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Its Time to Recognize Congenital Lyme Being a doctor who works with children, the idea of maternal-fetal transmission of Lyme or any other tick-borne illness is very disturbing. There has been a lot of denial about this issue in the medical literature, but in 2020 the Centers for Disease Control and Prevention acknowledged that congenital transmission is possible but “rare.” Personally, I find it very hard to accept that maternal-fetal Lyme transmission is an unusual occurrence. I’ve diagnosed at least five cases of probable c