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      <title>Co-infection of bacteria and protozoan parasites in Ixodes ricinus nymphs collected in the Alsace region, France</title>
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    <abstract>Fifty nymphal Ixodes ricinus ticks collected in Alsace, France, identified by morphological criteria and using MALDI-TOF MS, were tested by PCR to detect tick-associated bacteria and protozoan parasites. Seventy percent (35/50) of ticks contained at least one microorganism; 26% (9/35) contained two or more species. Several human pathogens were identified including Borrelia burgdorferi s.s. (4%), Borrelia afzelii (2%), Borrelia garinii (2%), Borrelia valaisiana (4%), Borrelia miyamotoi (2%), Rickettsia helvetica (6%) and "Babesia venatorum" (2%). Bartonella spp. (10%) and a Wolbachia spp. (8%) were also detected. The most common co-infections involved Anaplasmataceae with Borrelia spp. (4%), Anaplasmataceae with Bartonella spp. (6%) and Anaplasmataceae with Rickettsia spp. (6%). Co-infection involving three different groups of bacteria was seen between bacteria of the family Anaplasmataceae, Borrelia spp. and Bartonella spp. (2%). Results highlight the panel of infectious agents carried by Ixodes ricinus. Co-infection suggests the possibility of transmission of more than one pathogen to human and animals during tick blood feeding.</abstract>
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    <subject>
      <topic>Ixodes ricinus</topic>
      <topic>Co-infection</topic>
      <topic>Bacterial pathogens</topic>
      <topic>Protozoan parasites</topic>
      <topic>MALDI-TOF MS</topic>
    </subject>
    <subject authority="local">
      <geographic>FRANCE</geographic>
      <geographic>ALSACE</geographic>
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    <classification authority="local">052</classification>
    <relatedItem type="host">
      <titleInfo>
        <title>Ticks and Tick-Borne Diseases</title>
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      <part>
        <detail type="volume">
          <number>10</number>
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        <detail type="volume">
          <number>6</number>
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          <list> art. 101241 [5 p.]</list>
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        <dateIssued>2019</dateIssued>
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      <identifier type="issn">1877-959X</identifier>
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    <identifier type="uri">https://www.documentation.ird.fr/hor/fdi:010077009</identifier>
    <identifier type="doi">10.1016/j.ttbdis.2019.06.001</identifier>
    <identifier type="issn">1877-959X</identifier>
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      <recordCreationDate encoding="w3cdtf">2019-11-05</recordCreationDate>
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