Richards Allen L, Rahardjo Eko, Rusjdi A Faisal, Kelly Daryl J, Dasch Gregory A, Church Cole J, Bangs Michael J
U.S. Naval Medical Research Unit No. 2, Jakarta, Indonesia.
Am J Trop Med Hyg. 2002 Apr;66(4):431-4. doi: 10.4269/ajtmh.2002.66.431.
Murine typhus (etiologic agent: Rickettsia typhi) is endemic to Indonesia, especially on the highly populated island of Java. A survey of rodents from Irian Jaya, the eastern-most province of Indonesia, indicated striking geographic variation in risk factors associated with murine typhus. Murid rodents (n = 112) collected from two villages in the Arso district of northeastern Irian Jaya, were found to be free of ectoparasites normally associated with transmission of R. typhi (i.e., Xenopsylla cheopis). All rodents (n = 72) tested by enzyme-linked immunosorbent assay were negative for antibodies to R. typhi, whereas 12.5% (9/72) were positive for antibodies to Orienta tsutsugamushi. In contrast, both Rattus norvegicus and R. rattles (combined n = 87) from the harbor area of the provincial capital, Jayapura, were infested with flea ectoparasites. X. cheopis was found on 31 (35.6%) of the live-captured rodents. Serum samples from nine of 82 rodents contained antibodies reactive to R. typhi (11.0%). These data show for the first time that rodents exposed to R. typhi are well established in Jayapura, and that some of these rodents harbor fleas potentially capable of transmitting murine typhus and plague.
鼠型斑疹伤寒(病原体:伤寒立克次体)在印度尼西亚呈地方性流行,尤其是在人口密集的爪哇岛。对印度尼西亚最东部省份伊里安查亚的啮齿动物进行的一项调查表明,与鼠型斑疹伤寒相关的危险因素存在显著的地理差异。从伊里安查亚东北部阿尔索区的两个村庄收集的112只Murid啮齿动物,被发现没有通常与伤寒立克次体传播相关的体外寄生虫(即印鼠客蚤)。通过酶联免疫吸附试验检测的所有72只啮齿动物,伤寒立克次体抗体均为阴性,而恙虫病东方体抗体阳性率为12.5%(9/72)。相比之下,来自省会查亚普拉港口地区的褐家鼠和黑家鼠(共87只)均感染了跳蚤体外寄生虫。在31只(35.6%)活体捕获的啮齿动物身上发现了印鼠客蚤。82只啮齿动物中有9只的血清样本含有对伤寒立克次体有反应的抗体(11.0%)。这些数据首次表明,在查亚普拉,接触伤寒立克次体的啮齿动物已广泛存在,并且其中一些啮齿动物身上寄生的跳蚤有可能传播鼠型斑疹伤寒和鼠疫。