title: Lyme disease: a review of its epidemiology, evaluation, and treatment.
abstract: BACKGROUND
  Lyme disease, a tick-borne illness transmitted to humans, has become increasingly recognized.
  
  
  OBJECTIVE
  Given the myriad neurovegetative and neuropsychiatric symptoms that can be associated with Lyme disease, we sought to review the epidemiology, evaluation, and treatment of the disorder.
  
  
  METHODS
  A case vignette that highlights manifestations of the condition and dilemmas associated with its treatment is presented.
  
  
  CONCLUSIONS
  Knowledge about its symptoms, its abnormal laboratory tests, and its course can help to guide the timely and appropriate management of this spirochetal infection.
authors.affiliation: Consultation Psychiatry, Massachusetts General Hospital, Boston, MA; Harvard Medical School, Boston, MA.
authors.forename: Ted Avi
authors.initials: TA
authors.lastname: Gerstenblith
authors.affiliation: Consultation Psychiatry, Massachusetts General Hospital, Boston, MA; Harvard Medical School, Boston, MA; Avery D. Weisman Psychiatry Consultation Service, Massachusetts General Hospital, Boston, MA. Electronic address: TStern@Partners.org.
authors.forename: Theodore A
authors.initials: TA
authors.lastname: Stern
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D018450:Disease Progression; D004675:Encephalitis, Tick-Borne / Q000175:diagnosis* / Q000188:drug therapy* / Q000453:epidemiology*; D019353:Endemic Diseases; D006801:Humans; D008193:Lyme Disease / Q000175:diagnosis* / Q000188:drug therapy* / Q000453:epidemiology*; D059906:Neuroimaging; D014481:United States / Q000453:epidemiology
chemical_list: D000900:Anti-Bacterial Agents