I suspect most clinicians will not challenge what they believe the IDSA's guidelines intend or specify; accordingly, cases which fall outside the box may founder, e.g. Claudia's son.
This may come as a shock to some...but I am fairly certain that not everyone has (or had) Lyme disease.
And granted, diagnosis is sometimes a difficult issue.
But if you cannot explain why there is NO IgG reponse AT ALL...not just once, but apparently across a number of tests...if you cannot explain that...
...then, personally, I wouldn't feel very comfortable with a diagnosis of Lyme disease, based on what I think that I have learned and personal experience.
I would be looking for other answers, as well. At least considering them. At some point, the Lyme diagnosis appears more likely than not.
With no IgG at all... and only late satge IgM...is anyone willing to admit that this may be a case where it is more unlikely
than not? Sorry, but based on what is here...
At times, reading online accounts like this...it appears as though the poster is straining to find a way to rationalize or justify the diagnosis in the face of facts that seem contradictory...
...and reacts, sometimes, with anger and hostility to any suggestion that Lyme may not be the culprit. You would think that the important thing would be to get it right
And yet, some seem to think that the appropriate thing to do is "support" this type of behavior. What kind of "support
" is that, exactly?
As I have said, before...how one thinks about the issues may be more important to recovery in the long run than the contents of any abstract that someone has managed to find online.
And there are some 'interesting' psychologies on display at times...