Can anaplasmosis be a chronic, persistent, or dormant infection?

1. Persistent anaplasmosis infection has not been established in studies 
2. Lifelong immunity is not conferred in anaplasmosis infection
3. Protective immunity requires more than the presence of antibodies against anaplasmosis
4. Reinfection of anaplasmosis is possible
5. Biofilm formation may contribute to resistance of anti-tick immunity

For more information on Human Granulocytic Anaplasmosis, see:  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4441757/pdf/nihms663370.pdf

For more information of Resistance of Tick Gut Microbiome to Anti-Tick Vaccines, Pathogen Infection, and Antimicrobial Peptides, see: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7238099/pdf/pathogens-09-00309.pdf