Current status and co-infection of Lyme disease borrelia and human granulocytic Anaplasma in Eurasia.

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Distribution of Anaplasma phagocytophilum and coinfection of A. phagocytophilum and Lyme disease Borrelia spp. in Turkey, Irkutsk, and Taiwan were examined. Both pathogens were detected from tick collected in Turkey and Irkutsk. The co-infection rate in ticks were less than 5%. P44 protein sequences of A. phagocytophilum detected in Turkey were in the same genetic lineage of these detected from Serbia and Moscow in Russia. On the other hand, some of the protein detected in Irkutsk were similar to those from ticks in Japan. A. phagocytophilum and Anaplasma bovis were detected from rodents in Taiwan.