A Review of Scrub Typhus (Orientia tsutsugamushi and Related Organisms): Then, Now, and Tomorrow.

Scrub typhus and the rickettsial diseases represent some of the oldest recognized vector-transmitted diseases, fraught with a rich historical aspect, particularly as applied to military/wartime situations. The vectors of Orientia tsutsugamushi were once thought to be confined to an area designated as the Tsutsugamushi Triangle. However, recent reports of scrub typhus caused by Orientia species other than O. tsutsugamushi well beyond the limits of the Tsutsugamushi Triangle have triggered concerns about the worldwide presence of scrub typhus. It is not known whether the vectors of O. tsutsugamushi will be the same for the new Orientia species, and this should be a consideration during outbreak/surveillance investigations. Additionally, concerns surrounding the antibiotic resistance of O. tsutsugamushi have led to considerations for the amendment of treatment protocols, and the need for enhanced public health awareness in both the civilian and medical professional communities. In this review, we discuss the history, outbreaks, antibiotic resistance, and burgeoning genomic advances associated with one of the world's oldest recognized vector-borne pathogens, O. tsutsugamushi.

Evidence for competition between Ixodes scapularis and Dermacentor albipictus feeding concurrently on white-tailed deer.

Competition among ticks, and among ectoparasites generally, has rarely been demonstrated. Ixodes scapularis and Dermacentor albipictus are both hard ticks commonly found feeding on deer harvested at Letterkenny Army Depot, in south central Pennsylvania, USA. The two species have contrasting life histories resulting in D. albipictus spending notably more time on the shared host. We hypothesized that this would give D. albipictus an advantage in locating and occupying optimal attachment sites (highly vascularized areas like the head and ears). Ticks were collected from 224 hunter-killed deer in December 2005 and November 2006 to determine if there is evidence of competition for attachment sites when these two species concurrently infest deer. A timed sample (3 min per region) of representative ticks was collected from the head (ears, face and neck regions) and body (axillae regions). Ixodes scapularis was more abundant and prevalent overall than D. albipictus. Dermacentor albipictus was found almost exclusively on the head, whereas I. scapularis was more evenly distributed, but somewhat more abundant on the body than on the head. The proportion of I. scapularis on the head was reduced at high D. albipictus abundances, but I. scapularis abundance did not alter the distribution of D. albipictus. This study supports the hypothesis of competition for preferred attachment sites between these two species of ticks, and suggests that D. albipictus may be competitively dominant over I. scapularis on the head region of concurrently infested white-tailed deer.