There is much confusion and misinformation about the diagnosis of Lyme disease, as well as its treatment. This review explains why one cannot make a correct diagnosis of Lyme disease based on symptoms alone. It also provides evidence to support the validity of two-tier testing for the laboratory diagnosis of Lyme disease. The public health consequences of failing to consider these issues are discussed.
Keywords: Diagnosis of Lyme disease; Lyme disease; Public health implications; Symptoms of Lyme disease; Treatment of Lyme disease.
Copyright © 2019 The Author. Published by Elsevier Inc. All rights reserved.