Blood tests for Lyme disease tend to come up as false negatives in the week after a bite

Ticks must typically be attached to a person for more than 24 hours to transmit Lyme

Infected blacklegged ticks must typically be attached to a person for more than 24 hours—and often closer to 36—to transmit Lyme. That period is enough time for the bacteria that causes Lyme to migrate from the tick's gut into the person's bloodstream while it's latched on through its bite. (There are rare documented cases of transmission under 24 hours.) Rapid removal of the tick is key to disease prevention.

Erythema migrans rash is common in Lyme—but it often doesn't look like a bull's-eye

The US Centers for Disease Control and Prevention states that this rash occurs in roughly 70% or more of Lyme disease patients, and typically occurs at the site of a tick bite. The rash may expand slowly over several days and feel warm to the touch, but it's rarely itchy or painful. As it grows, areas of it may clear—creating a target or "bull's-eye" appearance.

Chronic lyme isn't a medically recognized diagnosis in conventional medicine

It describes a constellation of symptoms attributed to a persistent Lyme infection—meaning the bacteria have remained present even after antibiotics. It often occurs among people who have never received a positive test for Lyme. Doctors do recognize "post-treatment Lyme disease syndrome," however, which can include muscle and joint pain, fatigue, and cognitive difficulties after treatment for confirmed Lyme.

Post-treatment Lyme disease syndrome may be caused by bacterial remnants in the liver

PTLDS, which refers to lingering symptoms of Lyme after antibiotic treatment, is an area of active research. Rodent research published in 2025 suggests that these ongoing symptoms may potentially be due to the body's inflammatory response to lingering cellular components from the bacteria that cause Lyme, Borrelia burgdorferi. In rodents, components of the bacteria's cellular wall may remain in the liver after the bacteria were eliminated with antibiotics.

Lyme disease is caused by bacteria transmitted through the bite of infected ticks

It's an infectious disease caused by Borrelia burgdorferi bacteria. It's spread through the bite of two species of infected ticks, the Western blacklegged ticks on the West Coast, and Blacklegged ticks found throughout the eastern US. The ticks can transmit the disease at both the nymph and adult stage. It's not known to be transmitted from one person to another via kissing or sex.

Nonwhite Lyme patients tend to be diagnosed later and have more severe disease

Peer-reviewed research published in 2025 from Pfizer—a pharmaceutical company working on a candidate vaccine for Lyme disease—examined Lyme data from more than 150,000 Medicare and Medicaid beneficiaries and found that Black patients, as compared to white beneficiaries, were more likely to have disease that had spread further throughout the body at the time of care. The difference, the scientists wrote, may be partly due to difficulties recognizing the characteristic rash on darker-colored skin.

More than 1 in 7 people worldwide have had Lyme disease

Research published in 2022 suggests that 14.5% of the world's population has contracted Lyme disease. Researchers arrived at that estimate by analyzing the presence of Lyme disease antibodies (indicating prior infection) across 89 studies conducted between January 1984 and December 2021. The works collectively included blood samples from more than 150,000 people. (Some user may encounter a paywall.)

Lyme disease was first identified in Lyme, Connecticut in 1975

A cluster of 51 children and adults in the town all began experiencing uncommon arthritic symptoms and the cases were reported to the state health department. A quarter of the cases were preceded by a skin lesion. The patients tended to live near the woods.

Lyme disease-causing bacteria predate any suspected biological weapons testing

Borrelia bacteria existed long before any US biological weapons program—or human presence in North America. One study comparing genomes of the bacteria behind Lyme disease collected samples of the bacteria over three decades and calculated that the bacterium has been in North America longer than humans, at least 60,000 years. Other work found related bacteria preserved in amber from millions of years ago.

Deer don't get infected with Lyme disease—but ticks do feed on them

Adult ticks feed on white-tailed deer and also lay eggs on the animals, but the deer don't get sick with Lyme disease. Research published in 2023 offered new insights into why deer don't get sick from Lyme disease: It appears that the quadruped may have specific not-yet-identified immune system proteins in their blood serum that kill the bacterium.

Two Lyme disease vaccines were in development in 2026

As of early 2026, there was no vaccine for Lyme disease available. One candidate vaccine, VLA15, was in later-stage clinical trials. Another designed to provide seasonal protection was licensed to a pharmaceutical company in 2025, and was planned for human clinical trials.

Wearing tick repellent, covering up, and performing tick checks are the best Lyme prevention

Spraying repellents onto your clothes—and reapplying them—or donning impregnated bug-repelling clothes can help keep ticks away. Effective sprays include DEET, picaridin, or permethrin. Bug spray applied to the body should be applied on top of sunscreen, and only after the sunscreen has dried.

Allergy tests identify antibodies, but not whether allergy symptoms may appear

Skin prick tests and blood tests, the two most common allergy tests, both detect the presence of allergen-specific antibodies. But just because the body has those antibodies doesn’t mean that a person is “allergic” to a substance or that they will develop symptoms of an allergy when encountering the substance. Allergists work with families to interpret the results and sometimes combine that data with approaches including exposure challenges—giving someone a tiny bit of the food or substance they may be allergic to—under medical supervision.

Leprosy symptoms may appear 20 years after infection, so contact tracing isn't possible

The standard approach for tracking disease transmission isn't realistic for this disease because symptoms may take decades to manifest. As a result, disease transmission is still not fully understood.

Malaria case in Maryland stumped doctors in 2023—leading to the wrong treatment

When the state had its first locally acquired malaria case in over 40 years, the patient was misdiagnosed with a more common tick-borne infection, leading to weeks-long treatment for the wrong infection. The patient had symptoms that could occur with malaria or with babesiosis, a disease caused by Babesia parasites and transmitted by ticks in the US.

Tick bites can fuel an allergy to a sugar molecule in red meat

Alpha-gal syndrome is on the rise globally as ticks spread due to climate shifts. Bites from some ticks can trigger a sensitivity to a sugar molecule called alpha-gal found in mammal meat, which can lead to allergic responses to hamburgers and steak, among other products. Listen to an expert’s tips for avoiding this allergy, including quickly removing any ticks to limit exposure to their saliva or vomit.

Lupus, an autoimmune disease with varied symptoms, was named for wolf bite-like lesions

The 13th-century physician behind the name (lupus is Latin for wolf) named it after a patient he saw who had facial lesions that looked to him like a wolf's bite. Other common symptoms of the disease include extreme fatigue, painful and swollen joints, fevers, and light sensitivity.

There are two FDA-approved blood tests that may detect early Alzheimer's disease

Yet the tests are only recommended for those who have symptoms of dementia, and are not definitive on their own. False positives are a concern with these new tests, which detect biomarkers that may indicate the presence of brain proteins linked to the disease. This podcast explores the state of research on the disease and concerns about regulators taking jobs at pharmaceutical and biotech companies, which may influence their approach to approvals. It also dives into an investigation about the data underpinning one experimental Alzheimer's drug.

Most penicillin allergy diagnoses are wrong

A Freakonomics Radio episode investigates why so many people mistakenly believe they’re allergic to penicillin. This widespread misdiagnosis leads to costlier, less effective treatments and contributes to the growing problem of antibiotic resistance.

Protecting yourself from West Nile involves avoiding getting bites and clearing standing water

The best prevention against West Nile is avoiding getting bit. That means covering your arms and legs with long, loose-fitting clothes, wearing insect repellant—on top of, not under sunscreen, and making your environment as inhospitable to mosquitoes as possible, including clearing any standing water.

Urushiol, the oily toxin in poison ivy, can remain allergenic on clothing for years

The substance can still cause rashes even after being on shoelaces, clothing, sleeping bags, boots, or other clothing for multiple years—some reports say five years on surfaces—so they all need to be washed after outdoor adventures with the plants.

Research shows that, on average, humans correctly spot liars about half of the time

Polygraph tests, also known as lie detectors, are better at detecting lies than people, but they still aren't allowed in most courtrooms. That's in part because of mixed signals. For example, spikes in heart rate can be explained by the stress a person feels during interrogation rather than by their own deception. As a result, polygraph tests are prone to false accusations. Results are also unreliable when participants actually believe their lies, examiners have biases, and tricks are employed to help test-takers relax.

Urushiol, the oily toxin in poison ivy, can remain allergenic on clothing for years.

Only a fraction of LSD reaches the brain, but it concentrates in key regions

When taken, LSD is absorbed quickly (often within an hour of ingestion) and exerts its effects primarily by binding to serotonin receptors. While only a small amount enters the brain, it's active in regions controlling the visual and auditory senses, potentially driving its psychedelic effects. The drug doesn't linger in the body, and is typically undetectable within a day.

See the incubation periods for certain food poisoning-causing organisms

Read this chart that lists common food sources of different foodborne illness-causing pathogens and typical times between exposure and symptom onset.

The 2026 Ebola outbreak is hampered by a lack of vaccine against the species of the virus, heightening the need for rapid tests to aid in disease control.

Testing five common beliefs about bedbugs

Bedbugs are one of the most stigmatized pest infestations due to their resilience and tendency to dwell where humans are most unconscious for long periods of time: beds. A bedbug problem can lead to horror stories and intensive interventions to...

Hookworm infection, though risky, may help fight certain autoimmune conditions by tamping down the immune system's inflammatory response.

Tattoos remain visible on your skin thanks to immune cells called macrophages

Larger animals like giraffes, elephants, and blue whales have developed a unique defense against cancer, a phenomenon known as Peto's Paradox

About 12.5% of US adults experience a phobia in their lifetime, a diagnosis that hinges on the intense fear interfering with daily life and persisting for at least six months.

At the beginning of the 20th century, a group of young men ate standard American food—replete with food additives like borax and formaldehyde—as part of government research to better understand food safety.

Massive blooms of microscopic plankton called dinoflagellates produce the neon blue light seen in glowing tides.

After her fellow cult members tried to kill her with an LSD-infused hamburger, one member of the Manson Family, the murderous cult led by Charles Manson, decided to testify against the group's leader.

Some Pokémon have been named after real and fictional organisms, while some real-world species have been named after Pokémon, such as Chilicola charizard and Binburrum zapdos.

Recent research found that the brain doesn't seem to massively rewire following amputation—upending earlier beliefs about the cause of phantom limb pain.

Telehealth demand for GLP-1s for weight loss is booming as consumers seek easier access.

Budweiser stores yeast derived from the original 1800s strain in a secret bunker, which only the Head of Yeast Management can access—not even the CEO

In 1939, baseball star Lou Gehrig delivered his inspirational 'Luckiest Man' speech after retiring due to the health condition that now bears his name.

Abraham Lincoln was almost assassinated weeks before his inauguration as he traveled from Illinois to DC through Baltimore in 1861; it took two independent claims for Lincoln to be convinced the threat was real

The Beatles' US label rejected the band's first two singles, 'Please Please Me' and 'From Me to You,' with one executive calling the band 'dead in the water.'

For centuries, it was common to sleep in two shifts: a few hours at the beginning of the night, and a longer period beginning around midnight

Elk Cloner, the first computer virus to spread in public, was written as a practical joke by Richard Skrenta, a Pittsburgh high school student.

See images of medical cases of firework injuries shared on this 'Instagram for doctors.' (Warning: Graphic content)

Meet the 56 signers of the Declaration of Independence—most of whom didn't put pen to paper until August 2, 1776—and see their original signatures.

The Mona Lisa's celebrity status and repeated restorations have obscured what made the painting so revolutionary for its time

While El Niño moves warm Pacific Ocean waters east along the equator, La Niña moves them west, shifting where rainfall will become more common for months.

Pure water does not conduct electricity because this flow of energy requires the movement of charged particles, and water is a neutral molecule.

In 2009, the nation was gripped by the story of a missing young boy who was believed to be floating over Colorado in a homemade balloon, until it was revealed that he was at home the whole time.

Some renewable energy sources may weaken the resiliency of electric grids by removing outage buffers provided by coal- and natural gas-fired plants, which provide the system with more time to find a new power source if a plant goes down.