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1.
Rev. bras. parasitol. vet ; 30(2): e026220, 2021. tab, graf
Article in English | LILACS, VETINDEX | ID: biblio-1288692

ABSTRACT

Abstract Brazilian spotted fever (BSF) is a common tick-borne disease caused by Rickettsia rickettsii. Horses are the primary hosts of the main vector, Amblyomma sculptum, and are considered efficient sentinels for circulation of Rickettsia. Therefore, the aim of this study was to detect antibodies reactive to R. rickettsii antigens in horses from a non-endemic area in the north-central region of Bahia state, Brazil. Blood samples and ticks were collected from 70 horses from the municipalities of Senhor do Bonfim, Antônio Gonçalves, Pindobaçu, and Campo Formoso. The sera obtained were tested by an indirect immunofluorescence assay to detect anti-Rickettsia antibodies. Overall, 5.7% (4/70) of the horses reacted to R. rickettsii antigens. Ticks were collected from 18.6% (13/70) of the horses and were identified as A. sculptum and Dermacentor nitens. Despite being a non-endemic area, seropositive animals were identified in our study, suggesting circulation of rickettsial agents in the region. This is the first serological survey of this agent in horses from the north-central region of Bahia, and further studies are needed to understand the epidemiology of BSF in these locations.


Resumo A Febre Maculosa Brasileira (FMB) é uma importante zoonose causada por Rickettsia rickettsii, sendo seu vetor o Amblyomma sculptum. Cavalos são os principais hospedeiros desse carrapato e considerados sentinelas eficientes para detectar a circulação de Rickettsia. O objetivo deste estudo foi detectar anticorpos reativos a antígenos de R. rickettsii em cavalos de uma área não-endêmica na região Centro-Norte da Bahia, Brasil. Foram coletadas amostras de sangue e carrapatos de 70 cavalos nos municípios de Senhor do Bonfim, Antônio Gonçalves, Pindobaçu e Campo Formoso. Os soros obtidos foram testados pela reação de imunofluorescência indireta para detectar anticorpos anti-Rickettsia. No geral, 5,7% (4/70) dos cavalos reagiram sorologicamente para antígenos de R. rickettsii. Os carrapatos foram coletados em 18,6% (13/70) dos cavalos e foram identificados como A. sculptum e Dermacentor nitens. Embora seja uma área não endêmica, foram observados animais soropositivos, sugerindo a circulação de riquétsias na região estudada. Este é o primeiro estudo de levantamento sorológico desse agente em cavalos do Centro-Norte da Bahia. São necessários mais estudos para compreender a epidemiologia da FMB nesses locais.


Subject(s)
Animals , Rickettsia rickettsii , Ticks/classification , Ticks/microbiology , Rocky Mountain Spotted Fever/veterinary , Horse Diseases/diagnosis , Horses/microbiology , Brazil/epidemiology , Rocky Mountain Spotted Fever/diagnosis , Rocky Mountain Spotted Fever/epidemiology , Fluorescent Antibody Technique , Horse Diseases/microbiology , Horse Diseases/epidemiology
2.
Rev. bras. parasitol. vet ; 29(4): e014020, 2020. tab, graf
Article in English | LILACS | ID: biblio-1144230

ABSTRACT

Abstract This study aimed to verify the presence of IgG antibodies against Borrelia burgdorferi sensu lato (s.l) in domestic dogs in western Cuba. Serum samples were analyzed by indirect enzyme-linked immunosorbent assay (ELISA), using crude antigens of a B. burgdorferi strain of North American origin. To verify the presence of Borrelia spp., deoxyribonucleic acid (DNA) extracted from individual blood samples was analyzed by nested-PCR, with markers targeted for amplification of portions of the flagellin B gene (flaB) present in Borrelia spirochetes. Ticks were also collected through inspection of the animals. Sera from 93 of 176 (52.84%) dogs were reactive to the indirect ELISA. Geographic prevalence varied from 54.35% (25/46) in Boyeros, 44.44% (20/45) in Cotorro, 66.67% (22/33) in Habana del Este, and 50% (26/52) in San José de las Lajas. There was no statistical difference between these tested variables. No blood samples analyzed were positive for the Borrelia flaB gene.


Resumo Este estudo teve como objetivo confirmar a presença de anticorpos IgG contra Borrelia burgdorferi sensu lato (s.l) em cães na região oeste de Cuba. As amostras de soro foram analisadas por ensaio de imunoabsorção enzimática (ELISA) indireto, usando-se antígenos brutos de uma cepa de B. burgdorferi de origem norte-americana. Para confirmar a presença de Borrelia spp., o ácido desoxirribonucleico (DNA), extraído de amostras individuais de sangue, foi analisado por PCR, utilizando-se marcadores direcionados para a amplificação de porções do gene da flagelina B (flaB) presente nas espiroquetas de Borrelia. Os carrapatos também foram coletados através da inspeção dos animais. Os soros de 93 de 176 (52,84%) cães foram reativos ao ELISA indireto. A prevalência geográfica variou de 54,35% (25/46) em Boyeros, 44,44% (20/45) em Cotorro, 66,67% (22/33) em Habana del Este e 50% (26/52) em San José de las Lajas. Não houve diferença estatística entre essas variáveis testadas. Nenhuma amostra de sangue analisada foi positiva para o gene Borrelia flaB.


Subject(s)
Animals , Dogs , Lyme Disease/diagnosis , Lyme Disease/veterinary , Lyme Disease/epidemiology , Borrelia burgdorferi/genetics , Dog Diseases/diagnosis , Dog Diseases/epidemiology , Ticks/microbiology , Polymerase Chain Reaction/veterinary , Cuba/epidemiology
3.
Rev. bras. parasitol. vet ; 29(3): e012220, 2020.
Article in English | LILACS | ID: biblio-1138122

ABSTRACT

Abstract In this commentary, the authors highlight the importance of basic research in the field of public health regarding the recent pandemic Covid-19, using tick-borne rickettsioses as an example. In addition, they alert politicians, government officials and managers of research funding agencies to increase the allocated financial resources to enhance basic research on public health in Brazil.


Resumo Neste comentário, os autores destacam a importância da pesquisa básica em saúde pública em relação à recente pandemia Covid-19, usando-se as riquetsioses transmitidas por carrapatos como exemplo. Além disso, alertam políticos, funcionários do governo e gerentes de agências de fomento à pesquisa para aumentar os recursos financeiros alocados a fim de aprimorar a pesquisa básica em saúde pública no País.


Subject(s)
Animals , Pneumonia, Viral , Rickettsia Infections/epidemiology , Ticks/microbiology , Zoonoses/microbiology , Coronavirus Infections , Pandemics , Brazil , Betacoronavirus , SARS-CoV-2 , COVID-19
4.
Rev. bras. parasitol. vet ; 29(4): e014220, 2020. tab, graf
Article in English | LILACS | ID: biblio-1138130

ABSTRACT

Abstract Spotted fever group rickettsioses are emerging diseases. In some of these diseases, domestic dogs act as sentinels. Canine serological studies have demonstrated that rickettsial dispersion is concentrated in rural areas, seroprevalence being higher where human rickettsioses are endemic. In Rio de Janeiro, the Atlantic forest vegetation has been devastated by urbanization. In this context, we aimed to detect Rickettsia spp. in urban areas of the West Zone of Rio de Janeiro. Sera from 130 dogs were tested by Indirect Immunofluorescence Assay, and ticks collected from these dogs were tested by polymerase chain reaction. We found the rate of serological reactions against R. rickettsii and R. parkeri in our study area to exceed those of rural and non-endemic areas, highlighting the importance of dogs as urban sentinels. The possibility of contact with opossums and capybaras increased the chances of exposure to Rickettsia spp., reinforcing the hypothetical link between the landscape and the rickettsial wild cycle. Rhipicephalus sanguineus sensu lato was the tick most frequently observed. PCR-positive samples showed similarity with R. rickettsii and R. felis, an emerging pathogen rarely reported from ticks. We observed that rickettsiae circulate in urban places and ticks from indoor environments, which may be involved in bacterial epidemiology.


Resumo Riquetsioses do Grupo da Febre Maculosa são doenças emergentes. Em algumas destas doenças, os cães domésticos agem como sentinelas. Estudos sorológicos caninos têm demonstrado que a dispersão de patógenos rickettsiais está concentrada em áreas rurais, sendo a soroprevalência maior onde as rickettsioses humanas são endêmicas. Na cidade do Rio de Janeiro, a vegetação de Mata Atlântica vem sendo devastada pela urbanização. Nesse contexto, objetivou-se detectar a presença de Rickettsia spp. em áreas urbanas da Zona Oeste do Rio de Janeiro. Amostras de soro obtidas de 130 cães foram testadas, utilizando-se a Imunofluorescência Indireta. Carrapatos coletados desses cães foram testados, utilizando-se a reação em cadeia da polimerase. Observou-se que as taxas de reações sorológicas contra R. rickettsii e R. parkeri nessa área de estudo excederam a prevalência das áreas rurais e não endêmicas, destacando-se a importância dos cães como sentinelas urbanos das rickettsioses. A possibilidade de contato com capivaras e gambás favoreceu a exposição à Rickettsia spp., reforçando a hipótese de ligação entre a paisagem local e o ciclo silvestre de transmissão riquetsial. O carrapato Rhipicephalus sanguineus sensu lato foi encontrado com maior frequência. Amostras com positividade pela PCR mostraram similaridade com R. rickettsii e R. felis, um patógeno emergente raramente descrito em carrapatos. Observou-se circulação riquetsial em áreas urbanas e em carrapatos obtidos do ambiente doméstico, os quais podem estar envolvidos na epidemiologia dessas bactérias.


Subject(s)
Humans , Animals , Cats , Dogs , Cat Diseases/diagnosis , Cat Diseases/microbiology , Cat Diseases/epidemiology , Dog Diseases/diagnosis , Dog Diseases/microbiology , Dog Diseases/epidemiology , Rickettsia , Rickettsia Infections/diagnosis , Rickettsia Infections/veterinary , Rickettsia Infections/epidemiology , Ticks/microbiology , Brazil/epidemiology , Rocky Mountain Spotted Fever/epidemiology , Seroepidemiologic Studies , Rhipicephalus sanguineus
5.
Rev. bras. parasitol. vet ; 29(4): e015420, 2020. tab, graf
Article in English | LILACS | ID: biblio-1138136

ABSTRACT

Abstract The aim of this study was to investigate rickettsial infection in equids, opossums and ticks in the municipality of Monte Mor, a place where a Brazilian spotted fever case occurred in 2005. In addition, characteristics possibly associated with seropositivity in horses were analyzed. Serum samples from horses, mules and opossums (Didelphis albiventris) were subjected to indirect immunofluorescence assay (IFA) against Rickettsia rickettsii. The ticks collected from the animals were identified and Amblyomma sculptum ticks from the equids were tested using PCR for Rickettsia spp. Anti-R. rickettsii antibodies were detected in 22.6% (14/62) of the horses, none of the mules and 21.7% (5/23) of the opossums. Among the variables analyzed, only age > 12 years showed a statistically significant association with seropositivity among horses. All of the 166 A. sculptum ticks tested using PCR were negative. The results showed that rickettsiae of the spotted fever group was circulating in the municipality of Monte Mor when the samples were collected and indicate a need for surveillance of Brazilian spotted fever in this region.


Resumo Este trabalho objetivou pesquisar a infecção por Rickettsia spp. em equídeos, gambás e carrapatos, do município de Monte Mor, local que teve um caso de febre maculosa brasileira, em 2005. Além disso, características possivelmente associadas com a soropositividade nos equinos foram analisadas. Soros de equinos, muares e gambás Didelphis albiventris foram submetidos à reação de imunofluorescência indireta (RIFI) contra Rickettsia rickettsii. Os carrapatos coletados dos animais foram identificados e os carrapatos Amblyomma sculptum dos equídeos foram testados pela PCR para Rickettsia spp. Anticorpos anti-R. rickettsii foram detectados em 22,6% (14/62) equinos, zero muares e 21,7% (5/23) gambás. Entre as variáveis analisadas, apenas a idade maior que 12 anos mostrou associação estatisticamente significante com a soropositividade em equinos. De 166 carrapatos A. sculptum testados pela PCR, todos foram negativos. Os resultados mostram que riquétsias do grupo da febre maculosa estavam circulando no município de Monte Mor, quando as amostras foram coletadas, e apontam para a necessidade de vigilância para a febre maculosa brasileira nessa região.


Subject(s)
Animals , Rickettsia Infections/diagnosis , Rickettsia Infections/veterinary , Rickettsia Infections/epidemiology , Rocky Mountain Spotted Fever/diagnosis , Didelphis/microbiology , Horse Diseases/epidemiology , Rickettsia rickettsii , Ticks/microbiology , Brazil/epidemiology , Rocky Mountain Spotted Fever/veterinary , Rocky Mountain Spotted Fever/epidemiology , Horses
6.
Rev. bras. parasitol. vet ; 29(1): e020219, 2020. tab, graf
Article in English | LILACS | ID: biblio-1092693

ABSTRACT

Abstract Rickettsia rickettsii is the causative agent of Brazilian spotted fever (BSF), for which humans and dogs are both susceptible. Dogs are sentinels in serological surveys, however, canine disease is rarely reported. Therefore, we aimed to evaluate natural infection by spotted fever group (SFG) Rickettsia spp. in dogs and ticks collected from domiciles close to forest fragments, featuring domestic-wildlife interface areas. Samples from 115 dogs and 135 ixodids were assessed by polymerase chain reactions (PCR) targeting the gltA gene for Rickettsia spp. and the ompA gene for the SFG rickettsial species. One dog (0.87%; 1/115) was positive for R. rickettsii. This dog presented nonspecific laboratory and clinical abnormalities (thrombocytopenia, hyperproteinemia, lymph node enlargement, emaciation, anorexia, and lethargy). Rickettsia parkeri was identified in 2.96% (4/135) of the ticks (Amblyomma sculptum, A. aureolatum, and Rhipicephalus sanguineus). This study confirmed the presence of SFG bacteria in non-endemic and preserved locations, where domestic and wild populations interact. We reinforce the fact that the dog is susceptible to natural R. rickettsii infection. Although this is a rare finding, preventive measures should be taken against BSF in the studied areas. Finally, R. parkeri infection is possibly being demonstrated in A. sculptum for the first time.


Resumo Rickettsia rickettsii é o agente causador da Febre Maculosa Brasileira (FMB), doença na qual humanos e cães são susceptíveis. Os cães são sentinelas nos inquéritos sorológicos, contudo, a doença canina é raramente descrita. Assim sendo, objetivou-se avaliar a infecção natural por Rickettsia spp. do Grupo da Febre Maculosa (GFM) em cães e carrapatos obtidos de domicílios próximos a fragmentos de mata, caracterizando áreas de interface doméstico-silvestre. Amostras de 115 cães e 135 ixodídeos foram avaliadas pela reação em cadeia da polimerase (PCR) tendo como alvo o gene gltA de Rickettsia spp. e o gene ompA das espécies do GFM. Um cão (0,87%; 1/115) foi positivo para R. rickettsii. Este animal apresentou alterações clínicas e laboratoriais inespecíficas (trombocitopenia, hiperproteinemia, linfonodos edemaciados, emagrecimento, anorexia e letargia). Rickettsia parkeri foi identificada em 2,96% (4/135) dos carrapatos (Amblyomma sculptum, A. aureolatum e Rhipicephalus sanguineus). Este estudo confirmou a presença de bactérias do GFM em locais preservados e não endêmicos, onde populações domésticas e silvestres interagem. Reforçamos o fato do cão ser susceptível à infecção natural por R. rickettsii. Embora este seja um achado raro, medidas preventivas devem ser tomadas contra a FMB nas áreas estudadas. Em última análise, a infecção por R. parkeri possivelmente está sendo demonstrada pela primeira vez em A. sculptum.


Subject(s)
Animals , Male , Dogs , Rickettsia/genetics , Ticks/microbiology , Dog Diseases/diagnosis , Spotted Fever Group Rickettsiosis/veterinary , Rickettsia/isolation & purification , Rickettsia/classification , Brazil , Polymerase Chain Reaction , Dog Diseases/microbiology , Spotted Fever Group Rickettsiosis/diagnosis , Spotted Fever Group Rickettsiosis/microbiology , Antibodies, Bacterial/blood
7.
Rev. bras. parasitol. vet ; 28(4): 685-691, Oct.-Dec. 2019. tab
Article in English | LILACS | ID: biblio-1057966

ABSTRACT

Abstract Equine piroplasmosis, an economically important disease in horses, has so far not been reported in Pernambuco state, Brazil. This study aimed to evaluate the seroprevalence of anti-Babesia caballi and anti-Theileria equi antibodies based on the detection of these agents in equine blood and in ticks on horses in the municipality of Petrolina, Pernambuco, northeastern Brazil. Blood samples were drawn from 393 horses and sera were examined by ELISA. The presence of tick infestations was evaluated, and 101 ticks were subjected to DNA amplification for the detection of Babesia spp. by polymerase chain reaction (PCR). No parasites were detected in the blood smears. Anti-B. caballi and anti-T. equi antibodies were found in 27.2% (107/393) and 34.8% (137/393) horses, respectively. Infestation by Dermacentor nitens was detected in 4.3% (17/393) of the horses. There was no DNA amplification of the agents in ticks. The risk factors for the presence of anti-T. equi antibodies (P < 0.05) were: purebred (P < 0.001), animals older than 156 months (P = 0.014), and the presence of ticks (P = 0.001). No risk factors for B. caballi were identified. This study confirmed the circulation of agents of equine piroplasmosis in the municipality of Petrolina, state of Pernambuco, Brazil.


Resumo Piroplasmose equina é uma doença economicamente importante em equinos e não possui relatos no Estado de Pernambuco, Brasil. O objetivo deste estudo foi avaliar a soroprevalência de anticorpos anti-B. caballi e anti-T. equi pela detecção destes agentes no sangue e carrapatos de equinos no município de Petrolina, Pernambuco, Nordeste do Brasil. Amostras de sangue de 393 equinos foram coletadas e submetidas ao esfregaço sanguíneo e ELISA. A presença de infestação por carrapatos foi avaliada, e 71 carrapatos foram submetidos à Reação em Cadeia da Polimerase (PCR) para Babesia spp. Nenhum parasito foi detectado na análise de esfregaços de sangue. Anticorpos anti-B. caballi e anti-T. equi foram verificados em 27,2% (107/393) e 34,8% (137/393) dos equinos, respectivamente. A infestação por Dermacentor nitens foi verificada em 4,3% (17/393) dos equinos. Não houve amplificação do DNA dos agentes nos 71 carrapatos submetidos à PCR. Os fatores de risco para presença de anticorpos anti-T. equi (P < 0,05) foram: raça definida (P < 0,001), animais > de 156 meses (P = 0,014) e presença de carrapatos (P = 0,001). Nenhum fator de risco foi identificado para B. caballi. Esse estudo permitiu a confirmação da presença de agentes da piroplasmose equina no município de Petrolina, Pernambuco.


Subject(s)
Animals , Male , Female , Babesiosis/epidemiology , Ticks/microbiology , Horse Diseases/epidemiology , Phylogeny , Babesia/genetics , Babesia/immunology , Babesiosis/diagnosis , Brazil/epidemiology , Enzyme-Linked Immunosorbent Assay/veterinary , Seroepidemiologic Studies , Polymerase Chain Reaction/veterinary , Prevalence , Risk Factors , DNA, Protozoan/blood , Horse Diseases/diagnosis , Horse Diseases/parasitology , Horses
8.
Rev. bras. parasitol. vet ; 28(4): 592-604, Oct.-Dec. 2019. tab, graf
Article in English | LILACS | ID: biblio-1057973

ABSTRACT

Abstract Small non-volant mammals (marsupials and small rodents) were captured at three different timepoints from 23 forest fragments across three municipalities (Alta Floresta, Sinop and Cláudia) covering the Amazonian biome of the Mato Grosso State in Midwestern Brazil. The animal tissues (liver and spleen) and blood were screened using molecular tools for the detection of Babesia, Coxiella, Cytauxzoon, Hepatozoon, Theileria, and Anaplasmataceae agents. A total of 230 specimens (78 rodents and 152 marsupials) were trapped. Hepatozoon and Piroplasmorida agents were detected in the common opossums (Didelphis marsupialis). In turn, all samples (blood, liver, or spleen) collected from the small mammals were negative for the genus Coxiella and the family Anaplasmataceae, as detected by polymerase chain reaction (PCR). Phylogenetic analyses inferred from partial sequences of the 18S rRNA gene highlighted the occurrence of new Hepatozoon and Piroplasmorida haplotypes. Future studies determining the role of common opossum (D. marsupialis) in the epidemiological cycles of Hepatozoon and Babesia under natural conditions in the Amazonian biome are necessary.


Resumo Pequenos mamíferos não voadores (marsupiais e pequenos roedores) foram capturados em três diferentes períodos, ao longo de 23 fragmentos florestais de três municípios (Alta Floresta, Sinop e Cláudia), localizados no bioma amazônico do Estado de Mato Grosso, no centro-oeste do Brasil. Os tecidos dos animais (fígado e baço) e sangue foram selecionados e submetidos a ensaios moleculares para a detecção do DNA de Babesia, Coxiella, Cytauxzoon, Hepatozoon, Theileria e agentes Anaplasmataceae. Um total de 230 espécimes (78 roedores e 152 marsupiais) foram capturados. Hepatozoon e agentes Piroplasmorida foram detectados em gambás (Didelphis marsupialis). Ao contrário, todas as amostras (sangue, fígado ou baço) coletadas dos pequenos mamíferos foram negativas para o gênero Coxiella e a família Anaplasmataceae, conforme detectado pela reação em cadeia da polimerase (PCR). Análises filogenéticas inferidas pelas sequências parciais do gene 18S rRNA evidenciaram a ocorrência de novos haplótipos de Hepatozoon e Piroplasmorida. Futuros estudos determinando a importância do gambá-comun (D. marsupialis) nos ciclos epidemiológicos de Hepatozoon e Babesia em condições naturais, no bioma amazônico, são necessários.


Subject(s)
Animals , Rodentia/parasitology , Ticks/microbiology , Ticks/parasitology , RNA, Ribosomal, 18S/genetics , Marsupialia/parasitology , Phylogeny , Babesia/isolation & purification , Babesia/genetics , Brazil , Surveys and Questionnaires , Theileria/isolation & purification , Theileria/genetics , Coxiella/isolation & purification , Coxiella/genetics , Anaplasmataceae/isolation & purification , Anaplasmataceae/genetics
9.
Rev. bras. parasitol. vet ; 28(4): 713-721, Oct.-Dec. 2019. tab, graf
Article in English | LILACS | ID: biblio-1058000

ABSTRACT

Abstract Rickettsia spp. bacteria are responsible for tick-borne diseases worldwide, mostly maintained by rickettsial amplifiers capybaras in Brazilian endemic areas. The campus of the University of São Paulo, in southeastern Brazil, is an area endemic for Brazilian spotted fever (BSF), with high density of capybaras and Amblyomma spp., along with confirmed human cases. Besides capybaras, the university has also an in-campus high population of sheltered and free-roaming cats. Accordingly, the aim of this study was to determine the prevalence and characteristics associated with Rickettsia rickettsii, Rickettsia parkeri and Rickettsia felis exposure among cats in a BSF-endemic area. Out of 51 cats sampled, 23/35 shelter (65.7%) and 5/16 free-roaming (31.2%) were positive (titers ≥ 64) for at least one Rickettsia species. Ticks species were present in 3/16 free-roaming cats (18.8%), consisting of Amblyomma spp., nymphs of Amblyomma sculptum and adult Rhipicephalus sanguineus sensu lato. Despite sharing the capybaras environment, the seropositivity among the free-roaming and shelter cats was lower than owned cats in other endemic areas. Whether equally or less exposed to rickettsial infection, compared with owned cats in endemic areas, free-roaming and shelter cats may be used as environmental sentinels for human exposure to rickettsiae in such areas.


Resumo Espécies de Rickettsia têm sido responsáveis por doenças transmitidas por carrapatos no mundo, a maioria mantida por hospedeiros amplificadores, como as capivaras em áreas endêmicas no Brasil. A Universidade de São Paulo, em Piracicaba, no sudeste do Brasil, é uma área endêmica para a Febre Maculosa Brasileira (FMB), com alta densidade de capivaras e Amblyomma spp., e com casos humanos confirmados. Além de capivaras, a universidade também possui gatos em um abrigo e de vida livre. Assim, o objetivo deste estudo foi determinar a prevalência e as características associadas com exposição à Rickettsia rickettsii, Rickettsia parkeri e Rickettsia felis em gatos de área endêmica para a FMB. Dos 51 gatos amostrados, 23/35 (65,7%) do abrigo e 5/16 (31,2%) de vida livre foram positivos (títulos ≥ 64) para pelo menos uma Rickettsia spp. Carrapatos estiveram presentes em 3/16 (18,8%) gatos de vida livre, representados por Amblyomma spp., ninfas de Amblyomma sculptum e adultos de Rhipicephalus sanguineus sensu lato. Apesar de compartilharem o ambiente com capivaras, os gatos amostrados foram igualmente ou menos expostos à infecção riquetsial do que os gatos com proprietário em outras áreas endêmicas, podendo ser usados como sentinelas para exposição humana à riquétsias nessas áreas.


Subject(s)
Animals , Male , Female , Cats , Rickettsia/isolation & purification , Rickettsia Infections/veterinary , Ticks/microbiology , Cat Diseases/microbiology , Rickettsia/classification , Rickettsia Infections/diagnosis , Rickettsia Infections/microbiology , Rickettsia Infections/epidemiology , Brazil , Rocky Mountain Spotted Fever/transmission , Cat Diseases/diagnosis , Cat Diseases/epidemiology
10.
Rev. bras. parasitol. vet ; 28(2): 238-244, Apr.-June 2019. tab, graf
Article in English | LILACS | ID: biblio-1013744

ABSTRACT

Abstract The aim of this study is to detect the presence of tick-borne agents of genera Rickettsia, Borrelia, Babesia, Ehrlichia and Anaplasma in ticks collected from native wild birds in the state of Rio de Janeiro. Birds were captured and observed carefully to find the ectoparasites. DNA detection of hemoparasites was performed by means of the polymerase chain reaction (PCR). The sequences obtained were analyzed and their homologies were compared to the available isolates in the GenBank platform database. A total of 33 birds were captured from 20 different species, of which 14 were parasitized by Amblyomma longirostre (n = 22). There was absence of DNA from agents of the genera Babesia, Anaplasma and Ehrlichia in the evaluated samples. The phylogenetic analysis indicated that one sample had 100% identity with Rickettsia bellii (KJ534309), the other two samples showed 100% identity with Rickettsia sp. Aranha strain and strain AL (EU274654 and AY360216). The positive sample for R. bellii was also demonstrated to be positive for Borrelia sp., which presented a similarity of 91% with Borrelia turcica (KF422815). This is the first description of Borrelia sp. in ticks of the genus Amblyomma in South America.


Resumo Este trabalho teve como objetivo detectar evidências moleculares da presença de agentes dos gêneros Rickettsia, Borrelia, Babesia, Anaplasma e Ehrlichia transmitidos por carrapatos coletados de aves silvestres no estado do Rio de Janeiro. Aves foram capturadas e observadas cuidadosamente a procura de ectoparasitos. A detecção de DNA de hemoparasitos foi realizada por meio da reação em cadeia da polimerase (PCR). As sequências obtidas foram analisadas e sua homologia comparada aos isolados disponíveis na base de dados da plataforma GenBank. Foram capturadas 33 aves, de 20 espécies diferentes das quais 14 estavam parasitadas por Amblyomma longirostre (n = 22). Houve ausência de DNA de agentes dos gêneros Babesia, Anaplasma e Ehrlichia nas amostras avaliadas. A análise filogenética indicou que uma amostra apresentou 100% de identidade com Rickettsia bellii (KJ534309), as outras duas amostras apresentaram 100% de identidade com Rickettsia sp. cepa Aranha e Cepa AL (EU274654 e AY360216.). A amostra positiva para R. bellii também apresentou positividade para Borrelia sp. que apresentou similaridade de 91% com Borrelia turcica (KF422815). Esta é a primeira descrição de Borrelia sp. em carrapatos do gênero Amblyomma na América do Sul.


Subject(s)
Animals , Babesia/isolation & purification , Ticks/microbiology , Birds/parasitology , DNA, Bacterial/analysis , Gram-Negative Bacteria/isolation & purification , Animals, Wild/parasitology , Phylogeny , Rickettsia/genetics , Babesia/classification , Borrelia/genetics , Brazil , Polymerase Chain Reaction , Ehrlichia/genetics , Parks, Recreational , Anaplasma/genetics
11.
Rev. Soc. Bras. Med. Trop ; 52: e20190156, 2019. graf
Article in English | LILACS | ID: biblio-1041580

ABSTRACT

Abstract INTRODUCTION: Brazilian spotted fever (BSF), a lethal tick-borne Rickettsioses (2000 - 2018 >600 human deaths) involving synanthropic capybara as host. METHODS: We introduced an alternative to mitigate human-capybara conflicts and epidemiologic concerns of BSF. Complex aspects like transmission dynamics, risk areas, host mobility, and birth rate control, were considered to develop a prevention strategy using an anti-GnRH vaccine. RESULTS: The propositioned immunocontraceptive potentially remove and prevent the spread of BSF from endemic areas. CONCLUSIONS: We propose the anti-GnRH vaccine as a BSF prevention strategy based on these favorable results.


Subject(s)
Humans , Animals , Male , Female , Rodentia/parasitology , Rocky Mountain Spotted Fever/prevention & control , Gonadotropin-Releasing Hormone/immunology , Contraception, Immunologic/veterinary , Vaccines, Contraceptive/administration & dosage , Ticks/microbiology , Brazil , Rocky Mountain Spotted Fever/transmission , Population Control/methods , Contraception, Immunologic/methods
12.
Rev. bras. parasitol. vet ; 27(3): 420-422, July-Sept. 2018. graf
Article in English | LILACS | ID: biblio-1042477

ABSTRACT

Abstract Espírito Santo state (southeastern Brazil) is considered an endemic area for spotted fever group rickettsioses. In February 2017, we received in our laboratory seven unfed Amblyomma ovale adult ticks collected by a farmer from his clothes and body (not attached) during a working day in the rural area of Ibiraçu municipality, Espírito Santo state. By polymerase chain reaction (PCR) analyses, targeting gltA and ompA rickettsial genes, the DNA of Rickettsia was detected in 6/7 (85.7%) A. ovale. In all cases, DNA sequencing of PCR products revealed that consensus sequences of both genes were 100% identical to gltA and ompA corresponding sequences of Rickettsia sp. strain Atlantic rainforest retrieved from GenBank. This study reports the first molecular detection of Rickettsia sp. strain Atlantic rainforest in A. ovale ticks from Espírito Santo state. Our findings indicate a new Brazilian state in the southeast region at risk of human infection with this tick-borne emerging rickettsial agent.


Resumo O estado do Espírito Santo (Sudeste do Brasil) é considerado área endêmica para riquetsioses do Grupo Febre Maculosa. Em fevereiro de 2017, recebemos em nosso laboratório sete carrapatos adultos Amblyomma ovale não ingurgitados, coletados por um fazendeiro nas suas roupas e corpo (não fixadas) durante um dia de trabalho, em área rural do municipio de Ibiraçu, estado do Espírito Santo. Por meio de reação em cadeia da polimerase (PCR), amplificando os genes riquetsiais gltA e ompA , foi detectado ADN de Rickettsia em 6/7 (85,7%) dos A. ovale . O sequenciamento dos produtos de PCR indicou que as sequências consenso de ambos genes foram 100% idênticos às sequências correspondentes dos genes gltA e ompA da Rickettsia sp. cepa Mata Atlântica recuperadas do GenBank. Este estudo relata a primeira detecção molecular da Rickettsia sp. cepa Mata Atlântica em carrapatos A. ovale do estado do Espírito Santo. Nossos resultados apontam um novo estado brasileiro da região Sudeste com risco de infecção humana por este agente rickettsial emergente transmitido por carrapatos.


Subject(s)
Animals , Rickettsia/genetics , Ticks/microbiology , Rickettsia/isolation & purification , Rickettsia Infections/transmission , Rural Population , Brazil , Polymerase Chain Reaction , Sequence Analysis, DNA , Rainforest
13.
Medicina (B.Aires) ; 78(3): 203-206, jun. 2018. ilus, map
Article in Spanish | LILACS | ID: biblio-954979

ABSTRACT

Se comunica un caso autóctono de fiebre manchada por Rickettsia parkeri en un adulto residente en Ensenada, Provincia de Buenos Aires ocurrido en el verano de 2016. El cuadro, secundario a una mordedura de garrapata en la pierna izquierda, se presentó como un síndrome febril agudo con deterioro del estado general, cefalea, mialgias, artralgias y exantema maculopapular. El sitio de la mordedura presentaba una úlcera con escara necrótica. El diagnóstico se confirmó por conversión serológica IgG anti-antígenos del género Rikettsia. La secuencia de un fragmento del gen gltA amplificado a partir de la lesión de piel presentó 100% identidad nucleotídica con las secuencias de cepas de R. parkeri aisladas en Argentina y en varios países de América. El paciente evolucionó favorablemente al tratamiento con doxiciclina.


We present a case of spotted fever occurred in an adult residing in Ensenada, Buenos Aires province in February 2016. The patient presented with an acute febrile syndrome associated with a skin necrotic lesion on the left leg secondary to a tick bite. The general symptoms were a maculopapular rash, headache, myalgia, and arthralgias. Seroconversion of anti-Rickettsia specific IgG antibodies confirmed recent infection. The nucleotidic and aminoacidic sequences of a gltA gen fragment matched 100% the sequences of R. parkeri strains from Argentina and other countries of America. The patient responded well to treatment with doxycycline.


Subject(s)
Humans , Animals , Adult , Dogs , Rickettsia/genetics , Ticks/microbiology , Spotted Fever Group Rickettsiosis/diagnosis , Rickettsia/classification , DNA, Bacterial/genetics , Polymerase Chain Reaction , Spotted Fever Group Rickettsiosis/transmission
14.
Clinics ; 73: e394, 2018.
Article in English | LILACS | ID: biblio-974911

ABSTRACT

Baggio-Yoshinari syndrome is an emerging, tick-borne, infectious disease recently discovered in Brazil. This syndrome is similar to Lyme disease, which is common in the United States of America, Europe and Asia; however, Brazilian borreliosis diverges from the disease observed in the Northern Hemisphere in its epidemiological, microbiological, laboratory and clinical characteristics. Polymerase chain reaction procedures showed that Baggio-Yoshinari syndrome is caused by the Borrelia burgdorferi sensu stricto spirochete. This bacterium has not yet been isolated or cultured in adequate culture media. In Brazil, this zoonosis is transmitted to humans through the bite of Amblyomma and Rhipicephalus genera ticks; these vectors do not belong to the usual Lyme disease transmitters, which are members of the Ixodes ricinus complex. The adaptation of Borrelia burgdorferi to Brazilian vectors and reservoirs probably originated from spirochetes with atypical morphologies (cysts or cell-wall-deficient bacteria) exhibiting genetic adjustments, such as gene suppression. These particularities could explain the protracted survival of these bacteria in hosts, beyond the induction of a weak immune response and the emergence of serious reactive symptoms. The aim of the present report is to note differences between Baggio-Yoshinari syndrome and Lyme disease, to help health professionals recognize this exotic and neglected zoonosis.


Subject(s)
Humans , Animals , Ticks/microbiology , Lyme Disease/transmission , Tick-Borne Diseases/transmission , Borrelia burgdorferi , Syndrome , Brazil , Adaptation, Physiological , Tick-Borne Diseases/microbiology
15.
Rev. bras. parasitol. vet ; 25(4): 418-422, Sept.-Dec. 2016. tab
Article in English | LILACS | ID: biblio-830044

ABSTRACT

Abstract The aims of the present study were to serosurvey dogs, horses, and humans highly exposed to tick bites for anti-Borrelia burgdorferi s.l. antibodies, identify tick species present, and determine risk factors associated with seropositivity in a rural settlement of Paraná State, southern Brazil. Eighty-seven residents were sampled, along with their 83 dogs and 18 horses, and individual questionnaires were administered. Immunofluorescence antibody test (IFAT) was performed on serum samples and positive samples were subjected to western blot (WB) analysis. Anti-B. burgdorferi antibodies were found in 4/87 (4.6%) humans, 26/83 (31.3%) dogs, and 7/18 (38.9%) horses by IFAT, with 4/4 humans also positive by WB. Ticks identified were mostly from dogs and included 45/67 Rhipicephalus sanguineus, 21/67 Amblyomma ovale, and 1/67 A. cajennense sensu lato. All (34/34) horse ticks were identified as A. cajennense s.l.. No significant association was found when age, gender, or presence of ticks was correlated to seropositivity to Borrelia sp. In conclusion, although anti-Borrelia antibodies have been found in dogs, horses and their owners from the rural settlement, the lack of isolation, molecular characterization, absence of competent vectors and the low specificity of the commercial WB kit used herein may have impaired risk factor analysis.


Resumo Os objetivos do presente estudo foram realizar um levantamento sorológico de cães, cavalos e humanos altamente expostos a picadas de carrapatos para anticorpos anti-B. burgdorferi s.l., identificar as espécies de carrapatos presentes, e determinar os fatores de risco associados a soropositividade em um assentamento rural do Estado do Paraná, sul do Brasil. Oitenta e sete residentes foram amostrados junto com seus respectivos 83 cães e 118 cavalos e questionários individuais foram aplicados. O teste de imunofluorescência indireta (IFI) foi realizado nas amostras sorológicas e as positivas foram submetidas a análise por western blot (WB). Anticorpos anti-B. burgdorferi foram detectados em 4/87 (4,6%) humanos, 26/83 (31,3%) cães e 7/18 (38,9%) cavalos pela IFI, com 4/4 humanos também positivos pelo WB. Os carrapatos identificados foram em sua maioria de cães e incluíram 45/67 Rhipicephalus sanguineus, 21/67 Amblyomma ovale e 1/67 A. cajennense sensu lato. Todos (34/34) carrapatos dos cavalos foram identificados como A. cajennense s.l.. Não foram observadas diferenças estatísticas entre idade, sexo ou presença de carrapatos e soropositividade para Borrelia sp. Em conclusão, embora anticorpos anti-Borrelia tenham sido encontrados em cães, equinos e seus proprietários do assentamento rural, a ausência de isolamento, caracterização molecular, ausência de vetores competentes e baixa especificidade do kit comercial de WB utilizado podem ter limitado a análise de fatores de risco.


Subject(s)
Humans , Animals , Dogs , Ticks/microbiology , Borrelia burgdorferi Group/immunology , Antibodies, Bacterial/blood , Brazil , Rural Health , Ixodidae/microbiology , Rhipicephalus sanguineus/microbiology , Horses
16.
Rev. bras. parasitol. vet ; 25(3): 378-382, July-Sept. 2016. tab
Article in English | LILACS | ID: lil-795076

ABSTRACT

Abstract Several tick-borne Rickettsia species are recognized human pathogens in Argentina. Here we evaluated rickettsial infection in ticks collected on passerine birds during 2011-2012 in two eco-regions of Argentina. The ticks were processed by molecular analysis through polymerase chain reaction (PCR) detection and DNA sequencing of fragments of two rickettsial genes, gltA and ompA. A total of 594 tick specimens (532 larvae and 62 nymphs), representing at least 4 species (Amblyomma tigrinum, Ixodes pararicinus, Haemaphysalis juxtakochi, Haemaphysalis leporispalustris), were evaluated. At least one A. tigrinum larva, collected on Coryphospingus cucullatus in Chaco Seco, was infected with Rickettsia parkeri, whereas at least 12 larvae and 1 nymph of I. pararicinus, collected from Troglodytes aedon, Turdus amaurochalinus, Turdus rufiventris, C. cucullatus and Zonotrichia capensis, were infected with an undescribed Rickettsia agent, genetically related to several rickettsial endosymbionts of ticks of the Ixodes ricinus complex. R. parkeri is a recognized human pathogen in several American countries including Argentina, where a recent study incriminated A. tigrinum as the potential vector of R. parkeri to humans. Birds could play an important role in dispersing R. parkeri-infected A. tigrinum ticks. Additionally, we report for the first time a rickettsial agent infecting I. pararicinus ticks.


Resumo Algumas espécies de Rickettsia transmitidas por carrapatos são reconhecidos como patógenos humanos na Argentina. Este presente trabalho avaliou a infecção por Rickettsia em carrapatos coletados em aves passeriformes, durante 2011-2012, em duas ecorregiões da Argentina. Os carrapatos foram processados pela reação em cadeia da polimerase (PCR) e sequenciamento de DNA de dois genes de Rickettsia: gltA e ompA. Ao todo, 594 amostras de carrapatos (532 larvas e 62 ninfas), representando pelo menos 4 espécies (Amblyomma tigrinum, Ixodes pararicinus, Haemaphysalis juxtakochi, Haemaphysalis leporispalustris), foram avaliadas. Pelo menos uma larva de A. tigrinum, coletada de Coryphospingus cucullatus no Chaco Seco, estava infectada com Rickettsia parkeri, enquanto pelo menos 12 larvas e 1 ninfa de I. pararicinus, coletadas de Troglodytes aedon, Turdus amaurochalinus, Turdus rufiventris, C. cucullatus e Zonotrichia capensis estavam infectadas com Rickettsia sp., geneticamente relacionada a vários endossimbiontes riquetsiais de carrapatos do complexo Ixodes ricinus. R. parkeri é reconhecidamente um patógeno humano em alguns países americanos, incluindo a Argentina, onde um estudo recente incriminou A. tigrinum como um provável vetor. Aves poderiam desempenhar um papel importante na dispersão de carrapatos A. tigrinum infectados por R. parkeri. Em adição, relata-se pela primeira vez a infecção por Rickettsia em I. pararicinus.


Subject(s)
Animals , Rickettsia/isolation & purification , Ticks/microbiology , Birds/parasitology , Argentina
17.
Medicina (B.Aires) ; 76(2): 89-92, abr. 2016. tab
Article in English | LILACS | ID: biblio-841548

ABSTRACT

This work presents records of ticks infesting humans in northern Misiones Province, Argentina. Also, notes on potential transmission of tick-borne pathogens are included. A total of 282 ticks attached to researchers were collected and identified by their morphological characters. Eight tick species were found: Amblyomma brasiliense, Amblyomma coelebs, Amblyomma dubitatum, Amblyomma incisum, Amblyomma ovale, Haemaphysalis juxtakochi, Rhipicephalus sanguineus and Rhipicephalus microplus. Some of these species as A. dubitatum, A. ovale and R. sanguineus have been found infected with spotted fever group rickettsiae pathogenic to humans in Brazil and Argentina. The potential role as vectors of humans pathogens of the ticks found attached to humans in this study is discussed.


En este trabajo se presentan registros de garrapatas que infestan seres humanos en el norte de la provincia de Misiones, Argentina. Además, se incluyen notas sobre la posible transmisión de patógenos por garrapatas. Se colectó un total de 282 garrapatas adheridas a investigadores, las cuales fueron identificadas por sus caracteres morfológicos. Se encontraron ocho especies de garrapatas: Amblyomma brasiliense, Amblyomma coelebs, Amblyomma dubitatum, Amblyomma incisum, Amblyomma ovale, Haemaphysalis juxtakochi, Rhipicephalus sanguineus y Rhipicephalus microplus. Algunas de estas especies como A. dubitatum, A. ovale y R. sanguineus han sido halladas infectadas con rickettsias del grupo de las fiebres manchadas patógenas para los seres humanos en Brasil y Argentina. Se discute el papel potencial de las garrapatas encontradas infestando humanos en este estudio como vectores de patógenos de seres humanos.


Subject(s)
Humans , Animals , Arthropod Vectors/microbiology , Rickettsia/isolation & purification , Tick Infestations/epidemiology , Ticks/microbiology , Argentina , Ticks/classification , Cattle , Data Collection , Ixodidae/classification , Ixodidae/microbiology , Horses/parasitology
18.
Braz. j. med. biol. res ; 49(7): e5211, 2016. tab, graf
Article in English | LILACS | ID: lil-785057

ABSTRACT

This study aimed to describe the association of Borrelia burgdorferi s.s. with ixodid tick cell lines by flow cytometry and fluorescence and confocal microscopy. Spirochetes were stained with a fluorescent membrane marker (PKH67 or PKH26), inoculated into 8 different tick cell lines and incubated at 30°C for 24 h. PKH efficiently stained B. burgdorferi without affecting bacterial viability or motility. Among the tick cell lines tested, the Rhipicephalus appendiculatus cell line RA243 achieved the highest percentage of association/internalization, with both high (90%) and low (10%) concentrations of BSK-H medium in tick cell culture medium. Treatment with cytochalasin D dramatically reduced the average percentage of cells with internalized spirochetes, which passed through a dramatic morphological change during their internalization by the host cell as observed in time-lapse photography. Almost all of the fluorescent bacteria were seen to be inside the tick cells. PKH labeling of borreliae proved to be a reliable and valuable tool to analyze the association of spirochetes with host cells by flow cytometry, confocal and fluorescence microscopy.


Subject(s)
Animals , Borrelia burgdorferi , Staining and Labeling/methods , Ticks/cytology , Ticks/microbiology , Borrelia burgdorferi/isolation & purification , Cell Line , Cells, Cultured , Culture Media , Flow Cytometry/methods , Fluorescent Dyes , Microscopy, Confocal/methods , Organic Chemicals , Phagocytosis , Reproducibility of Results , Spirochaetales/isolation & purification , Tick-Borne Diseases/microbiology , Time Factors
19.
The Korean Journal of Parasitology ; : 87-91, 2016.
Article in English | WPRIM | ID: wpr-36477

ABSTRACT

Deer serve as reservoirs of tick-borne pathogens that impact on medical and veterinary health worldwide. In the Republic of Korea, the population of Korean water deer (KWD, Hydropotes inermis argyropus) has greatly increased from 1982 to 2011, in part, as a result of reforestation programs established following the Korean War when much of the land was barren of trees. Eighty seven Haemaphysalis flava, 228 Haemaphysalis longicornis, 8 Ixodes nipponensis, and 40 Ixodes persulcatus (21 larvae, 114 nymphs, and 228 adults) were collected from 27 out of 70 KWD. A total of 89/363 ticks (266 pools, 24.5% minimum infection rate) and 5 (1.4%) fed ticks were positive for Anaplasma phagocytophilum using nested PCR targeting the 16S rRNA and groEL genes, respectively. The 16S rRNA gene fragment sequences of 88/89 (98.9%) of positive samples for A. phagocytophilum corresponded to previously described gene sequences from KWD spleen tissues. The 16S rRNA gene fragment sequences of 20/363 (5.5%) of the ticks were positive for A. bovis and were identical to previously reported sequences. Using the ITS specific nested PCR, 11/363 (3.0%) of the ticks were positive for Bartonella spp. This is the first report of Anaplasma and Bartonella spp. detected in ticks collected from KWD, suggesting that ticks are vectors of Anaplasma and Bartonella spp. between reservoir hosts in natural surroundings.


Subject(s)
Animals , Anaplasma/genetics , Arachnid Vectors/microbiology , Bartonella/genetics , Chaperonin 60/genetics , Deer/parasitology , Disease Reservoirs/veterinary , RNA, Ribosomal, 16S/genetics , Republic of Korea/epidemiology , Ticks/microbiology
20.
Rev. chil. infectol ; 31(5): 569-576, oct. 2014. ilus, tab
Article in Spanish | LILACS | ID: lil-730274

ABSTRACT

Tick-borne rickettsial diseases are potentially life threatening infections that in Latin America have an emerging and reemerging character. Until few years ago, Rickettsia rickettsia was the only tick-borne rickettsia present in America; but nowadays several other species such as R. parkeri and R. massiliae are causing disease in humans in the region. In addition, new species are being described; although their pathogenicity has not been confirmed they should be considered as potential pathogens. Since the microbiological diagnosis of rickettsioses can take days or weeks, a high clinical suspicion and early start of appropriate treatment are crucial. In this review the distribution and main clinical manifestations of tick-borne rickettsial diseases in Latin America are detailed. Since R. felis has been found in ticks and the role of this vector has not been clarified, we have included a section about this pathogen.


Las rickettsiosis transmitidas por garrapatas son infecciones potencialmente letales, que en Latinoamérica tienen carácter emergente y re-emergente. Hasta hace escasos años, la única rickettsiosis transmitida por garrapatas era causada por Rickettsia rickettsii, pero en la actualidad existen otras especies como R. parkeri y R. massiliae que están provocando enfermedad en humanos en la región. Por otro lado, se están describiendo candidatos a nuevas especies de Rickettsia, que aunque no han probado su patogenicidad deben considerarse como potencialmente patógenos. Dado que el diagnóstico microbiológico puede tardar días o semanas, resulta fundamental una alta sospecha clínica y la instauración precoz de un tratamiento adecuado. En esta revisión se detalla la distribución y principales manifestaciones clínicas de las rickettsiosis transmitidas por garrapatas en Latinoamérica. Se ha incluido una sección sobre la infección por R. felis, por haberse encontrado esta especie en garrapatas, y no haberse aclarado el papel de este vector en su ciclo epidemiológico.


Subject(s)
Animals , Humans , Rickettsia Infections/classification , Rickettsia/classification , Tick-Borne Diseases/classification , Ticks/microbiology , Latin America , Rickettsia Infections/microbiology , Rickettsia/isolation & purification , Tick-Borne Diseases/microbiology
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