Lyme disease is caused by the bacterium Borrelia burgdorferi and its symptoms include a characteristic rash called erythema migrans. If left untreated, later symptoms can include joint pain, heart palpitations, and shooting pains. Diagnosis is made through ELISA testing which detects antibodies produced by the immune system against Borrelia antigens like OspC, Crasp, and VIsE. The Borrelia IgM ELISA uses recombinant antigens for high sensitivity and specificity in detecting IgM antibodies in serum or plasma samples, with results available in under two hours.