More zoonotic infections are carried by ticks than by any other kind of vector, and they are prevalent on all continents. Since all vector-borne diseases species have been affected by climate change detected in recent years, an important number of vector species (ticks, mosquitoes, fleas, sand-flies, etc.), and the pathogens they carry are currently expanding in both distribution and incidence, with significant implications for human and animal health and welfare. Therefore, the aim of this retrospective study was to determine the main vector-borne diseases identified in 45 canine patients with or without specific symptoms from Iasi County, between March 2023 and December 2025. Molecular screening was performed using multiplex quantitative real-time PCR (qPCR) instrument, being able to detect the DNA of more than 19 pathogens specific to dogs. The main species of pathogens requested by veterinarians (Babesia spp., Babesia canis, Babesia gibsoni, Babesia vogeli, Anaplasma/Ehrlichia spp., Mycoplasma haemocanis, Hepatozoon canis, Dirofilaria immitis, Borrelia spp., or Leptospira spp.) were detected in 51.12% of the samples analyzed. The molecular results showed that the most prevalent vector-borne species detected in canine blood were: Babesia spp. (30.43%; 7/23), followed by Babesia gibsoni (17.39%; 4/23), Babesia vogeli (8.7%; 2/23), Babesia canis (4.35%; 1/23), Hepatozoon canis (4.35%; 1/23), Dirofilaria immitis (4.35%; 1/23), Anaplasma/Ehrlichia spp. (4.35%; 1/23), and Mycoplasma haemocanis (4.35%; 1/23). Even though Leptospira is not part of the group of vector-borne diseases, it is an important zoonotic pathogen, and the high number of cases detected in dogs (21.73%; 5/23) raises numerous concerns regarding biosecurity measures in veterinary clinics, as well as insufficient prophylactic measures. These results underline the necessity of constant monitoring of vector-borne and zoonotic infections, being essential to both veterinary and human medicine within a One Health framework.