An Australian guideline on the diagnosis of overseas-acquired Lyme disease/borreliosis.

While classical Lyme disease cannot be acquired in Australia, patients may present who have travelled through endemic areas. Lyme disease is prevalent in north east United States of America, parts of Europe including Germany, Austria, Slovenia and Sweden as well as parts of the United Kingdom. Lyme disease can also be found in Russia, Japan and China. For patients who present with no history of overseas travel but with a tick bite and systemic symptoms, e.g., fever, contact with your Specialist Microbiologist to discuss test referral and with your Infectious Diseases Physician to discuss antimicrobial treatment of tick borne infections in the Australian context is advised.