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The phylogeny of a previously unidentified, obligate laticifer-inhabiting bacterium associated with the papaya bunchy top disease was investigated. Portions of genes corresponding to those for 16S rRNA, the flavoprotein subunit of succinate dehydrogenase (SdhA), citrate synthase (GltA), and the 17-kDa rickettsial common antigen were isolated and sequenced from the non-cultivable bacterium from diseased plants. Comparative sequence analyses consistently indicated that the bacterium is a member of the alpha-subdivision of the Proteobacteria and of the genus Rickettsia. The rickettsia was detected by polymerase chain reaction in diseased, but not healthy, papaya tissues and in the leafhopper vector, Empoasca papayae, providing further evidence of the possible etiological role of the bacterium in the disease. Although Rickettsia have been found naturally in arthropods and can be pathogenic to humans and other vertebrates, this is the first evidence of its kind implicating a Rickettsia as a plant pathogen.
Many workers have shown that the recrudescence of rickettsial infections may cause cardiovascular diseases of all kinds. As Turkey is a region where rickettsial infections in man are endemic, the relation between such infections and cardiovascular disease has been further studied there. Sera were collected from patients with cardiovascular diseases and also from healthy people and patients with diseases not affecting the heart, who served as a control group. A considerably higher percentage of positive sera was obtained from the patients with cardiovascular diseases, particularly for R. prowazekii, R. conorii and C. burnetii. It was also found that the highest percentage of positive sera was obtained from people in the 20-40 years age-group. Antistreptolysin-O (ASO) determinations were also made and it was found that, on average, agglutinin-negative sera had the higher ASO titres.
We screened a phage library of Rickettsia typhi with a polyclonal antiserum to clone genes which encode immunogenic proteins of R. typhi. Among several clones obtained, one clone codes for a 466-amino-acid protein similar to the heat-shock protein, HtrA. The deduced rickettsial HtrA contains a putative signal peptide sequence at the N-terminus, a serine protease-like domain, and two PDZ domains. The recombinant protein of rickettsial HtrA reacted with sera from patients with murine typhus and tsutsugamushi disease. We suggest that this gene and its recombinant protein would be valuable for the immunologic diagnosis of rickettsial diseases.
The concept of emerging microbial disease is discussed both in a historical and contemporary perspective. Major factors contributing to emergence of viral, bacterial, rickettsial, and parasitic diseases over the last 25 years are discussed. Forty agents are listed in a table by year of recognition/emergence, mode of transmission, geographical distribution, and symptom complex. Public health prevention and control measures and long-term public health implications are also summarized. Suggestions are offered on how to retrieve appropriate information on newly emerging pathogens and to obtain authoritative and timely information on surveillance data using electronic mail access.
The reactivity of sera from patients of Tsutsugamushi disease (scrub typhus) with the antigenic polypeptides of Rickettsia tsutsugamushi was analyzed by the immunoblotting method. The reactivity varied greatly among the sera of individual patients tested. IgG and IgM antibodies of most patients reacted with the 54-56 kilodalton (54-56K) polypeptide located on the rickettsial surface, suggesting that this polypeptide is a predominant antigen in the infection. Other polypeptides of 60K, 50-52K, 46-47K, 35K, and 21-25K were reactive with some but not all sera. From the reactivity of these polypeptides, it was suggested that the 54-56K polypeptide is both strain-specific and group-specific, the 60K polypeptide is group-specific, and the 35K and 21-25K polypeptides are subgroup-specific. IgG antibodies seem to be more cross-reactive with polypeptides of multiple strains than IgM antibodies and have a tendency of increased cross-reactivity that was observed in the sera obtained at the later stage of illness.
The extremely sensitive and selective gas-liquid chromatography-frequency pulsed-modulated electron-capture detection (GLC-FP-ECD) procedure has been applied to the diagnosis of bacterial, fungal, viral, rickettsial, and parasitic diseases by the examination of various body fluids, effusions and exudates, and excretion products. Carboxylic acid and alcohol, hydroxy acid, and amine product profiles of microbial or host-response origin, have been used to establish specific etiologies, these profiles are reproducible, and can be used to aid in the diagnosis of infections. In addition, we have used the GLC-FP-ECD procedure to analyze microbial metabolic products in vitro and to provide data for identification and classification. We also explored computer time-sharing for data analysis, profile library comparison, and eventual profile matching for diagnosis.
We previously described that an inactivated vaccine against heartwater prepared from Cowdria ruminantium (Crystal Springs strain) organisms and administered in complete Freund's adjuvant (cFA) protected sheep against homologous needle challenge. Further studies, described herein, demonstrated that this vaccine protected 100% of sheep against death on challenge with laboratory-infected ticks and with field ticks in a heartwater endemic farm, whereas a mortality rate of 44% and 62%, respectively, was recorded in the control sheep. Subsequently, the Mbizi strain of C. ruminantium was incorporated into the vaccine because of its wider cross-protective capacity, and trial data suggested that protection may be achieved against challenge with diverse geographical strains using this strain. The efficacy of five adjuvants with acceptable safety was compared with that of cFA. Against a homologous intravenous challenge, highest survival rates were observed in sheep vaccinated with inactivated C. ruminantium in either cFA, Montanide ISA 50 or Quil A. The vaccine prepared in Montanide ISA 50 protected six of seven sheep against natural challenge from field ticks on a farm in Zimbabwe where heartwater is endemic, whereas six of seven control sheep died (P = 0.029). These data support optimization of the vaccine prepared in Montanide ISA 50, followed by evaluation of its efficacy in all target domestic ruminant species and in other geographical regions where heartwater constrains livestock production.
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The most important diseases of farmed penaeid shrimp have infectious aetiologies. Among these are diseases with viral, rickettsial, bacterial, fungal and parasitic aetiologies. Diagnostic methods for these pathogens include the traditional methods of gross pathology, histopathology, classical microbiology, animal bioassay, antibody-based methods, and molecular methods using DNA probes and DNA amplification. While methods using clinical chemistry and tissue culture are standard methods in veterinary and human diagnostic laboratories, the former has not been routinely applied to the diagnosis of penaeid shrimp diseases and the latter has yet to be developed, despite considerable research and development efforts that have spanned the past 40 years. No continuous shrimp cell lines, or lines from other crustaceans, have been developed. Hence, when molecular methods began to be routinely applied to the diagnosis of infectious diseases in humans and domestic animals in the mid- to late 1980s, the technology was applied to the diagnosis of certain important diseases of penaeid shrimp for which only classical diagnostic methods were previously available. A DNA hybridization assay for the parvovirus IHHNV was the first molecular test developed for a shrimp disease. This was followed within a year by the first PCR test for MBV, an important baculovirus disease of shrimp. Today, shrimp disease diagnostic laboratories routinely use molecular tests for diagnostic and surveillance purposes for most of the important penaeid shrimp diseases.
Doxycillin is a tetracycline antibiotic widely used in outpatients, particularly for treating pelvic inflammatory disease, acne, and Rickettsial infections. Among the more common side effects is acute esophageal inflammation leading to ulceration and occasionally to perforation. We describe the clinical course of a 35-year-old woman with esophageal perforation secondary to the use of Doxycillin.
The medical and economic importance of ticks has long been recognized due to their ability to transmit diseases to humans and animals. Ticks cause great economic losses to livestock, and adversely affect livestock hosts in several ways. Loss of blood is a direct effect of ticks acting as potential vector for haemo-protozoa and helminth parasites. Blood sucking by large numbers of ticks causes reduction in live weight and anemia among domestic animals, while their bites also reduce the quality of hides. However, major losses caused by ticks are due to their ability to transmit protozoan, rickettsial and viral diseases of livestock, which are of great economic importance world-wide. There are quite a few methods for controlling ticks, but every method has certain shortcomings. The present review is focused on ticks importance and their control.
This paper is a comprehensive presentation of the role of ticks, especially those occurring in Poland, in the epidemiology of arthropod-borne diseases. Following paragraphs review briefly principal diseases of viral, rickettsial and bacterial etiology with emphasis on natural circulation of pathogens between ticks serving as vectors and various vertebrates which function as tick hosts and pathogen reservoires. The vertical circulation of pathogens within the ticks population as well as modes of transmission of viruses, rickettsiae and bacteria by ticks to man are also outlined.
Ticks are ectoparasites that cause dermatologic disease directly by their bite and indirectly as vectors of bacterial, rickettsial, protozoal, and viral diseases. In North America, where ticks are the leading cause of vector-borne infection, dermatologists should recognize several tick species. Basic tick biology and identification will be reviewed. Tick bites cause a variety of acute and chronic skin lesions. The tick-borne diseases include Lyme disease, tick-borne relapsing fever, tularemia, babesiosis, Rocky Mountain spotted fever, other spotted fevers, ehrlichiosis, Colorado tick fever, and others. The epidemiology, clinical features, diagnosis, and treatment of these diseases are reviewed with an emphasis on cutaneous manifestations. Finally, the prevention of diseases caused by ticks is reviewed.
Piscirickettsia salmonis is the etiological agent of Salmonid Rickettsial Septicemia, a disease affecting salmon aquaculture industry. We analyzed the 16S-23S rDNA spacer region (internal transcribed spacer, ITS) of Chilean P. salmonis isolates LF-89 and EM-90. Two main ITS amplification products were obtained by PCR using L1 and G1 primers, differing from that described where only one ITS region was found. By Southern blot, it was established that these two amplification products contained sequences related to P. salmonis ITS. Sequence analysis confirmed that P. salmonis had two ITS regions: ITS A and ITS B. In both isolates, the smaller (ITS B) corresponded to ITS sequences previously described for each one, and the larger (ITS A) were almost the same as their respective ITS B sequences interrupted by an insert which contained two tRNAs genes: tRNA-Ile and tRNA-Ala.
Ticks are the most important ectoparasites of livestock in tropical and sub-tropical areas, and are responsible for severe economic losses both through the direct effects of blood sucking and indirectly as vectors of pathogens and toxins. Feeding by large numbers of ticks causes reduction in live weight gain and anaemia among domestic animals, while tick bites also reduce the quality of hides. However, the major losses caused by ticks are due to the ability to transmit protozoan, rickettsial and viral diseases of livestock, which are of great economic importance world-wide. The authors review general aspects of tick biology, the taxonomy, pathogenic effects and vector role of these species, and methods for the control of ticks. The distribution of ticks is continuously changing, as illustrated by the spread of the African tick Amblyomma variegatum in the Caribbean, where a large-scale eradication campaign is now under way.
Indonesian peacekeepers in Cambodia provided a unique study population to estimate the threat of rickettsial exposure to Rickettsia typhi (murine typhus), Orientia tsutsugamushi, (scrub typhus), and R. conorii (spotted fever) for the region. Prescreening prevalence measure showed a large proportion (36%) of soldiers with antibodies to R. typhi. Predeployment prevalence for antibodies to O. tsutsugamushi was 8%, with no evidence of background R. conorii infections. Actual seroconversions of R. typhi (3) and O. tsutsugamushi (1), attributed to exposure(s) in Cambodia, translated into annualized incidence rates of 24 and 8 per 1,000 per year, respectively. Surveillance of rickettsial infections and/or disease is particularly warranted in Cambodia with recent recognition of drug-resistant scrub typhus in neighboring Thailand.