TABLE 1.
Enrollment type | Inclusion criteria | Exclusion criteria |
---|---|---|
Type 1 | Presents in region of endemicity | Immunocompromisedb |
Physician identification/assessment | Antibiotics initiated >48 hc | |
EM lesions of >5 cm (type 1A) or EM/annular expanding lesions of ≤5 cm (type 1B) | <10 yr of age | |
Tick bite reaction without EM or expanding annular lesion | ||
Type 2 | Presents in region of endemicity | Immunocompromised |
Physician identification/assessment | History of CFS, rheumatologic disease, MS | |
At least one of the following: headache, fatigue, fever, chills, or joint or muscular pain | Antibiotics initiated >48 hc <10 yr of age | |
Suspected tick exposure/tick bite | ||
EC | Residence in area where LD is endemic | Immunocompromised |
History of LD or other TBI | ||
<10 yr of age |
Abbreviations: LD, Lyme disease; EM, erythema migrans; CFS, chronic fatigue syndrome; MS, multiple sclerosis; EC, controls from areas of endemicity; TBI, tick-borne infection.
Immunocompromised individuals, including individuals with HIV infection and individuals undergoing chemotherapy, were excluded. All participants were asked if they were taking immunosuppressive drugs.
Antibiotics for LD had been initiated for >48 h at the time of study enrollment.