbara Mroczko; Piotr Czupryna; Ewelina Kruszewska; Sławomir Pancewicz. 2020. "Serology in COVID-19 – Comparison of Two Methods." , no. : 1.

Original paper
Published: 30 October 2020 in International Journal of Clinical Practice
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Aim There are many causes of facial nerve palsy. The most common causes are neuroborreliosis (NB), idiopathic paralysis or Herpes simplex virus (HSV) reactivation. The aim of this study was to characterize patients with facial palsy in the course of NB and to determine whether HSV‐1 reactivation takes place during the acute phase of NB. Methods A retrospective analysis of 66 patients with facial nerve palsy was performed. In 38 patients, facial palsy was caused by Borrelia burgdorferi sl infection. Immunological tests for HSV‐1, tick‐borne encephalitis virus and B burgdorferi sl in serum and cerebrospinal fluid (CSF) were performed. Results In this analysis, 55.2% of NB patients had right nerve palsy and 21% bilateral palsy; 15.8% of patients had erythema migrans (EM). Lymphocytic meningitis was diagnosed in 92% of patients and Bannwarth's syndrome was diagnosed in 47% of patients. IgM anti‐HSV‐1 antibodies were detected in four patients with NB and two patients with facial nerve palsy of other origin. IgM anti‐HSV‐1 antibodies were detected in the CSF of three patients (7.9%) with NB, and one of them had bilateral VII paresis and EM simultaneously. Treatment with ceftriaxone or doxycycline led to complete recovery. Conclusions Neuroborreliosis should always be considered as a cause of peripheral facial nerve palsy. Peripheral facial nerve palsy is a significant symptom in the course of NB, especially in patients accompanied by meningitis. Pathomechanism of facial nerve paresis has not been well explained so far and may depend on two independent mechanisms in NB, including HSV‐1 reactivation.

ACS Style

Anna Moniuszko‐Malinowska; Katarzyna Guziejko; Agata Czarnowska; Alina Kułakowska; Olga Zajkowska; Sławomir Pancewicz; Renata Świerzbińska; Justyna Dunaj; Piotr Czupryna; Magdalena Róg‐Makal; Joanna Zajkowska. Assessment of anti‐HSV antibodies in patients with facial palsy in the course of neuroborreliosis. International Journal of Clinical Practice 2020, 75, e13749 .

AMA Style

Anna Moniuszko‐Malinowska, Katarzyna Guziejko, Agata Czarnowska, Alina Kułakowska, Olga Zajkowska, Sławomir Pancewicz, Renata Świerzbińska, Justyna Dunaj, Piotr Czupryna, Magdalena Róg‐Makal, Joanna Zajkowska. Assessment of anti‐HSV antibodies in patients with facial palsy in the course of neuroborreliosis. International Journal of Clinical Practice. 2020; 75 (3):e13749.

Chicago/Turabian Style

Anna Moniuszko‐Malinowska; Katarzyna Guziejko; Agata Czarnowska; Alina Kułakowska; Olga Zajkowska; Sławomir Pancewicz; Renata Świerzbińska; Justyna Dunaj; Piotr Czupryna; Magdalena Róg‐Makal; Joanna Zajkowska. 2020. "Assessment of anti‐HSV antibodies in patients with facial palsy in the course of neuroborreliosis." International Journal of Clinical Practice 75, no. 3: e13749.

Journal article
Published: 29 September 2020
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ACS Style

Anna Moniuszko-Malinowska; Piotr Czupryna; Barbara Boczkowska-Radziwon; Tomasz Wasiluk; Karol Borawski; Justyna Dunaj; Magdalena Bujno; Piotr Radziwon; Krzysztof Rutkowski; Sławomir Pancewicz. A 63-Year-Old Woman with SARS-CoV-2 Infection, Who Developed Severe COVID-19 Pneumonia and Was Supported with Convalescent Plasma Therapy. 2020, 21, e927662-1 -e927662-5.

AMA Style

Anna Moniuszko-Malinowska, Piotr Czupryna, Barbara Boczkowska-Radziwon, Tomasz Wasiluk, Karol Borawski, Justyna Dunaj, Magdalena Bujno, Piotr Radziwon, Krzysztof Rutkowski, Sławomir Pancewicz. A 63-Year-Old Woman with SARS-CoV-2 Infection, Who Developed Severe COVID-19 Pneumonia and Was Supported with Convalescent Plasma Therapy. . 2020; 21 ():e927662-1-e927662-5.

Chicago/Turabian Style

Anna Moniuszko-Malinowska; Piotr Czupryna; Barbara Boczkowska-Radziwon; Tomasz Wasiluk; Karol Borawski; Justyna Dunaj; Magdalena Bujno; Piotr Radziwon; Krzysztof Rutkowski; Sławomir Pancewicz. 2020. "A 63-Year-Old Woman with SARS-CoV-2 Infection, Who Developed Severe COVID-19 Pneumonia and Was Supported with Convalescent Plasma Therapy." 21, no. : e927662-1-e927662-5.

Article
Published: 10 June 2020 in Journal of NeuroVirology
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The aim of our study was to compare the course of TBE in children and adults. A retrospective analysis of the medical records of 669 patients was performed. The patients were categorized into 2 groups: Group I with 68 children and group II with 601 adults. TBE symptoms in children were milder compared with adults, with meningitis in 97% of cases. In adults, meningoencephalitis and meningoencephalomyelitis made up 49.26% of cases. Nausea and vomiting are more frequent in children, while neurological manifestations are more frequent in adults. There were no differences in CSF pleocytosis at the onset of disease in both groups, while CSF protein concentration was higher in adults. Children treated with corticosteroids over 7 days had higher checkup pleocytosis than pleocytosis at the onset of disease compared with adults. Corticosteroid use prolongs the disease duration but does not influence the development of TBE sequelae. Children had more favourable outcomes than adult patients.

ACS Style

Katarzyna Krawczuk; Piotr Czupryna; Sławomir Pancewicz; Elżbieta Ołdak; Anna Moniuszko-Malinowska. Comparison of tick-borne encephalitis between children and adults—analysis of 669 patients. Journal of NeuroVirology 2020, 26, 565 -571.

AMA Style

Katarzyna Krawczuk, Piotr Czupryna, Sławomir Pancewicz, Elżbieta Ołdak, Anna Moniuszko-Malinowska. Comparison of tick-borne encephalitis between children and adults—analysis of 669 patients. Journal of NeuroVirology. 2020; 26 (4):565-571.

Chicago/Turabian Style

Katarzyna Krawczuk; Piotr Czupryna; Sławomir Pancewicz; Elżbieta Ołdak; Anna Moniuszko-Malinowska. 2020. "Comparison of tick-borne encephalitis between children and adults—analysis of 669 patients." Journal of NeuroVirology 26, no. 4: 565-571.

Journal article
Published: 15 May 2020 in Ticks and Tick-borne Diseases
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In tick-borne encephalitis (TBE) the cerebrospinal fluid (CSF) cytosis is dominated by T CD3+CD4+ and T CD3+CD8+ lymphocytes, but their pathogenetic roles and mechanisms of migration into central nervous system (CNS) are unclear. Currently, we have studied CSF lymphocyte subsets and chemotactic axes in TBE patients stratified according to the clinical presentation. Blood and CSF were obtained from 51 patients with TBE (presenting as meningitis in 30, meningoencephalitis in 18 and meningoencephalomyelitis in 3), 20 with non-TBE meningitis and 11 healthy controls. We have studied: (1) abundances of the main lymphocyte subsets and (2) CXCR3 and CCR5 expression on CD3+CD4+ and CD3+CD8+ lymphocytes cytometrically with fluorochrome-stained monoclonal antibodies; (3) concentrations of chemotactic cytokines: CCL5 (CCR5 ligand), CXCL10 (CXCR3 ligand), IL-16, CCL2, CCL20 and CXCL5 with ELISA. Cytokine concentrations were additionally studied in 8 pediatric TBE patients. Data were analyzed with non-parametric tests, p < 0.05 considered significant. The higher CSF lymphocyte counts were associated with symptoms of CNS involvement, especially with altered consciousness (B, Th and Tc cells) and focal neurologic deficits (B cells). The minor fraction of double-positive T CD4+CD8+ cells was unique in associating negatively with encephalitis and altered consciousness. CSF CD3+CD4+ and CD3+CD8+ lymphocyte population was enriched in CCR5-positive cells and CCL5 concentration in CSF was increased and associated with a milder presentation. Although CXCL10 was vividly up-regulated intrathecally and correlated with CSF T lymphocyte counts, the CXCR3 expression in CSF T lymphocytes was low. Serum and CSF concentrations of CCL2, CXCL5 and IL-16 were increased in adult TBE patients, CCL2 created a chemotactic gradient towards CSF and both CCL2 and IL-16 concentrations correlated positively with CSF lymphocyte counts. The particular lymphoid cell populations in CSF associate differently with the clinical presentation of TBE, suggesting their distinct roles in pathogenesis. CCR5/CCL5 axis probably contributes to T lymphocyte migration into CNS. CXCL10 mediates the intrathecal immune response, but is probably not directly responsible for T cell migration. Additional chemotactic factors must be involved, probably including CCL2 and IL-16.

ACS Style

Sambor Grygorczuk; Joanna Osada; Kacper Toczyłowski; Artur Sulik; Piotr Czupryna; Anna Moniuszko-Malinowska; Maciej Kondrusik; Renata Świerzbińska; Justyna Dunaj; Sławomir Pancewicz; Milena Dąbrowska. The lymphocyte populations and their migration into the central nervous system in tick-borne encephalitis. Ticks and Tick-borne Diseases 2020, 11, 101467 .

AMA Style

Sambor Grygorczuk, Joanna Osada, Kacper Toczyłowski, Artur Sulik, Piotr Czupryna, Anna Moniuszko-Malinowska, Maciej Kondrusik, Renata Świerzbińska, Justyna Dunaj, Sławomir Pancewicz, Milena Dąbrowska. The lymphocyte populations and their migration into the central nervous system in tick-borne encephalitis. Ticks and Tick-borne Diseases. 2020; 11 (5):101467.

Chicago/Turabian Style

Sambor Grygorczuk; Joanna Osada; Kacper Toczyłowski; Artur Sulik; Piotr Czupryna; Anna Moniuszko-Malinowska; Maciej Kondrusik; Renata Świerzbińska; Justyna Dunaj; Sławomir Pancewicz; Milena Dąbrowska. 2020. "The lymphocyte populations and their migration into the central nervous system in tick-borne encephalitis." Ticks and Tick-borne Diseases 11, no. 5: 101467.

Correspondence
Published: 01 April 2020 in Travel Medicine and Infectious Disease
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To investigate to what extent early Lyme borreliosis patients with erythema migrans are infected with Anaplasma phagocytophilum. 310 patients from Poland with erythema migrans were included in the study. One hundred and eighty-three patients (59%) agreed to have both skin biopsy and blood samples analysed for Borrelia burgdorferi, A. phagocytophilum and ‘Candidatus Neoehrlichia mikurensis’, with PCR. Positive samples were confirmed with sequencing. B. burgdorferi DNA was detected in 49.7% of the skin samples and in 1.1% of the blood samples. A. phagocytophilum DNA was found in 7.1% blood samples, and in 8.2% of the skin biopsies. In four patients, A. phagocytophilum DNA was detected only in blood; in one case A. phagocytophilum DNA was found simultaneously in blood and skin, and additionally in this patients’ blood Borrelia DNA was detected. In four skin samples B. burgdorferi DNA was detected simultaneously with A. phagocytophilum DNA, indicative of a co-infection. A. phagocytophilum may be present in early Lyme borreliosis characterized by erythema migrans and should always be considered as a differential diagnostic following a tick bite and considered in treatment schemes, as these differs (in early stage of Lyme borreliosis doxycycline, amoxicillin, cefuroxime axetil and azithromycin are recommended, while in anaplasmosis the most effective courses of treatment are doxycycline, rifampin and levofloxacin). Consequently, the role of A. phagocytophilum in erythema migrans should be further studied.

ACS Style

Anna Moniuszko-Malinowska; Justyna Dunaj; Martin O. Andersson; Piotr Czupryna; Joanna Zajkowska; Katarzyna Guziejko; Adam Garkowski; Sambor Grygorczuk; Maciej Kondrusik; Sławomir Pancewicz. Assessment of Anaplasma phagocytophilum presence in early Lyme borreliosis manifested by erythema migrans skin lesions. Travel Medicine and Infectious Disease 2020, 36, 101648 .

AMA Style

Anna Moniuszko-Malinowska, Justyna Dunaj, Martin O. Andersson, Piotr Czupryna, Joanna Zajkowska, Katarzyna Guziejko, Adam Garkowski, Sambor Grygorczuk, Maciej Kondrusik, Sławomir Pancewicz. Assessment of Anaplasma phagocytophilum presence in early Lyme borreliosis manifested by erythema migrans skin lesions. Travel Medicine and Infectious Disease. 2020; 36 ():101648.

Chicago/Turabian Style

Anna Moniuszko-Malinowska; Justyna Dunaj; Martin O. Andersson; Piotr Czupryna; Joanna Zajkowska; Katarzyna Guziejko; Adam Garkowski; Sambor Grygorczuk; Maciej Kondrusik; Sławomir Pancewicz. 2020. "Assessment of Anaplasma phagocytophilum presence in early Lyme borreliosis manifested by erythema migrans skin lesions." Travel Medicine and Infectious Disease 36, no. : 101648.

Journal article
Published: 05 March 2020 in Annals of Agricultural and Environmental Medicine
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Introduction and objective: Ixodes ricinus ( I. ricinus ) and Dermacentor reticulatus ( D. reticulatus ) are the most common ticks in Poland. These ticks contain many bacteria, which compose a microbiome with potential impact on humans. The aim of the study was to discover the microbiome...

ACS Style

Justyna Dunaj; Justyna Drewnowska; Anna Moniuszko-Malinowska; Izabela Swiecicka; Sławomir Pancewicz. First metagenomic report of Borrelia americana and Borrelia carolinensis in Poland – a preliminary study. Annals of Agricultural and Environmental Medicine 2020, 28, 49 -55.

AMA Style

Justyna Dunaj, Justyna Drewnowska, Anna Moniuszko-Malinowska, Izabela Swiecicka, Sławomir Pancewicz. First metagenomic report of Borrelia americana and Borrelia carolinensis in Poland – a preliminary study. Annals of Agricultural and Environmental Medicine. 2020; 28 (1):49-55.

Chicago/Turabian Style

Justyna Dunaj; Justyna Drewnowska; Anna Moniuszko-Malinowska; Izabela Swiecicka; Sławomir Pancewicz. 2020. "First metagenomic report of Borrelia americana and Borrelia carolinensis in Poland – a preliminary study." Annals of Agricultural and Environmental Medicine 28, no. 1: 49-55.

Case report
Published: 17 January 2020 in BMC Infectious Diseases
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Background Nocardiosis is an uncommon disease caused by aerobic gram-positive bacteria Nocardia spp. Although it is usually an opportunistic infection affecting immunocompromised patients, even one third of cases occur in immunocompetent persons. The aim of the study was to describe the course of chronic meningitis due to Nocardia infection. Case presentation A 52-year-old patient, chalk miner, suffered from a chronic meningitis caused by an extremely rare pathogen. The patient’s history was complicated and diagnostic process covered multiple examinations and consultations. Initially Kocuria rosea was cultured, yet after molecular examination the result was verified to Nocardia farcinica. Targeted antibiotic treatment was implemented, which resulted in gradual improvement of patients condition. A full recovery was achieved after one year antibiotic therapy. Conclusions Nocardia farcinica is an uncommon but possible cause of chronic meningitis.In the case of a chronic meningitis of unknown origin multiple cerebrospinal fluid cultures should be performed as the identification of pathogen may be crucial for patient’s recovery.In case of unusual culture, such as Kocuria spp. PCR should be performed.

ACS Style

Anna Moniuszko-Malinowska; Piotr Czupryna; Izabela Swiecicka; Henryk GRZEŚ; Agnieszka Siemieniako; Sambor Grygorczuk; Eugeniusz Tarasów; Sławomir Pancewicz. Nocardia farcinica as a cause of chronic meningitis - case report. BMC Infectious Diseases 2020, 20, 56 -6.

AMA Style

Anna Moniuszko-Malinowska, Piotr Czupryna, Izabela Swiecicka, Henryk GRZEŚ, Agnieszka Siemieniako, Sambor Grygorczuk, Eugeniusz Tarasów, Sławomir Pancewicz. Nocardia farcinica as a cause of chronic meningitis - case report. BMC Infectious Diseases. 2020; 20 (1):56-6.

Chicago/Turabian Style

Anna Moniuszko-Malinowska; Piotr Czupryna; Izabela Swiecicka; Henryk GRZEŚ; Agnieszka Siemieniako; Sambor Grygorczuk; Eugeniusz Tarasów; Sławomir Pancewicz. 2020. "Nocardia farcinica as a cause of chronic meningitis - case report." BMC Infectious Diseases 20, no. 1: 56-6.

Correspondence
Published: 07 November 2019 in Travel Medicine and Infectious Disease
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ACS Style

Anna Moniuszko-Malinowska; Justyna Dunaj; Martin O. Andersson; Izabela Swiecicka; Justyna M. Drewnowska; Piotr Czupryna; Sambor Grygorczuk; Monika Król; Joanna Zajkowska; Sławomir Pancewicz. Absence of molecular evidence for Candidatus Neoehrlichia mikurensis presence in symptomatic patients in Poland. Travel Medicine and Infectious Disease 2019, 32, 101514 .

AMA Style

Anna Moniuszko-Malinowska, Justyna Dunaj, Martin O. Andersson, Izabela Swiecicka, Justyna M. Drewnowska, Piotr Czupryna, Sambor Grygorczuk, Monika Król, Joanna Zajkowska, Sławomir Pancewicz. Absence of molecular evidence for Candidatus Neoehrlichia mikurensis presence in symptomatic patients in Poland. Travel Medicine and Infectious Disease. 2019; 32 ():101514.

Chicago/Turabian Style

Anna Moniuszko-Malinowska; Justyna Dunaj; Martin O. Andersson; Izabela Swiecicka; Justyna M. Drewnowska; Piotr Czupryna; Sambor Grygorczuk; Monika Król; Joanna Zajkowska; Sławomir Pancewicz. 2019. "Absence of molecular evidence for Candidatus Neoehrlichia mikurensis presence in symptomatic patients in Poland." Travel Medicine and Infectious Disease 32, no. : 101514.

Journal article
Published: 24 September 2019 in Cytokine
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Tick-borne co-infections are a serious epidemiological and clinical problem. Only a few studies aimed to investigate the effect of tick-borne encephalitis (TBE) and human granulocytic anaplasmosis (HGA) co-infection in the course of the inflammatory process and the participation of chemokines in the pathomechanism of these diseases. The aim of the study was to evaluate CCL-4, CCL-17, CCL-20, and IL-8 serum concentrations in patients with HGA, TBE and HGA + TBE co-infection. Eighty-seven patients with HGA (n = 20), TBE (n = 49) and HGA + TBE (n = 18) were included to the study. The control group (CG) consisted of 20 healthy people. Concentrations of cytokines were measured in serum using commercial ELISA assays. In patients with TBE and HGA + TBE inflammatory markers were assessed during the acute and convalescent period. The results were analyzed using non-parametric tests with p < 0.05 considered as significant. Before treatment, significantly higher concentrations of IL-8, CCL-4 and CCL-20 were observed in HGA patients. CCL-4 and CCL-20 concentrations were significantly higher in TBE patients compared to CG. Concentrations of IL-8, CCL-4, and CCL-20 were significantly higher in HGA + TBE than in CG. After treatment, a significant reduction of IL-8, CCL-4, and CCL-20 concentrations in TBE patients and IL-8 in HGA + TBE co-infection was observed. CCL-4 concentration was higher in HGA + TBE co-infection in comparison to patients with TBE after treatment. Our study confirms that concentrations of IL-8, CCL-4, and CCL-20 are increased in the course of HGA and TBE. Their concentrations in serum may be used to monitor the course of TBE and HGA, as well as possibly detect co-infections with the diseases.

ACS Style

Katarzyna Guziejko; Piotr Czupryna; Sławomir Pancewicz; Renata Świerzbińska; Justyna Dunaj; Ewelina Kruszewska; Monika Emilia Król; Joanna Zajkowska; Sambor Grygorczuk; Agnieszka Żebrowska; Maciej Kondrusik; Anna Moniuszko-Malinowska. Analysis of CCL-4, CCL-17, CCL-20 and IL-8 concentrations in the serum of patients with tick-borne encephalitis and anaplasmosis. Cytokine 2019, 125, 154852 .

AMA Style

Katarzyna Guziejko, Piotr Czupryna, Sławomir Pancewicz, Renata Świerzbińska, Justyna Dunaj, Ewelina Kruszewska, Monika Emilia Król, Joanna Zajkowska, Sambor Grygorczuk, Agnieszka Żebrowska, Maciej Kondrusik, Anna Moniuszko-Malinowska. Analysis of CCL-4, CCL-17, CCL-20 and IL-8 concentrations in the serum of patients with tick-borne encephalitis and anaplasmosis. Cytokine. 2019; 125 ():154852.

Chicago/Turabian Style

Katarzyna Guziejko; Piotr Czupryna; Sławomir Pancewicz; Renata Świerzbińska; Justyna Dunaj; Ewelina Kruszewska; Monika Emilia Król; Joanna Zajkowska; Sambor Grygorczuk; Agnieszka Żebrowska; Maciej Kondrusik; Anna Moniuszko-Malinowska. 2019. "Analysis of CCL-4, CCL-17, CCL-20 and IL-8 concentrations in the serum of patients with tick-borne encephalitis and anaplasmosis." Cytokine 125, no. : 154852.

Original paper
Published: 14 September 2019 in Infection
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Purpose The aim of the study is to assess anti-Coxiella burnetii antibodies presence in inhabitants of north-eastern Poland, to assess the risk of Q fever after tick bite and to assess the percentage of co-infection with other pathogens. Methods The serological study included 164 foresters and farmers with a history of tick bite. The molecular study included 540 patients, hospitalized because of various symptoms after tick bite. The control group consisted of 20 honorary blood donors. Anti-Coxiella burnetii antibodies titers were determined by Coxiella burnetii (Q fever) Phase 1 IgG ELISA (DRG International Inc. USA). PCR was performed to detect DNA of C. burnetii, Borrelia burgdorferi and Anaplasma phagocytophilum. Results Anti-C. burnetii IgG was detected in six foresters (7.3%). All foresters with the anti-C. burnetii IgG presence were positive toward anti-B. burgdorferi IgG and anti-TBE (tick-borne encephalitis). Anti-C. burnetii IgG was detected in five farmers (6%). Four farmers with anti-C. burnetii IgG presence were positive toward anti-B. burgdorferi IgG and two with anti-TBE. Among them one was co-infected with B. burgdorferi and TBEV. Correlations between anti-C. burnetii IgG and anti-B. burgdorferi IgG presence and between anti-C. burnetii IgG presence and symptoms of Lyme disease were observed. C. burnetii DNA was not detected in any of the 540 (0%) patients. Conclusions C. burnetii is rarely transmitted by ticks, but we proved that it is present in the environment, so it may be a danger to humans. The most common co-occurrence after tick bite concerns C. burnetii and B. burgdorferi.

ACS Style

Karol Borawski; Justyna Dunaj; Piotr Czupryna; Sławomir Pancewicz; Renata Świerzbińska; Agnieszka Żebrowska; Anna Moniuszko-Malinowska. Assessment of Coxiella burnetii presence after tick bite in north-eastern Poland. Infection 2019, 48, 85 -90.

AMA Style

Karol Borawski, Justyna Dunaj, Piotr Czupryna, Sławomir Pancewicz, Renata Świerzbińska, Agnieszka Żebrowska, Anna Moniuszko-Malinowska. Assessment of Coxiella burnetii presence after tick bite in north-eastern Poland. Infection. 2019; 48 (1):85-90.

Chicago/Turabian Style

Karol Borawski; Justyna Dunaj; Piotr Czupryna; Sławomir Pancewicz; Renata Świerzbińska; Agnieszka Żebrowska; Anna Moniuszko-Malinowska. 2019. "Assessment of Coxiella burnetii presence after tick bite in north-eastern Poland." Infection 48, no. 1: 85-90.

Original article
Published: 09 September 2019 in Infectious Diseases
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Purpose: The north-eastern Poland is an endemic region of tick-borne diseases. The aim of the study is to assess the prevalence of anti-Rickettsia antibodies in the inhabitants of the north-eastern Poland and to assess the risk of acute infection (rickettsiosis) after a tick bite. Other aim was to assess the risk of co-infection with other pathogens after a tick bite. Methods: Two types of examinations were performed: serological and molecular. Serological analysis was performed in 82 foresters and 82 farmers with a history of tick bite. The molecular study was performed in 540 patients with various symptoms after a tick bite. The control group consisted of 20 honorary blood donors with no tick bites in anamnesis. Anti-Rickettsia spp. antibodies titres were determined by ELISA: Rickettsia SFG IgG ELISA (DRG International Inc. USA). PCR tests were performed towards Rickettsia spp. Borrelia burgdorferi, Anaplasma phagocytophilum. Results: In 64 (39.02%) farmers and foresters, anti-Rickettsia IgG antibodies were detected. The presence of anti-Rickettsia IgG antibodies was confirmed in 42 foresters (51.22%) and in 22 farmers (26.83%). In control group, results of all tests were negative. Rickettsia spp. DNA has not been confirmed in any out of 540 (0%) symptomatic patients. Conclusions: Seroprevalence of Rickettsia spp. infection in north-eastern Poland is high, especially in people often bitten by ticks, which makes this pathogen potentially dangerous for humans. Prevalence of anti-Rickettsia IgG antibodies in foresters is higher than in farmers. Symptomatic infection with Rickettsia spp. in humans in north-eastern Poland is uncommon.

ACS Style

Karol Borawski; Justyna Dunaj; Piotr Czupryna; Sławomir Pancewicz; Renata Świerzbińska; Agnieszka Żebrowska; Anna Moniuszko-Malinowska. Prevalence of Spotted Fever Group Rickettsia in North-Eastern Poland. Infectious Diseases 2019, 51, 810 -814.

AMA Style

Karol Borawski, Justyna Dunaj, Piotr Czupryna, Sławomir Pancewicz, Renata Świerzbińska, Agnieszka Żebrowska, Anna Moniuszko-Malinowska. Prevalence of Spotted Fever Group Rickettsia in North-Eastern Poland. Infectious Diseases. 2019; 51 (11-12):810-814.

Chicago/Turabian Style

Karol Borawski; Justyna Dunaj; Piotr Czupryna; Sławomir Pancewicz; Renata Świerzbińska; Agnieszka Żebrowska; Anna Moniuszko-Malinowska. 2019. "Prevalence of Spotted Fever Group Rickettsia in North-Eastern Poland." Infectious Diseases 51, no. 11-12: 810-814.