Mild Infections with Multiple Spotted Fever Grouped Rickettsia Species among Forest Rangers with Tick Bites

Tick-borne rickettsiae are increasingly recognized to cause human infections; however, a complete clinical spectrum is lacking. Thus, surveillance study was conducted among forest rangers with tick bites to describe the clinical manifestations. One hundred fifty-nine blood samples were obtained from...

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Main Authors: Yong-Xiang Wu, Wen-Jun Liang, Fang Tang, Lan-Fen Jiang, Chen-Tao Guo, Fei-Xiang Fu, Hao Li, Wei Liu
Format: Article
Language:English
Published: Compuscript Ltd 2023-03-01
Series:Zoonoses
Online Access:https://www.scienceopen.com/hosted-document?doi=10.15212/ZOONOSES-2023-0010
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author Yong-Xiang Wu
Wen-Jun Liang
Fang Tang
Lan-Fen Jiang
Chen-Tao Guo
Fei-Xiang Fu
Hao Li
Wei Liu
author_facet Yong-Xiang Wu
Wen-Jun Liang
Fang Tang
Lan-Fen Jiang
Chen-Tao Guo
Fei-Xiang Fu
Hao Li
Wei Liu
author_sort Yong-Xiang Wu
collection DOAJ
description Tick-borne rickettsiae are increasingly recognized to cause human infections; however, a complete clinical spectrum is lacking. Thus, surveillance study was conducted among forest rangers with tick bites to describe the clinical manifestations. One hundred fifty-nine blood samples were obtained from individuals bitten by ticks and 780 tick samples collected in the same endemic region were examined for the presence of Rickettsia . Serum samples were tested for IgM and IgG antibodies against R. heilongjiangensis . Twenty-five (15.7%) individuals were shown to be infected with 5 Rickettsia species, including 14 Candidatus Rickettsia tarasevichiae (CRT), 8 R. raoultii , 1 R. felis , 1 R. heilongjiangensis , and 1 R. massiliae . Five individuals (1 CRT, 1 R. heilongjiangensis , and 3 R. raoultii ) had mild illnesses; the other 20 individuals were asymptomatic. CRT was present in 38.4% (274/713) of I. persulcatus and 6.4% (3/47) of Hae. concinna . R. raoultii was demonstrated in 30.0% (6/20) of D. silvarum and 14.9% (7/17) of Hae. concinna . R. heilongjiangensis was detected in 9.5% (2/21) of D. silvarum and 0.3% (2/713) of I. persulcatus . The clinical manifestations of these rickettsioses were non-specific and differed from traditional features, thus supporting the necessity of wider investigations involving individuals with tick bites to develop an early differential diagnosis.
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spelling doaj.art-9189c1eb24f0482baa2ec5211a0919272023-12-08T17:00:42ZengCompuscript LtdZoonoses2737-74662737-74742023-03-013197910.15212/ZOONOSES-2023-0010Mild Infections with Multiple Spotted Fever Grouped Rickettsia Species among Forest Rangers with Tick BitesYong-Xiang WuWen-Jun LiangFang TangLan-Fen JiangChen-Tao GuoFei-Xiang FuHao LiWei LiuTick-borne rickettsiae are increasingly recognized to cause human infections; however, a complete clinical spectrum is lacking. Thus, surveillance study was conducted among forest rangers with tick bites to describe the clinical manifestations. One hundred fifty-nine blood samples were obtained from individuals bitten by ticks and 780 tick samples collected in the same endemic region were examined for the presence of Rickettsia . Serum samples were tested for IgM and IgG antibodies against R. heilongjiangensis . Twenty-five (15.7%) individuals were shown to be infected with 5 Rickettsia species, including 14 Candidatus Rickettsia tarasevichiae (CRT), 8 R. raoultii , 1 R. felis , 1 R. heilongjiangensis , and 1 R. massiliae . Five individuals (1 CRT, 1 R. heilongjiangensis , and 3 R. raoultii ) had mild illnesses; the other 20 individuals were asymptomatic. CRT was present in 38.4% (274/713) of I. persulcatus and 6.4% (3/47) of Hae. concinna . R. raoultii was demonstrated in 30.0% (6/20) of D. silvarum and 14.9% (7/17) of Hae. concinna . R. heilongjiangensis was detected in 9.5% (2/21) of D. silvarum and 0.3% (2/713) of I. persulcatus . The clinical manifestations of these rickettsioses were non-specific and differed from traditional features, thus supporting the necessity of wider investigations involving individuals with tick bites to develop an early differential diagnosis.https://www.scienceopen.com/hosted-document?doi=10.15212/ZOONOSES-2023-0010
spellingShingle Yong-Xiang Wu
Wen-Jun Liang
Fang Tang
Lan-Fen Jiang
Chen-Tao Guo
Fei-Xiang Fu
Hao Li
Wei Liu
Mild Infections with Multiple Spotted Fever Grouped Rickettsia Species among Forest Rangers with Tick Bites
Zoonoses
title Mild Infections with Multiple Spotted Fever Grouped Rickettsia Species among Forest Rangers with Tick Bites
title_full Mild Infections with Multiple Spotted Fever Grouped Rickettsia Species among Forest Rangers with Tick Bites
title_fullStr Mild Infections with Multiple Spotted Fever Grouped Rickettsia Species among Forest Rangers with Tick Bites
title_full_unstemmed Mild Infections with Multiple Spotted Fever Grouped Rickettsia Species among Forest Rangers with Tick Bites
title_short Mild Infections with Multiple Spotted Fever Grouped Rickettsia Species among Forest Rangers with Tick Bites
title_sort mild infections with multiple spotted fever grouped rickettsia species among forest rangers with tick bites
url https://www.scienceopen.com/hosted-document?doi=10.15212/ZOONOSES-2023-0010
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