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The studies on the occurrence and diversity of tick-borne infections in HIV-infected individuals have been few, and the subject has been relatively neglected when compared with other infections associated with HIV. Non-specific symptoms of tick-borne diseases pose a challenge in clinical care and may lead to misdiagnosis, especially in HIV-positive patients, who often experience many non-specific clinical symptoms. Additionally, in immunocompromised patients, a significant delay of antibody production may occur, and the results of a serological test may be misinterpreted. This review focuses on the most common tick-borne infections in HIV-positive patients in Europe.