TABLE 1.
Agreement of laboratory diagnostic tests with initial clinical assessment for Lyme disease
| Laboratory diagnostic test (no. tested) | Initial clinical assessment for Lyme disease [no. for which test result agreed (%)]
|
|
|---|---|---|
| Probablea | Probable or possiblea | |
| Initial serology (80) | 32 (40) | 40 (50) |
| Any serology (80) | 21 (26) | 55 (69) |
| Skin biopsy culture (46) | 10 (22) | 19 (41) |
| Plasma culture (79) | 10 (13) | 46 (58) |
| Any culture (82) | 3 (4) | 54 (66) |
| Any serology or any culture (82) | 14 (17) | 63 (77) |
| Skin biopsy PCR (23) | 9 (39) | 11 (48) |
| Plasma PCR (55) | 27 (49) | 15 (27) |
| Any serology, any culture, or any PCR (82) | 18 (22) | 67 (82) |
a
Probable Lyme disease is EM or history of EM and a characteristic clinical syndrome with headache, VIIth cranial nerve palsy, or arthritis; possible Lyme disease is tick exposure, rash not typical for EM, or summertime fever without identifiable source.