Lyme NeuroborreliosisLyme DiseaseBorrelia burgdorferi GroupBorrelia burgdorferiNorth AmericaBorreliaCerebrospinal FluidFacial ParalysisBell PalsyMononeuropathiesErythema Chronicum MigransAntibodies, BacterialLeukocytosisChemokine CXCL13DoxycyclineTicksCosyntropinLyme Disease VaccinesArachnid VectorsBorrelia InfectionsSpirochaetalesNymphIxodesTick InfestationsBacterial Outer Membrane ProteinsSouth AmericaSerology