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doi: 10.3389/fendo.2026.1822475 Received 03 March 2026 Revised 05 May 2026 Accepted 02 June 2026 Published 18 June 2026 Volume 17 - 2026 Edited by Carmine Bruno, Link Campus University, Italy Reviewed by Matej Rakusa, University Medical Centre Ljubljana, Slovenia Fredrik Tiberg, Camurus AB, Sweden Updates Copyright 2026 Dominikowski, Rko, Olejarz, Szczepanek-Parulska, Domin and Ruchaa

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2 4 Prophylaxis might be considered within 72 hours of tick removal if the vector was identified as an immature black-legged tick which remained attached for more than 36 hours and the patient had visited a region where local rates of infection are greater than 20%

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In between shopping stops, stroll the tree-lined walkways of Circle Park at the center of the complex to view statues from the Ringlings' own collection and to see the Circus Ring of Fame, a series of bronze plaques that pays tribute to more than 150 of the circus's most influential performers and executives