Excerpt:

Lyme disease is a multisystem infectious disease with a wide
variety of symptoms involving the skin as well as the nervous
system. Lyme disease is caused by spirochaete Borrelia
burgdorferi transmitted by Ixodes ticks in endemic regions.
A case of 45 year old woman suffering from borreliosis, psoriasis
and depression is presented in the paper. In the study a
standardized screening list was applied to evaluate the
psychiatric health state–Classification of Psychic Disorders
(DSM-IV) and Hamilton Scale. Patient was diagnosed with a major
depressive episode (MDE) according to DSM-IV Diagnosis Criteria.
Patient obtained a score 21 on the 24-item in Hamilton Rating
Scale of Depression.