University of East London, Stratford, London, United Kingdom
African Field Epidemiology Network, Abuja, Nigeria.
J Clin Microbiol. 2018 Aug 27;56(9). doi: 10.1128/JCM.00532-18. Print 2018 Sep.
Endemic tick-borne relapsing fever (TBRF) has not been documented in Nigeria, yet clinically compatible cases have been described, and soft tick species are endemic in surrounding countries. Consequently, our aim was to investigate if TBRF-associated is present in Nigeria. To address this, we examined 49 soft tick pools to identify the tick species and to screen for The tick species was revealed by 16S rRNA gene amplification and Sanger sequencing to be , an aggressive, multihost, rapidly feeding species with significant veterinary impact. We detected a organism in 3 of 49 pooled samples (6%). Molecular analysis of amplified 16S rRNA and flagellin genes and intragenic spacer fragments disclosed that this organism was synonymous with the recently described organism " Borrelia kalaharica," identified in a tourist returning to Germany from South Africa. Given the widespread endemic range of this tick vector, TBRF should be considered part of the differential diagnosis for patients with fever returning from arid areas of Africa and further afield.
地方性蜱传回归热(TBRF)尚未在尼日利亚有记录,但已有临床相符的病例描述,并且软蜱物种在周边国家流行。因此,我们的目的是调查尼日利亚是否存在 TBRF 相关。为了解决这个问题,我们检查了 49 个软蜱池,以确定蜱种,并筛选。通过 16S rRNA 基因扩增和 Sanger 测序揭示蜱种为,一种具有侵略性、多宿主、快速进食的物种,对兽医有重大影响。我们在 49 个 pooled 样本中的 3 个(6%)中检测到了。扩增的 16S rRNA 和鞭毛蛋白基因以及基因内间隔片段的分子分析表明,这种 与最近在从南非返回德国的游客中发现的“Borrelia kalaharica”相同。鉴于这种蜱媒的广泛流行范围,TBRF 应被视为从非洲干旱地区和更远地区返回的发热患者鉴别诊断的一部分。