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Our case report is the first one to our knowledge to describe both the safe and effective use of IM benzathine penicillin and azithromycin in four consecutive pregnancies to prevent vertical transmission of LD, along with high dose atovaquone and azithromycin (with or without clindamycin) to prevent vertical transmission of babesiosis

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However, shorter intervention durations may be insufficient to induce measurable changes on several clinical measures

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However, more than four decades later, in light of significant epidemiological changes driven by shifts in lifestyle and new dietary habits worldwide, questions began to emerge regarding the adequacy of this terminology