Chang C C, Kasten R W, Chomel B B, Simpson D C, Hew C M, Kordick D L, Heller R, Piemont Y, Breitschwerdt E B
Department of Population Health and Reproduction, School of Veterinary Medicine, University of California, Davis, California 95616, USA.
J Clin Microbiol. 2000 Nov;38(11):4193-200. doi: 10.1128/JCM.38.11.4193-4200.2000.
Bartonella vinsonii subsp. berkhoffii was originally isolated from a dog suffering infectious endocarditis and was recently identified as a zoonotic agent causing human endocarditis. Following the coyote bite of a child who developed clinical signs compatible with Bartonella infection in Santa Clara County, Calif., this epidemiological study was conducted. Among 109 coyotes (Canis latrans) from central coastal California, 31 animals (28%) were found to be bacteremic with B. vinsonii subsp. berkhoffii and 83 animals (76%) had B. vinsonii subsp. berkhoffii antibodies. These findings suggest these animals could be the wildlife reservoir of B. vinsonii subsp. berkhoffii. PCR-restriction fragment length polymorphism (PCR-RFLP) analysis of the gltA and 16S rRNA genes for these 31 isolates yielded similar profiles that were identical to those of B. vinsonii subsp. berkhoffii. Partial sequencing of the gltA and 16S rRNA genes, respectively, indicated 99.5 and 100% homology between the coyote isolate and B. vinsonii subsp. berkhoffii (ATCC 51672). PCR-RFLP analysis of the 16S-23S intergenic spacer region showed the existence of two different strain profiles, as has been reported in dogs. Six (19%) of 31 Bartonella bacteremic coyotes exhibited the strain profile that was identified in the type strain of a canine endocarditis case (B. vinsonii subsp. berkhoffii ATCC 51672). The other 25 bacteremic coyotes were infected with a strain that was similar to the strains isolated from healthy dogs. Based on whole bacterial genome analysis by pulsed-field gel electrophoresis (PFGE) with SmaI restriction endonuclease, there was more diversity in fingerprints for the coyote isolates, which had at least 10 major variants compared to the two variants described for domestic dog isolates from the eastern United States. By PFGE analysis, three Bartonella bacteremic coyotes were infected by a strain identical to the one isolated from three healthy dog carriers. Further studies are necessary to elucidate the mode of transmission of B. vinsonii subsp. berkhoffii, especially to identify potential vectors, and to determine how humans become infected.
文森巴尔通体伯克霍夫亚种最初是从一只患有感染性心内膜炎的狗身上分离出来的,最近被确定为一种可导致人类心内膜炎的人畜共患病原体。在加利福尼亚州圣克拉拉县一名儿童被丛林狼咬伤后出现了与巴尔通体感染相符的临床症状,于是开展了这项流行病学研究。在来自加利福尼亚州中部沿海地区的109只丛林狼(犬属)中,发现31只动物(28%)血液中带有文森巴尔通体伯克霍夫亚种,83只动物(76%)有文森巴尔通体伯克霍夫亚种抗体。这些发现表明这些动物可能是文森巴尔通体伯克霍夫亚种的野生动物宿主。对这31株分离株的gltA和16S rRNA基因进行聚合酶链反应-限制性片段长度多态性(PCR-RFLP)分析,得到的图谱相似,与文森巴尔通体伯克霍夫亚种的图谱相同。分别对gltA和16S rRNA基因进行部分测序表明,丛林狼分离株与文森巴尔通体伯克霍夫亚种(ATCC 51672)之间的同源性分别为99.5%和100%。对16S-23S基因间隔区进行PCR-RFLP分析显示存在两种不同的菌株图谱,这与在狗身上的报道一致。31只血液中带有巴尔通体的丛林狼中有6只(19%)呈现出在一例犬心内膜炎病例的模式菌株(文森巴尔通体伯克霍夫亚种ATCC 51672)中所鉴定出的菌株图谱。其他25只血液中带有巴尔通体的丛林狼感染的菌株与从健康狗身上分离出的菌株相似。基于用SmaI限制性内切酶进行脉冲场凝胶电泳(PFGE)的全细菌基因组分析,丛林狼分离株的指纹图谱有更多样性,与从美国东部家犬分离株所描述的两个变体相比,至少有10个主要变体。通过PFGE分析,3只血液中带有巴尔通体的丛林狼感染的菌株与从3只健康狗携带者身上分离出的菌株相同。有必要开展进一步研究以阐明文森巴尔通体伯克霍夫亚种的传播方式,尤其是确定潜在的传播媒介,并确定人类是如何被感染的。