Lyme DiseaseLyme NeuroborreliosisBorrelia burgdorferiBorrelia burgdorferi GroupLyme Disease VaccinesBorreliaIxodesTicksSpirochaetalesErythema Chronicum MigransDelayed DiagnosisArachnid VectorsSensitivity and SpecificityPrenatal DiagnosisEarly DiagnosisAntibodies, BacterialArthritis, InfectiousDiagnosisBites and StingsBacterial Outer Membrane ProteinsRetrospective StudiesDiagnostic ErrorsBacterial VaccinesAntigens, BacterialBorrelia InfectionsNymphPeromyscusPolymerase Chain ReactionTick InfestationsLipoproteinsArthropod VectorsRelapsing FeverEnzyme-Linked Immunosorbent AssayMice, Inbred C3HBiopsyAntigens, SurfaceSerologic TestsPredictive Value of TestsTomography, X-Ray ComputedDisease ReservoirsNursing DiagnosisReproducibility of ResultsDiagnosis, Computer-AssistedTime FactorsProspective StudiesImmunoglobulin MConnecticutRisk FactorsAcrodermatitisTreatment OutcomePreimplantation DiagnosisImmunoglobulin GFollow-Up StudiesPrognosisFacial ParalysisTick-Borne DiseasesDNA, BacterialIncidenceMagnetic Resonance ImagingMaineInfant, NewbornErythemaPregnancyCerebrospinal FluidEhrlichiosisTarsal JointsDoxycyclineFalse Positive ReactionsPrevalenceClinical Laboratory TechniquesUnited StatesFatal OutcomeSpirochaetaceaeBiopsy, NeedleEvaluation Studies as TopicFetal DiseasesDog DiseasesFlagellinAnti-Bacterial AgentsMolecular Sequence DataBacterial ProteinsSynovial FluidCase-Control StudiesAge FactorsSyndromeAcute DiseaseCohort StudiesBiological MarkersSeverity of Illness IndexChronic DiseaseROC CurveReagent Kits, DiagnosticBacteriological TechniquesUltrasonography, PrenatalMyocarditisZoonosesFalse Negative ReactionsBase SequenceWisconsinLatvia