“…Co-infections of two or more human pathogens found in a single tick have been reported for A. americanum and especially I. scapularis (Schulze et al 2005, 2013, Tokarz et al 2010, Aliota et al 2014, Hersh et al 2014, Killmaster et al 2014, Prusinski et al 2014, Cross et al 2018, Sanchez-Vicente et al 2019, Cutler et al 2021, Milholland et al 2021, Zembsch et al 2021, Hart et al 2022, Schwartz et al 2022). Elucidating the effects of co-infection of diverse pathogens (viral, bacterial, parasitic) within A. americanum and other species should be included in future studies.…”