Emerging infectious diseases represent a global and major health problem. The understanding of biological processes involved in the transmission and evolution of infectious agents in host reservoirs is critical [1]. Disease ecology has, therefore, become an important area of research, aiming at investigating the interactions between infectious agents, their hosts, and environments. Interactions between infectious agents exploiting the same vertebrate host at the same time (coinfections) can affect disease outcomes and transmissibility. In this paper, we review this point, as this could have significant consequences on zoonoses emergence. Are coinfections common? Coinfection (or co-infection), which can refer to simultaneous infection, mixed infection, multiple infections, concomitant infection, concurrent infection, polyinfection, polyparasitism, and multiple parasitisms [2], defines the occurrence of at least two genetically different infectious agents in the same host (Fig 1A) [3]. This definition, therefore, includes infectious agents of different taxonomic levels (e.g., bacterium and virus) and also genetic variants of the same infectious agent (e.g., virus genotypes) [3]. Coinfections have been mainly studied in humans, with a particular emphasis on macroparasite helminths [3,4]. The presence of helminth eggs from multiple species has even been reported in human remains and coprolites recovered from many prehistoric sites and analyzed by microscopy [5]. About 30% of human infections may actually be coinfections, and this rate could reach up to 80% in some human communities [4,6]. Recent studies have focused on other living organisms such as plants, vertebrate, and invertebrate animals and have demonstrated that coinfection is indeed the rule rather than the exception (Fig 1B) [2-4,7]. For example, coinfection by protozoa (Eimeria sp., Entamoeba sp., Giardia sp. and Cryptosporidium sp.) and by protozoa and helminths (e.g., Ancylostomatidae, Vampirolepsis nana) in Brazilian bats can reach 22% in Molossus molossus, 25% in Myotis lavali, and 36% in Noctilio albiventris [8]. In field voles (Microtus agrestis), the prevalence of coinfected individuals with Babesia microti, Cowpox virus, Anaplasma phagocytophilum, and Bartonella spp., can reach up to 79% of tested animals [9]. How do infectious agents interact? Coinfection not only reflects the simultaneous presence of multiple infectious agents in a given host but also involves complex interactions between them. The type of interactions within a community of infectious agents exploiting the same host can be direct, for example, via physical interference or competition for resources, or indirect, such as through immunological pathways or the production of chemical compounds [10-17]. The outcome of these interactions can be positive (synergistic), in which the presence of one infectious agent may facilitate infection by other infectious agents; negative (antagonistic), when the presence of one