Table 1.

Appropriate and Inappropriate Indications For Lyme Disease Serologic Testing in Lyme-Endemic Regions

AppropriateInappropriate
Note: If patient does not meet any of the above criteria for appropriateness, the decision to order a Lyme disease serologic test is left to the discretion of the clinician.
Patient with oligoarticular arthritisPatient is asymptomatic
Patient with cranial neuritisPatient with clinician-diagnosed erythema migrans
Patient with lymphocytic meningitisPatient treated empirically with antibiotics
Patient with atrioventricular blockSerologic test ordered as a test of cure
Patient with carditis