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Description of a new tick species, closely related to Amblyomma javanense (Supino, 1897), associated with Varanus bengalensis (Squamata: Varanidae) in Pakistan 描述与巴基斯坦的 Varanus bengalensis(Squamata: Varanidae)相关的一种新蜱虫,与 Amblyomma javanense (Supino, 1897) 关系密切
IF 3.2 2区 医学 Q2 INFECTIOUS DISEASES Pub Date : 2024-06-15 DOI: 10.1016/j.ttbdis.2024.102361
Abid Ali , Mehran Khan , Abdulaziz Alouffi , Mashal M. Almutairi , Archile Paguem , Lidia Chitimia-Dobler , Ronel Pienaar , Minique H. de Castro , Ben J. Mans

The genus Amblyomma contains the highest percentage of reptile-associated ticks, and comprises approximately nine subgenera. One of these subgenera is Adenopleura, which also encompasses Amblyomma javanense, and its type species Amblyomma compressum. This study describes a new Amblyomma species associated with Bengal monitor lizards (Varanus bengalensis) based on morphology and its mitogenome in Khyber Pakhtunkhwa, Pakistan. Reptiles belonging to different genera were examined for Amblyomma ticks and only the monitor lizard was infested with ticks in the District Bajaur. Collected Amblyomma cf. javanense ticks were analyzed and formally described as a new species. Overall, 57 A. cf. javanense ticks were collected on monitor lizards (4/27) with a 15% prevalence of infestation, 2.1 mean abundance, and 14.3 mean intensity. Ticks comprised males (n = 23, 40%), females (n = 14, 25%) and nymphs (n = 20, 35%), while no larvae were found. BLAST analysis of A. cf. javanense sequences showed the following maximum identities; 98.25% with undetermined Amblyomma species based on 12S rRNA, 96.07% with A. javanense based on 16S rRNA, 99.56% and 90.95% with an Amblyomma sp. and A. javanense, respectively, based on ITS2. Moreover, the mitochondrial genome of A. cf. javanense showed maximum identities of 80.75%, 80.48% and 79.42% with Amblyomma testudinarium, A. javanense, and Amblyomma sp., respectively. The phylogenetic analysis of A. cf. javanense revealed that its 12S rRNA and 16S rRNA are closely related to an Amblyomma sp. and A. javanense, respectively, from Sri Lanka, its ITS2 is closely related to A. javanense from China and an Amblyomma sp. from Sri Lanka, and its mitogenome is closely related to A. javanense and Amblyomma sp. from China. The pairwise distance analysis resulted in divergence of 0–1.71% (12S rRNA), 0–17.5% (16S rRNA), 0–9.1% (ITS2) and 0–20.5% (mitochondrial genome). We also contributed the full-length mitochondrial genome sequence of A. compressum and showed that this species does not share a most recent common ancestor with A. javanense. As the subgenus Adenopleura is paraphyletic, this study could help to understand the systematics and phylogeny of this taxon.

在爬行动物相关的蜱虫中,Amblyomma 属所占的比例最高,该属包括大约九个亚属。其中一个亚属是Adenopleura,也包括Amblyomma javanense及其模式种Amblyomma compressum。本研究根据形态学及其有丝分裂基因组描述了巴基斯坦开伯尔-普赫图赫瓦(Khyber Pakhtunkhwa)与孟加拉巨蜥(Varanus bengalensis)相关的一个新的Amblyomma物种。对不同属的爬行动物进行了蜱虫检查,在巴焦尔地区只有孟加拉巨蜥受到蜱虫侵扰。对收集到的 Amblyomma cf. javanense 壁虱进行了分析,并将其正式描述为一个新物种。总体而言,在巨蜥(4/27)身上采集到了 57 个 A. cf. javanense蜱虫,感染率为 15%,平均数量为 2.1 个,平均强度为 14.3 个。蜱虫包括雄性(n = 23,40%)、雌性(n = 14,25%)和若虫(n = 20,35%),没有发现幼虫。A.cf.javanense序列的BLAST分析显示了以下最大相同度:基于12S rRNA,与未确定的Amblyomma种相同度为98.25%;基于16S rRNA,与A.javanense相同度为96.07%;基于ITS2,与Amblyomma sp.和A.javanense的相同度分别为99.56%和90.95%。此外,A. cf. javanense的线粒体基因组与Amblyomma testudinarium、A. javanense和Amblyomma sp.的最大相同度分别为80.75%、80.48%和79.42%。系统进化分析表明,A. cf. javanense的12S rRNA和16S rRNA分别与斯里兰卡的Amblyomma sp.和A. javanense亲缘关系密切,ITS2与中国的A. javanense和斯里兰卡的Amblyomma sp.亲缘关系密切,有丝分裂基因组与中国的A.经配对距离分析,其差异为0-1.71%(12S rRNA)、0-17.5%(16S rRNA)、0-9.1%(ITS2)和0-20.5%(线粒体基因组)。我们还提供了 A. compressum 的全长线粒体基因组序列,结果表明该物种与 A. javanense 没有最近的共同祖先。由于Adenopleura亚属是副类群,本研究有助于了解该类群的系统学和系统发育。
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引用次数: 0
A rodent and tick bait for controlling white-footed mice (Peromyscus leucopus) and blacklegged ticks (Ixodes scapularis), the respective pathogen host and vector of the Lyme disease spirochetes. 一种用于控制白脚鼠(Peromyscus leucopus)和黑脚蜱(Ixodes scapularis)的啮齿动物和蜱虫诱饵,它们分别是莱姆病螺旋体的病原体宿主和病媒。
IF 3.2 2区 医学 Q2 INFECTIOUS DISEASES Pub Date : 2024-06-08 DOI: 10.1016/j.ttbdis.2024.102362
David Poché, Richard Poché

A promising alternative approach to conventional vector and rodent control practices is the use of a bait containing a rodenticide and acaricide in controlling vectors and pathogen reservoirs concurrently. In the United States, Lyme disease continues to be the most prevalent vector-borne disease with approximately 500,000 Lyme disease cases estimated each year. Previous research has demonstrated the usefulness of a low dose fipronil bait in controlling Ixodes scapularis larvae feeding on white-footed mice. However, considering white-footed mice can be an unwanted species because of their association with tick-borne disease and hantaviruses, a combination rodent and tick bait (RTB) might provide a useful alternative to encourage additional community participation in integrated tick management (ITM) efforts. The purpose of this research was to evaluate the use of RTB (0.025 % warfarin, 0.005 % fipronil) in controlling white-footed mice and I. scapularis larvae. Studies were designed in part based on Environmental Protection Agency (EPA) guidelines. A laboratory choice test was conducted to evaluate the use of RTB in controlling white-footed mice over 15-day exposure when they were exposed to an alternative diet. Mice were observed every day for mortality and signs of warfarin toxicity. A simulated field test was conducted to evaluate the use of RTB, presented in the presence of an alternative diet, in controlling I. scapularis parasitizing white-footed mice over 4-day exposure. Mice were fitted with capsules and manually infested with I. scapularis larvae. The inside of each capsule was observed to evaluate tick attachment. Replete larvae detaching from each mouse were collected. Blood was collected from all treatment group mice via cardiac puncture to determine the fipronil sulfone concentration in plasma for each animal. Results indicated that RTB would be adequately consumed in the presence of an alternative diet under laboratory and simulated field conditions. Treatment with RTB resulted in 100 % mortality of white-footed mice during 15-day exposure and prevented 100 % larvae from feeding to repletion during 4-day exposure. All mice succumbing to RTB showed signs of warfarin toxicity. All mice parasitized with ticks that were exposed to RTB had fipronil sulfone detectable in plasma, with even the lowest concentration detected (8.1 parts per billion) controlling 100 % parasitizing I. scapularis larvae. The results suggest that RTB could be a useful means of rodent and tick control for use in ITM programs.

除了传统的病媒和啮齿动物控制方法外,一种很有前景的替代方法是使用含有杀鼠剂和杀螨剂的诱饵,同时控制病媒和病原体库。在美国,莱姆病仍然是最普遍的病媒传播疾病,估计每年约有 50 万莱姆病病例。先前的研究表明,低剂量氟虫腈诱饵在控制白脚鼠幼虫方面非常有用。然而,考虑到白脚鼠可能是一种不受欢迎的物种,因为它们与蜱传疾病和汉坦病毒有关联,啮齿动物和蜱虫混合诱饵(RTB)可能会提供一种有用的替代方法,以鼓励更多社区参与蜱虫综合治理(ITM)工作。这项研究的目的是评估 RTB(0.025 % 华法林、0.005 % 氟虫腈)在控制白脚鼠和恙螨幼虫方面的使用情况。研究的设计部分基于美国环境保护局(EPA)的指导方针。进行了一项实验室选择试验,以评估 RTB 在白脚鼠接触替代食物的 15 天内控制白脚鼠的效果。每天观察小鼠的死亡率和华法林中毒症状。进行了一项模拟现场试验,以评估在有替代食物的情况下,使用 RTB 在 4 天暴露期内控制寄生于白脚鼠体内的恙虫病。给小白鼠装上胶囊,并用人工方式将恙虫幼虫植入胶囊。观察每个胶囊的内部以评估蜱的附着情况。收集从每只小鼠身上脱落的完整幼虫。通过心脏穿刺采集所有治疗组小鼠的血液,以确定每只动物血浆中氟虫腈砜的浓度。结果表明,在实验室和模拟野外条件下,在有替代食物的情况下,RTB 会被充分消耗。接触 RTB 15 天后,白脚小鼠的死亡率为 100%,接触 4 天后,白脚小鼠的幼虫摄食量为 100%。所有因 RTB 而死亡的小鼠都出现了华法林中毒症状。所有被蜱虫寄生并接触过 RTB 的小鼠血浆中都能检测到氟虫腈砜,即使检测到的最低浓度(十亿分之 8.1)也能100%地控制寄生的白头蜱幼虫。结果表明,在 ITM 计划中,RTB 可能是一种有效的啮齿动物和蜱虫控制手段。
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引用次数: 0
Profile of cattle breed sensitivity to the tick Rhipicephalus microplus 牛种对蜱 Rhipicephalus microplus 的敏感性概况
IF 3.2 2区 医学 Q2 INFECTIOUS DISEASES Pub Date : 2024-06-08 DOI: 10.1016/j.ttbdis.2024.102363
Jacqueline Cavalcante Barros , Marcos Valério Garcia , Leandro de Oliveira Souza Higa , Alexandre da Silva Souza , Renato Andreotti

Among cattle, Bos taurus breeds and their crosses are more sensitive to tick infestations than Bos indicus breeds that are more resistant to infestation and more adaptable to tropical climates. The presence of susceptible individuals in herds and inadequate tick control lead to direct and indirect losses in the meat production chain, in addition to increased mortality due to cattle tick fever. The objective of this study was to describe, compare and rank the sensitivity of different breeds of stabled cattle to the tick Rhipicephalus microplus and to present, as an innovative result, a scale called the Tick Ruler. Secondary data on the number of retrieved engorged females, engorged female ticks’ weight, egg mass weight and number of larvae were extracted from research reports of experiments conducted over 18 years with eight breeds to describe and report the sensitivity of the breeds to artificial infestation by R. microplus larvae. For analyses, the recovery rate of engorged female ticks and the percentile of dispersion of individuals in their respective races were calculated, and comparison of these percentiles between races was performed. The ranking of the percentiles resulted in the organization of the breeds by their susceptibility to R. microplus; we call this scale the “Tick Ruler.” The ruler is a simple, easy-to-understand tool that can be used by technicians and producers to evaluate the tick sensitivity of a breed of interest and can assist producers in decision-making to find a balance between increased production gains and the risk of economic losses depending on the breed composition in a cattle herd.

在牛群中,金牛品种及其杂交品种对蜱虫侵扰的敏感性要高于麝香牛品种,后者对蜱虫侵扰的抵抗力更强,对热带气候的适应性也更强。牛群中易感个体的存在和蜱虫控制不力导致肉类生产链中的直接和间接损失,此外,牛蜱热还会增加死亡率。这项研究的目的是描述、比较不同品种的存栏牛对蜱虫 Rhipicephalus microplus 的敏感性并对其进行分级,作为一项创新成果,提出了一个名为 "蜱虫标尺 "的量表。我们从 18 年来对 8 个牛种进行的实验研究报告中提取了有关被捕获的雌牛数量、被捕获的雌蜱重量、卵重量和幼虫数量的二手数据,以描述和报告这些牛种对微加蜱幼虫人工侵扰的敏感性。为了进行分析,计算了充血雌蜱的恢复率和个体在各自种族中的分散百分位数,并对这些百分位数进行了种族间比较。通过对百分位数的排序,我们按照对小加蜱的易感性对品种进行了分类;我们称这种比例尺为 "蜱尺"。该标尺是一种简单易懂的工具,技术人员和生产者可利用它来评估相关品种的蜱敏感性,并可协助生产者做出决策,根据牛群的品种组成,在增加生产收益和经济损失风险之间找到平衡点。
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引用次数: 0
Geographic variation in the distribution of Anaplasma phagocytophilum variants in host-seeking Ixodes scapularis nymphs and adults in the eastern United States elucidated using next generation sequencing 利用新一代测序技术阐明美国东部寻找宿主的黄斑伊蚊若虫和成虫中噬细胞嗜血杆菌变体分布的地域差异。
IF 3.2 2区 医学 Q2 INFECTIOUS DISEASES Pub Date : 2024-05-30 DOI: 10.1016/j.ttbdis.2024.102360
Andrias Hojgaard, Erik Foster, Sarah E. Maes, Lynn M. Osikowicz, Christina M. Parise, Joel Villalpando, Rebecca J. Eisen

Human anaplasmosis cases, caused by Anaplasma phagocytophilum, are increasing in the United States. This trend is explained, in part, by expansion in the geographic range of the primary vector, Ixodes scapularis. Multiple variants of A. phagocytophilum have been identified in field collected ticks, but only a single variant (human active, or “Ap-ha,” variant) has been shown to be pathogenic in humans. Until recently, laboratory methods used to differentiate variants were cumbersome and seldomly used in large scale assessments of the pathogen's geographic distribution. As a result, many surveys reported A. phagocytophilum without segregating variants. Lack of discrimination among A. phagocytophilum variants could lead to overestimation of anaplasmosis risk to humans. Next Generation Sequencing (NGS) assays were recently developed to efficiently detect multiple Ixodes scapularis-borne human pathogens including Ap-ha. In this study, we utilized NGS to detect and differentiate A. phagocytophilum variants (Ap-ha vs. non ha) in host-seeking I. scapularis nymphs and adults collected across 23 states in the eastern United States from 2012 to 2023 as part of national tick surveillance efforts and research studies. Many of the included ticks were tested previously using a TaqMan PCR assay that could detect A. phagocytophilum but could not differentiate variants. We retested A. phagocytophilum infected ticks with NGS to differentiate variants. Anaplasma phagocytophilum (any variant) was identified in 165 (35 %) of 471 counties from which ticks were tested, whereas Ap-ha was detected in 70 (15 %) of 469 counties where variants were differentiated. Both variants were identified in 32 % (n = 40) of 126 counties with either variant detected. Among states where A. phagocytophilum (any variant) was detected, prevalence ranged from 2 % to 19 % in unfed adults and from 0.2 % to 7.8 % in unfed nymphs; prevalence of Ap-ha variant ranged from 0.0 % to 16 % in adults, and 0.0 % to 4.6 % in nymphs.

在美国,由噬细胞嗜性无形体(Anaplasma phagocytophilum)引起的人类无形体病病例正在增加。造成这种趋势的部分原因是主要病媒蜱虫的地理分布范围扩大了。在野外采集的蜱虫中发现了噬细胞甲虫的多种变种,但只有一种变种(人类活性变种或 "Ap-ha "变种)被证明对人类具有致病性。直到最近,用于区分变体的实验室方法还很繁琐,而且很少用于病原体地理分布的大规模评估。因此,许多调查报告的噬菌体都没有对变种进行分离。缺乏对噬菌体变种的区分可能会导致高估无形体病对人类的危害。最近开发的下一代测序(NGS)检测方法可以有效地检测包括 Ap-ha 在内的多种嗜伊蚊传播的人类病原体。在本研究中,我们利用 NGS 检测并区分了 2012 年至 2023 年期间在美国东部 23 个州收集的寻找宿主的恙虫若虫和成虫中的噬细胞病毒变体(Ap-ha 与非 ha),这是国家蜱虫监测工作和研究的一部分。以前曾使用 TaqMan PCR 检测方法对其中的许多蜱虫进行过检测,该方法可以检测到噬菌体,但无法区分变种。我们用 NGS 重新检测了受噬菌体感染的蜱虫,以区分变种。在检测了蜱虫的 471 个县中,有 165 个县(35%)检测到了噬细胞蝇安那普拉原虫(任何变种),而在 469 个县中,有 70 个县(15%)检测到了 Ap-ha(变种)。在检测到两种变体的 126 个县中,32%(n = 40)的县同时检测到两种变体。在检测到噬细胞甲虫(任何变种)的州中,未喂养成虫的流行率从 2 % 到 19 % 不等,未喂养若虫的流行率从 0.2 % 到 7.8 % 不等;Ap-ha 变种在成虫中的流行率从 0.0 % 到 16 % 不等,在若虫中的流行率从 0.0 % 到 4.6 % 不等。
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引用次数: 0
Hemopathogens in naturally infected bovine fetuses in Brazil 巴西自然感染的牛胎儿中的血液病原体
IF 3.2 2区 医学 Q2 INFECTIOUS DISEASES Pub Date : 2024-05-23 DOI: 10.1016/j.ttbdis.2024.102351
Leandro Silva Andrade , Rayanne Soalheiro de Souza , Andreina Carvalho de Araujo , Soraia de Oliveira Silva , Maria Norma Melo , Fabricio Gomes Melo , Gustavo Henrique Siqueira Ribeiro , Felipe Gaia de Sousa , Camila Valgas Bastos , Tiago Facury Moreira , Rodrigo Melo Meneses , Antônio Ultimo Carvalho , Elias Jorge Facury-Filho , Júlia Angélica Gonçalves Silveira

The transplacental transmission of parasites and hemoparasites is crucial for understanding the epidemiology of diseases. This study aimed to assess the prevalence of hemopathogens in bovine fetuses at various gestational periods. Samples were obtained from a slaughterhouse in the state of Minas Gerais, Brazil, and a total of 236 fetuses were collected. DNA extracted from blood samples (145) and organ samples (a pool of brain and spleen) (236) underwent a nested PCR (nPCR) assay to detect Babesia spp., Theileria spp., Trypanosoma vivax, Anaplasma marginale, Anaplasma bovis, Anaplasma phagocytophilum, Ehrlichia minasensis, and hemotropic Mycoplasma spp. Additionally, serological analysis of 145 plasma samples was conducted using the indirect fluorescent antibody test-IFAT to detect IgG against Babesia bovis, Babesia bigemina, A. marginale, and Trypanosoma vivax. The observed prevalence of transplacental transmission was 19.3 %, 6.2 %, 42.7 % and 2.7 %, for A. marginale, B. bigemina, 'Candidatus M. haemobos', and Mycoplasma wenyonii, respectively. The prevalence of A. marginale by gestational trimester was 16 % (13/81) in the second trimester and 23 % (14/60) in the third trimester, with no positive samples in the first trimester. Regarding the species B. bovis and B. bigemina, all evaluated animals tested negative by nPCR, and no serological evidence for B. bovis was found by the IFAT. Babesia bigemina demonstrated an overall seroprevalence of 6.2 % (9/145), with 4.8 % (7/145) in the last trimester and 1.3 % (2/145) in the second trimester of pregnancy. In total, 42.7 % (62/145) of blood samples were positive for 'Candidatus M. haemobos’, with 42 % (34/81) in the middle trimester, and 43 % (26/60) in the final trimester of pregnancy. Mycoplasma wenyonni was detected in 2.7 % (4/145) blood samples, all in coinfection with ‘C. M. haemobos’. The prevalence by pregnancy trimester was 25 % (1/4) in the first trimester; 1.2 % (1/81) in the second trimester and 3.3 % (2/60) in the third trimester of pregnancy. Hemopathogen DNA was detected in fetus blood samples but not the brain or spleen samples. All the samples were negative for T. vivax, Theileria spp., Anaplasma spp. and Ehrlichia spp. Overall, in this study, approximately 70 % of fetuses were positive for one or more of the studied parasites. No significant associations were observed between pairs of pathogens, except ‘C. M. haemobos and A. marginale.

寄生虫和血液寄生虫的跨胎盘传播对于了解疾病的流行病学至关重要。本研究旨在评估不同妊娠期牛胎儿血液病原体的流行情况。样本来自巴西米纳斯吉拉斯州的一个屠宰场,共收集了 236 个胎儿。从血液样本(145 份)和器官样本(脑和脾脏)(236 份)中提取的 DNA 进行了巢式 PCR(nPCR)检测,以检测巴贝西亚原虫、泰勒氏原虫、伊波拉氏原虫、伊波拉氏原虫、伊波拉氏原虫、伊波拉氏原虫、伊波拉氏原虫、伊波拉氏原虫和伊波拉氏原虫、此外,还使用间接荧光抗体测试-IFAT 对 145 份血浆样本进行了血清学分析,以检测针对牛巴贝斯虫、大肠巴贝斯虫、边虫和体内锥虫的 IgG。观察到的经胎盘传播的流行率分别为 19.3%、6.2%、42.7% 和 2.7%,包括 A. marginale、B. bigemina、'Candidatus M. haemobos' 和 Mycoplasma wenyonii。按妊娠期划分,边疫甲型肝炎的发病率在妊娠期后三个月为 16%(13/81),在妊娠期前三个月为 23%(14/60),在妊娠期前三个月没有阳性样本。关于牛巴氏杆菌和大肠巴氏杆菌,所有受检动物的 nPCR 检测结果均为阴性,IFAT 检测也未发现牛巴氏杆菌血清学证据。总体血清阳性率为 6.2%(9/145),其中 4.8%(7/145)发生在妊娠的最后三个月,1.3%(2/145)发生在妊娠的后三个月。总共有 42.7%(62/145)的血液样本对 "血型支原体 "呈阳性,其中 42%(34/81)出现在妊娠中期,43%(26/60)出现在妊娠末期。在 2.7%(4/145)的血液样本中检测到了温尼安支原体,这些样本都与 "C. M. haemobos "同时感染。M. haemobos "合并感染。妊娠三个月的发病率分别为:妊娠头三个月 25%(1/4);妊娠后三个月 1.2%(1/81);妊娠后三个月 3.3%(2/60)。在胎儿血液样本中检测到血液病原体 DNA,但在大脑或脾脏样本中未检测到。总之,在这项研究中,约 70% 的胎儿对一种或多种所研究的寄生虫呈阳性。除 "C. M. haemobos "和 "Ehrlichia ppp.M.haemobos "和A.marginale "除外。
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引用次数: 0
Characteristics of patients consulted for suspected Lyme neuroborreliosis in an endemic area 地方病流行地区疑似莱姆神经源性疾病就诊患者的特征。
IF 3.2 2区 医学 Q2 INFECTIOUS DISEASES Pub Date : 2024-05-17 DOI: 10.1016/j.ttbdis.2024.102353
Hélène Frahier , Timothée Klopfenstein , Anne-Sophie Brunel , Catherine Chirouze , Kevin Bouiller

Introduction

Some patients with unexplained neurological symptoms sought care for presumed Lyme neuroborreliosis (LNB). We aimed to compare patients’ characteristics with and without LNB.

Material and methods

All patients consulting for LNB suspicion and having a lumbar puncture between 2014 and 2020 in a high endemic area of Lyme borreliosis were included in the study.

Results

One hundred fifty-five patients were included. Forty-five patients (29 %) had LNB (mean age: 57.6 years, 28.9 % of women) including 17 with isolated intrathecal synthesis. One hundred and ten patients had no LNB (mainly neurological (29 %) and rheumatological diseases (19 %)).

Non-neurological symptoms were similar in patients with LNB and patients with no LNB (asthenia, 31 % vs. 46 %, p = 0.14, arthralgia 20 % vs. 31 %, p = 0.14) with the exception of myalgia, which was less frequent in patients with LNB (4.4 % vs. 19.1 % p = 0.02). In multivariable analysis, factors associated with LNB were presence of facial nerve palsy (OR = 5.7), radiculopathy (OR = 11.3), positive Lyme serology (OR = 5.4) and duration of symptoms less than 3 months (OR = 4.48). Patients with isolated intrathecal synthesis had a longer duration of symptoms (3 vs 1 months) than patients with pleocytosis. Asthenia (5.9 % vs. 32.1 %), headaches (0 % vs. 39.3 %) neuropathic pain (17.6 % vs. 50 %) and facial palsy (11.8 % vs. 39.3 %) were less frequent in patients with isolated intrathecal synthesis than patients with pleocytosis. The presence of isolated subjective neurological symptoms (paresthesia, memory disorders, insomnia, irritability, asthenia, headaches) was reported in 7/17 (41 %) of patients with isolated intrathecal synthesis, 2/28 (7.1 %) in patients with pleocytosis and 75/110 (68 %) in patients without LNB (p < 0.001).

Conclusion

More than one quarter of patients consulted for suspected LNB had non-neurologic symptoms, whether or not they have a LNB. Concerning patients with isolated intrathecal synthesis, the question of presence of sequelae with a spontaneously cured disease or an active Lyme borreliosis requiring antibiotic remain.

导言一些不明原因的神经系统症状患者因假定患有莱姆神经源性疾病(LNB)而寻求治疗。我们旨在比较有 LNB 和无 LNB 患者的特征:研究纳入了 2014 年至 2020 年期间在莱姆病高流行区因怀疑患有 LNB 而就诊并进行腰椎穿刺的所有患者:结果:共纳入了155名患者。45名患者(29%)患有LNB(平均年龄:57.6岁,28.9%为女性),其中17名患者有孤立的鞘内合成。110名患者没有 LNB(主要是神经系统疾病(29%)和风湿病(19%))。LNB 患者和无 LNB 患者的非神经系统症状相似(气喘 31% 对 46%,p = 0.14;关节痛 20% 对 31%,p = 0.14),但肌痛在 LNB 患者中发生率较低(4.4% 对 19.1%,p = 0.02)。在多变量分析中,与 LNB 相关的因素有面神经麻痹(OR = 5.7)、根病(OR = 11.3)、莱姆血清学阳性(OR = 5.4)和症状持续时间少于 3 个月(OR = 4.48)。孤立的鞘内合成患者的症状持续时间(3 个月对 1 个月)长于胸水患者。孤立的鞘内合成患者出现气喘(5.9% 对 32.1%)、头痛(0% 对 39.3%)、神经性疼痛(17.6% 对 50%)和面瘫(11.8% 对 39.3%)的频率低于多核细胞增多症患者。7/17(41%)例孤立性鞘内合成患者出现孤立性主观神经症状(麻痹、记忆障碍、失眠、烦躁、气喘、头痛),2/28(7.1%)例多血症患者出现这些症状,75/110(68%)例无 LNB 患者出现这些症状(P < 0.001):超过四分之一的疑似 LNB 患者有非神经系统症状,无论他们是否患有 LNB。对于有孤立的鞘内合成物的患者,是否存在自发治愈的后遗症或需要使用抗生素的活动性莱姆包虫病仍然是个问题。
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引用次数: 0
Discovery of Colpodella spp. in ticks (Hyalomma dromedarii) infesting camels in southern Egypt 在埃及南部骆驼的蜱虫(Hyalomma dromedarii)中发现 Colpodella spp.
IF 3.2 2区 医学 Q2 INFECTIOUS DISEASES Pub Date : 2024-05-16 DOI: 10.1016/j.ttbdis.2024.102352
Ahmed M. Soliman , Hassan Y.A.H. Mahmoud , Tatsuro Hifumi , Tetsuya Tanaka

In Egypt, tick-borne diseases pose a significant threat to human and animal health, and the threat to dromedaries (Camelus dromedarius), the country's dominant camelid species, is of particular concern. These animals are frequently infested with ticks, and may thus develop tick-borne diseases or become reservoirs of tick-borne pathogens. However, there is a paucity of data on tick infestation in Egyptian camels, especially in the south of the country. Accordingly, we aimed to determine the prevalence of tick infestation in southern Egyptian camel populations (in Luxor and Aswan governorates), and identify the hemoprotozoan parasites carried by camel-infesting ticks. Camels were checked for ticks during veterinary examination at quarantine and household checks, and ticks were collected from infested camels for species identification using morphological examination and PCR analyses. Tick and hemoprotozoan species were identified using Basic Local Alignment Search Tool analysis with subsequent confirmation in phylogenetic analyses. All camel-infesting ticks belonged to the species Hyalomma dromedarii, and were clustered with ticks of this species previously found in Egypt in a phylogenetic tree based on the 16S rRNA gene. Molecular analysis targeting the 18S rRNA gene revealed the presence of hitherto undetected hemoprotozoan parasites, Colpodella spp., in 30/297 (10.1 %) camel-infesting ticks. In phylogenetic analysis, these Colpodella spp. were highly homologous (94–98.6 %) with Colpodella spp. previously deposited in GenBank with accession numbers OQ540590Q, MH208621, and GQ411073, which relate to Colpodella spp. previously detected from Haemaphysalis longicornis, Rhipicephalus haemaphysaloides, and humans in China. PCR analyses with spherical body protein-4 (SBP-4) gene-specific primers revealed Babesia bovis in 16/297 (5 %) of camel-infesting ticks, however, Babesia bigemina and Theileria annulata were not detected. Here, we report the first detection of Colpodella spp. in H. dromedarii in Egypt. Further epidemiological studies are needed to assess the risk to camels and humans, and the transmission dynamics. Based on the high tick infestation rates in Egyptian camels and the identification of previously unreported protozoan hemoparasites in ticks, we consider that the dromedary should be subject to surveillance as a sentinel species for tick-borne diseases in Egypt. Our findings underline the need for surveillance and collecting data on lesser known pathogens circulating in camel-infesting ticks, as part of a public health strategy for dealing with tick-borne diseases in Egypt.

在埃及,蜱传疾病对人类和动物的健康构成严重威胁,而埃及的主要骆驼物种单峰驼(Camelus dromedarius)所面临的威胁尤其令人担忧。这些动物经常受到蜱虫的侵扰,因此可能患上蜱虫病或成为蜱虫病原体的传播源。然而,有关埃及骆驼(尤其是该国南部的骆驼)蜱虫感染的数据却很少。因此,我们旨在确定埃及南部(卢克索和阿斯旺省)骆驼群体中蜱虫感染的流行率,并确定骆驼感染的蜱虫所携带的血吸虫寄生虫。在检疫和入户检查时,兽医会对骆驼进行蜱虫检查,并从受感染的骆驼身上采集蜱虫,通过形态学检查和 PCR 分析进行物种鉴定。利用基本局部比对搜索工具分析鉴定蜱虫和血吸虫的种类,并随后在系统发育分析中进行确认。所有侵袭骆驼的蜱虫都属于Hyalomma dromedarii物种,并在基于16S rRNA基因的系统发生树中与以前在埃及发现的该物种蜱虫聚类。以 18S rRNA 基因为目标的分子分析表明,在 30/297 只(10.1%)骆驼叮咬的蜱虫中发现了迄今尚未检测到的血细胞寄生虫 Colpodella spp.。在系统发育分析中,这些疟原虫与之前存入 GenBank 的疟原虫高度同源(94-98.6%),登录号分别为 OQ540590Q、MH208621 和 GQ411073,它们与之前在中国的长角蜱、蹄螨和人类身上检测到的疟原虫有关。使用球形体蛋白-4(SBP-4)基因特异性引物进行 PCR 分析,在 16/297 只(5%)骆驼感染的蜱虫中发现了牛巴贝斯虫,但没有检测到大肠巴贝斯虫和环状蜱虫。在此,我们报告了埃及首次在 H. dromedarii 中检测到 Colpodella spp.。需要进一步开展流行病学研究,以评估其对骆驼和人类的风险以及传播动态。鉴于埃及骆驼的蜱虫感染率很高,而且在蜱虫中发现了以前未报告过的原生动物血液寄生虫,我们认为单峰骆驼应作为埃及蜱传疾病的哨点物种接受监测。我们的研究结果突出表明,作为埃及应对蜱传疾病的公共卫生战略的一部分,有必要对骆驼蜱虫中流行的鲜为人知的病原体进行监测并收集相关数据。
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引用次数: 0
Anaplasma phagocytophilum in urban and peri-urban passerine birds in Ile-de-France 法兰西岛城市和近郊雀鸟中的噬细胞嗜血杆菌
IF 3.2 2区 医学 Q2 INFECTIOUS DISEASES Pub Date : 2024-05-09 DOI: 10.1016/j.ttbdis.2024.102350
Clotilde Rouxel , Adrien Etienne , Pascal Arné , Cécile Le Barzic , Guillaume Girault , Henri-Jean Boulouis , Nadia Haddad , Anne-Claire Lagrée , Pierre Lucien Deshuillers

Wild animals in general, birds in particular, play a key role in transporting ticks and propagating tick-borne pathogens. Several studies have confirmed the infection of birds with Anaplasma phagocytophilum, with overall prevalence varying widely from country to country and/or study to study. This zoonotic bacterium, transmitted mainly by ticks of the genus Ixodes, is responsible for granulocytic anaplasmosis in humans (HGA) and domestic animals (cats, dogs, horses). The disease is also called tick-borne fever (TBF) in ruminants. Extremely rare in the USA, TBF is very common in Europe, where it causes economic losses in livestock. Conversely, HGA is well established in the USA whereas only a few less severe cases have been observed in Europe. Current typing techniques support the existence of multiple variants with differences in virulence/pathogenicity and tropism for certain tick and host species. However, epidemiological cycles remain difficult to characterize in Europe. Several studies describe a cycle apparently involving only birds in Europe, but no such study has been conducted in mainland France. Our objectives were to search for A. phagocytophilum in passerine birds in the Ile-de-France region and to explore their diversity using groEL and ankA gene typing and multilocus sequence typing (MLST). Various tissues (spleen, liver, and skin) were collected from cadavers of 680 passerines between March and December 2021. The presence of A. phagocytophilum was detected by qPCR Taqman targeting the msp2 gene. Three blackbirds (Turdus merula) were found positive, representing detection rates of 0.4 % in all birds tested and 3.3 % in blackbirds. The higher frequency of detection in blackbirds could be at least partially explained by their lifestyle, as they feed on the ground. Analysis of the results of groEL and ankA typing and MLST from positive blackbirds support the hypothesis that the avian A. phagocytophilum strains in Ile-de-France are distinct from those found in mammals, and that they form their own cluster in Europe.

野生动物,尤其是鸟类,在运输蜱虫和传播蜱虫病原体方面扮演着重要角色。多项研究证实,鸟类感染了噬细胞阿纳疟原虫,不同国家和/或不同研究的总体流行率差异很大。这种人畜共患病细菌主要通过伊科蜱属的蜱传播,是导致人类(HGA)和家畜(猫、狗、马)感染粒细胞无形体病的罪魁祸首。这种疾病在反刍动物中也被称为蜱传热(TBF)。TBF 在美国极为罕见,但在欧洲却很常见,会给牲畜造成经济损失。相反,HGA 在美国非常普遍,而在欧洲只观察到一些不太严重的病例。目前的分型技术表明,TBF 存在多种变种,它们对某些蜱和宿主物种的毒力/致病性和趋性存在差异。然而,流行病学周期在欧洲仍然难以确定。一些研究描述了欧洲明显只涉及鸟类的流行周期,但在法国本土还没有进行过此类研究。我们的目标是在法兰西岛地区的雀鸟中寻找噬细胞甲虫,并使用 groEL 和 ankA 基因分型以及多焦点序列分型(MLST)来探索其多样性。2021 年 3 月至 12 月期间,从 680 只雀鸟尸体上采集了各种组织(脾脏、肝脏和皮肤)。通过针对 msp2 基因的 qPCR Taqman 检测是否存在噬细胞甲虫。三只乌鸦(Turdus merula)的检测结果呈阳性,在所有受检鸟类中的检出率为 0.4%,在乌鸦中的检出率为 3.3%。乌鸫的检出率较高,至少部分原因是它们的生活方式,因为它们在地面上觅食。对来自阳性黑鸟的groEL和ankA分型结果以及MLST的分析支持了这样的假设,即法兰西岛的禽类噬噬甲虫菌株不同于哺乳动物中的噬噬甲虫菌株,它们在欧洲形成了自己的菌群。
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引用次数: 0
Diagnostic patterns of serum inflammatory protein markers in children with Lyme neuroborreliosis 莱姆神经源性疾病患儿血清炎症蛋白标记物的诊断模式
IF 3.2 2区 医学 Q2 INFECTIOUS DISEASES Pub Date : 2024-05-08 DOI: 10.1016/j.ttbdis.2024.102349
Tobias Fredriksson , Lars Brudin , Anna J. Henningsson , Barbro H. Skogman , Ivar Tjernberg

Definite diagnosis of Lyme neuroborreliosis (LNB) requires investigation of serum and cerebrospinal fluid (CSF). Thus, lumbar puncture is necessary, and requires administration of sedating drugs in children. This study aimed to investigate if a pattern of different inflammatory biomarkers in serum could contribute to the selection of children for lumbar puncture in suspected LNB.

Patients were included from a cohort of children who was previously investigated for LNB including serum and CSF sampling during the years 2010–2014. The multiplex proximity extension assay (PEA) inflammation panel Target 96 (Olink Bioscience, Uppsala, Sweden) was used to examine 92 biomarkers in serum.

Based on the presence of CSF pleocytosis and Borrelia-specific antibodies, patients were divided into a definite LNB group (n=61) and a non-LNB control group (n=58). Following PEA and statistical analysis with multivariate logistic regression, five biomarkers remained significant (p < 0.001), which were included in a calculation of protein index. The index biomarkers were CST5, IL-15RA, CXCL10, DNER and CX3CL1. A receiver operating characteristic curve was constructed from the index, which showed an 80 % sensitivity and 81 % specificity. Area under the curve was 0.889.

We offer evidence that, with further refinements, patterns of serum biomarkers might help identify those children more or less likely to have LNB, perhaps ultimately decreasing the need for lumbar punctures.

确诊莱姆神经嗜血杆菌病(LNB)需要检测血清和脑脊液(CSF)。因此,必须进行腰椎穿刺,而且需要对儿童使用镇静药物。本研究旨在探讨血清中不同炎症生物标志物的模式是否有助于选择疑似LNB的儿童进行腰椎穿刺。患者来自2010-2014年间接受过LNB检查(包括血清和脑脊液采样)的儿童队列。根据是否存在脑脊液多细胞和包柔氏病毒特异性抗体,患者被分为确诊 LNB 组(n=61)和非 LNB 对照组(n=58)。在进行 PEA 和多变量逻辑回归统计分析后,有五个生物标志物仍具有显著性(p < 0.001),并被纳入蛋白质指数的计算中。指数生物标志物为 CST5、IL-15RA、CXCL10、DNER 和 CX3CL1。根据该指数绘制的接收器操作特征曲线显示,灵敏度为 80%,特异度为 81%。曲线下面积为 0.889。我们提供的证据表明,如果进一步完善,血清生物标志物的模式可能有助于确定哪些儿童更有可能或较少可能患有 LNB,从而最终减少腰椎穿刺的需要。
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引用次数: 0
The case of Mediterranean spotted fever of the traveler returned from Zambia 从赞比亚回国的旅行者的地中海斑疹热病例
IF 3.2 2区 医学 Q2 INFECTIOUS DISEASES Pub Date : 2024-05-06 DOI: 10.1016/j.ttbdis.2024.102347
Takahiro Ichikawa , Yongjin Qiu , Shuji Ando , Yuto Takeuchi , Atsushi Nagasaka

We report the case of a traveler who returned from Zambia and was diagnosed with Mediterranean spotted fever (MSF), an infectious disease caused by Rickettsia conorii conorii. The patient presented to Sapporo City General Hospital with symptoms of fever, malaise, headache, and rash. The pathogen was identified by Polymerase Chain Reaction assays and subsequent analyses. The patient improved with 10-day treatment of oral doxycycline. Although some cases of MSF have been reported in sub-Saharan Africa, none have been reported in Zambia. Rhipicephalus sanguineus sensu lato, the vector of the Rickettsia conorii conorii, has been found in various areas of Zambia. Our case report highlights the potential threat of Mediterranean spotted fever in urban areas of Zambia.

我们报告了一例从赞比亚回国的旅行者被诊断为地中海斑疹热(MSF)的病例,这是一种由康氏立克次体引起的传染病。患者因发热、不适、头痛和皮疹等症状前往札幌市综合医院就诊。通过聚合酶链式反应检测和随后的分析,确定了病原体。患者口服多西环素 10 天后病情好转。尽管撒哈拉以南非洲地区也曾报告过一些 MSF 病例,但赞比亚尚未报告过此类病例。Rhipicephalus sanguineus sensu lato是Conorii Conorii立克次体的病媒,在赞比亚多个地区均有发现。我们的病例报告凸显了地中海斑疹热在赞比亚城市地区的潜在威胁。
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Ticks and Tick-borne Diseases
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