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89. Evidence of High Rate of Powassan Virus Co-infection in Lyme Disease Patients Anna Schotthoefer, PhD; Holly Frost, MD; Angela Thomm, BS; Alan Dupuis II, BS; Susan Kehl, PhD; Laura Kramer, PhD; Thomas Fritsche, MD, PhD; Yvette Harrington, MS; Konstance Knox, PhD; Marshfield Clinic Research Foundation, Marshfield, Wisconsin; Marshfield Clinic, Minocqua, Wisconsin; Coppe Healthcare Solutions, Waukesha, Wisconsin; New York State Department of HealthWadsworth Center, Slingerlands, New York; Pathology, Medical College of Wisconsin, Milwaukee, Wisconsin; Marshfield Labs, Marshfield, Wisconsin