Lecture 1: Lyme Borreliosis – History, Clinical Presentations, Testing and Diagnosis
The diagnosis of Lyme Borreliosis can be uncertain. This illness is known to have varied clinical presentations that often mimic other illnesses, and specific clinical markers are very often absent. One then tends to rely more heavily on laboratory testing. However, laboratory testing in this illness is also is inexact. Serologies all suffer from a high degree of false negative and some false positive results. Alternative diagnostic methods have been developed to improve on this situation, but these newer tests themselves have their limitations. Therefore Borreliosis remains a clinical diagnosis. The goal of this presentation is to train the practitioner how to interpret laboratory tests and how to use pattern recognition to make this clinical diagnosis.
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