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Incidence of Lyme Borreliosis in Germany: A retrospective observational healthcare claims study 德国莱姆病发病率:一项回顾性医疗索赔观察研究
IF 3.2 2区 医学 Q2 INFECTIOUS DISEASES Pub Date : 2024-02-27 DOI: 10.1016/j.ttbdis.2024.102326
Gordon Brestrich , Christine Hagemann , Joanna Diesing , Nils Kossack , James H. Stark , Andreas Pilz , Frederick J. Angulo , Holly Yu , Jochen Suess

Lyme borreliosis (LB) is the most common tick–borne disease in Germany. Although the incidence of LB in Germany has been assessed in several studies, those studies either used data from statutory surveillance, which frequently underreport cases, or data from health claims databases, which may overestimate cases due to non–specific LB case definitions. Here, using a more specific case definition, we describe the incidence of medically–attended LB by disease manifestation, age group, and federal state for the period 2015–2019. Both inpatient and outpatient cases were analyzed from a claims database. To be eligible for inclusion, patients were required to have an LB specific ICD–10 GM diagnosis code plus an antibiotic prescription, and for disseminated manifestations, a laboratory test order additionally. LB cases were classified as erythema migrans (EM), or disseminated disease including Lyme arthritis (LA), Lyme neuroborreliosis (LNB), and all other disease manifestations (OTH). Between 2015 and 2019, the incidence of medically–attended LB cases ranged from 195.7/100,000 population per year (95% confidence interval [CI], 191.0 – 200.5) to 254.5/100,000 population per year (95% CI, 249.0 – 260.0) per year. The majority of cases (92.2%) were EM, while 2.8% presented as LA, 3.8% as LNB, and 1.2% as OTH. For both EM and disseminated disease, the incidence peaked in children aged 5–9 years and in older adults. By federal state, the incidence of medically–attended EM ranged from 74.4/100,000 population per year (95% CI, 71.9 – 77.0) per year in Hamburg, to 394.1/100,000 population per year (95% CI, 370.7 – 417.6) per year in Saxony, whereas for medically–attended disseminated disease, the highest incidence was in Thuringia, Saxony, and Bavaria (range: 22.0 [95% CI, 19.9 – 24.0] to 35.7 [95% CI, 34.7 – 36.7] per 100,000 population per year). This study comprehensively estimated the incidence of all manifestations of medically–attended LB and showed a high incidence of LB throughout Germany. Results from the study support performing epidemiological studies in all federal states to measure the burden of LB and to invest in public health interventions for prevention.

莱姆包虫病(Lyme borreliosis,LB)是德国最常见的蜱媒疾病。虽然已有多项研究对德国的莱姆病发病率进行了评估,但这些研究要么使用的是法定监测数据,而法定监测数据经常少报病例;要么使用的是健康索赔数据库数据,而健康索赔数据库可能会因莱姆病病例定义不具体而高估病例。在此,我们采用更具体的病例定义,按疾病表现、年龄组和联邦州描述了2015-2019年期间就诊枸杞病的发病率。我们从索赔数据库中分析了住院和门诊病例。要符合纳入条件,患者必须有枸橼酸瘤特定的 ICD-10 GM 诊断代码和抗生素处方,如果是播散性表现,还必须有实验室检查单。枸杞病例被分为迁延性红斑(EM)或播散性疾病,包括莱姆关节炎(LA)、莱姆神经嗜血杆菌病(LNB)和所有其他疾病表现(OTH)。2015年至2019年期间,每年就诊的LB病例发病率从195.7/10万人口(95%置信区间[CI],191.0 - 200.5)到254.5/10万人口(95% CI,249.0 - 260.0)不等。大多数病例(92.2%)为EM,2.8%为LA,3.8%为LNB,1.2%为OTH。在EM和播散性疾病中,5-9岁儿童和老年人的发病率最高。按联邦州划分,汉堡的EM就诊率为每年74.4/100,000人(95% CI,71.9 - 77.0),萨克森州为每年394.1/100,000人(95% CI,370.7 - 417.6)。萨克森州每年每 10 万人中有 394.1 例(95% CI,370.7 - 417.6),而图林根州、萨克森州和巴伐利亚州每年每 10 万人中有 22.0 例 [95% CI,19.9 - 24.0] 至 35.7 例 [95% CI,34.7 - 36.7],是医疗传播疾病发病率最高的地区。)这项研究全面估算了所有表现形式的枸橼酸结肠炎的发病率,并显示出枸橼酸结肠炎在全德国的高发病率。研究结果支持在所有联邦州开展流行病学研究,以衡量枸杞多糖的负担,并投资于公共卫生干预措施以进行预防。
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引用次数: 0
New insights into the systematics of the afrotropical Amblyomma marmoreum complex (Acari: Ixodidae) and the genome of a novel Rickettsia africae strain using morphological and metagenomic approaches 利用形态学和元基因组学方法对非洲热带 Amblyomma marmoreum 复合体(蛔虫:Ixodidae)系统学的新见解以及非洲立克次体新菌株的基因组。
IF 3.2 2区 医学 Q2 INFECTIOUS DISEASES Pub Date : 2024-02-22 DOI: 10.1016/j.ttbdis.2024.102323
Andrea P. Cotes-Perdomo , Alberto Sánchez-Vialas , Richard Thomas , Andrew Jenkins , Juan E. Uribe

The Amblyomma marmoreum complex includes afrotropical species, such as Amblyomma sparsum, a three-host tick that parasitizes reptiles, birds, and mammals, and is a recognized vector of Ehrlichia ruminantium. However, the lack of morphological, genetic and ecological data on A. sparsum has caused considerable confusion in its identification. In this study, we used microscopy and metagenomic approaches to analyze A. sparsum ticks collected from a puff adder snake (Bitis arietans) in southwest Senegal (an endemic rickettsioses area) in order to supplement previous morphological descriptions, provide novel genomic data for the A. marmoreum complex, and describe the genome of a novel spotted fever group Rickettsia strain. Based on stereoscope and scanning electron microscopy (SEM) morphological evaluations, we provide high-quality images and new insights about punctation and enameling in the adult male of A. sparsum to facilitate identification for future studies. The metagenomic approach allowed us assembly the complete mitochondrial genome of A. sparsum, as well as the nearly entire chromosome and complete plasmid sequences of a novel Rickettsia africae strain. Phylogenomic analyses demonstrated a close relationship between A. sparsum and Amblyomma nuttalli for the first time and confirmed the position of A. sparsum within the A. marmoreum complex. Our results provide new insights into the systematics of A. sparsum and A. marmoreum complex, as well as the genetic diversity of R. africae in the Afrotropical region. Future studies should consider the possibility that A. sparsum may be a vector for R. africae.

Amblyomma marmoreum复合体包括非洲热带物种,如Amblyomma sparsum,它是一种三寄主蜱,寄生于爬行动物、鸟类和哺乳动物,是公认的反刍埃希氏菌病媒。然而,由于缺乏关于A. sparsum的形态学、遗传学和生态学数据,导致其鉴定工作相当混乱。在这项研究中,我们使用显微镜和元基因组学方法分析了从塞内加尔西南部(立克次体病流行区)的一种浮萍蛇(Bitis arietans)身上采集的A. sparsum蜱,以补充之前的形态学描述,为A. marmoreum复合体提供新的基因组数据,并描述了一种新型斑疹热群立克次体菌株的基因组。基于体视镜和扫描电子显微镜(SEM)的形态学评估,我们提供了高质量的图像,并对A. sparsum雄性成虫的点状和珐琅质有了新的认识,为今后的研究提供了鉴定依据。元基因组学方法使我们能够组装出 A. sparsum 的完整线粒体基因组,以及一株新型非洲立克次体的几乎全部染色体和完整质粒序列。系统发生组分析首次证明了A. sparsum与Amblyomma nuttalli之间的密切关系,并确认了A. sparsum在A. marmoreum复合体中的位置。我们的研究结果为 A. sparsum 和 A. marmoreum 复合体的系统学以及非洲热带地区 R. africae 的遗传多样性提供了新的见解。未来的研究应考虑到 A. sparsum 可能是 R. africae 的病媒这一可能性。
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引用次数: 0
History of the geographic distribution of the western blacklegged tick, Ixodes pacificus, in the United States 西部黑腿蜱(Ixodes pacificus)在美国的地理分布史
IF 3.2 2区 医学 Q2 INFECTIOUS DISEASES Pub Date : 2024-02-21 DOI: 10.1016/j.ttbdis.2024.102325
Lars Eisen , Megan E.M. Saunders , Vicki L. Kramer , Rebecca J. Eisen

Ixodes pacificus (the western blacklegged tick) occurs in the far western United States (US), where it commonly bites humans. This tick was not considered a species of medical concern until it was implicated in the 1980s as a vector of Lyme disease spirochetes. Later, it was discovered to also be the primary vector to humans in the far western US of agents causing anaplasmosis and hard tick relapsing fever. The core distribution of I. pacificus in the US includes California, western Oregon, and western Washington, with outlier populations reported in Utah and Arizona. In this review, we provide a history of the documented occurrence of I. pacificus in the US from the 1890s to present, and discuss associations of its geographic range with landscape, hosts, and climate. In contrast to Ixodes scapularis (the blacklegged tick) in the eastern US, there is no evidence for a dramatic change in the geographic distribution of I. pacificus over the last half-century. Field surveys in the 1930s and 1940s documented I. pacificus along the Pacific Coast from southern California to northern Washington, in the Sierra Nevada foothills, and in western Utah. County level collection records often included both immatures and adults of I. pacificus, recovered by drag sampling or from humans, domestic animals, and wildlife. The estimated geographic distribution presented for I. pacificus in 1945 by Bishopp and Trembley is similar to that presented in 2022 by the Centers for Disease Control and Prevention. There is no clear evidence of range expansion for I. pacificus, separate from tick records in new areas that could have resulted from newly initiated or intensified surveillance efforts. Moreover, there is no evidence from long-term studies that the density of questing I. pacificus ticks has increased over time in specific areas. It therefore is not surprising that the incidence of Lyme disease has remained stable in the Pacific Coast states from the early 1990s, when it became a notifiable condition, to present. We note that deforestation and deer depredation were less severe in the far western US during the 1800s and early 1900s compared to the eastern US. This likely contributed to I. pacificus maintaining stable, widespread populations across its geographic range in the far western US in the early 1900s, while I. scapularis during the same time period appears to have been restricted to a small number of geographically isolated refugia sites within its present range in the eastern US. The impact that a warming climate may have had on the geographic distribution and local abundance of I. pacificus in recent decades remains unclear.

Ixodes pacificus(西部黑腿蜱)分布在美国最西部,通常叮咬人类。这种蜱虫在 20 世纪 80 年代被认为是莱姆病螺旋体的传播媒介之前,一直不被认为是医学关注的物种。后来,人们发现它也是美国最西部人类感染无性繁殖体病和硬蜱复发热的主要病媒。太平洋蜱(I. pacificus)在美国的核心分布区包括加利福尼亚州、俄勒冈州西部和华盛顿州西部,犹他州和亚利桑那州也有外围种群的报道。在这篇综述中,我们介绍了从 19 世纪 90 年代至今太平洋伊蚊在美国出现的历史,并讨论了其地理分布与地貌、宿主和气候的关系。与美国东部的黑脚蜱(Ixodes scapularis)相比,没有证据表明太平洋蜱在过去半个世纪中的地理分布发生了巨大变化。20 世纪 30 年代和 40 年代的实地调查记录了 I. pacificus 在从加利福尼亚南部到华盛顿北部的太平洋沿岸、内华达山脉山麓和犹他州西部的分布情况。县一级的采集记录通常包括通过拖曳取样或从人类、家畜和野生动物身上采集到的 I. pacificus 幼虫和成虫。Bishopp 和 Trembley 在 1945 年提出的太平洋虹吸虫估计地理分布与美国疾病控制与预防中心在 2022 年提出的分布相似。除了新地区的蜱虫记录外,没有明确的证据表明太平洋蜱的分布范围有所扩大,这可能是由于新近启动或加强了监测工作。此外,长期研究也没有证据表明,在特定地区,寻找 I. pacificus 的蜱虫密度随着时间的推移而增加。因此,从 20 世纪 90 年代初莱姆病成为一种可通报的疾病至今,太平洋沿岸各州的莱姆病发病率一直保持稳定也就不足为奇了。我们注意到,与美国东部相比,19 世纪和 20 世纪初美国西部远端地区的森林砍伐和捕鹿活动并不那么严重。这可能是导致 I. pacificus 在 20 世纪初在美国西部远端地区保持稳定、广泛种群的原因,而 I. scapularis 在同一时期似乎只局限于美国东部目前分布区内少数地理位置孤立的避难所。近几十年来,气候变暖对太平洋蛙地理分布和当地数量的影响尚不清楚。
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引用次数: 0
Borrelia miyamotoi BipA-like protein, BipM, is a candidate serodiagnostic antigen distinguishing between Lyme disease and relapsing fever Borrelia infections 宫本鲍瑞氏菌 BipA 样蛋白 BipM 是区分莱姆病和复发性热鲍瑞氏菌感染的候选血清诊断抗原
IF 3.2 2区 医学 Q2 INFECTIOUS DISEASES Pub Date : 2024-02-16 DOI: 10.1016/j.ttbdis.2024.102324
Kevin S. Brandt, Brittany A. Armstrong, Irina Goodrich, Robert D. Gilmore

A Borrelia miyamotoi gene with partial homology to bipA of relapsing fever spirochetes Borrelia hermsii and Borrelia turicatae was identified by a GenBank basic alignment search analysis. We hypothesized that this gene product may be an immunogenic antigen as described for other relapsing fever Borrelia (RFB) and could serve as a serological marker for B. miyamotoi infections. The B. miyamotoi gene was a truncated version about half the size of the B. hermsii and B. turicatae bipA with a coding sequence of 894 base pairs. The gene product had a calculated molecular size of 32.7 kDa (including the signal peptide). Amino acid alignments with B. hermsii and B. turicatae BipA proteins and with other B. miyamotoi isolates showed conservation at the carboxyl end. We cloned the B. miyamotoi bipA-like gene (herein named bipM) and generated recombinant protein for serological characterization and for antiserum production. Protease protection analysis demonstrated that BipM was surface exposed. Serologic analyses using anti-B. miyamotoi serum samples from tick bite-infected and needle inoculated mice showed 94 % positivity against BipM. The 4 BipM negative serum samples were blotted against another B. miyamotoi antigen, BmaA, and two of them were seropositive resulting in 97 % positivity with both antigens. Serum samples from B. burgdorferi sensu stricto (s.s.)-infected mice were non-reactive against rBipM by immunoblot. Serum samples from Lyme disease patients were also serologically negative against BipM except for 1 sample which may have indicated a possible co-infection. A recently published study demonstrated that B. miyamotoi BipM was non-reactive against serum samples from B. hermsii, Borrelia parkeri, and B. turicatae infected animals. These results show that BipM has potential for a B. miyamotoi-infection specific and sensitive serodiagnostic to differentiate between Lyme disease and various RFB infections.

通过 GenBank 基本比对搜索分析,我们发现了宫本鲍雷氏菌的一个基因,该基因与赫氏鲍雷氏菌(Borrelia hermsii)和土里卡塔鲍雷氏菌(Borrelia turicatae)的复发性热螺旋体 bipA 有部分同源性。我们推测该基因产物可能是一种免疫原性抗原,如其他复发性热鲍曼(RFB)所描述的那样,并可作为宫本氏杆菌感染的血清学标志物。B. miyamotoi 基因是一个截短的版本,大小约为 B. hermsii 和 B. turicatae bipA 的一半,编码序列为 894 个碱基对。该基因产物的计算分子大小为 32.7 kDa(包括信号肽)。与 B. hermsii 和 B. turicatae BipA 蛋白以及其他 B. miyamotoi 分离物的氨基酸比对显示,其羧基末端是一致的。我们克隆了 B. miyamotoi bipA-like 基因(在此命名为 bipM),并生成了重组蛋白用于血清学鉴定和抗血清生产。蛋白酶保护分析表明,BipM 表面暴露。使用蜱虫叮咬感染小鼠和针刺接种小鼠的抗 B. miyamotoi 血清样本进行的血清学分析表明,BipM 的阳性率为 94%。将 4 份 BipM 阴性血清样本与另一种 B. miyamotoi 抗原 BmaA 进行印迹分析,其中两份血清呈阳性,两种抗原的阳性率均为 97%。严格意义上的布氏菌(B. burgdorferi sensu stricto,s.s.)感染小鼠的血清样本通过免疫印迹对 rBipM 无反应。莱姆病患者的血清样本也对 BipM 呈血清学阴性反应,只有一个样本除外,这可能表明可能存在合并感染。最近发表的一项研究表明,B. miyamotoi BipM 对 B. hermsii、Borrelia parkeri 和 B. turicatae 感染动物的血清样本无反应。这些结果表明,BipM 有可能成为宫本氏杆菌感染的特异性和敏感性血清诊断方法,以区分莱姆病和各种 RFB 感染。
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引用次数: 0
Density of host-seeking Ixodes scapularis nymphs by region, state, and county in the contiguous United States generated through national tick surveillance 通过全国蜱虫监测得出的美国各地区、州和县寻找宿主的蜱虫若虫密度
IF 3.2 2区 医学 Q2 INFECTIOUS DISEASES Pub Date : 2024-02-06 DOI: 10.1016/j.ttbdis.2024.102316
Erik Foster, Karen M. Holcomb, Rebecca J. Eisen

The majority of vector-borne disease cases reported annually in the United States are caused by pathogens spread by the blacklegged tick, Ixodes scapularis. The number and geographic distribution of cases have increased as the geographic range and abundance of the tick have expanded in recent decades. A large proportion of Lyme disease and other I. scapularis-borne diseases are associated with nymphal tick bites; likelihood of such bites generally increases with increasing nymphal densities. National tick surveillance was initiated in 2018 to track changes in the distribution and abundance of medically important ticks at the county spatial scale throughout the United States. Tick surveillance records, including historical data collected prior to the initiation of the national program, are collated in the ArboNET Tick Module database. Through exploration of ArboNET Tick Module data, we found that efforts to quantify the density of host-seeking I. scapularis nymphs (DON) were unevenly distributed among geographic regions with the greatest proportion of counties sampled in the Northeast and Upper Midwest. Submissions covering tick collections from 2004 through 2022 revealed extensive variation in DON estimates at collection site, county, state, and regional spatial scales. Throughout the entire study period, county DON estimates ranged from 0.0 to 488.5 nymphs/1,000 m2. Although substantial variation was recorded within regions, DON estimates were greatest in the Northeast, Upper Midwest, and northern states within the Southeast regions (Virginia and North Carolina); densities were intermediate in the Ohio Valley and very low in the South and Northern Rockies and Plains regions. The proportion of counties classified as moderate or high DON was greater in the Northeast, Ohio Valley, and Southeast regions during the 2004 through 2017 time period (prior to initiation of the national tick surveillance program) compared to 2018 through 2022; DON estimates remained similarly low between these time periods in the South and the Northern Rockies and Plains regions. Despite the limitations described herein, the ArboNET Tick Module provides useful data for tracking changes in acarological risk across multiple geographic scales and long periods of time.

美国每年报告的病媒传播疾病病例大多是由黑腿蜱传播的病原体引起的。近几十年来,随着黑腿蜱地理分布范围和数量的扩大,病例的数量和地理分布也在增加。莱姆病和其他由黑腿蜱传播的疾病有很大一部分与蜱虫若虫叮咬有关;这种叮咬的可能性通常会随着若虫密度的增加而增加。2018 年启动了全国蜱虫监测,以跟踪全美县级空间范围内具有重要医学意义的蜱虫分布和丰度的变化。蜱虫监测记录,包括国家计划启动前收集的历史数据,都整理在 ArboNET 蜱虫模块数据库中。通过对 ArboNET Tick 模块数据的研究,我们发现对寻找宿主的 I. scapularis 若虫(DON)密度进行量化的工作在地理区域间分布不均,东北部和上中西部的采样县所占比例最大。从 2004 年到 2022 年的蜱虫采集结果显示,采集地点、县、州和地区空间尺度上的 DON 估计值差异很大。在整个研究期间,各县的 DON 估计值从 0.0 到 488.5 若虫/1,000 平方米不等。虽然各地区之间的差异很大,但东北部、中西部上游和东南部地区北部各州(弗吉尼亚州和北卡罗来纳州)的 DON 估计值最大;俄亥俄河谷的密度居中,南部、落基山脉北部和平原地区的密度很低。与 2018 年至 2022 年相比,2004 年至 2017 年期间(国家蜱虫监测计划启动之前),东北部、俄亥俄河谷和东南部地区被归类为中度或高度 DON 的县的比例更高;在这些时间段之间,南部、北落基山脉和平原地区的 DON 估计值同样保持在较低水平。尽管存在本文所述的局限性,ArboNET蜱模块仍能提供有用的数据,用于跟踪多个地理尺度和长时间内的虫害风险变化。
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引用次数: 0
Repeated imidocarb treatment failure suggesting emerging resistance of Babesia canis in a new endemic area in north-eastern Germany 在德国东北部一个新的流行区,咪多卡治疗反复失败,表明犬巴贝斯虫出现了抗药性
IF 3.2 2区 医学 Q2 INFECTIOUS DISEASES Pub Date : 2024-01-31 DOI: 10.1016/j.ttbdis.2024.102315
Christiane Weingart , Jürgen Krücken , Barbara Kohn

Canine babesiosis has been increasingly diagnosed in various regions of Germany such as north-eastern Germany in recent years. A dog with several relapses of Babesia canis infection after treatment with imidocarb is described. A 9-year-old male Magyar Viszla with B. canis infection was referred after two treatments with imidocarb (dosage 2.1 mg/kg SC) because of lethargy, fever and pancytopenia (additional treatments with prednisolone and doxycycline). Merozoites were detected in the blood smear and imidocarb treatment was repeated. Clinical signs, pancytopenia and a positive B. canis PCR occurred after the 3rd (6 mg/kg SC), 4th (7.7 mg/kg SC) and 5th (7.5 mg/kg SC and doxycycline for 4 weeks in addition) imidocarb injection and thorough tick prevention with isoxazoline and permethrin products. 12 days after the 5th injection, the PCR was negative for the first time. The dog was again presented with fever 35 days after the 5th injection. The B. canis PCR was positive and laboratory examination revealed pancytopenia. Treatment with atovaquone/azithromycin for 18 days was performed and no further relapse occurred for 32 weeks. In the case of suspected imidocarb resistance in B. canis infection, treatment with atovaquone/azithromycin can be an alternative.

近年来,德国东北部等多个地区越来越多地诊断出犬巴贝斯虫病。本文描述了一只犬巴贝斯虫感染在接受咪多卡治疗后数次复发的病例。一只感染犬巴贝斯虫的 9 岁雄性马扎尔维斯拉犬,因嗜睡、发烧和全血细胞减少(使用泼尼松龙和强力霉素进行额外治疗),在使用咪多卡(剂量为 2.1 毫克/千克 SC)治疗两次后被转诊。在血涂片中检测到了原虫,因此再次进行了咪多卡治疗。第 3 次(6 毫克/千克 SC)、第 4 次(7.7 毫克/千克 SC)和第 5 次(7.5 毫克/千克 SC 和强力霉素附加治疗 4 周)注射咪多卡并使用异噁唑啉和氯菊酯产品彻底预防蜱虫后,出现了临床症状、全血细胞减少和犬结核杆菌 PCR 阳性。第 5 次注射 12 天后,PCR 首次呈阴性。第 5 次注射 35 天后,该犬再次发烧。犬结核杆菌 PCR 呈阳性,实验室检查显示为全血细胞减少。用阿托伐醌/阿奇霉素治疗了 18 天,32 周后没有再复发。如果怀疑犬双球菌感染对咪多卡有抗药性,可以选择阿托伐醌/阿奇霉素治疗。
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引用次数: 0
A brief tale of two pioneering moments: Europe's first discovery of Tick-Borne Encephalitis (TBE) virus beyond the Soviet Union and the largest alimentary TBE outbreak in history 两个开创性时刻的简短故事:欧洲首次在苏联以外地区发现蜱传脑炎(TBE)病毒,以及历史上最大规模的蜱传脑炎疫情爆发
IF 3.2 2区 医学 Q2 INFECTIOUS DISEASES Pub Date : 2024-01-29 DOI: 10.1016/j.ttbdis.2024.102314
Daniel Ruzek , Kristyna Kaucka

The emergence of tick-borne encephalitis (TBE) in Europe marked several significant milestones. The discovery of TBE in Czechoslovakia in 1948, with Gallia and Krejčí simultaneously isolating the TBE virus (TBEV) from human samples for the first time in Europe outside the Soviet Union, was pivotal. Subsequent TBEV isolation from ticks suggested the viral transmission via this vector. In 1951, the outbreak in Rožňava in Slovakia (Czechoslovakia) revealed an unexpected mode of transmission, unpasteurized milk from a local dairy, challenging existing understanding. Investigations exposed illicit practices of mixing cow's milk with goat's milk for economic gains. Laboratory research confirmed the outbreak was caused by TBEV, which was substantiated by serological analyses. This was the first and largest documented alimentary TBE outbreak in history. In this review, we delve into both published sources and unpublished archival data, offering a comprehensive understanding of these historic accomplishments and shedding light on these pivotal moments.

蜱传脑炎(TBE)在欧洲的出现标志着几个重要的里程碑。1948 年,捷克斯洛伐克发现了蜱传脑炎,加利亚(Gallia)和克雷奇(Krejčí)同时从人类样本中分离出蜱传脑炎病毒(TBEV),这在苏联以外的欧洲地区尚属首次。随后从蜱虫身上分离出的 TBEV 表明病毒通过这种媒介传播。1951 年,斯洛伐克(捷克斯洛伐克)罗兹纳瓦疫情的爆发揭示了一种意想不到的传播方式,即来自当地奶制品厂的未经巴氏杀菌的牛奶,这对现有的认识提出了挑战。调查揭露了为了经济利益将牛奶与山羊奶混合的非法行为。实验室研究证实,疫情是由 TBEV 引起的,血清学分析也证实了这一点。这是历史上首次也是最大的一次有据可查的消化道结核病疫情。在这篇综述中,我们深入研究了已发表的资料和未发表的档案数据,全面了解了这些历史性成就,并揭示了这些关键时刻。
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引用次数: 0
Ultrastructural characterization and quantification of hemocytes in engorged female Amblyomma sculptum ticks 充血的雌性 Amblyomma sculptum 蜱血细胞的超微结构特征和定量。
IF 3.2 2区 医学 Q2 INFECTIOUS DISEASES Pub Date : 2024-01-25 DOI: 10.1016/j.ttbdis.2024.102312
Andressa Aparecida de Lima Reis , Barbara Rauta de Avelar , Marisa Beatriz da Silva Rocha , Debora Azevedo Borges , Diefrey Ribeiro Campos , Jessica Fiorotti , Patrícia Silva Golo , Fabio Barbour Scott

Amblyomma sculptum (formerly Amblyomma cajennense) ticks have been implicated in the transmission of pathogens that cause diseases in animals and humans. Their wide geographic distribution and high impact on animal health and zoonotic disease transmission highlight the importance of studying and implementing effective control measures to mitigate the risks associated with this tick species. The aim of this study was to quantify and characterize the morphology and the ultrastructure of different types of hemocytes in the hemolymph in engorged A. sculptum females fed on rabbits. The hemolymph samples were collected by perforation of the cuticle in the dorsal region. Hemocyte types, sizes, and differential counts were determined using light microscopy, while ultrastructural analysis of hemocytes was performed using transmission electron microscopy. The average number of total hemocytes in the hemolymph was 1024 ± 597.6 cells µL−1. Five morphologically distinct cell types were identified in A. sculptum females: prohemocytes (6 % ± 8.8), plasmatocytes (10 % ± 7.7), granulocytes (78 % ± 12.2), spherulocytes (5 % ± 4.48), and oenocytoids (1 % ± 1.6). In general, prohemocytes were the smallest hemocytes. The ultrastructural morphology of A. sculptum hemocytes described in the present study agrees with the findings for other hard ticks. This is the first study to investigate ultrastructural characteristics of hemocytes of female A. sculptum ticks.

Amblyomma sculptum(前身为 Amblyomma cajennense)蜱与导致动物和人类疾病的病原体传播有牵连。它们的地理分布广泛,对动物健康和人畜共患疾病传播的影响很大,因此研究和实施有效的控制措施以降低这种蜱类的相关风险非常重要。本研究旨在量化和描述以兔子为食的充血雕蜱雌虫血淋巴中不同类型血细胞的形态和超微结构。血淋巴样本是通过在背侧角质层穿孔采集的。使用光学显微镜确定血细胞的类型、大小和差异计数,并使用透射电子显微镜对血细胞进行超微结构分析。血淋巴中总血细胞的平均数量为 1024 ± 597.6 cells µL-1。在 A. sculptum 雌虫体内发现了五种形态不同的细胞类型:原血细胞(6 % ± 8.8)、浆细胞(10 % ± 7.7)、粒细胞(78 % ± 12.2)、球形细胞(5 % ± 4.48)和卵母细胞(1 % ± 1.6)。一般来说,原血细胞是最小的血细胞。本研究中描述的 A. sculptum 血细胞的超微结构形态与其他硬蜱的研究结果一致。这是首次研究雌性雕蜱血细胞的超微结构特征。
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引用次数: 0
Hard ticks (Acari: Ixodidae) parasitizing bushbabies (Mammalia: Galagidae) in a biodiversity hotspot of northern South Africa 南非北部生物多样性热点地区寄生于丛林兔(哺乳纲:Galagidae)的硬蜱(Acari:Ixodidae)。
IF 3.2 2区 医学 Q2 INFECTIOUS DISEASES Pub Date : 2024-01-25 DOI: 10.1016/j.ttbdis.2024.102313
Ali Halajian , Frank P. Cuozzo , Heloise Heyne , Michelle L. Sauther , Birthe Linden , Jabu Linden , Adrian SW. Tordiffe , Kgethedi Michael Rampedi , Sándor Hornok

South Africa has six species of primates, three of which are bushbabies (family Galagidae). Very little information is available on their parasites due to the lack of longitudinal studies, although Rhipicephalus appendiculatus, Amblyomma hebraeum and Haemaphysalis elliptica were previously reported from the brown greater galago (Otolemur crassicaudatus) in South Africa. During 2014–2019, 83 O. crassicaudatus (70 live-trapped and 13 deceased animals) were checked for the presence of hard ticks, all from Limpopo Province, South Africa. Seventy-three of 83 (88 %) galagos were found to be tick-infested. Among ixodid genera, Haemaphysalis had the highest prevalence (46 % of the bushbabies), followed by Rhipicephalus (25 %) and Ixodes (18 %). In total, ten tick species were identified. Importantly, all infestations were monospecific. Ticks occurred on various body parts of bushbabies, thus no predilection site was noted. In conclusion, while previously only three ixodid species were known to infest bushbabies in South Africa, the present study showed that these animals can be parasitized by a much broader range of hard ticks.

南非有六种灵长类动物,其中三种是丛林猴(Galagidae 科)。由于缺乏纵向研究,关于其寄生虫的信息非常少,不过此前曾有报告称南非的棕色大加拉果(Otolemur crassicaudatus)体内存在Rhipicephalus appendiculatus、Amblyomma hebraeum和Haemaphysalis elliptica。在 2014-2019 年期间,对南非林波波省的 83 只 O. crassicaudatus(70 只活体诱捕动物和 13 只死亡动物)进行了硬蜱存在情况检查。83 只加拉哥中有 73 只(88 %)发现有蜱虫。在蜱属中,Haemaphysalis的感染率最高(占丛林鸟的46%),其次是Rhipicephalus(25%)和Ixodes(18%)。总共确定了 10 种蜱虫。重要的是,所有蜱虫都是单特异性的。蜱虫出现在丛林兔身体的各个部位,因此没有发现偏好部位。总之,虽然以前只知道南非的丛林兔会受到三种蜱虫的侵扰,但本研究表明,这些动物会受到更多种类的硬蜱寄生。
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引用次数: 0
Characterization of the complete mitochondrial genome and phylogenetic analyses of Haemaphysalis tibetensis Hoogstraal, 1965 (Acari: Ixodidae) Haemaphysalis tibetensis Hoogstraal, 1965(Acari: Ixodidae)完整线粒体基因组的特征和系统发育分析。
IF 3.2 2区 医学 Q2 INFECTIOUS DISEASES Pub Date : 2024-01-22 DOI: 10.1016/j.ttbdis.2024.102311
Wenqiang Tang , Xin Li , Bijin Ye , Bin Shi , Haoji Zhang , Zhisheng Dang , Yuexiang Sun , Lamu Danqu , Chenyang Xia , Danzeng Quzhen , Xialing Zhao , Wenting Chui , Fuqiang Huang

Ticks are specialized ectoparasites that feed on blood, causing physical harm to the host and facilitating pathogen transmission. The genus Haemaphysalis contains vectors for numerous infectious agents. These agents cause various diseases in humans and animals. Mitochondrial genome sequences serve as reliable molecular markers, forming a crucial basis for evolutionary analyses, studying species origins, and exploring molecular phylogeny. We extracted mitochondrial genome from the enriched mitochondria of Haemaphysalis tibetensis and obtained a 14,714-bp sequence. The mitochondrial genome consists of 13 protein-coding genes (PCGs), two ribosomal RNA, 22 transfer RNAs (tRNAs), and two control regions. The nucleotide composition of H. tibetensis mitochondrial genome was 38.38 % for A, 9.61 % for G, 39.32 % for T, and 12.69 % for C. The A + T content of H. tibetensis mitochondrial genome was 77.7 %, significantly higher than the G + C content. The repeat units of H. tibetensis exhibited two identical repeat units of 33 bp in length, positioned downstream of nad1 and rrnL genes. Furthermore, phylogenetic analyses based on the 13 PCGs indicated that Haemaphysalis tibetensis (subgenus Allophysalis) formed a monophyletic clade with Haemaphysalis nepalensis (subgenus Herpetobia) and Haemaphysalis danieli (subgenus Allophysalis). Although the species Haemaphysalis inermis, Haemaphysalis kitaokai, Haemaphysalis kolonini, and Haemaphysalis colasbelcouri belong to the subgenus Alloceraea, which were morphologically primitive hemaphysalines just like H. tibetensis, these four tick species cannot form a single clade with H. tibetensis. In this study, the whole mitochondrial genome sequence of H. tibetensis from Tibet was obtained, which enriched the mitochondrial genome data of ticks and provided genetic markers to study the population heredity and molecular evolution of the genus Haemaphysalis.

蜱虫是专门的体外寄生虫,以血液为食,对宿主造成身体伤害,并促进病原体传播。蜱属(Haemaphysalis)包含多种传染性病原体的载体。这些病原体会导致人类和动物患上各种疾病。线粒体基因组序列是可靠的分子标记,是进行进化分析、研究物种起源和探索分子系统发育的重要依据。我们从富集的西藏毛腿虫线粒体中提取了线粒体基因组,获得了14714bp的序列。线粒体基因组由13个蛋白质编码基因(PCGs)、2个核糖体RNA、22个转运RNA(tRNAs)和2个控制区组成。线粒体基因组的核苷酸组成为:A 占 38.38%,G 占 9.61%,T 占 39.32%,C 占 12.69%;线粒体基因组中 A + T 的含量为 77.7%,明显高于 G + C 的含量。H. tibetensis 的重复单元有两个长度为 33 bp 的相同重复单元,位于 nad1 和 rrnL 基因的下游。此外,基于 13 个 PCGs 的系统进化分析表明,西藏毛蛛(Allophysalis 亚属)与尼泊尔毛蛛(Haemaphysalis nepalensis 亚属)和丹尼尔毛蛛(Haemaphysalis danieli 亚属)形成了一个单系支系。虽然Haemaphysalis inermis、Haemaphysalis kitaokai、Haemaphysalis kolonini和Haemaphysalis colasbelcouri属于Alloceraea亚属,在形态上与西藏蜱一样是原始的半蜱,但这4种蜱不能与西藏蜱组成一个支系。本研究获得了西藏蜱线粒体全基因组序列,丰富了蜱线粒体基因组数据,为研究西藏蜱属的种群遗传和分子进化提供了遗传标记。
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引用次数: 0
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Ticks and Tick-borne Diseases
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