Lyme disease is not an easy diagnosis to make.

This is especially so if the patient has no rash and does not recall an episode of tick bite.

If a patient remembers a tick bite and then becomes unwell, Lyme disease is a possibility.

There is no diagnostic test that is absolutely reliable in confirming a case of Lyme disease.

Negative test results therefore, do not necessarily mean it is absent.

After all exclusionary tests have been done; the diagnosis can be made on clinical grounds alone.

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