title: [Why can it be difficult for clinicians to diagnose acute lyme disease? From physiopathology to diagnosis, via abductive reasoning and Bayes theorem].
abstract: The diagnosis of acute neuroborreliosis may be difficult if it's regarded as a "classical" infectious disease. Through a clinical case, we illustrate the difficulties met and we suggest two ways of reflexion to assist in the diagnosis:--firstly, we explain how the comprehension of the behavior of the pathogen agent, which is similar to a parasitic behavior, can help to choose and interpret the results of additional tests;--secondly, we develop practically the clinical form of Bayes's theorem to demonstrate the interest of a rational Bayesian and abductive approach which should be preferred to the classical hypothetical and deductive reasoning.
authors: C
authors: C
authors: Godefroid
authors: F
authors: F
authors: Buttafuoco
authors: T
authors: T
authors: Richard
authors: A
authors: A
authors: Goubella
authors: M
authors: M
authors: Vanhaeverbeek
mesh_terms: D001499:Bayes Theorem; D005260:Female; D006801:Humans; D007600:Judgment; D008193:Lyme Disease / Q000175:diagnosis* / Q000503:physiopathology; D008875:Middle Aged