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Cantelli CP, Silva MR, Pimenta LM, Tavares GCL, Baduy GA, Duch AAS, Menezes LDM, Fialho AM, Maranhão AG, Fumian TM, Miagostovich MP, Leite JPG. Evaluation of Extraction Methods to Detect Noroviruses in Ready-to-Eat Raw Milk Minas Artisanal Cheese. FOOD AND ENVIRONMENTAL VIROLOGY 2024; 16:188-199. [PMID: 38441780 DOI: 10.1007/s12560-024-09588-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/09/2023] [Accepted: 01/26/2024] [Indexed: 06/20/2024]
Abstract
This study aimed to assess two homogenization methods to recover norovirus from Minas artisanal cheese (MAC) made with raw bovine milk obtained from four microregions of the Minas Gerais state, Brazil, with different ripening times and geographical and abiotic characteristics. For this purpose, 33 fiscal samples were artificially contaminated with norovirus GI and GII, and Mengovirus (MgV), used as an internal process control (IPC). TRIzol® reagent and Proteinase K homogenization methods were evaluated for all samples were then subjected to RNA extraction using viral magnetic beads and RT-qPCR Taqman® for viral detection/quantification. Proteinase K method showed better efficiency results for both norovirus GI and GII, with means recovery efficiency of 45.7% (95% CI 34.3-57.2%) and 41.4% (95% CI 29.1-53.6%), respectively, when compared to TRIzol method (16.6% GI, 95% CI 8.4-24.9%, and 12.3% GII, 95% CI 7.0-17.6%). The limits of detection for norovirus GI and GII for this method were 101GC/g and 103GC/g, respectively, independent of cheese origin. MgV was detected and revealed in 100% success rate in all types of cheese, with mean recovery efficiency of 25.6% for Proteinase K, and 3.8% for the TRIzol method. According to cheese origin, Triangulo Mineiro MAC had the highest mean recovery rates for the three viral targets surveyed (89% GI, 87% GII, and 51% MgV), while Serro MAC showed the lowest rates (p < 0.001). Those results indicate that the proteinase K adapted method is suitable for norovirus GI and GII detection in MAC and corroborated MgV as an applicable IPC to be used during the process.
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Affiliation(s)
- Carina Pacheco Cantelli
- Laboratory of Comparative and Environmental Virology, Oswaldo Cruz Institute - Fiocruz, Av. Brasil, 4365, Pav. Hélio & Peggy Pereira, Rio de Janeiro, RJ, 21040-360, Brazil.
| | | | - Laís Marques Pimenta
- Laboratory of Comparative and Environmental Virology, Oswaldo Cruz Institute - Fiocruz, Av. Brasil, 4365, Pav. Hélio & Peggy Pereira, Rio de Janeiro, RJ, 21040-360, Brazil
| | - Guilherme Caetano Lanzieri Tavares
- Laboratory of Comparative and Environmental Virology, Oswaldo Cruz Institute - Fiocruz, Av. Brasil, 4365, Pav. Hélio & Peggy Pereira, Rio de Janeiro, RJ, 21040-360, Brazil
| | - Gabriel Assad Baduy
- Laboratory of Comparative and Environmental Virology, Oswaldo Cruz Institute - Fiocruz, Av. Brasil, 4365, Pav. Hélio & Peggy Pereira, Rio de Janeiro, RJ, 21040-360, Brazil
| | | | | | - Alexandre Madi Fialho
- Laboratory of Comparative and Environmental Virology, Oswaldo Cruz Institute - Fiocruz, Av. Brasil, 4365, Pav. Hélio & Peggy Pereira, Rio de Janeiro, RJ, 21040-360, Brazil
| | - Adriana Gonçalves Maranhão
- Laboratory of Comparative and Environmental Virology, Oswaldo Cruz Institute - Fiocruz, Av. Brasil, 4365, Pav. Hélio & Peggy Pereira, Rio de Janeiro, RJ, 21040-360, Brazil
| | - Tulio Machado Fumian
- Laboratory of Comparative and Environmental Virology, Oswaldo Cruz Institute - Fiocruz, Av. Brasil, 4365, Pav. Hélio & Peggy Pereira, Rio de Janeiro, RJ, 21040-360, Brazil
| | - Marize Pereira Miagostovich
- Laboratory of Comparative and Environmental Virology, Oswaldo Cruz Institute - Fiocruz, Av. Brasil, 4365, Pav. Hélio & Peggy Pereira, Rio de Janeiro, RJ, 21040-360, Brazil
| | - José Paulo Gagliardi Leite
- Laboratory of Comparative and Environmental Virology, Oswaldo Cruz Institute - Fiocruz, Av. Brasil, 4365, Pav. Hélio & Peggy Pereira, Rio de Janeiro, RJ, 21040-360, Brazil
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de Albuquerque TMNC, Campos GZ, d’Ovidio L, Pinto UM, Sobral PJDA, Galvão JA. Unveiling Safety Concerns in Brazilian Artisanal Cheeses: A Call for Enhanced Ripening Protocols and Microbiological Assessments. Foods 2024; 13:1644. [PMID: 38890872 PMCID: PMC11172062 DOI: 10.3390/foods13111644] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2024] [Revised: 05/16/2024] [Accepted: 05/22/2024] [Indexed: 06/20/2024] Open
Abstract
Brazilian artisanal cheeses have recently gained significant commercial prominence and consumer favor, primarily due to their distinctive sensory attributes and cultural and historical appeal. Many of these cheeses are made with raw milk and undergo a relatively short ripening period, sometimes ranging from 4 to 8 days, though it is usually shorter than the period stated by law. Moreover, there is insufficient evidence regarding the efficacy of a short ripening period in reducing certain zoonotic foodborne pathogens, such as Brucella spp., Coxiella burnetiid, and Mycobacterium bovis (as part of the Mycobacterium tuberculosis complex). Additionally, a literature analysis revealed that the usual ripening conditions of Brazilian artisanal cheeses made with raw milk may be inefficient in reducing the levels of some hazardous bacterial, including Brucella spp., Listeria monocytogenes, coagulase-positive Staphylococcus, Salmonella, and Coxiella burnetti, to the acceptable limits established by law, thus failing to ensure product safety for all cheese types. Moreover, the assessment of the microbiological safety for this type of cheese should be broader and should also consider zoonotic pathogens commonly found in bovine herds. Finally, a standardized protocol for evaluating the effectiveness of cheese ripening must be established by considering its peculiarities.
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Affiliation(s)
| | - Gabriela Zampieri Campos
- Department of Food Sciences and Experimental Nutrition, Faculty of Pharmaceutical Sciences, University of São Paulo, São Paulo 05508-220, Brazil; (G.Z.C.); (L.d.); (U.M.P.)
| | - Loredana d’Ovidio
- Department of Food Sciences and Experimental Nutrition, Faculty of Pharmaceutical Sciences, University of São Paulo, São Paulo 05508-220, Brazil; (G.Z.C.); (L.d.); (U.M.P.)
| | - Uelinton Manoel Pinto
- Department of Food Sciences and Experimental Nutrition, Faculty of Pharmaceutical Sciences, University of São Paulo, São Paulo 05508-220, Brazil; (G.Z.C.); (L.d.); (U.M.P.)
- Food Research Center (FoRC), University of São Paulo, São Paulo 05508-220, Brazil;
| | - Paulo José do Amaral Sobral
- Food Research Center (FoRC), University of São Paulo, São Paulo 05508-220, Brazil;
- Faculty of Animal Science and Food Engineering, University of São Paulo, Pirassununga 13635-900, Brazil
| | - Julia Arantes Galvão
- Department of Veterinary Medicine, Federal University of Paraná, Curitiba 80060-000, Brazil;
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Yanmaz B, Ozgen EK. Molecular prevalence of Coxiella burnetii in cheese samples: Systematic review and meta-analysis. Vet Med Sci 2024; 10:e1335. [PMID: 38100127 PMCID: PMC10766031 DOI: 10.1002/vms3.1335] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2023] [Revised: 11/10/2023] [Accepted: 12/03/2023] [Indexed: 01/06/2024] Open
Abstract
BACKGROUND Cheese is a popular dairy product consumed worldwide, and it has been implicated as a source of Coxiella burnetii infections. OBJECTIVES The present study aimed to describe the molecular prevalence and source analysis of C. burnetii in cheese samples. METHODS A systematic literature search was conducted using the Medline/PubMed, Science Direct, Web of Science, Scopus, and Google Scholar databases to identify studies reporting the molecular prevalence of C. burnetii in cheese samples. The pooled prevalence of C. burnetii in cheese samples was estimated using a random-effects model. RESULTS A meta-analysis was conducted using the mean and standard deviation values obtained from 13 original studies. The overall molecular prevalence of C. burnetii in cheese was estimated to be 25.2% (95% confidence interval [CI]: 13.1%-39.7%). The I2 value of 96.3% (CI95% 94.9-97.3) suggested high heterogeneity, with a τ2 of 0.642 (CI95% -0.141 to 0.881), and an χ2 statistic of 323.77 (p < 0.0001). CONCLUSIONS In conclusion, our meta-analysis provides a thorough assessment of the molecular prevalence and source analysis of C. burnetii in cheese samples.
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Affiliation(s)
- Berna Yanmaz
- Department of Public HealthFaculty of Veterinary MedicineBurdur Mehmet Akif Ersoy UniversityBurdurTurkey
| | - Ediz Kagan Ozgen
- Department of MicrobiologyFaculty of Veterinary MedicineAtatürk UniversityErzurumTurkey
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Shujat S, Shehzad W, Anjum AA, Hertl JA, Zahoor MY, Gröhn YT. Molecular detection of Coxiella burnetii in raw meat samples collected from different abattoirs in districts Kasur and Lahore of Punjab, Pakistan. PLoS One 2023; 18:e0289944. [PMID: 37566566 PMCID: PMC10420375 DOI: 10.1371/journal.pone.0289944] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2023] [Accepted: 07/30/2023] [Indexed: 08/13/2023] Open
Abstract
Coxiella burnetii is the zoonotic pathogen that causes Q fever; it is widespread globally. Livestock animals are its main reservoir, and infected animals shed C. burnetii in their birth products, feces, vaginal mucus, urine, tissues, and food obtained from them, i.e., milk and meat. There were previously very few reports on the prevalence of C. burnetii in raw meat. This study aimed to determine the prevalence of C.burnetii and its molecular characterization in raw ruminant meat from the Kasur and Lahore districts in Punjab, Pakistan, as this has not been reported so far. In this study, 200 meat samples, 50 from each species of cattle, buffalo, goat, and sheep, were collected from the slaughterhouses in each district, Kasur and Lahore in 2021 and 2022. PCR was used for the detection of the IS1111 element of C. burnetii. The data were recorded and univariate analysis was performed to determine the frequency of C. burnetii DNA in raw meat samples obtained from different ruminant species using the SAS 9.4 statistical package. Of the total of 200 raw meat samples, C. burnetii DNA was present in 40 (20%) of them, tested by PCR using the IS1111 sequence. The prevalence of C.burnetii differed among the studied species of ruminants. When species were compared pairwise, the prevalence in cattle was statistically significantly lower than in sheep (P = 0.005). The sequence alignment based on origin implied that the strains are genetically diverse in different districts of Punjab, Pakistan. The findings demonstrated that the prevalence of C. burnetii, especially in raw meat samples, deserves more attention from the health care system and professionals from Punjab, Pakistan, i.e., abattoir workers and veterinarians.
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Affiliation(s)
- Shahpal Shujat
- Institute of Biochemistry and Biotechnology, University of Veterinary and Animal Sciences, Lahore, Punjab, Pakistan
- Department of Population Medicine and Diagnostic Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York, United States of America
| | - Wasim Shehzad
- Institute of Biochemistry and Biotechnology, University of Veterinary and Animal Sciences, Lahore, Punjab, Pakistan
| | - Aftab Ahmad Anjum
- Institute of Microbiology, University of Veterinary and Animal Sciences, Lahore, Punjab, Pakistan
| | - Julia A. Hertl
- Department of Population Medicine and Diagnostic Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York, United States of America
| | - Muhammad Yasir Zahoor
- Institute of Biochemistry and Biotechnology, University of Veterinary and Animal Sciences, Lahore, Punjab, Pakistan
| | - Yrjö T. Gröhn
- Department of Population Medicine and Diagnostic Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York, United States of America
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França DAD, Mioni MDSR, Fernandes J, Lemos ERSD, Duré AÍDL, Silva MVF, Langoni H, Megid J. Overview of Q fever in Brazil: an underestimated zoonosis. Rev Inst Med Trop Sao Paulo 2023; 65:e39. [PMID: 37377322 DOI: 10.1590/s1678-9946202365039] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Accepted: 04/25/2023] [Indexed: 06/29/2023] Open
Abstract
This review aims to provide current information about Q fever, elucidating the etiological, epidemiological, pathogenic, clinical, diagnostic, therapeutic, and prophylactic aspects of the disease for the medical community. We discuss the main forms of presentation of the agent, its ability to persist in the body, the infinite possibilities of susceptible hosts, the main known forms of transmission, its importance in populations at occupational risk, and the role of arthropods in the natural history of the disease. Focusing on Brazil, we present the cases already described and studies developed since its first report, and how there is still much to unravel. We are aware of the possibilities of the persistence of the agent and the development of severe clinical pictures and the specific treatments currently instituted. We also wish to raise awareness about the future, the new genotypes that are emerging, the need to study the effects of vaccines, and the impact of Q fever on the population. Q fever is a poorly understood disease in Latin America, and recent studies, especially in Brazil, have revealed the importance of developing new studies.
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Affiliation(s)
- Danilo Alves de França
- Universidade Estadual Paulista, Departamento de Higiene Veterinária e Saúde Pública, Botucatu, São Paulo, Brazil
| | | | - Jorlan Fernandes
- Instituto Oswaldo Cruz, Laboratório de Hantaviroses e Rickettsioses, Rio de Janeiro, Rio de Janeiro, Brazil
| | | | - Ana Íris de Lima Duré
- Fundação Ezequiel Dias, Instituto Otávio Magalhães, Belo Horizonte, Minas Gerais, Brazil
| | | | - Helio Langoni
- Universidade Estadual Paulista, Departamento de Higiene Veterinária e Saúde Pública, Botucatu, São Paulo, Brazil
| | - Jane Megid
- Universidade Estadual Paulista, Departamento de Higiene Veterinária e Saúde Pública, Botucatu, São Paulo, Brazil
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Mokarizadeh K, Ownagh A, Tajik H. Molecular detection of Coxiella burnetii in Kope cheese and cattle milk in West Azerbaijan, Iran. VETERINARY RESEARCH FORUM : AN INTERNATIONAL QUARTERLY JOURNAL 2023; 14:289-293. [PMID: 37342287 PMCID: PMC10278903 DOI: 10.30466/vrf.2022.544750.3323] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/12/2021] [Accepted: 05/16/2022] [Indexed: 06/22/2023]
Abstract
There are few studies on Coxiella burnetii (Cb) as a causative agent of Q fever in dairy products in Iran. The prevalence of Cb was studied by polymerase chain reaction (PCR) method in Kope (pot) cheese and cattle milk collected from West Azerbaijan province, Iran. A total number of 240 Kope cheese and 560 milk samples were collected during the year 2020. All samples were subjected to PCR based on transposable gene IS1111. The results showed that 12.50% (95.00% confidence interval (CI): 9.00 - 16.10%) of Kope cheese and 13.00% (95.00% CI: 10.00 - 17.30%) of milk samples were positive for Cb. There was a significant difference in cheese and milk contaminations with Cb among the defined age groups as well as regional and seasonal variations. It was concluded that Kope cheese and cattle milk are important sources of Cb and should be considered as important risk factors in the epidemiology of Q fever disease in public health.
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Affiliation(s)
- Kosar Mokarizadeh
- DVM Student, Department of Microbiology, Faculty of Veterinary Medicine, Urmia University, Urmia, Iran;
| | - Addolghaffar Ownagh
- Department of Microbiology, Faculty of Veterinary Medicine, Urmia University, Urmia, Iran;
| | - Hossein Tajik
- Department of Food Hygiene and Quality Control, Faculty of Veterinary Medicine, Urmia University, Urmia, Iran.
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Silva MR, Duch AAS, Lage RTPDA, de Faria LS, Menezes LDM, Ribeiro JB, de Souza GN, Filho PMS, Preis IS, Sales ÉB, de Souza PG, Araújo FR, Guimarães RJDPSE, Mendes T, Pettan-Brewer C, Fonseca-Júnior AA. Recovery of Brucella in raw milk Minas artisanal cheese approved for consumption by official inspection agency in Brazil: assessment of prevalence and risk factors through One Health integrated approaches. Trans R Soc Trop Med Hyg 2022; 116:1091-1099. [PMID: 36055973 DOI: 10.1093/trstmh/trac083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2021] [Revised: 05/31/2022] [Accepted: 08/11/2022] [Indexed: 01/19/2023] Open
Abstract
BACKGROUND Minas artisanal cheese (MAC) from the Serro region is a Brazilian intangible cultural heritage. Produced from raw milk, it may carry zoonotic pathogens such as Brucella. This study included a randomized survey for the prevalence of Brucella-positive MAC and its associated factors. METHODS MAC samples (n=55), each one from a different rural family-based cheese-processing agroindustry, were analysed for Brucella by direct polymerase chain reaction (PCR) species-specific DNA detection and cultivation-based approaches. RESULTS Among 55 MACs that were analysed, we found 17 Brucella DNA-positive samples (30.9% [95% confidence interval {CI} 18.7 to 43.1]) by PCR and, for the first time, from one MAC (1.8% [95% CI 0.5 to 9.7]), viable Brucella abortus was recovered by cultivation. Higher values for two variables, the number of lactating cows per herd (p=0.043) and daily milk production per herd (p=0.043), were each associated with Brucella-positive MAC, which concentrated in three high-risk and one low-risk spatial clusters. CONCLUSIONS MAC may be a source of Brucella for humans, since the positive samples were from batches that were sold by cheesemakers. This should be of concern and encourage cooperation between the health and agriculture sectors in order to mitigate this public health risk through One Health integrated approaches.
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Affiliation(s)
| | | | | | | | | | | | | | - Paulo Martins Soares Filho
- Brazilian Ministry of Agriculture, Livestock and Food Supply, 33600-000 Pedro Leopoldo, Minas Gerais, Brazil
| | - Ingred Sales Preis
- Brazilian Ministry of Agriculture, Livestock and Food Supply, 33600-000 Pedro Leopoldo, Minas Gerais, Brazil
| | - Érica Bravo Sales
- Brazilian Ministry of Agriculture, Livestock and Food Supply, 33600-000 Pedro Leopoldo, Minas Gerais, Brazil
| | - Patrícia Gomes de Souza
- Brazilian Ministry of Agriculture, Livestock and Food Supply, 33600-000 Pedro Leopoldo, Minas Gerais, Brazil
| | | | | | - Tulio Mendes
- Marinha do Brasil, 20725090, Rio de Janeiro, Brazil
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Souza EARD, André MR, Labruna MB, Horta MC. Q fever and coxiellosis in Brazil: an underestimated disease? A brief review. REVISTA BRASILEIRA DE PARASITOLOGIA VETERINARIA = BRAZILIAN JOURNAL OF VETERINARY PARASITOLOGY : ORGAO OFICIAL DO COLEGIO BRASILEIRO DE PARASITOLOGIA VETERINARIA 2022; 31:e009822. [PMID: 36169506 DOI: 10.1590/s1984-29612022051] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Accepted: 08/30/2022] [Indexed: 06/16/2023]
Abstract
Q fever, caused by the γ-proteobacterium Coxiella burnetii, is a zoonosis of great importance and global impact. This agent has high transmissibility and can spread over long distances via wind, in which a small number of aerosolized particles are needed to infect susceptible hosts. The clinical diagnosis of Q fever is difficult owing to the variety of clinical signs shared with other diseases. In Brazil, studies related to C. burnetii are constantly being conducted, and this review aims to increase the number of approaches already studied, leading to the following question: is Q fever an unknown, neglected disease, or does it have a focal occurrence in certain areas (exotic/rare) in the country?
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Affiliation(s)
- Eline Almeida Rodrigues de Souza
- Laboratório de Doenças Parasitárias, Universidade Federal do Vale do São Francisco - UNIVASF, Petrolina, PE, Brasil
- Programa de Pós-graduação em Biociência Animal, Universidade Federal Rural de Pernambuco - UFRPE, Recife, PE, Brasil
| | - Marcos Rogério André
- Laboratório de Imunoparasitologia, Departamento de Patologia, Reprodução e Saúde Única, Faculdade de Ciências Agrárias e Veterinárias - FCA, Universidade Estadual Paulista - UNESP, Jaboticabal, SP, Brasil
| | - Marcelo Bahia Labruna
- Departamento de Medicina Veterinária Preventiva e Saúde Animal, Faculdade de Medicina Veterinária e Zootecnia - FMVZ, Universidade de São Paulo - USP, São Paulo, SP, Brasil
| | - Mauricio Claudio Horta
- Laboratório de Doenças Parasitárias, Universidade Federal do Vale do São Francisco - UNIVASF, Petrolina, PE, Brasil
- Programa de Pós-graduação em Biociência Animal, Universidade Federal Rural de Pernambuco - UFRPE, Recife, PE, Brasil
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9
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Grostieta E, Zazueta-Islas HM, Cruz-Valdez T, Ballados-González GG, Álvarez-Castillo L, García-Esparza SM, Cruz-Romero A, Romero-Salas D, Aguilar-Domínguez M, Becker I, Sánchez-Montes S. Molecular detection of Coxiella-like endosymbionts and absence of Coxiella burnetii in Amblyomma mixtum from Veracruz, Mexico. EXPERIMENTAL & APPLIED ACAROLOGY 2022; 88:113-125. [PMID: 36244047 DOI: 10.1007/s10493-022-00748-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/23/2022] [Accepted: 10/03/2022] [Indexed: 06/16/2023]
Abstract
Ticks are obligate ectoparasites associated with a wide range of vertebrate hosts, including domestic animals. Moreover, ticks are capable of transmitting many pathogens such as Coxiella. To date, Coxiella burnetii, the etiological agent of coxiellosis or Q fever, is the only valid species of the genera. Nevertheless, a wide range of agents denominated Coxiella-like have been detected in recent studies, mainly associated with ticks. The pathogenicity of these Coxiella-like agents is controversial as some of them can infect both birds and humans. In Mexico, knowledge about Q fever is scarce and limited to historical serological records, and there is an overall lack of molecular proof of any agent of the genus Coxiella circulating in the country. Therefore, the aim of this study was to detect the presence of Coxiella in ticks associated with cattle in all 10 regions of Veracruz, Mexico. To accomplish this objective, first, we identified ticks collected from cattle and horses in Veracruz. Then, for Coxiella detection, DNA extraction from ticks and PCR amplification of the 16S-rDNA of Coxiella was performed. Finally, we performed a phylogenetic reconstruction to determine the Coxiella lineages detected. From the 10 regions sampled we collected 888 ticks grouped in 180 pools, and only five Amblyomma mixtum from the locality of Castán, and one from Los Angeles from Tuxpan were found positive, which represents a frequency of 20% for each locality. This study represents the first attempt at molecular detection of Coxiella in ticks associated with cattle in the state of Veracruz, the major livestock producer in the country. The findings of the present study are relevant as they establish a precedent regarding the circulation of Coxiella-like agents, as well as the absence in three municipalities of the state of Veracruz of C. burnetii, an abortive agent of livestock importance.
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Affiliation(s)
- Estefanía Grostieta
- Centro de Medicina Tropical, Facultad de Medicina, Unidad de Investigación en Medicina Experimental, Universidad Nacional Autónoma de México, Dr. Balmis 148, Ciudad de Mexico, C.P. 06726, México
| | - Héctor M Zazueta-Islas
- Centro de Medicina Tropical, Facultad de Medicina, Unidad de Investigación en Medicina Experimental, Universidad Nacional Autónoma de México, Dr. Balmis 148, Ciudad de Mexico, C.P. 06726, México
| | - Timoteo Cruz-Valdez
- Facultad de Ciencias Biológicas y Agropecuarias Región Tuxpan, Universidad Veracruzana, Veracruz, México
| | - Gerardo G Ballados-González
- Facultad de Medicina Veterinaria y Zootecnia, Universidad Veracruzana, Circunvalación s/n, Veracruz, 91710, México
| | - Lucía Álvarez-Castillo
- Posgrado en Ciencias del Mar y Limnología, Universidad Nacional Autónoma de México, Ciudad de Mexico, México
| | - Sandra M García-Esparza
- Centro de Medicina Tropical, Facultad de Medicina, Unidad de Investigación en Medicina Experimental, Universidad Nacional Autónoma de México, Dr. Balmis 148, Ciudad de Mexico, C.P. 06726, México
| | - Anabel Cruz-Romero
- Facultad de Medicina Veterinaria y Zootecnia, Universidad Veracruzana, Circunvalación s/n, Veracruz, 91710, México
| | - Dora Romero-Salas
- Facultad de Medicina Veterinaria y Zootecnia, Universidad Veracruzana, Circunvalación s/n, Veracruz, 91710, México
| | - Mariel Aguilar-Domínguez
- Facultad de Medicina Veterinaria y Zootecnia, Universidad Veracruzana, Circunvalación s/n, Veracruz, 91710, México.
| | - Ingeborg Becker
- Centro de Medicina Tropical, Facultad de Medicina, Unidad de Investigación en Medicina Experimental, Universidad Nacional Autónoma de México, Dr. Balmis 148, Ciudad de Mexico, C.P. 06726, México.
| | - Sokani Sánchez-Montes
- Centro de Medicina Tropical, Facultad de Medicina, Unidad de Investigación en Medicina Experimental, Universidad Nacional Autónoma de México, Dr. Balmis 148, Ciudad de Mexico, C.P. 06726, México
- Facultad de Ciencias Biológicas y Agropecuarias Región Tuxpan, Universidad Veracruzana, Veracruz, México
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10
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de França DA, Mioni MDSR, Fornazari F, Duré AÍDL, Silva MVF, Possebon FS, Richini-Pereira VB, Langoni H, Megid J. Seropositivity for Coxiella burnetii in suspected patients with dengue in São Paulo state, Brazil. PLoS Negl Trop Dis 2022; 16:e0010392. [PMID: 35536865 PMCID: PMC9122222 DOI: 10.1371/journal.pntd.0010392] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2021] [Revised: 05/20/2022] [Accepted: 04/04/2022] [Indexed: 11/25/2022] Open
Abstract
Q fever and brucellosis are zoonoses that cause fever and other systemic clinical signs in humans; their occurrences are neglected and the differential diagnosis for some diseases is disregarded. This study aimed to investigate the seropositivity for Coxiella burnetii and Brucella spp. antibodies in patients suspected of dengue from 38 municipalities in the state of São Paulo, Brazil. The samples (n = 604) were obtained by convenience from the Adolfo Lutz Institute serum bank. Sera were subjected to an indirect immunofluorescence assay (IFA) using in-house and commercial diagnostic protocols to evaluate C. burnetii positivity. For Brucella spp., sera were subjected to rapid plate serum agglutination with buffered acidified antigen (AAT), slow tube serum agglutination (SAL), and 2-mercaptoethanol (2-ME) techniques. Associations and statistical inferences of the results were performed by logistic regression according to the clinical and demographic variables collected from the patients. Statistical analyses were performed using Statistical Analysis Software (SAS) and associations were considered when p value was <0.05. In all, 129 patients showed positive results for Q fever, indicating a seropositivity of 21.4% (95% CI 18.15–24.85). Patients with 14–20 days of symptoms had 2.12 (95% CI 1.34–3.35) times more chances of being seropositive for Q fever than patients with 7–13 days, and patients with 21–27 days of fever had 2.62 (95% CI 1.27–5.41) times more chances of being seropositive for Q fever than patients with 7–13 days. For the other variables analyzed, there were no significant associations between the groups. No positivity for brucellosis was observed. This is the most comprehensive study of people seropositive for Q fever in São Paulo state and provides additional data for the medical community in Brazil. It is suggested that Q fever may be an important differential diagnosis of febrile illnesses in the region, demanding the government’s attention and investment in health. Brazil is a tropical country with a warm climate and large animal herds that favor many zoonotic agents that circulate in the territory. Due to the high prevalence of some tropical diseases, such as dengue, malaria, and chikungunya, important zoonoses have been neglected during the clinical evaluation of patients, resulting in misdiagnosis. Examples include Q fever and brucellosis, zoonoses that occur in animals in Brazil and are easily transmitted to humans through contaminated air and food products. There is not much data on these diseases in humans in the country representing their actual health situation. The current knowledge is supported by a few serological surveys developed by research groups and case reports. In this study, sera from patients with fever of unknown origin were positive for Q fever and brucellosis. The authors found that, contrary to brucellosis, Q fever has affected many people in São Paulo, the most populous state in the country. In addition, other findings regarding patient profile and disease behavior have been established. This research highlights the need for surveillance and control of Q fever in humans and animals to prevent acute cases and treat chronic patients.
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Affiliation(s)
- Danilo Alves de França
- Department of Veterinary Hygiene and Public Health, Paulista State University “Júlio de Mesquita Filho”, Botucatu, São Paulo, Brazil
| | - Mateus de Souza Ribeiro Mioni
- Department of Veterinary Hygiene and Public Health, Paulista State University “Júlio de Mesquita Filho”, Botucatu, São Paulo, Brazil
- * E-mail: (MM); (JM)
| | - Felipe Fornazari
- Department of Veterinary Hygiene and Public Health, Paulista State University “Júlio de Mesquita Filho”, Botucatu, São Paulo, Brazil
| | - Ana Íris de Lima Duré
- Octávio Magalhães Institute, Ezequiel Dias Foundation, Belo Horizonte, Minas Gerais, Brazil
| | | | - Fábio Sossai Possebon
- Department of Veterinary Hygiene and Public Health, Paulista State University “Júlio de Mesquita Filho”, Botucatu, São Paulo, Brazil
| | | | - Helio Langoni
- Department of Veterinary Hygiene and Public Health, Paulista State University “Júlio de Mesquita Filho”, Botucatu, São Paulo, Brazil
| | - Jane Megid
- Department of Veterinary Hygiene and Public Health, Paulista State University “Júlio de Mesquita Filho”, Botucatu, São Paulo, Brazil
- * E-mail: (MM); (JM)
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11
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Rabaza A, Macías-Rioseco M, Fraga M, Uzal FA, Eisler MC, Riet-Correa F, Giannitti F. Coxiella burnetii abortion in a dairy farm selling artisanal cheese directly to consumers and review of Q fever as a bovine abortifacient in South America and a human milk-borne disease. Braz J Microbiol 2021; 52:2511-2520. [PMID: 34405372 PMCID: PMC8578271 DOI: 10.1007/s42770-021-00593-1] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2021] [Accepted: 08/08/2021] [Indexed: 10/20/2022] Open
Abstract
Coxiella burnetii is a highly transmissible intracellular bacterium with a low infective dose that causes Q fever (coxiellosis), a notifiable zoonotic disease distributed worldwide. Livestock are the main source of C. burnetii transmission to humans, which occurs mostly through the aerogenous route. Although C. burnetii is a major abortifacient in small ruminants, it is less frequently diagnosed in aborting cattle. We report a case of C. burnetii abortion in a lactating Holstein cow from a dairy farm producing and selling artisanal cheese directly to consumers in Uruguay, and review the literature on coxiellosis as a bovine abortifacient in South America and as a milk-borne disease. The aborted cow had severe necrotizing placentitis with abundant intratrophoblastic and intralesional C. burnetii confirmed by immunohistochemistry and PCR. After primo-infection in cattle, C. burnetii remains latent in the lymph nodes and mammary glands, with milk being a significant and persistent excretion route. Viable C. burnetii has been found in unpasteurized milk and cheeses after several months of maturing. The risk of coxiellosis after the consumption of unpasteurized dairy products, including cheese, is not negligible. This report raises awareness on bovine coxiellosis as a potential food safety problem in on-farm raw cheese manufacturing and sales. The scant publications on abortive coxiellosis in cattle in South America suggest that the condition has probably gone underreported in all countries of this subcontinent except for Uruguay. Therefore, we also discuss the diagnostic criteria for laboratory-based confirmation of C. burnetii abortion in ruminants as a guideline for veterinary diagnosticians.
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Affiliation(s)
- Ana Rabaza
- Plataforma de Investigación en Salud Animal, Instituto Nacional de Investigación Agropecuaria (INIA), Estación Experimental La Estanzuela, Colonia, Uruguay
- Bristol Veterinary School, University of Bristol, Langford House, Langford, Bristol, UK
| | - Melissa Macías-Rioseco
- Plataforma de Investigación en Salud Animal, Instituto Nacional de Investigación Agropecuaria (INIA), Estación Experimental La Estanzuela, Colonia, Uruguay
- California Animal Health and Food Safety (CAHFS) Laboratory, University of California At Davis, Davis, CA, USA
| | - Martín Fraga
- Plataforma de Investigación en Salud Animal, Instituto Nacional de Investigación Agropecuaria (INIA), Estación Experimental La Estanzuela, Colonia, Uruguay
| | - Francisco A Uzal
- California Animal Health and Food Safety (CAHFS) Laboratory, University of California At Davis, Davis, CA, USA
| | - Mark C Eisler
- Bristol Veterinary School, University of Bristol, Langford House, Langford, Bristol, UK
| | - Franklin Riet-Correa
- Plataforma de Investigación en Salud Animal, Instituto Nacional de Investigación Agropecuaria (INIA), Estación Experimental La Estanzuela, Colonia, Uruguay
- Programa de Pós Graduação Em Ciência Animal Nos Trópicos, Faculdade de Veterinária, Universidade Federal da Bahia, Ondina, Salvador, BA, Brazil
| | - Federico Giannitti
- Plataforma de Investigación en Salud Animal, Instituto Nacional de Investigación Agropecuaria (INIA), Estación Experimental La Estanzuela, Colonia, Uruguay.
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12
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Identification of Immunogenic Linear B-Cell Epitopes in C. burnetii Outer Membrane Proteins Using Immunoinformatics Approaches Reveals Potential Targets of Persistent Infections. Pathogens 2021; 10:pathogens10101250. [PMID: 34684199 PMCID: PMC8540810 DOI: 10.3390/pathogens10101250] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2021] [Revised: 08/11/2021] [Accepted: 08/16/2021] [Indexed: 11/16/2022] Open
Abstract
Coxiella burnetii is a global, highly infectious intracellular bacterium, able to infect a wide range of hosts and to persist for months in the environment. It is the etiological agent of Q fever—a zoonosis of global priority. Currently, there are no national surveillance data on C. burnetii’s seroprevalence for any South American country, reinforcing the necessity of developing novel and inexpensive serological tools to monitor the prevalence of infections among humans and animals—especially cattle, goats, and sheep. In this study, we used immunoinformatics and computational biology tools to predict specific linear B-cell epitopes in three C. burnetii outer membrane proteins: OMP-H (CBU_0612), Com-1 (CBU_1910), and OMP-P1 (CBU_0311). Furthermore, predicted epitopes were tested by ELISA, as synthetic peptides, against samples of patients reactive to C. burnetii in indirect immunofluorescence assay, in order to evaluate their natural immunogenicity. In this way, two linear B-cell epitopes were identified in each studied protein (OMP-H(51–59), OMP-H(91–106), Com-1(57–76), Com-1(191–206), OMP-P1(197–209), and OMP-P1(215–227)); all of them were confirmed as naturally immunogenic by the presence of specific antibodies in 77% of studied patients against at least one of the identified epitopes. Remarkably, a higher frequency of endocarditis cases was observed among patients who presented an intense humoral response to OMP-H and Com-1 epitopes. These data confirm that immunoinformatics applied to the identification of specific B-cell epitopes can be an effective strategy to improve and accelerate the development of surveillance tools against neglected diseases.
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13
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Nascimento CDF, de Mello VVC, Machado RZ, André MR, Bürger KP. Molecular Detection of Coxiella burnetii in Unstandardized Minas Artisanal Cheese Marketed in Southeastern Brazil. Acta Trop 2021; 220:105942. [PMID: 33951421 DOI: 10.1016/j.actatropica.2021.105942] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2021] [Revised: 04/22/2021] [Accepted: 04/24/2021] [Indexed: 10/21/2022]
Abstract
Q fever is a zoonotic disease caused by Coxiella burnetii. The causative pathogen has been detected in dairy products, which raises the possibility of consumption of dairy products as a possible route of transmission; however, this has not been adequately described. Therefore, the aim of the present study was to investigate the presence of C. burnetii in 87 samples of artisanal cheeses made from unpasteurized raw milk sold in Minas Gerais, southeastern Brazil. The cheese samples were analyzed using quantitative real-time PCR (qPCR), and the products from positive samples were sequenced. In addition, 150 people were interviewed to outline the profile of consumers and the consumption of non-inspected dairy products. The results showed that 4.6% (4/87) of the samples were positive for C. burnetii, with 99.84% identity with the reference 16S gene. Responses from consumer interviews indicate that 95.3% (143/150) of respondents consume milk and dairy products; 50% (75/150) consume fresh Minas artisanal cheese and milk at least once a day; 64.58% (93/144) do not check the inspection stamps on the packaging at the time of purchase; and 81.56% (122/146) do not know the meaning of these stamps. Thus, the presence of C. burnetii DNA in the analyzed cheeses and the consumption of unstandardized dairy products raise an alert for the risk of transmission of Q fever in the population that consumes them.
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14
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Meurer IR, Silva MR, Silva MVF, de Lima Duré AÍ, Adelino TÉR, da Costa AVB, Vanelli CP, de Paula Souza E Guimarães RJ, Rozental T, de Lemos ERS, Corrêa JODA. Seroprevalence estimate and risk factors for Coxiella burnetii infections among humans in a highly urbanised Brazilian state. Trans R Soc Trop Med Hyg 2021; 116:261-269. [PMID: 34308483 DOI: 10.1093/trstmh/trab113] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2021] [Revised: 06/15/2021] [Accepted: 07/12/2021] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND Q fever is among the top 13 global priority zoonoses, however, it is still neglected and under-reported in most of the world, including Brazil. Thus, we evaluated the seroprevalence of and the risk factors for Coxiella burnetii infections in humans from Minas Gerais, a highly urbanised Brazilian state. METHODS Coxiella burnetii was searched for patient samples (n=437), which were suspected of then later confirmed as negative for dengue fever, by the indirect immunofluorescence technique and real-time PCR. Risk factors for infections and spatial clusters for both C. burnetii-seropositive individuals and livestock concentration were evaluated. RESULTS We found that 21 samples (4.8%; 95% CI 3.0 to 7.2%) were reactive for at least one class of anti-C. burnetii antibodies (titer of ≥64), with rural residence (p=0.036) being a risk factor. Also, two spatial clusters of seropositivity were found within a significant area by Scan, and a probable relationship between the Scan result and the livestock concentration by area was found. CONCLUSIONS Seropositive individuals were associated with rural residence, with a likely relationship with the livestock concentration. Thus, this study establishes baseline figures for C. burnetii seroprevalence in humans in a state of Brazil, allowing the monitoring of trends and setting of control targets, as well as more representative longitudinal and risk analysis studies.
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Affiliation(s)
- Igor Rosa Meurer
- Faculty of Pharmacy, Federal University of Juiz de Fora, 36036-900 Juiz de Fora, Minas Gerais, Brazil
| | | | - Marcos Vinícius Ferreira Silva
- Central Public Health Laboratory of the State of Minas Gerais, Ezequiel Dias Foundation, 30510-010 Belo Horizonte, Minas Gerais, Brazil
| | - Ana Íris de Lima Duré
- Central Public Health Laboratory of the State of Minas Gerais, Ezequiel Dias Foundation, 30510-010 Belo Horizonte, Minas Gerais, Brazil
| | - Talita Émile Ribeiro Adelino
- Central Public Health Laboratory of the State of Minas Gerais, Ezequiel Dias Foundation, 30510-010 Belo Horizonte, Minas Gerais, Brazil
| | - Alana Vitor Barbosa da Costa
- Central Public Health Laboratory of the State of Minas Gerais, Ezequiel Dias Foundation, 30510-010 Belo Horizonte, Minas Gerais, Brazil
| | - Chislene Pereira Vanelli
- Faculty of Medical Sciences and Health of Juiz de Fora - Suprema, 36033-003 Juiz de Fora, Minas Gerais, Brazil
| | | | - Tatiana Rozental
- Laboratory of Hantaviruses and Rickettsiosis, Oswaldo Cruz Foundation, 21040-900 Rio de Janeiro, Rio de Janeiro, Brazil
| | - Elba Regina Sampaio de Lemos
- Laboratory of Hantaviruses and Rickettsiosis, Oswaldo Cruz Foundation, 21040-900 Rio de Janeiro, Rio de Janeiro, Brazil
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15
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Penna ALB, Gigante ML, Todorov SD. Artisanal Brazilian Cheeses-History, Marketing, Technological and Microbiological Aspects. Foods 2021; 10:foods10071562. [PMID: 34359432 PMCID: PMC8307891 DOI: 10.3390/foods10071562] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2021] [Revised: 07/01/2021] [Accepted: 07/02/2021] [Indexed: 01/27/2023] Open
Abstract
This review focused on the historical, marketing, technological, and microbiological characteristics of artisanal Brazilian cheese. Brazilian cheese production was introduced and developed from the influence of immigrants considering the combination of climate, races of the animals, quality and specificity of milk, technological cheese-making processes and environmental microbiology, among other factors. It resulted in cheese products with specific physicochemical, microbiological, and sensory quality, which represent the heritage and identities of the different Brazilian regions. The production of artisanal cheese increased in many Brazilian regions, mainly in the southeast, especially due to the traditional production and innovative development of new varieties of cheese. The microbiological quality and safety of raw-milk artisanal cheese continues to be a concern and many studies have been focusing on this matter. Special attention needs to be given to the cheeses produced by raw milk, since numerous reports raised concerns related to their microbiological safety. This fact requires attention and the implementation of strict hygiene practices on the production and commercialization, besides appropriate governmental regulations and control. However, more studies on the relationship between technological processes and microbiological properties, which results in a superior culinary quality and safety of artisanal Brazilian cheeses, are needed.
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Affiliation(s)
- Ana Lucia Barretto Penna
- Department of Food Engineering and Technology, São Paulo State University—UNESP, São José do Rio Preto 15054-000, Brazil;
| | - Mirna Lucia Gigante
- Department of Food Technology, State University of Campinas, UNICAMP, Campinas 13083-862, Brazil;
| | - Svetoslav Dimitrov Todorov
- Department of Food Science and Experimental Nutrition, São Paulo University—USP, São Paulo 05508-000, Brazil
- ProBacLab, Department of Advanced Convergence, Handong Global University, Pohang, Gyeongbuk 37554, Korea
- Correspondence: ; Tel.: +82-10-3490-3152
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16
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Influence of the starter cultures and ripening on the physicochemical and sensory characteristics of Serro artisanal cheese. Int J Gastron Food Sci 2021. [DOI: 10.1016/j.ijgfs.2021.100331] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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17
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Epelboin L, Eldin C, Thill P, de Santi VP, Abboud P, Walter G, Melzani A, Letertre-Gibert P, Perez L, Demar M, Boutrou M, Fernandes J, Cermeño JR, Panizo MM, Vreden SG, Djossou F, Beillard E, de Waard JH, de Lemos ERS. Human Q Fever on the Guiana Shield and Brazil: Recent Findings and Remaining Questions. CURRENT TROPICAL MEDICINE REPORTS 2021; 8:173-182. [PMID: 34094813 PMCID: PMC8169413 DOI: 10.1007/s40475-021-00243-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/19/2021] [Indexed: 10/25/2022]
Abstract
Purpose of Review In this review, we report on the state of knowledge about human Q fever in Brazil and on the Guiana Shield, an Amazonian region located in northeastern South America. There is a contrast between French Guiana, where the incidence of this disease is the highest in the world, and other countries where this disease is practically non-existent. Recent Findings Recent findings are essentially in French Guiana where a unique strain MST17 has been identified; it is probably more virulent than those usually found with a particularly marked pulmonary tropism, a mysterious animal reservoir, a geographical distribution that raises questions. Summary Q fever is a bacterial zoonosis due to Coxiella burnetii that has been reported worldwide. On the Guiana Shield, a region mostly covered by Amazonian forest, which encompasses the Venezuelan State of Bolivar, Guyana, Suriname, French Guiana, and the Brazilian State of Amapá, the situation is very heterogeneous. While French Guiana is the region reporting the highest incidence of this disease in the world, with a single infecting clone (MST 117) and a unique epidemiological cycle, it has hardly ever been reported in other countries in the region. This absence of cases raises many questions and is probably due to massive under-diagnosis. Studies should estimate comprehensively the true burden of this disease in the region.
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Affiliation(s)
- Loïc Epelboin
- Infectious and Tropical Diseases Department, Centre Hospitalier de Cayenne Andrée Rosemon, Cayenne, French Guiana.,Centre d'Investigation Clinique (CIC INSERM 1424), Centre Hospitalier de Cayenne Andrée Rosemon, Cayenne, French Guiana.,Équipe EA 3593, Écosystèmes Amazoniens et Pathologie Tropicale (EPAT), Université de la Guyane, Cayenne, French Guiana
| | - Carole Eldin
- Aix-Marseille Université, IRD, AP-HM, SSA, VITROME, Marseille, France.,IHU-Méditerranée Infection, Marseille, France.,Centre de référence pour la prise en charge des maladies vectorielles à tiques, Marseille, France
| | - Pauline Thill
- Infectious and Tropical Diseases Department, Centre Hospitalier de Cayenne Andrée Rosemon, Cayenne, French Guiana.,Service Universitaire des Maladies Infectieuses et du Voyageur, Centre Hospitalier de Tourcoing, Tourcoing, France
| | - Vincent Pommier de Santi
- Aix-Marseille Université, IRD, AP-HM, SSA, VITROME, Marseille, France.,IHU-Méditerranée Infection, Marseille, France.,French Military Center for Epidemiology and Public Health, Marseille, France
| | - Philippe Abboud
- Infectious and Tropical Diseases Department, Centre Hospitalier de Cayenne Andrée Rosemon, Cayenne, French Guiana
| | - Gaëlle Walter
- Infectious and Tropical Diseases Department, Centre Hospitalier de Cayenne Andrée Rosemon, Cayenne, French Guiana
| | - Alessia Melzani
- Infectious and Tropical Diseases Department, Centre Hospitalier de Cayenne Andrée Rosemon, Cayenne, French Guiana
| | - Paule Letertre-Gibert
- Infectious and Tropical Diseases Department, Centre Hospitalier de Cayenne Andrée Rosemon, Cayenne, French Guiana
| | - Lucas Perez
- Infectious and Tropical Diseases Department, Centre Hospitalier de Cayenne Andrée Rosemon, Cayenne, French Guiana
| | - Magalie Demar
- Laboratoire Hospitalo-Universitaire de Parasitologie-Mycologie, Centre hospitalier de Cayenne Andrée Rosemon, Cayenne, French Guiana
| | - Mathilde Boutrou
- Infectious and Tropical Diseases Department, Centre Hospitalier de Cayenne Andrée Rosemon, Cayenne, French Guiana
| | - Jorlan Fernandes
- Laboratório de Hantaviroses e Rickettsioses, Instituto Oswaldo Cruz, FIOCRUZ, Rio de Janeiro, RJ Brazil
| | - Julman Rosiris Cermeño
- Departamento de Tuberculosis, Instituto de Biomedicina, Universidad Central de Venezuela, Caracas, Venezuela
| | - Maria Mercedes Panizo
- Mycology Department, National Institute of Hygiene Rafael Rangel, Caracas, Bolivarian Republic of Venezuela
| | - Stephen Gs Vreden
- Internal Medicine and Infectious Diseases, Academic Hospital Paramaribo, Paramaribo, Suriname
| | - Félix Djossou
- Infectious and Tropical Diseases Department, Centre Hospitalier de Cayenne Andrée Rosemon, Cayenne, French Guiana.,Équipe EA 3593, Écosystèmes Amazoniens et Pathologie Tropicale (EPAT), Université de la Guyane, Cayenne, French Guiana
| | - Emmanuel Beillard
- Laboratoire de Biologie Médicale, Institut Pasteur de la Guyane, Cayenne, French Guiana
| | - Jacobus H de Waard
- Departamento de Parasitología y Microbiología, Escuela de Ciencias de la Salud "Dr. Francisco Battistini Casalta" - Universidad de Oriente, Núcleo Bolívar, Venezuela
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