New Borrelia species detected in ixodid ticks in Oromia, Ethiopia

Surveillance of tick-borne pathogens in domestic dogs from Chad, Africa

BACKGROUND

Tick-borne pathogens are understudied among domestic animals in sub-Saharan Africa but represent significant threats to the health of domestic animals and humans. Specifically, additional data are needed on tick-borne pathogens in Chad, Africa. Surveillance was conducted among domestic dogs in Chad for selected tick-borne pathogens to measure (1) the prevalence of antibodies against Anaplasma spp., Borrelia burgdorferi, and Ehrlichia spp.; (2) the prevalence of infections caused by Hepatozoon spp., Ehrlichia canis, Anaplasma platys, and Babesia spp.; and (3) associations of pathogens with demographic, spatial, and temporal factors. Blood samples were collected from domestic dogs at three time points (May 2019, November 2019, June 2020) across 23 villages in southern Chad.

RESULTS

Of the 428 dogs tested with the IDEXX SNAP 4Dx test in May 2019, 86% (n = 370, 95% CI = 83-90%) were positive for antibodies to Ehrlichia spp., 21% (n = 88, 95% CI = 17-25%) were positive for antibodies to Anaplasma spp., and 0.7% (n = 3, 95% CI = 0.1-2%) were positive for antibodies to Borrelia burgdorferi. Four different pathogens were detected via PCR. Hepatozoon spp. were most commonly detected (67.2-93.4%, depending on the time point of sampling), followed by E. canis (7.0-27.8%), A. platys (10.1-22.0%), and Babesia vogeli (0.4-1.9%). Dogs were coinfected with up to three pathogens at a single time point, and coinfections were most common in May 2019 compared to November 2019 and May 2020.

CONCLUSIONS

Overall, this study provides new data about the epidemiology of tick-borne pathogens in domestic dogs in Chad, with potential implications for dog and human health.

Prevalence of tick-borne pathogens in Rhipicephalus species infesting domestic animals in Africa: A systematic review and meta-analysis

Rhipicephalus ticks transmit important tick-borne pathogens (TBPs) such as Anaplasma, Babesia, and Theileria spp. which cause major economic losses in livestock production and contribute to emerging zoonotic diseases. A vast amount of data is available based on the demonstration of these pathogens in various host tissues, with limited information on the prevalence of these TBPs and their vectors. Quantifying TBPs infection rates among Rhipicephalus spp. is essential for the effective control and management of TBDs in domestic animals and surveillance of emerging diseases in humans, as they have close social associations. This review summarizes the prevalence of TBPs in Rhipicephalus spp. from domestic animals of Africa. A thorough search was done in SCOPUS, Web of Knowledge, PubMed, Google Scholar, and library sources from 2000 to 2022. All research in Africa reporting TBPs infection rates in Rhipicephalus spp. were included in the selection criteria. The meta-analysis evaluated publication bias using funnel plots to analyze the observed heterogeneity and applied a quality effects model. Prevalence estimates were based on data from 46 studies reporting TBPs infection rates in Rhipicephalus spp. from northern and sub-Saharan Africa. Sub-group analysis was done by geographic region and tick genus. A total of 12,368 Rhipicephalus spp. collected from domestic animals in Africa were used in the meta-analysis. The quality effects model revealed a high degree of heterogeneity among studies on the various TBPs. The overall prevalence of detected TBPs such as Theileria spp. was 8% (95% CI: 3-15%), Rickettsia spp. 3% (95% CI: 0-9%), Ehrlichia spp. 7% (95% CI: 2-14%), Anaplasma spp. 8% (95% CI: 2-16%), Coxiella spp. 10% (95% CI: 1-26%) and Babesia spp. 6% (95% CI: 2-12%). Northern Africa had the highest prevalence of Anaplasma spp. 12% (95% CI: 3-25%) and Theileria spp. 16% (95% CI: 0-42%). Whilst West Africa had the highest prevalence for Ehrlichia spp. 12% (95% CI: 3-24%) and eastern Africa for Rickettsia spp. 8% (95% CI: 4-12%). This is a systematic and quantitative investigation of the various TBPs detected in Rhipicephalus tick vectors from domestic animal hosts in Africa. The findings demonstrate considerable species variation across the African continent and offer preliminary estimates of infection rates for the continent.

Comparative Analysis of Tick-Borne Relapsing Fever Spirochaetes from Ethiopia and Nigeria

Despite increasing reports of tick-borne diseases in Africa, remarkably, reports of tick-borne relapsing fever (TBRF) in Nigeria are lacking. Ornithodoros savignyi from Nigeria have been reported with the relapsing fever Candidatus Borrelia kalaharica. Conversely, in Ethiopia, the agent of relapsing fever is the louse-borne relapsing fever (LBRF) spirochaete Borrelia recurrentis with no TBRF reported to occur. A total of 389 Ornithodoros ticks, Ethiopia (N = 312) and Nigeria (N = 77), were sampled, together with 350 cattle, and 200 goat sera were collected from Nigeria. Samples were screened for Borrelia spp. by RT-PCR. Reactive samples were confirmed, then sequenced using flagellin B, 16S rRNA, and 16S-23S intergenic spacer region. The prevalence of Borrelia spp. in livestock was 3.8% (21/550) and 14% (3/21) after final molecular confirmation. Of 312 ticks from Ethiopia, 3.5% (11/312) were positive for Borrelia, with 36% (4/11) by conventional PCR. Sequencing revealed that the borreliae in soft ticks was C. B. kalaharica, whilst that found in animals was Borrelia theileri. Soft ticks were confirmed by sequencing 7% (22/312) and 12% (9/77) of the Ethiopian and Nigerian ticks, respectively. Phylogenetic analysis revealed that these were Ornithodoros savignyi. This is the first evidence of C. B. kalaharica in Ethiopia and demonstrates the co-existence of TBRF in a country endemic to LBRF. Important, this might cause a diagnostic challenge given that LBRF is predominantly diagnosed by microscopy, which cannot differentiate these two spirochaetes. Furthermore, we report B. theileri in ruminants in Nigeria, which may also be of veterinary and economic importance.

Epidemiological study on Ixodid tick infestation and tick borne haemopathogens on cattle in Awi Zone, northwest Ethiopia

BACKGROUND

Tick and tick borne haemopathogens are the main challenge of livestock production and productivity in Ethiopia particular in northwest Ethiopia due to favourable climate condition.

OBJECTIVES

The objectives of this study was to determining the prevalence of Ixodid tick infestation and tick borne haemopathogens on cattle, identifying the existing Ixodid tick species, assessing seasonal variation and major risk factors associated with tick infestation and tick borne haemopathogens.

METHODS

A cross-sectional study was conducted from December 2020 to july 2021 on Ixodid tick infestation and tick borne haemopathogens on cattle in the northwest Ethiopia. A toatal of 384 cattle were used for this study. Tick species were identified using morphological identification keys under a stereomicroscope. Thin blood smear examination were conducted to assess tick borne haemopathogens.

RESULTS

The overall prevalence of Ixodid tick infestation and tick borne haemopathogens were 45% and 3%, respectively. Babesia bigemina was the only haemoparasite detected in the present survey. Potential risk factors were investigated for their association with tick infestation and B. bigemina using logistic regression and chi-square test, respectively. Accordingly, age, body condition, agroecological systems and season were significantly (p < 0.05) associated with tick infestation whereas season and body condition were significantly (p < 0.05) associated with B. bigemina infection. A total seven tick species were identified. Amblyomma varigatum (55%) and Boophilus decoloratus (15.7%) were the predominant Ixodid tick species encountered. A total of 128 blood samples were collected from Jawi district and examined using thin blood smear. Of them, 3% were infected by the B. bigemina CONCLUSIONS: Tick infestation in this study was high and seems to play vital role for the reduction of production, productivity and for the transmission B. bigemina. Therefore, sound and effective tick control and prevention strategies are needed to mitigate the risk factors for tick infestation and B. bigemina infection in Ethiopia.

Molecular characterization of some equine vector-borne diseases and associated arthropods in Egypt

Equine vector-borne diseases (EVBDs) are emerging and re-emerging diseases, and most of them are zoonotic. This study aimed to investigate EVBDs in equines and associated arthropods (ticks and flies) from Egypt using molecular analyses, in addition to a preliminary characterization of associated ticks and flies by the matrix-assisted laser desorption/ionization time of flight (MALDI-TOF) and molecular techniques. In this study, 335 blood samples were obtained from equines that appeared to be in good health (320 horses and 15 donkeys) in Cairo and Beni Suef provinces, Egypt. From the same animals, 166 arthropods (105 sucking flies and 61 ticks) were collected. Ticks and flies were preliminary characterized by the MALDI-TOF and molecular tools. Quantitative PCR (qPCR) and standard PCR coupled with sequencing were performed on the DNA of equines, ticks, and flies to screen multiple pathogens. The MALDI-TOF and molecular characterization of arthropods revealed that louse fly (Hippobosca equina) and cattle tick (Rhipicephalus annulatus) infesting equines. Anaplasma platys-like (1.6%), Anaplasma marginale (1.6%), Candidatus Ehrlichia rustica (6.6%), a new Ehrlichia sp. (4.9%), and Borrelia theileri (3.3%) were identified in R. annulatus. Anaplasma sp. and Borrelia sp. DNAs were only detected in H. equina by qPCR. A. marginale, Anaplasma ovis, and Theileria ovis recorded the same low infection rate (0.6%) in donkeys, while horses were found to be infected with Theileria equi and a new Theileria sp. Africa with recorded prevalence rates of 1.2% and 2.7%, respectively. In conclusion, different pathogens were first detected such as A. platys-like, Candidatus E. rustica, and a new Ehrlichia sp. in R. annulatus; A. marginale, A. ovis, and T. ovis in donkeys; and a new Theileria sp. "Africa" in horses.

Etiologies of acute undifferentiated febrile illness at the emergency ward of the University of Gondar Hospital, Ethiopia

OBJECTIVE

Causes of acute febrile illness (AFI) often remain undetermined in developing countries, due to overlap of symptoms and limited available diagnostics. We aimed to assess the etiology of AFI in adults in a referral hospital in northwest Ethiopia.

METHODS

While all participants were tested for malaria by rapid diagnostic test (RDT), microscopy was only done on physician's request. Dengue virus (DENV) infections were detected using an RDT and ELISAs and dengue, yellow fever and chikungunya cases were identified by PCR. Bacterial etiologies were investigated using blood culture and PCR.

RESULTS

The etiology of acute infection was identified for 20.5% of 200 patients enrolled. 11.0% tested positive for Plasmodium, while microscopy was only requested for half of the identified malaria cases. For 4.0% of the Plasmodium-infected patients, an acute or past DENV (co-)infection was detected. We found 7.5% acute and 13.0% past DENV - all serotype 3 - infections. Bacterial infections were observed in 4.5% of the patients.

CONCLUSION

Malaria is still a considerable etiology of AFI and dengue is underrecognized. There are areas where both diseases occur concomitantly, and the DENV-3 serotype spreads from Sudan to northern Ethiopia. As only 20.5% of the etiologies were identified, a broader testing platform is required.

Borreliae Part 2: Borrelia Relapsing Fever Group and Unclassified Borrelia

Borreliae of the relapsing fever group (RFG) are heterogenous and can be divided mainly into three groups according to vectors, namely the soft-tick-borne relapsing fever (STBRF) Borreliae, the hard-tick-borne relapsing fever (HTBRF) Borreliae, the louse-borne relapsing fever (LBRF) Borreliae, and the avian relapsing fever ones. With respect to the geographical distribution, the STBRF Borreliae are further subdivided into Old World and New World strains. Except for the Avian relapsing fever group Borreliae, which cause avian spirochetosis, all the others share infectivity in humans. They are indeed the etiological agent of both endemic and epidemic forms of relapsing fever, causing high spirochaetemia and fever. Vectors are primarily soft ticks of Ornithodoros spp. in the STBRF group; hard ticks, notably Ixodes sp., Amblyomma sp., Dermacentor sp., and Rhipicephalus sp., in the HTBRF group; and the louse pediculus humanus humanus in the TBRF one. A recent hypothesis was supported for a common ancestor of RFG Borreliae, transmitted at the beginning by hard-body ticks. Accordingly, STBRF Borreliae switched to use soft-bodied ticks as a vector, which was followed by the use of lice by Borrelia recurrentis. There are also new candidate species of Borreliae, at present unclassified, which are also described in this review.

Identification and Prevalence of Ixodid Ticks of Cattle in case of Haramaya Eastern Hararghe, Ethiopia

A cross-sectional study was conducted from December 2017 to April 2018 to determine the prevalence and identify major species of ixodid ticks of cattle and tick burden of different sex, age, breed, and body condition of cattle. Standard physical and direct stereomicroscopy techniques were employed for identification of tick species. During the study period, a total of 353 cattle were examined for presence of ticks and around 447 ticks were collected. The study showed that 34.3% cattle were infested with one or more tick species. The study reported different species of ticks in the order of their prevalence: A. variegatum (46.3%), Rh. decoloratus (20.1%), A. cohaerens (15.7%), A. gemma (11.9%), and Rh. pulchellus (6.04%), respectively. The prevalence of tick infestation between different risk factors such as sex, age, and body condition of cattle was statistically significant (p < 0.05). The overall male-to-female ratio of ticks was 2.29 : 1. Also, it was reported that, in A. variegatum, A. cohaerens, and A. gemma, the number of male exceeded that of female, but female number exceeded male number in case of Rh. decoloratus. The result also reported difference in attachment site preference, for example, Amblyomma genus was attached mostly to the scrotum/udder and axial and Rh. pulchellus was specified on the ear and perianal area, while Rh. decoloratus was non site selective. In conclusion, findings of this study suggest that ticks were the most important problems of cattle of the study areas. Therefore, the increasing threat of ticks warrants urgent strategic control including application of acaricides and creation of awareness among livestock owners about the veterinary importance of ticks for the integrated tick control.

Upscaling the Surveillance of Tick-borne Pathogens in the French Caribbean Islands

Despite the high burden of vector-borne disease in (sub)tropical areas, few information are available regarding the diversity of tick and tick-borne pathogens circulating in the Caribbean. Management and control of vector-borne disease require actual epidemiological data to better assess and anticipate the risk of (re)emergence of tick-borne diseases in the region. To simplify and reduce the costs of such large-scale surveys, we implemented a high-throughput microfluidic real-time PCR system suitable for the screening of the main bacterial and parasitic genera involved in tick-borne disease and potentially circulating in the area. We used the new screening tool to perform an exploratory epidemiological study on 132 adult specimens of Amblyomma variegatum and 446 of Rhipicephalus microplus collected in Guadeloupe and Martinique. Not only the system was able to detect the main pathogens of the area-Ehrlichia ruminantium, Rickettsia africae, Anaplasma marginale, Babesia bigemina and Babesia bovis-but the system also provided evidence of unsuspected microorganisms in Caribbean ticks, belonging to the Anaplasma, Ehrlichia, Borrelia and Leishmania genera. Our study demonstrated how high-throughput microfluidic real-time PCR technology can assist large-scale epidemiological studies, providing a rapid overview of tick-borne pathogen and microorganism diversity, and opening up new research perspectives for the epidemiology of tick-borne pathogens.

Relapsing Fevers: Neglected Tick-Borne Diseases

Relapsing fever still remains a neglected disease and little is known on its reservoir, tick vector and physiopathology in the vertebrate host. The disease occurs in temperate as well as tropical countries. Relapsing fever borreliae are spirochaetes, members of the Borreliaceae family which also contain Lyme disease spirochaetes. They are mainly transmitted by Ornithodoros soft ticks, but some species are vectored by ixodid ticks. Traditionally a Borrelia species is associated with a specific vector in a particular geographical area. However, new species are regularly described, and taxonomical uncertainties deserve further investigations to better understand Borrelia vector/host adaptation. The medical importance of Borrelia miyamotoi, transmitted by Ixodes spp., has recently spawned new interest in this bacterial group. In this review, recent data on tick-host-pathogen interactions for tick-borne relapsing fevers is presented, with special focus on B. miyamotoi.

Emerging Tick-Borne Bacterial Pathogens

A vast number of novel tick-related microorganisms and tick-borne disease agents have been identified in the past 20 years, and more are being described due to several factors, from the curiosity of clinicians faced with unusual clinical syndromes to new tools used by microbiologists and entomologists. Borrelioses, ehrlichioses, anaplasmosis, and tick-borne rickettsial diseases are some of the emerging diseases that have been described throughout the world in recent years. In this article, we focus on the bacterial agents and diseases that have been recognized in the past 3 years and refer to major recent reviews of other recognized infections.

Lyme disease: the promise of Big Data, companion diagnostics and precision medicine

Lyme disease caused by the spirochete Borrelia burgdorferi has become a major worldwide epidemic. Recent studies based on Big Data registries show that >300,000 people are diagnosed with Lyme disease each year in the USA, and up to two-thirds of individuals infected with B. burgdorferi will fail conventional 30-year-old antibiotic therapy for Lyme disease. In addition, animal and human evidence suggests that sexual transmission of the Lyme spirochete may occur. Improved companion diagnostic tests for Lyme disease need to be implemented, and novel treatment approaches are urgently needed to combat the epidemic. In particular, therapies based on the principles of precision medicine could be modeled on successful "designer drug" treatment for HIV/AIDS and hepatitis C virus infection featuring targeted protease inhibitors. The use of Big Data registries, companion diagnostics and precision medicine will revolutionize the diagnosis and treatment of Lyme disease.

Emerging borreliae - Expanding beyond Lyme borreliosis

Lyme borreliosis (or Lyme disease) has become a virtual household term to the exclusion of other forgotten, emerging or re-emerging borreliae. We review current knowledge regarding these other borreliae, exploring their ecology, epidemiology and pathological potential, for example, for the newly described B. mayonii. These bacteria range from tick-borne, relapsing fever-inducing strains detected in some soft ticks, such as B. mvumii, to those from bat ticks resembling B. turicatae. Some of these emerging pathogens remain unnamed, such as the borrelial strains found in South African penguins and some African cattle ticks. Others, such as B. microti and unnamed Iranian strains, have not been recognised through a lack of discriminatory diagnostic methods. Technical improvements in phylogenetic methods have allowed the differentiation of B. merionesi from other borrelial species that co-circulate in the same region. Furthermore, we discuss members that challenge the existing dogma that Lyme disease-inducing strains are transmitted by hard ticks, whilst the relapsing fever-inducing spirochaetes are transmitted by soft ticks. Controversially, the genus has now been split with Lyme disease-associated members being transferred to Borreliella, whilst the relapsing fever species retain the Borrelia genus name. It took some 60 years for the correlation with clinical presentations now known as Lyme borreliosis to be attributed to their spirochaetal cause. Many of the borreliae discussed here are currently considered exotic curiosities, whilst others, such as B. miyamotoi, are emerging as significant causes of morbidity. To elucidate their role as potential pathogenic agents, we first need to recognise their presence through suitable diagnostic approaches.

Morphological, molecular and MALDI-TOF mass spectrometry identification of ixodid tick species collected in Oromia, Ethiopia

Matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) technology has recently been reported as a promising method for arthropods identification. More recently, our laboratory reported the correct identification of tick species via the MALDI-TOF MS protein spectra profiling of legs from fresh specimens. The aim of the present study was to assess the use of MALDI-TOF MS for correct identification of ixodid tick species preserved in 70 % ethanol during field collection in Ethiopia. Following morphological identification of 12 tick species, the legs from 85 tick specimens were subjected to MALDI-TOF MS. Spectral analysis revealed an intra-species reproducibility and inter-species specificity that were consistent with the morphological classification. To support the results of the MALDI-TOF MS tick species identification, 41 tick specimens comprising 3 to 5 specimens per tick species were used to create a reference spectra database, which was evaluated using the spectra of the 44 remaining tick specimens. The blind tests revealed that 100 % of the tick specimens studied by MALDI-TOF MS were correctly identified. A relevant Log score value (LSV) of >1.8 was recorded for all of the tick species studied by MALDI-TOF MS, except for Rhipicephalus praetextatus. The morphological and MALDI-TOF MS identifications were confirmed by sequencing the 12S ribosomal RNA (rRNA) gene of 40 tick specimens belonging to 11 ixodid species. Taken together, the results of the present study indicate that MALDI-TOF MS is a reliable tool for tick species identification, even after preservation in ethanol, provided that a reference spectra database is built from specimens that represent the respective species stored under the same conditions.

Endemic status of tick-borne infections and tick species diversity among transhumant zebu cattle in Karamoja Region, Uganda: Support for control approaches

We conducted a study to investigate tick species diversity, seroprevalence of antibodies to Anaplasma marginale and Theileria parva, and the risk factors for these infections among cattle under a transhumant production system in Karamoja Region, Uganda, from November 2013 through January 2014. Twenty herds were randomly selected from 20 purposively-selected superherds. Semi-structured interviews and piling for annual proportion of tick-borne disease (TBD) cases in different age groups, with pastoralist groups, clinical examinations and field observations were employed to obtain information related to the epidemiology of TBDs. Ticks were collected and identified from whole body inspections of at least seven systematically selected cattle in each herd. Concurrently, serum was collected from 397 cattle. Antibodies to A. marginale were detected by MSP-5 competitive inhibition enzyme-linked immunosorbent assay, and to T. parva by indirect fluorescent antibody test. Clinical examinations and informant interviews showed that TBDs affected all age groups of cattle. Tick species that have not been reported in recent studies from other parts of Uganda were collected, namely Amblyomma lepidum, Hyalomma truncatum, Amblyomma gemma, and Rhipicephalus pulchellus. Out of the 10,923 ticks collected, Rhipicephalus appendiculatus (54.4%) was the most abundant species followed by Rhipicephalus (Boophilus) decoloratus (17.7%), Amblyomma variegatum (12%) and A. lepidum (11.6%). Two-thirds of the sampled cattle had moderate (37.3%, 11-50 ticks) to abundant (28.6%, >50 ticks) numbers of ticks. Seroprevalence of A. marginale was high (86.6%, 95% confidence interval [CI] 80.8%-91.8%), while that of T. parva was low (14.6%, 95% CI 7.1%-22.4%). Cattle of 5-12months (18.3%, Odds ratio [OR]=4.1) and 13-24months (30.3%, OR=8.0) were more likely to be seropositive for T. parva than those >24months. For A. marginale, cattle of 13-24months (92.4%, OR=2.7) and >24months (89.7%, OR=2.0) were more likely to be seropositive than those 5-12months. There was a significant difference (p<0.001, OR=6.5) in the proportion of T. parva seropositive animals between Moroto (24.5%) and Kotido districts (4.8%), but not for A. marginale. In conclusion, the low seroprevalence for T. parva, possibly due to limited exposure in calves, may suggest a high likelihood of ECF in cattle. High seroprevalence for A. marginale suggests that a high proportion of cattle were exposed to infection. The findings provide knowledge of epidemiology of TBDs in Karamoja cattle and support for strategic control and improvement of cattle productivity.

Relapsing Fever Borreliae: A Global Review

Relapsing fever borreliae were notorious and feared infectious agents that earned their place in history through their devastating impact as causes of both epidemic and endemic infection. They are now considered more as an oddity, and their burden of infection is largely overshadowed by other infections such as malaria, which presents in a similar clinical way. Despite this, they remain the most common bacterial infection in some developing countries. Transmitted by soft ticks or lice, these fascinating spirochetes have evolved a myriad of mechanisms to survive within their diverse environments.