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Volume 22, Number 7—July 2016
CME ACTIVITY - Synopsis

Current Guidelines, Common Clinical Pitfalls, and Future Directions for Laboratory Diagnosis of Lyme Disease, United States

Andrew Moore1, Christina A. Nelson1, Claudia Molins, Paul S. Mead, and Martin SchrieferComments to Author 
Author affiliations: University of Virginia School of Medicine, Charlottesville, Virginia, USA (A. Moore); Centers for Disease Control and Prevention, Fort Collins, Colorado, USA (C. Nelson, C. Molins, P. Mead, M. Schriefer)

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Figure 3

Clinical approach to diagnosis of early Lyme disease, United States. *See Figure 1. †Given the gradual geographic expansion of Lyme disease, testing may be warranted for patients with signs and symptoms of Lyme disease who were exposed in areas that border known disease-endemic regions. ‡For a more detailed discussion of symptoms as they relate to pretest probability, see section on exposure and pretest probability. §For recommended 2-tiered testing protocol, see Figure 2. STARI, Southern tick−a

Figure 3. Clinical approach to diagnosis of early Lyme disease, United States. *See Figure 1. †Given the gradual geographic expansion of Lyme disease, testing may be warranted for patients with signs and symptoms of Lyme disease who were exposed in areas that border known disease-endemic regions. ‡For a more detailed discussion of symptoms as they relate to pretest probability, see section on exposure and pretest probability. §For recommended 2-tiered testing protocol, see Figure 2. STARI, Southern tick−associated rash illness; EM, erythema migrans.

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1These authors contributed equally to this article.

Page created: June 15, 2016
Page updated: November 30, 2016
Page reviewed: November 30, 2016
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