{"id":"W4406185547","doi":"10.1016/j.cjco.2025.01.003","title":"Lyme Carditis Presenting As Idiopathic Myocarditis: Prompt Empirical Treatment Despite Negative Serology","year":2025,"lang":"en","type":"article","venue":"CJC Open","topic":"Vector-borne infectious diseases","field":"Immunology and Microbiology","cited_by":1,"is_retracted":false,"has_abstract":true,"ca_institutions":"Jewish General Hospital; McGill University","funders":"","keywords":"Myocarditis; Medicine; Serology; Carditis; Lyme disease; Internal medicine; Cardiology; Immunology; Disease; Antibody","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":["metaepi_narrow","insufficient_payload"],"consensus_categories":[],"category_scores_codex":[0.000219252,0.0003111561,0.0007637587,0.0001463383,0.0004408619,0.000114033,0.0005386089,0.0003305396,0.0006332092],"category_scores_gemma":[0.0003990851,0.0002803838,0.0002182556,0.0002792318,0.0002532421,0.0002172442,0.0006086553,0.0002543254,0.00146616],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0002601614,"about_ca_system_score_gemma":0.000545916,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.00193463,"about_ca_topic_score_gemma":0.0002419578,"domain_scores_codex":[0.9975533,0.0008002459,0.0003697487,0.0006738961,0.00004073601,0.0005620168],"domain_scores_gemma":[0.9988677,0.0002714098,0.0001346181,0.0005489087,0.0001254048,0.00005196606],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.001464205,0.002424615,0.8108515,0.0001592348,0.0128158,0.001130932,0.004360518,0.0001674183,0.03175864,0.005320989,0.075296,0.05425012],"study_design_scores_gemma":[0.01071598,0.002157744,0.7008249,0.0003214817,0.001321431,0.0009550116,0.0007585649,0.00002702521,0.0904658,0.00897218,0.1824334,0.001046558],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9543191,0.004052077,0.00006601078,0.00103596,0.001390381,0.001648487,0.00009862362,0.0002158319,0.03717349],"genre_scores_gemma":[0.993046,0.0001005284,0.0000309339,0.0009190826,0.0000877151,0.0007033897,0.00009584396,0.00002782385,0.004988726],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.1100267,"threshold_uncertainty_score":0.9999648,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.02204001319675764,"score_gpt":0.320685479536621,"score_spread":0.2986454663398633,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}