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After removing duplicates (146 records), 561 records remained for title and abstract screening

[2] Along with the rash, you may experience flu-like symptoms, including: Fever Swollen lymph nodes Sore throat Headache Muscle aches General fatigue [3] Secondary stage symptoms can last up to six weeks and may come and go for up to two years

It also causes havoc with your respiratory system, linking to problems like asthma and recurring colds

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