The travelling companions

One bite. Many passengers.

The same tick that delivers Borrelia can deliver Babesia, Bartonella, Anaplasma, Ehrlichia, Mycoplasma or Rickettsia at the same time. Each asks a different question of the body, and a different question of the lab.

01
Babesia
Protozoan parasite - thrives inside the Red Blood Cells
Hallmarks
Drenching night sweats, air hunger, headaches, haemolytic anaemia and much more
How to test
DualDur Coinfections test - a direct test that will provide photo evidence, Babesia FISH, PCR, IFA — repeat testing often required for the indirect tests.
02
Bartonella
Intracellular bacterium
Hallmarks
Sole-of-foot pain, striae-like rashes, anxiety, rage, vascular symptoms
How to test
DualDur Coinfections test - a Direct test with photo proof, BAPGM enrichment + PCR; serology has limited sensitivity
03
Anaplasma
Rickettsial bacterium
Hallmarks
High fever, low platelets, low white count, headache
How to test
DualDur Coinfections test - a direct test with photo proof - PCR in the first week, paired IFA serology after
04
Ehrlichia
Rickettsial bacterium
Hallmarks
Fever, myalgia, hepatitis, cytopenias
How to test
DualDur Coinfections test - a direct test with photo proof - PCR acutely; IFA for convalescent confirmation
05
Mycoplasma
Cell-wall-deficient bacterium
Hallmarks
Fatigue, joint pain, dry cough, neurological symptoms
How to test
DualDur Coinfections test - a direct test with photo proof - PCR + IgM/IgG serology
06
Rickettsia
Spotted-fever group bacteria
Hallmarks
Fever, rash, headache after tick exposure
How to test
IFA serology; PCR from skin biopsy of rash