López-Pérez Andrés M, Chaves Andrea, Sánchez-Montes Sokani, Foley Patrick, Uhart Marcela, Barrón-Rodríguez Julio, Becker Ingeborg, Suzán Gerardo, Foley Janet
Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California, Davis, CA, USA.
Facultad de Medicina Veterinaria y Zootecnia, Universidad Nacional Autónoma de México, Ciudad de México, México.
Transbound Emerg Dis. 2022 Mar;69(2):609-622. doi: 10.1111/tbed.14027. Epub 2021 Mar 5.
Over one hundred cases of human rickettsiosis, many fatal, are reported annually across the US-Mexico transboundary region, representing a likely undercount. Although cases are often attributed to Rickettsia rickettsii, the agent of Rocky Mountain spotted fever, multiple other Rickettsia pathogens are present in North America. We conducted multiple-host surveillance of domestic, synanthropic, and sylvatic mammals and their ectoparasites to investigate the ecology of Rickettsia species in this region. A total of 499 mammals, including 83 dogs, 23 wild carnivores, five lagomorphs, and 388 rodents were sampled, and 413 fleas and 447 ticks belonging to 15 and 4 species, respectively, were collected during 2017 and 2018. We detected Rickettsia spp. DNA in one blood sample of coyote (Canis latrans), 11 ear tissues of rodents (10.6%), and 79 ectoparasites (9.5%). Of the 64 Rickettsia-positive fleas, 54 were Echidnophaga gallinacea and 10 were Pulex simulans, while of the 15 ticks, 11 were Rhipicephalus sanguineus s.l. and four Ixodes pacificus. The DNA sequence alignment of gltA and ompB regions revealed one and ten genetic variants of Rickettsia spp., respectively. These variants were clustered in clades of zoonotic species (R. felis, R. massiliae, R. parkeri, R. rickettsii, and R. typhi) and organisms of unknown pathogenic significance (R. asembonensis and Candidatus Rickettsia tarasevichiae). The finding of a coyote infected with R. rickettsii and the multiple zoonotic SFG rickettsial agents in the study area suggest that: 1) wild canids could serve as an amplifying host for RMSF, an alternate host for Rh. sanguineus s.l. ticks, and a means to spread infection and ticks over large areas; and 2) at least some of the human rickettsiosis cases attributed to R. rickettsii could be caused by other Rickettsia species. This study strongly supports the importance of multiple-host and vector eco-epidemiological studies and the One Health approach to better understand disease in a RMSF-epidemic region.
在美国 - 墨西哥跨境地区,每年报告超过100例人类立克次体病病例,其中许多是致命的,实际病例数可能更多。尽管病例通常归因于落基山斑疹热的病原体立氏立克次体,但北美还存在多种其他立克次体病原体。我们对家养、共栖和野生哺乳动物及其体外寄生虫进行了多宿主监测,以调查该地区立克次体物种的生态学。2017年和2018年期间,共采集了499只哺乳动物样本,包括83只狗、23只野生食肉动物、5只兔形目动物和388只啮齿动物,并分别采集了属于15个物种的413只跳蚤和4个物种的447只蜱。我们在一只郊狼(犬属)的一份血液样本、11只啮齿动物的耳部组织(10.6%)和79只体外寄生虫(9.5%)中检测到立克次体属DNA。在64只立克次体阳性跳蚤中,54只为鸡栉首蚤,10只为拟蚤;在15只蜱中,11只为血红扇头蜱指名亚种,4只为太平洋硬蜱。gltA和ompB区域的DNA序列比对分别揭示了立克次体属的1个和10个遗传变异。这些变异聚集在人畜共患病物种(猫立克次体、马赛立克次体、帕克立克次体、立氏立克次体和伤寒立克次体)和致病意义未知的生物体(阿森博立克次体和暂定塔拉舍维奇立克次体)的进化枝中。在研究区域发现一只感染立氏立克次体的郊狼以及多种人畜共患的斑点热群立克次体病原体表明:1)野生犬科动物可能是落基山斑疹热的扩增宿主、血红扇头蜱指名亚种蜱的替代宿主,也是在大面积区域传播感染和蜱的一种途径;2)至少一些归因于立氏立克次体的人类立克次体病病例可能由其他立克次体物种引起。这项研究有力地支持了多宿主和媒介生态流行病学研究以及“同一健康”方法对于更好地了解落基山斑疹热流行地区疾病的重要性。