The purpose of this study was to assess the burden of co-infections in the field and to better understand the possible synergism between pathogens in a laboratory setting. We focussed on E. coli (O78) and low pathogenic avian influenza virus (LPAIV, H6N1) in turkey model and infected the birds via the aerosol route to reproduce respiratory disease. Viral shedding and lesions were more severe and persisted longer during coinfection indicating possible enhancement of pathogenesis for LPAIV by E. coli and vice versa. These findings all endorse our conclusions that E. coli and LPAIV exercise an additive pathogenic effect in the reproduction of respiratory disease if given simultaneously or spaced by three days between the viral and the bacterial challenges to susceptible turkeys. In parallel, we studied avian respiratory agents circulating in the field in Pakistani farms. There, we focussed on co-infections as well, targeting viruses only as a first study. We observed frequent LPAIV H9 (G1 lineage) and Newcastle disease virus (genotype VII) coinfections in the field.