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. 2019 Apr;10(3):694-696.
doi: 10.1016/j.ttbdis.2019.02.015. Epub 2019 Feb 26.

A minority of children diagnosed with Lyme disease recall a preceding tick bite

Lise E Nigrovic  1 , Desiree N Neville  2 , Fran Balamuth  3 , Jonathan E Bennett  4 , Michael N Levas  5 , Aris C Garro  6 ; for Pedi Lyme Net
Affiliations

A minority of children diagnosed with Lyme disease recall a preceding tick bite

Lise E Nigrovic et al. Ticks Tick Borne Dis. 2019 Apr.

Abstract

Of 1770 children undergoing emergency department evaluation for Lyme disease, 362 (20.5%) children had Lyme disease. Of those with an available tick bite history, only a minority of those with Lyme disease had a recognized tick bite (60/325; 18.5%, 95% confidence interval 14.6-23.0%). Lack of a tick bite history does not reliably exclude Lyme disease.

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