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BMD often presents with symptoms like other tick-borne infections, including fever, chills, headache, and muscle aches, but often lacks the characteristic rash seen in Lyme disease and does not typically have a greater-than-24-hour tick attachment period for transmission. A high index of suspicion in the late spring and summer months in the Northern hemisphere is essential for early diagnosis of BMD and treatment to prevent maternal and neonatal morbidity and mortality.<\/jats:p>","DOI":"10.1542\/neo.26-1-006","type":"journal-article","created":{"date-parts":[[2024,12,31]],"date-time":"2024-12-31T21:02:23Z","timestamp":1735678943000},"page":"e57-e61","source":"Crossref","is-referenced-by-count":3,"title":["A Day in the Woods in Pregnancy: Fetal and Neonatal Implications"],"prefix":"10.1542","volume":"26","author":[{"given":"J.","family":"Sroda Agudogo","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela","family":"Febres-Cordero","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, 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