Differential diagnosis A number of diseases can produce symptoms similar to those of Lyme<unk> . They include: *Acute disseminated encephalomyelitis *Viral meningitis *Multiple sclerosis *Bell's palsy Diagnosis is determined by clinical examination of visible symptoms.<unk>  can also be diagnosed serologically to confirm clinical examination via western blot, ELISA, and PCR.
Neuroborreliosis
Babesiosis
Sappinia amoebic encephalitis
Malaria
Zoonosis
Mumps
West Nile fever
Sylvatic plague