ABSTRACT
64 During an annual wellness examination, a canine patient tests positive for Lyme disease on an in-house, multi-agent ELISA test. The owner reports that the dog has occasional mild lameness after exercise. Your practice is in an area with extremely low prevalence of ticks.
i. How would you interpret this test result? What additional information do you need?
ii. How might your interpretation change if you practiced in an area that has very high tick prevalence and Borrelia burgdorferi is known to be endemic?
iii. Can you justify treating this dog?
