12. If a person has an EM rash and a negative ELISA test, should they be treated? How?

Yes. An ECM rash is diagnostic for Lyme disease. Current guidelines approved by ILADS (International Lyme and Associated diseases Society) recommends oral therapy for at least 6 weeks for both adults and children when a rash is present. Lyme patients who are pregnant have special guidelines to help protect themselves and their unborn child. According to the CDC, Lyme disease is a 'clinical diagnosis' and negative tests are not to be used to rule out the disease.

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