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Thomas T, Stefanoni D, Reisz JA, Nemkov T, Bertolone L, Francis RO, et al

Louse-borne relapsing fever ( Borrelia recurrentis ) diagnosed in 15 refugees from northeast Africa: epidemiology and preventive control measures, Bavaria, Germany, July to October 2015

Adv Enzymol Relat Areas Mol Biol 73:209267 Groneberg DA, Rubio-Aliaga I, Nickolaus M, Doring F, Fischer A, Daniel H (2004) Direct visualization of peptide uptake activity in the central nervous system of the rat

The bound toxin becomes water-soluble and is excreted through bile or urine

I guess, it's always a difficult balance between testing for things that are likely and things that are less likely, and also the costs of these tests are not necessarily insignificant for many of us as well