Bruises are associated with one of the coinfections. I’m thinking it’s babesia but not positive. Anemia can also occur.
Babesia infects red blood cells.
Here you go:
“ Skin manifestations of babesiosis
Skin manifestations of babesiosis are rare and difficult to separate out from those of Lyme disease. Co-infection with Babesia may alter the skin manifestations of Lyme disease.
No consistent skin manifestation of babesiosis has been found.
Rash has been identified as the presenting symptom in around 12% of patients hospitalised with babesiosis.
Petechiae (small red or purple spots due to bleeding into the skin) and bruises may occur, most likely due to thrombocyt
openia (low platelets, which causes abnormal blood clotting).
Jaundice has been reported, most likely due to lysis of red blood cells.”
https://dermnetnz.org/topics/babesiosis/Don’t know the accuracy/validity of the source, but this popped up in my google search.