Lyme disease is caused by the spirochete shaped bacteria Borrelia burgdorferi and Borrelia mayonii and is transmitted by the bite of a deer tick. Lyme disease is frequently misdiagnosed or missed entirely. About 50-75% of patients recall having had the characteristic bull’s eye rash. Fifty percent of patients don’t even recall having had a tick bite. In addition, the ELISA test that is commonly used for screening is only 65% sensitive, thus missing 35% of cases. An additional 20-30% of culture-positive proven Lyme patients show negative results on the Western Blot test, in part due to oddities in the criteria mandated by the CDC in reporting the results.
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