{"id":2114,"date":"2025-08-17T00:33:00","date_gmt":"2025-08-17T07:33:00","guid":{"rendered":"https:\/\/www.ultalabtests.com\/blog\/?p=2114"},"modified":"2025-08-28T11:00:26","modified_gmt":"2025-08-28T18:00:26","slug":"lyme-disease-on-the-rise-ticks-surging-after-warm-winter-put-more-people-at-risk","status":"publish","type":"post","link":"https:\/\/www.ultalabtests.com\/blog\/infectious-disease\/lyme-disease\/lyme-disease-on-the-rise-ticks-surging-after-warm-winter-put-more-people-at-risk\/","title":{"rendered":"Lyme Disease on the Rise\u2014Ticks Surging After Warm Winter Put More People at Risk"},"content":{"rendered":"\n<p>If you feel like you\u2019re hearing about&nbsp;<strong>ticks surging<\/strong>&nbsp;everywhere this summer, you\u2019re not imagining it. Multiple outlets reporting CDC data say&nbsp;<strong>emergency-department visits for tick bites<\/strong>&nbsp;in Summer 2025 are at their highest levels in years, especially in the Northeast\u2014where&nbsp;<strong>Lyme disease in the Northeast<\/strong>&nbsp;remains a significant public health concern. A&nbsp;<strong>warm winter<\/strong>, shorter cold seasons, and shifting habitats are helping ticks thrive and expand their range, raising the risk of&nbsp;<strong>Lyme disease<\/strong>&nbsp;and other&nbsp;<strong>tick-borne infections<\/strong>.<\/p>\n\n\n\n<p>The good news:&nbsp;<strong>Lyme disease testing<\/strong>&nbsp;and other targeted&nbsp;<strong>lab tests<\/strong>&nbsp;can help you and your clinician move from worry to a plan. Through Ulta Lab Tests, you can order comprehensive blood tests\u2014often the same evidence-based assays doctors use\u2014to check for&nbsp;<strong>Lyme disease<\/strong>&nbsp;and common coinfections, all without insurance requirements or a doctor\u2019s office visit up front.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"1024\" src=\"https:\/\/i0.wp.com\/www.ultalabtests.com\/blog\/wp-content\/uploads\/2025\/08\/Couple-with-Australian-Shepherd-in-Tick-Prone-Park%E2%80%94Lyme-Disease-Awareness.jpeg?resize=1024%2C1024&#038;quality=100&#038;ssl=1\" alt=\"Young couple in their early 30s playing with their Australian Shepherd in a sunlit green park, a natural environment where ticks may be present\u2014Lyme disease prevention and tick exposure awareness.\" class=\"wp-image-2191\" srcset=\"https:\/\/i0.wp.com\/www.ultalabtests.com\/blog\/wp-content\/uploads\/2025\/08\/Couple-with-Australian-Shepherd-in-Tick-Prone-Park%E2%80%94Lyme-Disease-Awareness.jpeg?w=1024&amp;quality=100&amp;ssl=1 1024w, https:\/\/i0.wp.com\/www.ultalabtests.com\/blog\/wp-content\/uploads\/2025\/08\/Couple-with-Australian-Shepherd-in-Tick-Prone-Park%E2%80%94Lyme-Disease-Awareness.jpeg?resize=300%2C300&amp;quality=100&amp;ssl=1 300w, https:\/\/i0.wp.com\/www.ultalabtests.com\/blog\/wp-content\/uploads\/2025\/08\/Couple-with-Australian-Shepherd-in-Tick-Prone-Park%E2%80%94Lyme-Disease-Awareness.jpeg?resize=150%2C150&amp;quality=100&amp;ssl=1 150w, https:\/\/i0.wp.com\/www.ultalabtests.com\/blog\/wp-content\/uploads\/2025\/08\/Couple-with-Australian-Shepherd-in-Tick-Prone-Park%E2%80%94Lyme-Disease-Awareness.jpeg?resize=768%2C768&amp;quality=100&amp;ssl=1 768w, https:\/\/i0.wp.com\/www.ultalabtests.com\/blog\/wp-content\/uploads\/2025\/08\/Couple-with-Australian-Shepherd-in-Tick-Prone-Park%E2%80%94Lyme-Disease-Awareness.jpeg?resize=600%2C600&amp;quality=100&amp;ssl=1 600w\" sizes=\"auto, (max-width: 1000px) 100vw, 1000px\" \/><figcaption class=\"wp-element-caption\">A happy couple enjoys a sunny day in the park with their Australian Shepherd, unaware that tall grass and shaded areas can harbor ticks carrying Lyme disease and other infections.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Lyme Disease in the Northeast<\/strong><\/h2>\n\n\n\n<p>The Northeast remains one of the hardest-hit regions for&nbsp;<strong>Lyme disease<\/strong>&nbsp;in the United States. Warmer winters and expanding tick habitats have extended the active season for blacklegged ticks (<em>Ixodes scapularis<\/em>), increasing the number of tick bites and tick-borne infections.<\/p>\n\n\n\n<p>If you live in or visit states like&nbsp;<strong>Maine, Massachusetts, New York, Pennsylvania, New Jersey, or Connecticut<\/strong>, it\u2019s critical to check for ticks after spending time outdoors in grassy, wooded, or brushy areas.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">U.S. States with Highest Incidence of Lyme Disease<\/h2>\n\n\n\n<p>While the Northeast is well-known for Lyme risk, several other states also report consistently high case numbers.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">14 High-Incidence States<\/h3>\n\n\n\n<p>According to CDC and Mount Sinai data, about&nbsp;<strong>95% of all reported Lyme disease cases<\/strong>&nbsp;are concentrated in these&nbsp;<strong>14 states<\/strong>:<br><strong>Connecticut, Delaware, Maine, Maryland, Massachusetts, Minnesota, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont, Virginia, and Wisconsin<\/strong>.<\/p>\n\n\n\n<p>Within these,&nbsp;<strong>Maine, New Hampshire, and Vermont<\/strong>\u2014particularly in northern New England\u2014have seen especially sharp increases in Lyme incidence recently.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Upper Midwest: Expanding Risk Zone<\/h3>\n\n\n\n<p>In addition to the traditionally high-risk states, the&nbsp;<strong>upper Midwest<\/strong>&nbsp;(notably&nbsp;<strong>Minnesota<\/strong>&nbsp;and&nbsp;<strong>Wisconsin<\/strong>) remains endemic. Risk is also expanding into&nbsp;<strong>Iowa, Illinois, Indiana, and Michigan<\/strong>.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">Summary Table: High-Risk Areas<\/h2>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>Region<\/th><th>States Included<\/th><\/tr><\/thead><tbody><tr><td>Northeast<\/td><td>CT, DE, ME, MD, MA, NH, NJ, NY, PA, RI, VT, VA<\/td><\/tr><tr><td>Upper Midwest<\/td><td>MN, WI (with expansion into IA, IL, IN, MI)<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">Key Takeaway<\/h3>\n\n\n\n<p>Lyme disease isn\u2019t just a Northeast concern\u2014it also hits hard in the upper Midwest and continues to encroach into neighboring regions. This broader geographic risk highlights the importance of prevention and accessible&nbsp;<strong>Lyme disease lab testing<\/strong>\u2014especially during peak seasons.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-u-s-states-with-highest-incidence-of-lyme-disease\">U.S. States with Highest Incidence of Lyme Disease<\/h3>\n\n\n\n<p>While the Northeast is well-known for Lyme risk, several other states also report consistently high case numbers.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">14 High-Incidence States<\/h3>\n\n\n\n<p>According to CDC and Mount Sinai data, about&nbsp;<strong>95% of all reported Lyme disease cases<\/strong>&nbsp;are concentrated in these&nbsp;<strong>14 states<\/strong>:<br><strong>Connecticut, Delaware, Maine, Maryland, Massachusetts, Minnesota, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont, Virginia, and Wisconsin.<\/strong><\/p>\n\n\n\n<p>Within these,&nbsp;<strong>Maine, New Hampshire, and Vermont<\/strong>\u2014particularly in northern New England\u2014have seen especially sharp increases in Lyme incidence recently&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Upper Midwest: Expanding Risk Zone<\/h3>\n\n\n\n<p>In addition to the traditionally high-risk states, the&nbsp;<strong>upper Midwest<\/strong>&nbsp;(notably&nbsp;<strong>Minnesota<\/strong>&nbsp;and&nbsp;<strong>Wisconsin<\/strong>) remains endemic. Risk is also expanding into&nbsp;<strong>Iowa, Illinois, Indiana, and Michigan<\/strong>&nbsp;<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">Summary Table: High-Risk Areas<\/h2>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>Region<\/th><th>States Included<\/th><\/tr><\/thead><tbody><tr><td>Northeast<\/td><td>CT, DE, ME, MD, MA, NH, NJ, NY, PA, RI, VT, VA<\/td><\/tr><tr><td>Upper Midwest<\/td><td>MN, WI (with expansion into IA, IL, IN, MI)<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">Key Takeaway<\/h3>\n\n\n\n<p>Lyme disease isn\u2019t just a Northeast concern\u2014it also hits hard in the upper Midwest and continues to encroach into neighboring regions. This broader geographic risk highlights the importance of prevention and accessible&nbsp;<strong>Lyme disease lab testing<\/strong>\u2014especially during peak seasons.<\/p>\n\n\n\n<p><strong>Stay proactive:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Wear light-colored clothing to spot ticks more easily.<\/li>\n\n\n\n<li>Use EPA-approved insect repellent.<\/li>\n\n\n\n<li>Perform thorough tick checks on yourself, children, and pets after outdoor activities.<\/li>\n\n\n\n<li>If you develop symptoms\u2014such as fever, fatigue, rash, or joint pain\u2014consider&nbsp;<strong>ordering a Lyme disease lab test through Ulta Lab Tests<\/strong>&nbsp;to detect infection early.<\/li>\n<\/ul>\n\n\n\n<p><strong>Learn more &amp; order tests:<\/strong>&nbsp;<a href=\"https:\/\/www.ultalabtests.com\/testing\/search?itemName=lyme+disease\">Lyme Disease Tests at Ulta Lab Tests<\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">Signs &amp; Symptoms to Watch For<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Lyme disease (Borrelia burgdorferi)<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Early localized (3\u201330 days):<\/strong>&nbsp;fever\/chills, headache, fatigue,&nbsp;<strong>erythema migrans (EM) rash<\/strong>&nbsp;(often\u2014but not always\u2014\u201cbull\u2019s\u2011eye\u201d), swollen lymph nodes.<\/li>\n\n\n\n<li><strong>Early disseminated (weeks\u2013months):<\/strong>&nbsp;multiple EM rashes,&nbsp;<strong>facial palsy<\/strong>, meningitis\u2011like headache\/neck stiffness, shooting pains\/radiculopathy, palpitations from&nbsp;<strong>Lyme carditis<\/strong>.<\/li>\n\n\n\n<li><strong>Late (months\u2013years):<\/strong>&nbsp;intermittent or persistent arthritis (commonly knees), neuropathy, cognitive complaints.<\/li>\n<\/ul>\n\n\n\n<p><strong>Important timing fact:<\/strong>&nbsp;in general,&nbsp;<strong>a tick typically needs to be attached for more than 24 hours (often 36\u201348 hours) to transmit Lyme<\/strong>, so&nbsp;<strong>prompt removal matters<\/strong>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Common coinfections transmitted by the same ticks<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Anaplasmosis<\/strong>&nbsp;(Anaplasma phagocytophilum): high fever, severe headache, muscle aches; labs often show&nbsp;<strong>leukopenia, thrombocytopenia, and elevated liver enzymes<\/strong>.<\/li>\n\n\n\n<li><strong>Ehrlichiosis<\/strong>&nbsp;(Ehrlichia chaffeensis): fever, chills, headache, muscle aches; can be severe; lab clues include&nbsp;<strong>low white count, low platelets, and elevated transaminases<\/strong>.<\/li>\n\n\n\n<li><strong>Babesiosis<\/strong>&nbsp;(Babesia microti): malaria\u2011like illness with&nbsp;<strong>hemolytic anemia<\/strong>, fatigue, sweats; may show&nbsp;<strong>thrombocytopenia and elevated bilirubin\/LDH<\/strong>; diagnosis can involve&nbsp;<strong>blood smear or PCR<\/strong>.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"1024\" src=\"https:\/\/i0.wp.com\/www.ultalabtests.com\/blog\/wp-content\/uploads\/2025\/08\/Blacklegged-Tick-Close-Up%E2%80%94Lyme-Disease-Testing-Prevention-Awareness.jpeg?resize=1024%2C1024&#038;quality=100&#038;ssl=1\" alt=\"Blacklegged tick (Ixodes scapularis) perched on a bright green blade of grass against a soft, blurred background\u2014symbolizing Lyme disease risk and the importance of testing and prevention.\" class=\"wp-image-2192\" style=\"aspect-ratio:16\/9;object-fit:cover\" srcset=\"https:\/\/i0.wp.com\/www.ultalabtests.com\/blog\/wp-content\/uploads\/2025\/08\/Blacklegged-Tick-Close-Up%E2%80%94Lyme-Disease-Testing-Prevention-Awareness.jpeg?w=1024&amp;quality=100&amp;ssl=1 1024w, https:\/\/i0.wp.com\/www.ultalabtests.com\/blog\/wp-content\/uploads\/2025\/08\/Blacklegged-Tick-Close-Up%E2%80%94Lyme-Disease-Testing-Prevention-Awareness.jpeg?resize=300%2C300&amp;quality=100&amp;ssl=1 300w, https:\/\/i0.wp.com\/www.ultalabtests.com\/blog\/wp-content\/uploads\/2025\/08\/Blacklegged-Tick-Close-Up%E2%80%94Lyme-Disease-Testing-Prevention-Awareness.jpeg?resize=150%2C150&amp;quality=100&amp;ssl=1 150w, https:\/\/i0.wp.com\/www.ultalabtests.com\/blog\/wp-content\/uploads\/2025\/08\/Blacklegged-Tick-Close-Up%E2%80%94Lyme-Disease-Testing-Prevention-Awareness.jpeg?resize=768%2C768&amp;quality=100&amp;ssl=1 768w, https:\/\/i0.wp.com\/www.ultalabtests.com\/blog\/wp-content\/uploads\/2025\/08\/Blacklegged-Tick-Close-Up%E2%80%94Lyme-Disease-Testing-Prevention-Awareness.jpeg?resize=600%2C600&amp;quality=100&amp;ssl=1 600w\" sizes=\"auto, (max-width: 1000px) 100vw, 1000px\" \/><figcaption class=\"wp-element-caption\">A detailed view of the blacklegged tick, a primary carrier of Lyme disease in the United States, shown in its natural grassy habitat. Recognizing this tick and understanding its risks are key to early detection and prevention.<\/figcaption><\/figure>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">How Lab Tests Help\u2014and When to Test<\/h2>\n\n\n\n<p><strong>Serology (antibody testing) is the cornerstone<\/strong>&nbsp;for Lyme diagnosis in the U.S. The CDC and medical societies recommend a&nbsp;<strong>two\u2011tier approach<\/strong>:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Standard two\u2011tier testing (STTT):<\/strong>&nbsp;an initial enzyme immunoassay (EIA\/ELISA)&nbsp;<strong>followed by an immunoblot (Western blot)<\/strong>&nbsp;if positive\/equivocal.<\/li>\n\n\n\n<li><strong>Modified two\u2011tier testing (MTTT):<\/strong>&nbsp;a&nbsp;<strong>second EIA<\/strong>&nbsp;instead of a Western blot\u2014<strong>FDA\u2011cleared in 2019<\/strong>&nbsp;and increasingly used by labs.<\/li>\n<\/ul>\n\n\n\n<p><strong>Timing matters.<\/strong>&nbsp;Antibodies can be negative in the first week after a bite. If your first test is negative but symptoms started recently, your clinician may advise&nbsp;<strong>retesting in 7\u201314 days<\/strong>. And after 30 days of illness,&nbsp;<strong>IgM results should generally be ignored<\/strong>&nbsp;because they often become false positives\u2014<strong>IgG becomes the meaningful marker<\/strong>.<\/p>\n\n\n\n<p><strong>What not to use tests for:<\/strong>&nbsp;CDC guidance cautions&nbsp;<strong>not to use Lyme antibody tests to monitor treatment response<\/strong>; improvement is judged by&nbsp;<strong>clinical symptoms<\/strong>, not by declining antibody levels.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p><strong>Urgent care note:<\/strong>&nbsp;For suspected&nbsp;<strong>rickettsial illnesses<\/strong>&nbsp;(e.g., Rocky Mountain spotted fever) or severe anaplasmosis\/ehrlichiosis, clinicians treat&nbsp;<strong>immediately<\/strong>\u2014don\u2019t wait for labs\u2014because early doxycycline saves lives.<\/p>\n<\/blockquote>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">Individual Test Breakdowns (Quest Diagnostics through Ulta Lab Tests)<\/h2>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>Tip: You can order these tests directly; most are collected at a nearby Quest Diagnostics Patient Service Center. Links go straight to the test pages.<\/p>\n<\/blockquote>\n\n\n\n<h3 class=\"wp-block-heading\">1) Lyme Disease Antibody with Reflex to Blot (IgG, IgM)<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>What it is:<\/strong>&nbsp;The recommended first\u2011line&nbsp;<strong>screening EIA<\/strong>&nbsp;with automatic&nbsp;<strong>Western blot (immunoblot) reflex<\/strong>&nbsp;if needed.<\/li>\n\n\n\n<li><strong>What it measures:<\/strong>&nbsp;Antibodies (IgM and IgG) against Borrelia burgdorferi.<\/li>\n\n\n\n<li><strong>Why it matters:<\/strong>&nbsp;Aligns with CDC two\u2011tier strategy; the reflex confirmatory step improves specificity.<\/li>\n\n\n\n<li><strong>How it helps you:<\/strong>&nbsp;If your screening is positive, the reflex confirmation happens without another blood draw.<\/li>\n\n\n\n<li><strong>Order:<\/strong>&nbsp;<a href=\"https:\/\/www.ultalabtests.com\/test\/lyme-disease-ab-test-with-reflex-to-blot-igg-igm\">Lyme Disease Ab with Reflex to Blot (IgG, IgM)<\/a>. (Quest)<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">2) Lyme Disease Antibodies (IgG, IgM) Immunoblot (Western Blot)<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>What it is:<\/strong>&nbsp;The&nbsp;<strong>confirmatory second tier<\/strong>&nbsp;in STTT; sometimes ordered on its own if your clinician wants confirmation.<\/li>\n\n\n\n<li><strong>What it measures:<\/strong>&nbsp;Specific IgG and IgM antibody bands to Lyme antigens.<\/li>\n\n\n\n<li><strong>Why it matters:<\/strong>&nbsp;Confirms true positives and helps interpret&nbsp;<strong>IgM (&lt;30 days)<\/strong>&nbsp;vs&nbsp;<strong>IgG (\u226530 days)<\/strong>.<\/li>\n\n\n\n<li><strong>How it helps you:<\/strong>&nbsp;Provides band\u2011level detail your clinician can use alongside symptoms and timing.<\/li>\n\n\n\n<li><strong>Order:<\/strong>&nbsp;<a href=\"https:\/\/www.ultalabtests.com\/test\/lyme-disease-igg-igm-antibodies-immunoblot-test\">Lyme Disease Antibodies (IgG, IgM) Immunoblot<\/a>&nbsp;or&nbsp;<a href=\"https:\/\/www.ultalabtests.com\/test\/lyme-disease-igg-antibody-immunoblot-test\">Lyme Disease IgG Antibody Immunoblot<\/a>. (Quest)<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">3) Lyme Disease (Borrelia spp) DNA, Qualitative, Blood (PCR)<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>What it is:<\/strong>&nbsp;Molecular assay looking for Borrelia DNA in blood.<\/li>\n\n\n\n<li><strong>What it measures:<\/strong>&nbsp;Presence\/absence of Borrelia genetic material.<\/li>\n\n\n\n<li><strong>Why it matters:<\/strong>&nbsp;May be considered in select situations, though&nbsp;<strong>serology remains preferred<\/strong>&nbsp;for most suspected Lyme disease.<\/li>\n\n\n\n<li><strong>How it helps you:<\/strong>&nbsp;Occasionally useful early on or in special clinical contexts; discuss with your clinician.<\/li>\n\n\n\n<li><strong>Order:<\/strong>&nbsp;<a href=\"https:\/\/www.ultalabtests.com\/test\/lyme-disease-dna-qualitative-blood-test\">Lyme Disease (Borrelia Spp) DNA, Ql, Blood<\/a>. (Quest)<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">4) Lyme and Tick\u2011Borne Panel<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>What it is:<\/strong>&nbsp;A clinician\u2011designed panel bundling&nbsp;<strong>Lyme immunoblot<\/strong>&nbsp;with common&nbsp;<strong>coinfection tests<\/strong>&nbsp;(e.g., Babesia, Bartonella, Ehrlichia\/Anaplasma).<\/li>\n\n\n\n<li><strong>Why it matters:<\/strong>&nbsp;The same tick can transmit multiple pathogens; a bundled approach can save time.<\/li>\n\n\n\n<li><strong>Order:<\/strong>&nbsp;<a href=\"https:\/\/www.ultalabtests.com\/test\/lyme-and-tick-borne-panel\">Lyme and Tick Borne Panel<\/a>. (Quest) \u2013 see page for included assays.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">5) Babesia microti IgG\/IgM Antibodies<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>What it measures:<\/strong>&nbsp;Antibodies to&nbsp;<strong>Babesia microti<\/strong>&nbsp;(a malaria\u2011like parasite).<\/li>\n\n\n\n<li><strong>Why it matters:<\/strong>&nbsp;Babesiosis causes&nbsp;<strong>hemolytic anemia<\/strong>&nbsp;and can be severe in asplenic or immunocompromised people; additional&nbsp;<strong>blood smear\/PCR<\/strong>&nbsp;may be needed if positive or highly suspected.<\/li>\n\n\n\n<li><strong>Order:<\/strong>&nbsp;<a href=\"https:\/\/www.ultalabtests.com\/test\/babesia-microti-igg-igm-antibodies-test\">Babesia Microti IgG\/IgM Antibodies Test<\/a>. (Quest)<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">6) Anaplasma phagocytophilum IgG\/IgM Antibodies<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Why it matters:<\/strong>&nbsp;Helps evaluate&nbsp;<strong>anaplasmosis<\/strong>, which often presents with high fever plus&nbsp;<strong>low WBC\/platelets<\/strong>&nbsp;and&nbsp;<strong>elevated liver enzymes<\/strong>.<\/li>\n\n\n\n<li><strong>Order:<\/strong>&nbsp;<a href=\"https:\/\/www.ultalabtests.com\/test\/anaplasma-phagocytophilum-igg-igm-antibodies-test\">Anaplasma phagocytophilum IgG\/IgM Antibodies<\/a>. (Quest)<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">7) Ehrlichia chaffeensis IgG\/IgM Antibodies<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Why it matters:<\/strong>&nbsp;Evaluates&nbsp;<strong>ehrlichiosis<\/strong>\u2014can become severe; early treatment is critical.<\/li>\n\n\n\n<li><strong>Order:<\/strong>&nbsp;<a href=\"https:\/\/www.ultalabtests.com\/test\/ehrlichia-chaffeensis-igg-igm-antibodies-test\">Ehrlichia chaffeensis IgG\/IgM Antibodies<\/a>. (Quest)<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">8) Malaria, Babesia &amp; Other Blood Parasites (Smear)<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>What it is:<\/strong>&nbsp;Microscopy for&nbsp;<strong>intra\u2011erythrocytic parasites<\/strong>&nbsp;(e.g., Babesia).<\/li>\n\n\n\n<li><strong>Why it matters:<\/strong>&nbsp;Useful when babesiosis is strongly suspected; also helps&nbsp;<strong>quantify parasitemia<\/strong>.<\/li>\n\n\n\n<li><strong>Order:<\/strong>&nbsp;<a href=\"https:\/\/www.ultalabtests.com\/test\/malaria-babesia-other-blood-parasites-blood-test\">Malaria\/Babesia\/Other Blood Parasites Blood Test<\/a>. (Quest)<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">9) Supportive tests your clinician may use<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong><a href=\"https:\/\/www.ultalabtests.com\/test\/complete-blood-count-cbc-with-differential-and-platelets-blood-test\">Complete Blood Count (CBC) with Differential and Platelets<\/a>:<\/strong>&nbsp;looks for leukopenia, anemia, thrombocytopenia\u2014patterns suggestive of&nbsp;<strong>anaplasmosis\/ehrlichiosis<\/strong>&nbsp;or&nbsp;<strong>hemolysis<\/strong>&nbsp;in babesiosis.<\/li>\n\n\n\n<li><strong><a href=\"https:\/\/www.ultalabtests.com\/test\/comprehensive-metabolic-panel-cmp-test\">Comprehensive Metabolic Panel (CMP)<\/a>:<\/strong>&nbsp;checks&nbsp;<strong>liver enzymes<\/strong>&nbsp;and kidney function; transaminitis is common in anaplasmosis\/ehrlichiosis.<\/li>\n\n\n\n<li><strong>Inflammation markers:<\/strong>&nbsp;<strong><a href=\"https:\/\/www.ultalabtests.com\/test\/c-reactive-protein-test\">C\u2011Reactive Protein (CRP)<\/a><\/strong>&nbsp;and&nbsp;<strong><a href=\"https:\/\/www.ultalabtests.com\/test\/sed-rate-test\">Erythrocyte Sedimentation Rate (ESR)<\/a><\/strong>&nbsp;can reflect overall inflammatory burden.<\/li>\n<\/ul>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>Explore all Lyme\u2011related offerings here:&nbsp;<strong><a href=\"https:\/\/www.ultalabtests.com\/testing\/search?itemName=lyme+disease\">Lyme Disease Tests<\/a><\/strong>.<\/p>\n<\/blockquote>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Summary Table: Lyme &amp; Tick-Borne Disease Lab Tests<\/strong><\/h2>\n\n\n\n<p>The key <strong>Lyme &amp; Tick-Borne Disease Lab Tests<\/strong>&nbsp; are organized into&nbsp;<strong>three clear categories<\/strong>&nbsp;for diagnosis, confection and supportive monitoring. <\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Diagnosis (Initial Screening)<\/strong><\/h2>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>Test Name<\/th><th>What It Measures<\/th><th>Why It Matters<\/th><th>Link<\/th><\/tr><\/thead><tbody><tr><td><strong>Lyme Disease Antibody with Reflex to Blot (IgG, IgM)<\/strong><\/td><td>Detects IgG and IgM antibodies to&nbsp;<em>Borrelia burgdorferi<\/em>, with reflex Western blot confirmation if positive\/equivocal<\/td><td>Aligns with CDC two-tier testing; reflex saves time by avoiding a second blood draw<\/td><td><a href=\"https:\/\/www.ultalabtests.com\/test\/lyme-disease-ab-with-reflex-to-blot-igg-igm\">Lyme Disease Ab with Reflex to Blot (IgG, IgM)<\/a><\/td><\/tr><tr><td><strong>Lyme Disease Antibodies (IgG, IgM) Immunoblot (Western Blot)<\/strong><\/td><td>Identifies specific antibody bands to confirm Lyme infection<\/td><td>Confirms positives and distinguishes early (IgM) vs late (IgG) infection<\/td><td><a href=\"https:\/\/www.ultalabtests.com\/test\/lyme-disease-antibodies-igg-igm-immunoblot\">Lyme Disease Antibodies (IgG, IgM) Immunoblot<\/a><\/td><\/tr><tr><td><strong>Lyme Disease IgG Antibody Immunoblot<\/strong><\/td><td>Detects IgG antibodies only<\/td><td>Used for infections &gt;30 days old; avoids false-positive IgM results<\/td><td><a href=\"https:\/\/www.ultalabtests.com\/test\/lyme-disease-antibody-igg-immunoblot\">Lyme Disease IgG Antibody Immunoblot<\/a><\/td><\/tr><tr><td><strong>Lyme Disease (Borrelia spp) DNA, Qualitative, Blood (PCR)<\/strong><\/td><td>Detects&nbsp;<em>Borrelia<\/em>&nbsp;DNA in blood<\/td><td>Useful in select cases when serology is inconclusive<\/td><td><a href=\"https:\/\/www.ultalabtests.com\/test\/lyme-disease-borrelia-spp-dna-ql-blood\/%23\/TFlNRTI1\">Lyme Disease (Borrelia Spp) DNA, Ql, Blood<\/a><\/td><\/tr><tr><td><strong>Lyme and Tick-Borne Panel<\/strong><\/td><td>Includes Lyme antibody testing plus coinfections<\/td><td>Saves time by testing for multiple pathogens in one panel<\/td><td><a href=\"https:\/\/www.ultalabtests.com\/test\/lyme-and-tick-borne-panel\">Lyme and Tick Borne Panel<\/a><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Coinfection Detection<\/strong><\/h2>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>Test Name<\/th><th>What It Measures<\/th><th>Why It Matters<\/th><th>Link<\/th><\/tr><\/thead><tbody><tr><td><strong>Babesia microti IgG\/IgM Antibodies<\/strong><\/td><td>Detects antibodies to&nbsp;<em>Babesia microti<\/em><\/td><td>Babesiosis can cause anemia and be severe in high-risk patients<\/td><td><a href=\"https:\/\/www.ultalabtests.com\/test\/babesia-microti-igg-igm\">Babesia Microti IgG\/IgM Antibodies Test<\/a><\/td><\/tr><tr><td><strong>Anaplasma phagocytophilum IgG\/IgM Antibodies<\/strong><\/td><td>Detects antibodies to&nbsp;<em>Anaplasma<\/em><\/td><td>Helps diagnose anaplasmosis, often with low WBC and high LFTs<\/td><td><a href=\"https:\/\/www.ultalabtests.com\/test\/anaplasma-phagocytophilum-antibodies-igg-igm\">Anaplasma phagocytophilum IgG\/IgM Antibodies<\/a><\/td><\/tr><tr><td><strong>Ehrlichia chaffeensis IgG\/IgM Antibodies<\/strong><\/td><td>Detects antibodies to&nbsp;<em>Ehrlichia chaffeensis<\/em><\/td><td>Important for diagnosing ehrlichiosis, which can be severe if untreated<\/td><td><a href=\"https:\/\/www.ultalabtests.com\/test\/ehrlichia-chaffeensis-igg-igm\">Ehrlichia chaffeensis IgG\/IgM Antibodies<\/a><\/td><\/tr><tr><td><strong>Malaria, Babesia &amp; Other Blood Parasites (Smear)<\/strong><\/td><td>Microscopic identification of blood parasites<\/td><td>Useful for diagnosing babesiosis and estimating parasite load<\/td><td><a href=\"https:\/\/www.ultalabtests.com\/test\/malaria-babesia-other-blood-parasites-blood-test\">Malaria\/Babesia\/Other Blood Parasites Blood Test<\/a><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Supportive Monitoring<\/strong><\/h2>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>Test Name<\/th><th>What It Measures<\/th><th>Why It Matters<\/th><th>Link<\/th><\/tr><\/thead><tbody><tr><td><strong>Complete Blood Count (CBC) with Differential and Platelets<\/strong><\/td><td>Measures red and white blood cells, platelets<\/td><td>Detects anemia, leukopenia, and thrombocytopenia common in tick-borne illnesses<\/td><td><a href=\"https:\/\/www.ultalabtests.com\/test\/complete-blood-count-with-differential-and-platelets-cbc-test\">CBC with Differential and Platelets<\/a><\/td><\/tr><tr><td><strong>Comprehensive Metabolic Panel (CMP)<\/strong><\/td><td>Evaluates liver, kidney, and electrolyte status<\/td><td>Detects transaminitis and other organ effects from tick-borne illness<\/td><td><a href=\"https:\/\/www.ultalabtests.com\/test\/comprehensive-metabolic-panel-test-cmp\">Comprehensive Metabolic Panel (CMP)<\/a><\/td><\/tr><tr><td><strong>C-Reactive Protein (CRP)<\/strong><\/td><td>Measures systemic inflammation<\/td><td>Elevated in many active infections<\/td><td><a href=\"https:\/\/www.ultalabtests.com\/test\/c-reactive-protein-test\">C-Reactive Protein (CRP)<\/a><\/td><\/tr><tr><td><strong>Sed Rate by Modified Westergren (ESR)<\/strong><\/td><td>Measures inflammation speed in blood<\/td><td>Often elevated in chronic infection or inflammation<\/td><td><a href=\"https:\/\/www.ultalabtests.com\/test\/sed-rate-test\">ESR Test<\/a><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">What to Expect from Your Results<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Early negative?<\/strong>&nbsp;Antibodies may take time to develop. If you tested within the first week after symptom onset and results were negative, your clinician may recommend&nbsp;<strong>repeat testing in 7\u201314 days<\/strong>.<\/li>\n\n\n\n<li><strong>IgM vs IgG:<\/strong>&nbsp;<strong>Use IgM only in the first 30 days<\/strong>&nbsp;after symptoms begin; beyond that,&nbsp;<strong>rely on IgG<\/strong>&nbsp;because IgM often yields&nbsp;<strong>false positives<\/strong>.<\/li>\n\n\n\n<li><strong>After treatment:<\/strong>&nbsp;Antibodies can remain positive for months or years;&nbsp;<strong>don\u2019t re\u2011test to prove cure<\/strong>\u2014improving symptoms are what matters.<\/li>\n\n\n\n<li><strong>Coinfections:<\/strong>&nbsp;If your course is more severe than expected (e.g., high fever, drenching sweats, hemolysis, low platelets), ask about&nbsp;<strong>Babesia<\/strong>,&nbsp;<strong>Anaplasma<\/strong>, and&nbsp;<strong>Ehrlichia<\/strong>&nbsp;testing.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">When to Talk to Your Doctor (Right Away)<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Red\u2011flag symptoms<\/strong>: chest pain, fainting or palpitations (possible&nbsp;<strong>Lyme carditis<\/strong>), severe headache\/neck stiffness, confusion, facial droop, shortness of breath, or&nbsp;<strong>high fevers with low blood counts<\/strong>.<\/li>\n\n\n\n<li><strong>If you removed an Ixodes tick and it was likely attached \u226536 hours in an endemic area<\/strong>, ask about&nbsp;<strong>single\u2011dose doxycycline prophylaxis within 72 hours<\/strong>&nbsp;(adults 200 mg once; children 4.4 mg\/kg up to 200 mg).<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">Why Activity Is So High This Summer<\/h2>\n\n\n\n<p>CDC\u2011tracked&nbsp;<strong>ER visits for tick bites have surged<\/strong>&nbsp;in 2025, with the Northeast especially affected.<a href=\"https:\/\/abcnews.go.com\/Health\/er-visits-tick-bites-record-levels-summer-us\/story?id=123538886&amp;utm_source=chatgpt.com\" target=\"_blank\" rel=\"noreferrer noopener\"> <\/a>Climate\u2011linked&nbsp;<strong>shorter winters<\/strong>&nbsp;appear to expand tick survival and season length, allowing&nbsp;<strong>range expansion<\/strong>&nbsp;and more human exposure.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">Conclusion \/ Next Steps<\/h2>\n\n\n\n<p>Ticks are having a big year. The sooner you understand your risk and testing options, the faster you can act. Ulta Lab Tests connects you to&nbsp;<strong>Quest Diagnostics<\/strong>&nbsp;lab testing so you can&nbsp;<strong>order online, walk in for your blood draw, and share results<\/strong>&nbsp;with your clinician.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Start with the&nbsp;<strong><a href=\"https:\/\/www.ultalabtests.com\/test\/lyme-disease-ab-test-with-reflex-to-blot-igg-igm\">Lyme Disease Ab with Reflex to Blot (IgG, IgM)<\/a><\/strong>.<\/li>\n\n\n\n<li>Concerned about coinfections? Consider the&nbsp;<strong><a href=\"https:\/\/www.ultalabtests.com\/test\/lyme-and-tick-borne-panel\">Lyme and Tick\u2011Borne Panel<\/a><\/strong>&nbsp;or add&nbsp;<strong><a href=\"https:\/\/www.ultalabtests.com\/test\/babesia-microti-igg-igm-antibodies-test\">Babesia Microti IgG\/IgM<\/a><\/strong>,&nbsp;<strong><a href=\"https:\/\/www.ultalabtests.com\/test\/anaplasma-phagocytophilum-igg-igm-antibodies-test\">Anaplasma IgG\/IgM<\/a><\/strong>, and&nbsp;<strong><a href=\"https:\/\/www.ultalabtests.com\/test\/ehrlichia-chaffeensis-igg-igm-antibodies-test\">Ehrlichia IgG\/IgM<\/a><\/strong>.<\/li>\n\n\n\n<li>Need a basic screen?\u00a0<strong><a href=\"https:\/\/www.ultalabtests.com\/test\/complete-blood-count-with-differential-and-platelets-cbc-test\">Order your CBC test here.<\/a><\/strong><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-faq\">FAQ <\/h2>\n\n\n\n<p><strong>1) How soon after a tick bite should I test for Lyme?<\/strong><br>Antibodies take time to appear. If you test within the <a href=\"https:\/\/www.cdc.gov\/lyme\/hcp\/diagnosis-testing\/index.html\">first week<\/a> and it\u2019s negative, retesting in&nbsp;<strong>7\u201314 days<\/strong>&nbsp;is reasonable if symptoms persist.<\/p>\n\n\n\n<p><strong>2) Do I need antibiotics right after any tick bite?<\/strong><br>Not always.&nbsp;<strong>Single\u2011dose doxycycline<\/strong>&nbsp;may be offered&nbsp;<strong>within 72 hours<\/strong>&nbsp;only after&nbsp;<strong>high\u2011risk Ixodes<\/strong>&nbsp;bites (endemic area, attached&nbsp;<strong>\u226536 hours<\/strong>). Ask your clinician.<\/p>\n\n\n\n<p><strong>3) My test shows IgM positive but I\u2019ve been sick for over a month\u2014does that mean Lyme?<\/strong><br>Probably not.&nbsp;<strong>Ignore isolated IgM after 30 days<\/strong>&nbsp;because false positives are common. Look for&nbsp;<strong>IgG<\/strong>&nbsp;or retest.<\/p>\n\n\n\n<p><strong>4) Can I use tests to see if I\u2019m \u201ccured\u201d?<\/strong><br>No.&nbsp;<strong>Antibodies may stay positive<\/strong>&nbsp;long after recovery and should&nbsp;<strong>not<\/strong>&nbsp;be used to monitor treatment response; your clinician follows symptoms.<\/p>\n\n\n\n<p><strong>5) What if I have night sweats, dark urine, or very low platelets?<\/strong><br>Ask about&nbsp;<strong>Babesia<\/strong>&nbsp;and other coinfections; babesiosis often causes hemolytic anemia and may need&nbsp;<strong>blood smear or PCR<\/strong>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>If you feel like you\u2019re hearing about&nbsp;ticks surging&nbsp;everywhere this summer, you\u2019re not imagining it. Multiple outlets reporting CDC data say&nbsp;emergency-department visits for tick bites&nbsp;in Summer 2025 are at their highest levels in years, especially in [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":2191,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"om_disable_all_campaigns":false,"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[27,255,23,180,188,205,236,212,260],"tags":[1698,1697,1699,1695,1700,1692,1693,1696,1694],"class_list":["post-2114","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-anemia","category-chronic-fatigue-syndrome","category-hemolytic-anemia","category-infectious-disease","category-lyme-disease","category-neurological-disorders","category-all-neurological-disorders","category-stress-and-fatigue","category-all-stress-and-fatigue","tag-anaplasmosis","tag-babesiosis","tag-ehrlichiosis","tag-lab-tests-for-lyme-disease","tag-lyme-antibody-test","tag-lyme-disease","tag-lyme-disease-testing","tag-tick-bite-symptoms","tag-tick-borne-diseases"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.3 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Lyme Disease on the Rise\u2014Ticks Surging After Warm Winter Put More People at Risk | Ulta Lab Tests<\/title>\n<meta name=\"description\" content=\"Lyme disease cases are climbing as ticks surge after a warm winter. 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