The reply

Affiliations

• ¹ University of Massachusetts Medical School, Boston, Mass.
• ² American Lyme Disease Foundation, Lyme, Conn.
• ³ Departments of Pediatrics, Epidemiology, and Public Health, and Investigative Medicine, Yale University, New Haven, Conn.
• ⁴ National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Md.
• ⁵ Division of Allergy, Immunology and Rheumatology, Department of Medicine, New York Medical College, Valhalla, NY.
• ⁶ Department of Neurosciences, Overlook Medical Center and Atlantic Neuroscience Institute, Summit, NJ.
• ⁷ Division of Infectious Diseases, Department of Medicine, New York Medical College, Valhalla, NY.