Archive for the ‘Rickettsia’ Category

Human Seroprevalence of Tick-Borne Anaplasma, Lyme, and Rickettsia Species in Northern California

https://www.ncbi.nlm.nih.gov/pubmed/31295054/

2019 Jul 11. doi: 10.1089/vbz.2019.2489. [Epub ahead of print]

Human Seroprevalence of Tick-Borne Anaplasma phagocytophilum, Borrelia burgdorferi, and Rickettsia Species in Northern California.

Abstract

There is a paucity of data on human exposure to tick-borne pathogens in the western United States. This study reports prevalence of antibodies against three clinically important tick-borne pathogens (Borrelia burgdorferi, Anaplasma phagocytophilum, and Rickettsia spp.) among 249 people in five counties in northern California. Individuals from Humboldt County were recruited and answered a questionnaire to assess risk of exposure to tick-borne pathogens. Samples from other counties were obtained from a blood bank and were anonymized. Seventeen (6.8%) samples were seropositive for antibodies against at least one pathogen: five for A. phagocytophilum, eight for B. burgdorferi, and four for Rickettsia spp. Women and people aged 26-35 had higher seroprevalence compared to other demographic groups. Santa Cruz County had no seropositive individuals, northern Central Valley counties had three seropositive individuals (all against A. phagocytophilum), and Humboldt County had 14 (all three pathogens), a significant, four-fold elevated risk of exposure. The Humboldt County questionnaire revealed that a bird feeder in the yard was statistically associated with exposure to ticks, and lifetime number of tick bites was associated with increasing age, time watching wildlife, and time hiking. Three-quarters of respondents were concerned about tick-associated disease, 81.0% reported experiencing tick bites, and 39.0% of those bitten reported a tick-borne disease symptom, including skin lesions (76.4%), muscle aches (49.1%), joint pain (25.5%), or fever (23.6%).

Despite high levels of concern, many individuals who had been bitten by a tick were not tested for a tick-borne pathogen, including those with consistent symptoms.

We highlight the need for further research and dissemination of information to residents and physicians in Northern California regarding tick-associated disease, so that appropriate medical attention can be rapidly sought and administered.

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**Comment**

Again, the numbers are going to be much higher as they used the abysmal serology testing which tests for antibodies – not the organisms.

More on California:  https://madisonarealymesupportgroup.com/2018/05/24/lyme-in-california-what-you-need-to-know/

https://madisonarealymesupportgroup.com/2018/05/19/infected-ticks-in-california-its-complicated/

https://madisonarealymesupportgroup.com/2017/08/07/california-lyme-cases-get-no-respect/

https://madisonarealymesupportgroup.com/2018/06/23/say-what-california-fifth-in-nation-for-lyme-insurance-claims/

https://madisonarealymesupportgroup.com/2018/02/02/miyamotoi-in-ixodes-pacificus-in-california/

https://madisonarealymesupportgroup.com/2018/02/15/b-miyamotoi-in-ca-ticks-for-a-long-time/

https://madisonarealymesupportgroup.com/2018/02/14/borrelia-miyamotoi-in-ca-serodiagnosis-is-complicated-by-multiple-endemic-borrelia-species/

https://madisonarealymesupportgroup.com/2017/10/09/bb-in-california-chipmunk-and-squirrels/

https://madisonarealymesupportgroup.com/2019/05/26/educating-california-about-lyme-disease/

Seroepidemiological & Molecular Investigation of Spotted Fever Group Rickettsiae & Coxiella Burnetii in Sao Tome Island: A One Health Approach

https://www.ncbi.nlm.nih.gov/pubmed/31231971

Seroepidemiological and molecular investigation of spotted fever group rickettsiae and Coxiella burnetii in Sao Tome Island: A One Health approach.

Abstract

Spotted fever group rickettsiae (SFGR) and Coxiella burnetii are intracellular bacteria that cause potentially life-threatening tick-borne rickettsioses and Q fever respectively. Sao Tome and Principe (STP), small islands located in the Gulf of Guinea, recently experienced a dramatic reduction in the incidence of malaria owing to international collaborative efforts. However, unexplained febrile illnesses persist. A One Health approach was adopted to investigate exposure to SFGR and C. burnetii in humans and examine the diversity of these bacteria in ticks parasitizing domestic ruminants. A cross-sectional human serological study was conducted in Agua Grande district in Sao Tome Island from January to March 2016, and ticks were collected from farmed domestic ruminants in 2012 and 2016. In total, 240 individuals varying in age were randomly screened for exposure to SFGR and C. burnetii by indirect immunofluorescence assay. Twenty of 240 individuals (8.3%) were seropositive for SFGR (4 for Rickettsia africae and 16 for R. conorii) and 16 (6.7%) were seropositive for C. burnetii. Amblyomma astrion were collected exclusively in 2012, as were A. variegatum in 2016 and Rickettsia spp. were detected in 22/42 (52.4%) and 49/60 (81.7%) respectively. Sequence analysis of multiple gene targets from Rickettsia spp. detected in ticks suggests the presence of a single divergent R. africae strain (Sao Tome). While no ticks were found positive for C. burnetii, Coxiella-like endosymbionts were detected in nearly all ticks.

This is the first study in STP to provide serological evidence in humans of SFGR and C. burnetii and additional molecular evidence in ticks for SFGR, which may be responsible for some of the unexplained febrile illnesses that persist despite the control of malaria. Future epidemiological studies are needed to confirm the occurrence and risk factors associated with SFG rickettsioses and Q fever in both humans and animals.

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For more:  https://madisonarealymesupportgroup.com/2019/03/20/rocky-mountain-spotted-fever-is-not-the-only-rickettsiosis/

Great article on SFGR: https://www.galaxydx.com/rickettsia-spp/

C. burnetii:  https://madisonarealymesupportgroup.com/2019/03/28/human-tick-borne-diseases-in-australia/

https://madisonarealymesupportgroup.com/2018/10/18/study-finds-q-fever-rickettsia-typhus-in-australian-ticks-and-people/

https://madisonarealymesupportgroup.com/2018/02/03/understanding-q-fever-risk-to-minnesotans/  Excerpt: 

The CDC reports that 60% of cases are in patients without livestock contact (CDC unpublished data, 2010) and the need for health-care professionals to consider Q fever in the differential diagnosis in patients with a compatible illness, even in the absence of occupational risk or history of direct contact with animal reservoirs.

Supposedly, he United States ended its biological warfare program in 1969. When it did, C. burnetii was one of seven agents it had standardized as biological weapons.  https://en.wikipedia.org/wiki/Coxiella_burnetii

Q Fever can cause acute or chronic illness.

https://www.medscape.com/viewarticle/803800
Excellent video by Alicia Anderson, DVM, MPH on new CDC guidelines for Q Fever

https://madisonarealymesupportgroup.com/2019/06/24/other-arthropod-borne-bacteria-causing-nonmalarial-fever-in-ethiopia/  African patients presenting with fever but testing negative for malaria had DNA for these pathogens: Borrelia spp., Francisella spp. Rickettsia spp. and Bartonella. Thus, in this rural area of Africa, febrile symptoms could be due to bacteria transmitted by arthropods.

 

 

 

Deadly Ticks Carrying Ebola-like Congo Fever ‘found in UK After Spreading Across Europe’

https://indiatimespost.com/deadly-ticks-carrying-ebola-like-congo-fever-found-in-uk-after-spreading-across-europe/

Deadly ticks carrying Ebola-like Congo fever ‘found in UK after spreading across Europe’

NINTCHDBPICT000498772073This is one of the so-called Hyalomma ‘super ticks’ which have been found in Germany

A TICK capable of carrying killer Ebola-like viruses has been found in the UK after spreading across Europe, health officials say.

The blood-sucking Hyalomma rufipes tick is usually only found in Africa, Asia and parts of southern Europe.

Central European News

But Public Health England says that one, which was 10 times larger than average, was discovered in Dorset last year.

Tests found the creature was carrying Rickettsia spotted fever, which can cause headaches, cramps and blisters in humans.

But the ticks are also known to carry the deadly Crimean-Congo haemorrhagic fever virus (CCHF) – a deadly disease dubbed the “next Ebola.”

The horrific virus, which is also known as Congo Fever, results in death in around two fifths of all cases – and there are no proven vaccines available to prevent it.

Those unlucky enough to catch the disease often suffer from internal bleeding, before organ failure strikes down the sufferer.

Ebola is also categorised as a hemorrhagic fever virus, according to the World Health Organisation.

A recent outbreak of the disease in Uganda has left two people dead, including a five-year-old boy, while nearly 1,400 have died in Congo since August.

Tick found in Dorset

The tick was removed from a horse by a vet at The Barn Equine Surgery in Wimborne, Dorset, last September and sent to PHE for analysis.

Kayleigh Hansford, who led the agency’s tick surveillance team, writing in the journal Ticks and Tick-borne Diseases, said:

“This is the first time Hyalomma rufipes has been reported in the United Kingdom.

“The lack of travel by the horse – or any in-contact horses – suggests that this could also be the first evidence of successful moulting of a Hyalomma nymph in the UK.”

She said it is suspected that the tick hitched a ride on a migratory bird before landing in the UK.

Neither the infested horse, nor other horses in the stable had travelled anywhere and no further ticks were detected on any of the horses.

It is thought the tick probably travelled on a swallow because they tend to nest in the stables of horses and migrate from Africa to the UK for summer.

‘Threat to public health’

The worrying find could “present a threat to public health in the UK”, the PHE said.

It’s not known whether any more of the ticks have been found in Britain this year, but so far there have been six reported cases in Germany.

Experts in Munich believe the bugs have mutated to survive cold winters – and don’t believe they could have been brought to the country by birds.

Dr Ute Mackenstedt, a parasitologist at the University of Hohenheim, said:

“If the development cycle is taken into account, this cannot be the case here, as the ticks would have had to have been introduced at a time where the migratory birds had not even arrived.

“According to the latest evidence, we have to presume that these animals are able to survive the winters in Germany.”

But he also pointed out that this does not mean that the Hyalomma are home grown.

What is Crimean-Congo haemorrhagic fever?

Crimean-Congo haemorrhagic fever (CCHF) is a widespread disease caused by a tick-borne virus.

It’s usually carried by a wide range of wild and domestic animals such as cattle, sheep and goats.

The virus is transmitted to people either by tick bites or through contact with infected animal blood.

The majority of cases have occurred in people involved in the livestock industry, such as agricultural workers, slaughterhouse workers and veterinarians.

Human-to-human transmission can occur resulting from close contact with the blood, organs or bodily fluids of someone infected.

Signs and symptoms

The time between catching the infection and symptoms appearing is usually one to three days.

Onset of symptoms is sudden and can include:

  • Fever
  • Muscle ache
  • Dizziness
  • Neck pain
  • Backache
  • Headache
  • Sore eyes
  • Nausea
  • Diarrhoea
  • Stomach pain
  • Sore throat
  • Sharp mood swings
  • Confusion

After two to four days, the agitation may be replaced by sleepiness, depression and the stomach pain may have moved.

Other clinical signs include fast heart rate, enlarged lymph nodes and a petechial rash – caused by bleeding into the skin – on internal mucosal surfaces, such as in the mouth and throat, and on the skin.

There is usually evidence of hepatitis, and severely ill patients may experience rapid kidney deterioration, sudden liver failure or pulmonary failure after the fifth day of illness.

Mortality rate is 30 per cent, with death occurring in the second week of illness.

In patients who recover, improvement generally begins on the ninth or tenth day after the onset of illness.

Source: World Health Organisation

Dr Mackenstedt added:

“For the population to expand, a male and a female tick would have to find each other. This is very difficult with such a small number.”

However, five of the Hyalomma ticks were found on a horse at a stables, meaning there is the possibility of a possible pairing – and as a result, the emergence of an independent population.

Last year, German scientists warned about several tropical ticks living in the country – thought to be because of rising temperatures.

Scientists registered a total of seven specimens of the genus Hyalomma in Lower Saxony and Hesse in August 2018.

Meanwhile only two tropical ticks have been found in Germany before, one in 2015 and one in 2017.

The Hyalomma ticks are very noticeable and can grow to as long as 2cm, substantially larger than the local common wood tick.

NINTCHDBPICT000498772067The massive Hyalomma tick, right, compared to a normal-sized deer tick
Central European News

They are recognised by their unusual size and their striped legs.

Hyalomma originated from Iran or the southern part of the former Soviet Union and spread into Asia, the Middle East, southern Europe, and Africa.

Tick bites can cause a number of diseases which in some cases can be fatal such tick-borne encephalitis and Lyme disease.

Hyalomma species can also carry Crimean-Congo hemorrhagic fever, which has already claimed one Brit victim back in 2012.

The 38-year-old man died hours after returning from a wedding in Afghanistan.

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For more on the Monster Tick & CCHF:  https://madisonarealymesupportgroup.com/2018/08/19/monster-ticks-found-in-germany-threaten-europe-with-deadly-disease-crimean-congo-fever/  The one within this link is H. marginatum.  

https://madisonarealymesupportgroup.com/2019/05/23/crimean-congo-hemorrhagic-fever-outbreak-in-africa/

H. rufipes on the UK horse:  https://madisonarealymesupportgroup.com/2019/04/11/african-tick-found-on-untraveled-u-k-horse/

https://madisonarealymesupportgroup.com/2018/06/14/crimean-congo-the-asian-ebola-virus/

 

Other Arthropod-Borne Bacteria Causing Nonmalarial Fever in Ethiopia

https://www.ncbi.nlm.nih.gov/pubmed/31184993/

2019 Jun 10. doi: 10.1089/vbz.2018.2396. [Epub ahead of print]

Arthropod-Borne Bacteria Cause Nonmalarial Fever in Rural Ethiopia: A Cross-Sectional Study in 394 Patients.

Abstract

Bacterial arthropod-borne pathogens are a common cause of fever in Africa, but their precise impact is unknown and usually underdiagnosed in the basic rural laboratories of low-resourced African countries. Our aim was to determine the prevalence of arthropod-borne bacterial diseases causing fever among malaria smear-negative patients in a rural hospital located in Ethiopia. The study population included patients aged 2 years or older; referred to Gambo Rural General Hospital (West Arsi, Ethiopia), between July and November 2013, for fever or report of fever in the previous 48 h; attending the outpatient department; and testing negative for malaria by Giemsa-stained thin blood smears. We extracted DNA from 394 whole blood samples, using reverse line blot assays of amplicons to look for bacteria from the genera: Anaplasma, Bartonella, Borrelia, Coxiella, Ehrlichia, Francisella, and Rickettsia.

Thirteen patients showed presence of DNA for these pathogens: three each by Borrelia spp., the Francisella group (F. tularensis tularensis, F. tularensis holartica, and F. novicia), Rickettsia bellii, and Rickettsia Felis, and one by Bartonella rochalimae. Thus, in this rural area of Africa, febrile symptoms could be due to bacteria transmitted by arthropods. Further studies are needed to evaluate the pathogenic role of R. bellii.

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**Comment**

What if some of this is mosquito-borne as well? We frankly don’t know because the transmission studies are screaming to be done.

https://madisonarealymesupportgroup.com/2018/11/07/are-mosquitoes-transmitting-lyme-disease/

https://madisonarealymesupportgroup.com/2018/02/12/wolbachia-laced-mosquitoes-being-released-why-lyme-msids-patients-might-be-negatively-affected/

 

 

 

 

SPbU Scientists Have Discovered the First Family of Extracellular Rickettsia-Like Bacteria

https://www.eurekalert.org/pub_releases/2019-06/spsu-ssh061419.php

NEWS RELEASE 

SPbU scientists have discovered the first family of extracellular Rickettsia-like bacteria

Microbiologists have discovered a new family of bacteria belonging to the order Rickettsiales — Deianiraeaceae; this is the first report of the Rickettsia-like bacteria that display a unique extracellular lifestyle and are in fact predators

ST. PETERSBURG STATE UNIVERSITY

Like Heracles’ wife

The Deianiraeaceae, which has become the fourth family in the order Rickettsiales, currently contains one genus, Deianiraea. All previously investigated Rickettsiales are obligate intracellular specialised parasites. By contrast, Deianiraea not only attacks the victim from the outside, but also it never enters the host cell throughout its entire life cycle. Deianiraea colonises the extracellular surface of the ciliate Paramecium: the predatory bacterium attacks the ciliate and replicates on its surface, taking the victim’s resources, and eventually its life.

The name for the newly discovered bacterium – Deianiraea – refers to the myth of Deianira, the wife of Heracles. According to legend, the centaur Nessus attempted to kidnap Deianira, but she was rescued by Heracles. Heracles shot the centaur with an arrow dipped in the Lernaean Hydra’s venomous blood. The dying Nessus, seeking vengeance, persuaded Deianira to take some of his blood, as it would allegedly make a powerful love potion. When Deianira heard that Heracles had fallen in love with another woman, she feared that he would leave her. Deianira sent him a tunic smeared with the centaur’s blood. The tunic poisoned with the Hydra’s venom in the centaur’s blood killed Heracles. ‘Similarly, the Deianiraea bacterium kills the ciliates, covering the host cell like a poisoned tunic,’ notes Alexey Potekhin, Professor at the Department of Microbiology of St Petersburg University and a member of the international research team.

Predator of the microworld

The novel bacterium was discovered by chance. Natalia Lebedeva is one of the co-authors of the study and a leading expert of the Centre for Culture Collection of Microorganisms at the St Petersburg University Research Park. She took a sample of water from a waste water stream in Larnaca, Cyprus. Microbiological analysis of the water sample revealed that it contained a large number of ciliates. Laboratory observation showed massive loss of cilia, which are employed for locomotion and feeding. This resulted in the death of the affected ciliate. Other paramecia, which were added into the same culture, also soon died. Upon closer inspection of the affected ciliates it became evident that the deciliated areas of the cell surface were covered by tightly packed bacteria – unknown to science at that moment.

‘New bacterial families are rarely discovered these days. It is always an important finding, no matter what order this family may belong to. In our case, a new family has been found in a very well-studied order – the Rickettsiales. Previously, only DNA of related bacteria were detected in the samples. Therefore, the bacteria were classified as Rickettsia-like, as the scientists were not able to place them into the existing system of families of the order. It was the first time that we had found these bacteria alive. The molecular phylogenetic analysis enabled us to reassemble all the data fragments and, consequently, to establish a new bacterial family – Deianiraeaceae. One may say we were lucky,’ says Alexey Potekhin.

Strong and almost independent

Unlike other Rickettsia-like bacteria, Deianiraea is not only able to replicate – to reproduce outside the cell – but also to sustain itself with less dependence on the host.Deianiraea possesses a higher capability to synthesise amino acids, compared to all other Rickettsiales. It can synthesise 16 amino acids, including the 8 that other representatives of the order cannot produce. 16 out of the 20 main amino acids is almost a full set. The rest it is most likely to acquire from its victims, but we do not know that for certain. Moreover, Deianiraea can synthesise nucleotides: other Rickettsiales do not do this because they receive them from the host,’ Alexey Potekhin explains.

Another feature of Deianiraea is that it has several secretion systems. In bacteria, this enables protein secretion that can be employed for interaction with other cells as well. Deianiraea does have a specialised secretion system for interacting with other bacteria. It also has a specialised type IV secretion system which putatively enables it to establish contact with the ciliate. At present, the researchers have not yet established the exact mechanism of the parasite-host cell interaction, and what the bacterium may acquire from the ciliate or other host organisms.

Related to mitochondria

The order Rickettsiales encompasses three previously known families of highly diverse representatives of intracellular symbionts and parasites associated with eukaryotes, including animal and human pathogens (e.g., typhus). It has been suggested that all Rickettsia-like may have shared a common ancestor with mitochondria. Mitochondria are responsible for ATP synthesis in all eukaryotic cells, i.e. for energy metabolism. The discovery of a novel — extracellular — Rickettsiales bacterium suggests that the evolutionary path of mitochondria may have been different, contrary to what has been previously assumed.

‘Evolution, whenever possible, tends to choose the path of least effort, reducing the number of redundant functions: all that is unnecessary is eliminated. It has been assumed that the common ancestor of all Rickettsia-like bacteria was a specialised intracellular parasite with a low biosynthetic potential. In other words, it was unable to synthesise many of the essential substances, acquiring them from the host. It could sustain itself and reproduce only inside host cells. The results of our research allow us to assert with confidence that the last common ancestor of all Rickettsia-like bacteria led an extracellular lifestyle, lived in water, had a flagellum and was metabolically independent. It also must have had cellular systems that enabled parasite-host interactions. Adaptation to the lifestyle of intracellular parasites of the modern families of the Rickettsiales order would have evolved later in parallel and independently in different sub-lineages. The discovery of Deianiraea impels us to reopen the debate about the time when the ancestor of mitochondria would have established itself inside a proto-eukaryote, and the particular traits this mitochondrial ancestor would have possessed,’ the scientist concludes.

Disclaimer: AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert system.

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For more on Rickettsia:  https://madisonarealymesupportgroup.com/2016/10/12/willy-speaks-from-the-grave-rickettsia-helvetica/

https://madisonarealymesupportgroup.com/2019/05/06/rickettsiales-in-ticks-removed-from-outdoor-workers-from-georgia-florida/

https://madisonarealymesupportgroup.com/2019/03/22/1st-report-of-anaplasma-found-in-thai-bartonella-rickettsia-leptospira-scrub-typhus-in-humans-as-well-even-more-found-in-ticks/

https://madisonarealymesupportgroup.com/2019/01/11/rickettsia-found-in-ticks-on-brazilian-snakes/

https://madisonarealymesupportgroup.com/2019/01/03/tick-bite-in-ear-gave-uk-teacher-rickettsial-typhus-infection/

Lastly, I’ll never forget what Dr. Hoffman, RIP, told me years ago when he was a medical resident in Illinois treating people with tick-borne illness before it had a name (Lyme).  He called it a “Rickettsial-like” disease.  He may have been closer to the truth than he knew.