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Coinfection of <i>Babesia</i> and <i>Borrelia</i> in the Tick <i>Ixodes ricinus</i>-A Neglected Public Health Issue in Europe?
Uppsala Univ, Sweden.
Univ Coll Dublin, Ireland.
Linköping University, Department of Biomedical and Clinical Sciences, Division of Inflammation and Infection. Linköping University, Faculty of Medicine and Health Sciences. Reg Jonkoping Cty, Sweden.ORCID iD: 0000-0003-2767-3638
Linköping University, Department of Biomedical and Clinical Sciences, Division of Inflammation and Infection. Linköping University, Faculty of Medicine and Health Sciences. Reg Jonkoping Cty, Sweden.ORCID iD: 0000-0002-9200-2964
2024 (English)In: Pathogens, E-ISSN 2076-0817, Vol. 13, no 1, article id 81Article, review/survey (Refereed) Published
Abstract [en]

Ixodes ricinus nymphs and adults removed from humans, and larvae and nymphs from birds, have been analysed for infection with Babesia species and Borrelia species previously in separately published studies. Here, we use the same data set to explore the coinfection pattern of Babesia and Borrelia species in the ticks. We also provide an overview of the ecology and potential public health importance in Sweden of I. ricinus infected both with zoonotic Babesia and Borrelia species. Among 1952 nymphs and adult ticks removed from humans, 3.1% were PCR-positive for Babesia spp. Of these Babesia-positive ticks, 43% were simultaneously Borrelia-positive. Among 1046 immatures of I. ricinus removed from birds, 2.5% were Babesia-positive, of which 38% were coinfected with Borrelia species. This study shows that in I. ricinus infesting humans or birds in Sweden, potentially zoonotic Babesia protozoa sometimes co-occur with human-pathogenic Borrelia spp. Diagnostic tests for Babesia spp. infection are rarely performed in Europe, and the medical significance of this pathogen in Europe could be underestimated.

Place, publisher, year, edition, pages
MDPI , 2024. Vol. 13, no 1, article id 81
Keywords [en]
Babesia; Borrelia; babesiosis; coinfection; Ixodes ricinus; Lyme borreliosis; Sweden
National Category
Infectious Medicine
Identifiers
URN: urn:nbn:se:liu:diva-201006DOI: 10.3390/pathogens13010081ISI: 001152734700001PubMedID: 38251388OAI: oai:DiVA.org:liu-201006DiVA, id: diva2:1840096
Note

Funding Agencies|Helge Ax:son Johnson's stiftelse

Available from: 2024-02-22 Created: 2024-02-22 Last updated: 2025-01-17

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Lindgren, Per-EricWilhelmsson, Peter

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