The agents of Lyme disease (Borrelia burgdorferi) and human granulocytic ehrlichiosis (Ehrlichia phagocytophila) are both transmitted by the tick Ixodes scapularis. In nature, ticks are often infected with both agents simultaneously. We studied whether previous infection with either Borrelia or Ehrlichia in ticks would affect acquisition and transmission of a second pathogen. Ehrlichia-infected I. scapularis nymphs were fed upon Borrelia-infected mice, and Borrelia-infected I. scapularis nymphs were fed upon Ehrlichia-infected mice. The efficiency with which previously infected nymphal ticks acquired a second pathogen from infected hosts was compared to that of uninfected ticks. An average of 51% ؎ 15% of ticks acquired Ehrlichia from infected mice regardless of their prior infection status with Borrelia. An average of 85% ؎ 10% of ticks acquired Borrelia from infected mice regardless of their prior infection status with Ehrlichia. Also, we assessed the efficiency with which individual nymphs could transmit either agent alone, or both agents simultaneously, to individual susceptible hosts. An average of 76% ؎ 9% of Borrelia-infected ticks and 84% ؎ 10% of Ehrlichia-infected ticks transmitted these agents to mice regardless of the presence of the other pathogen. There was no evidence of interaction between the agents of Lyme disease and human granulocytic ehrlichiosis in I. scapularis ticks. The presence of either agent in the ticks did not affect acquisition of the other agent from an infected host. Transmission of the agents of Lyme disease and human granulocytic ehrlichiosis by individual ticks was equally efficient and independent. Dually infected ticks transmitted each pathogen to susceptible hosts as efficiently as ticks infected with only one pathogen.The black-legged tick Ixodes scapularis is a vector of Borrelia burgdorferi, the etiologic agent of Lyme disease, as well as Ehrlichia phagocytophila, the etiologic agent of human granulocytic ehrlichiosis (HGE) (2, 4, 31, 32). In nature, nymphal and adult ticks are often infected with both agents simultaneously (3,16,29,33). Nymphal or adult ticks can acquire both pathogens simultaneously from a single coinfected host during either larval or nymphal feeding (M. Levin, unpublished data). Alternatively, adult ticks may have acquired pathogens consecutively-one during larval feeding and a second during nymphal feeding. In nature, the prevalence of either pathogen in ticks increases significantly from the nymphal to the adult stage, and consequently, the prevalence of coinfection in questing adult ticks can be 7 to 10 times higher than in nymphs (16). This observation suggests that consecutive acquisition of different pathogens by individual ticks may happen more frequently than simultaneous acquisition.Simultaneous infection with these two agents has also been documented in humans and rodents (16,(18)(19)(20). Infection with both agents may result from the bite of a single coinfected tick. However, there is no experimental evidence for simultaneous transmission...