Why it gets missed
One bite is rarely one infection.
Studies of ticks in endemic areas routinely find multiple pathogens in a single tick. Yet standard workups test for one organism, with one imperfect test, once.
Co-infections also change how Lyme itself behaves — protocols that ignore Babesia or Bartonella stall, plateau, or relapse. It's one of the most common reasons patients arrive here after treatment “didn't work.”
Our position is simple: map everything the tick may have delivered, then sequence treatment so each layer gets addressed in the right order.
