Order Lyme disease Serology if >7 days since tick bite (see Lyme Disease Serology below).
Commence treatment if clinical suspicion high.
If initial symptoms persist, test again for Lyme serology in 4 weeks.
Consult with Infectious Diseases and CPHO if necessary.
OR
OR
OR
OR
14 days
Increase duration to 21 days for immunocompromised individuals
European or Asian Lyme disease requires specialized testing. Please add travel history or contact the Infectious Disease Consultant