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Authors contributions Study concept and design (AB), acquisition of data (RP, AK), analysis and interpretation of data (DS, NS), drafting of the manuscript (RP, AK), critical revision of the manuscript for important intellectual content (DS, NS), study supervision, administrative, technical, and material support (VA)

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The male:female ratio was 1:1.5

To understand the complexities of chronic Lyme disease, we must first look at the origins of the infection itself