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Co-infection of Lyme Disease and Powassan Virus - Exploring the Symptoms and Treatment

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Co-infection occurs when multiple pathogens cause infection simultaneously. One example is getting Lyme disease and the Powassan virus at the same time.

Medically reviewed by

Dr. Shubadeep Debabrata Sinha

Published At July 18, 2023
Reviewed AtJuly 18, 2023

Introduction

Lyme disease and Powassan virus are both tick-borne illnesses that can lead to severe health issues if left untreated. While these illnesses are caused by different pathogens, the co-infection of Lyme disease and Powassan virus has become more common in recent years. Co-infection occurs when a tick is infected with more than one pathogen. Several different diseases are transmitted by ticks in the United States, and it only takes one tick to make someone sick. In temperate regions of North America and Europe, Lyme disease is the most frequent sickness that can be transmitted by ticks. Lyme borreliosis, anaplasmosis, babesiosis, the Powassan virus, and an illness caused by B. miyamotoi are all examples of potential co-infections. This article will discuss the co-infection of Lyme disease and the Powassan virus. Continue reading to learn more.

What Is a Coinfection?

Before knowing about the coinfection of Lyme disease and Powassan virus, one must know what a coinfection actually is. Co-infection takes place when two or more pathogens infect an individual at the same time. In the case of Lyme disease and Powassan virus, co-infection can arise when a tick carrying both pathogens bites a human. The simultaneous presence of the two illnesses can result in more extreme and complex signs and symptoms, making them difficult to diagnose and treat. Co-infection occurs when a person is infected with a couple of pathogens concurrently. The co-infection of Lyme disease and Powassan virus is one such example. Apart from those two illnesses, co-infection can arise with other tick-borne diseases, including Anaplasmosis, Babesiosis, and Ehrlichiosis. Because Ixodes ticks that carry Borrelia burgdorferi, the bacterium that causes Lyme disease, can carry other infections, co-infection may be a risk for people.

Is Powassan Virus the Same as Lyme Disease?

No, the Powassan virus is a virus, while Lyme disease is caused by bacteria. Nevertheless, the two diseases can be passed on through the same vector: the bite of an infected tick.

Powassan Virus:

The Powassan virus disease is a disease that is caused by a virus that can be transmitted from person to person when a tick that is infected with the virus bites a person. Because it is so uncommon, not as many people are familiar with it. The Powassan virus is a flavivirus that is transmitted by ticks and is linked to certain mosquito-borne viruses, including the West Nile virus. The city of Powassan, in Ontario, was the place where the virus was found for the first time in 1958. There are two kinds of Powassan virus in North America. These are lineage 1 and lineage 2 Powassan viruses.

Lyme Disease:

Lyme disease is not very uncommon. Many individuals are familiar with it, which is caused by the infected tick's bite. If a tick bites a human with an infection, it can contract the bacteria. It is possible for the infection to cause problems with the skin, the heart, the brain, and the joints. The bacteria which is responsible for the occurrence of Lyme disease is Borrelia burgdorferi bacteria, which can transmit to people through the bites of infected black-legged ticks. Therefore, it should be understood by individuals that Lyme disease is not caused by each and every tick bite. Deer ticks, also known as black-legged ticks, are the only source of the bacteria that causes Lyme disease. The majority of people who are bitten by one of these ticks do not often develop Lyme disease because either these ticks only have an infection in a very small percentage of their population or to transmit bacteria, an infected tick needs to be connected to its host for at least one or two days.

Therefore, the Powassan virus is a rare but probably fatal virus that is transmitted to humans through the bite of an inflamed tick. Unlike Lyme disease, which is a result of a bacterium, the Powassan virus is an epidemic belonging to the Flaviviridae family.

What Are the Signs and Symptoms of Co-infection With Lyme Disease and Powassan Virus?

The symptoms of co-infection with the Powassan virus in Lyme disease can be more severe and complex than those of both ailments on their own. Some initial symptoms are similar to those of Lyme disease, which include fever, headache, fatigue, and muscle aches. However, because the ailment progresses, the signs and symptoms can become excessive, with the opportunity of developing seizures, confusion, and inflammation of the brain, often known as encephalitis.

Membrane inflammation that surrounds the brain and spinal cord is known medically as meningitis, and in severe cases with complications, it may even lead to death.

How Is Coinfection of Lyme Disease and Powassan Virus Diagnosed?

Due to the complexity of the co-infection, prognosis and treatment may be difficult. A diagnosis usually includes an aggregate of medical signs and laboratory assessments. Blood tests can be taken to detect the presence of antibodies to either Lyme disease or the Powassan virus. However, a false terrible result is possible, specifically if the test is executed too early after the infection.

How Is Co-infection of Lyme Disease and Powassan Virus Treated?

Treatment for co-infections with Lyme disease and Powassan virus generally includes a mixture of antibiotics and antiviral remedies. However, the efficacy of those treatments remains under research, and the lengthy-term outcomes of co-infection are not yet fully understood.

How Is Coinfection of Lyme Disease and Powassan Virus Prevented?

Prevention is a great way to avoid co-contamination with Lyme disease and the Powassan virus. To avoid getting bit by ticks, consider these measures:

  • Wear lengthy-sleeved shirts and pants while on foot in wooded or grassy areas.

  • Put on insect repellent with at least 20 percent DEET to keep the insects away.

  • Conduct a full-frame tick and take a look at it after spending time outside.

  • Remove ticks promptly with the use of quality-tipped tweezers.

Conclusion

When Lyme disease and Powassan virus co-infections happen at once, they can cause more severe symptoms and more complicated problems than either infection would cause on its own. Symptoms of co-infections are frequently more severe, necessitating unique treatment strategies. The best way to avoid co-infection is to take preventative steps, with avoiding tick bites being the best way to avoid both diseases. In the event that an individual suspects infection by either Lyme disease or the Powassan virus, it is imperative to seek medical attention.

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Dr. Shubadeep Debabrata Sinha
Dr. Shubadeep Debabrata Sinha

Infectious Diseases

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