👉 The fourth-infection, also known as superinfection or coinfection, occurs when an individual already infected with one pathogen becomes simultaneously infected with a second, different pathogen. This can happen within the same host or even in different tissues or organs. Superinfection can lead to more severe disease outcomes, increased virulence, and altered disease progression. For example, in immunocompromised individuals, such as those with HIV/AIDS, a secondary infection like bacterial pneumonia can occur when the immune system is weakened, allowing opportunistic pathogens to take advantage of the compromised defenses. Understanding superinfection is crucial for developing effective treatment strategies and preventive measures, especially in settings where multiple pathogens are prevalent.