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Hughes L, Visser S, Heddema E, de Smet N, Linssen T, Wijdh RJ, Huis in ’t Veld R. Zoonotic transmission of Chlamydia felis from domestic cats; A case series of chronic follicular conjunctivitis in humans. New Microbes New Infect 2024; 59:101412. [PMID: 38660577 PMCID: PMC11040131 DOI: 10.1016/j.nmni.2024.101412] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2024] [Revised: 04/05/2024] [Accepted: 04/08/2024] [Indexed: 04/26/2024] Open
Abstract
We present three cases of chronic follicular conjunctivitis resulting from the zoonotic transmission of Chlamydia felis from domestic cats. Our objective is to raise awareness regarding the potential zoonotic transmission of Chlamydia felis from domestic cats and describe the methodology for definitive pathogen identification using Polymerase Chain Reaction (PCR) and subsequent sequence analysis, a useful tool in the identification of these rare pathogens. We discuss the factors that could be contributing to the potential under-diagnosis of zoonotic C. felis infections and propose a treatment regime for cases of C. felis-related conjunctivitis.
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Affiliation(s)
- Laura Hughes
- University Medical Centre Groningen, Department of Medical Microbiology, Groningen, the Netherlands
| | - Stijn Visser
- University Medical Centre Groningen, Department of Ophthalmology, Groningen, the Netherlands
| | - Edou Heddema
- Zuyderland Medical Centre, Department of Medical Microbiology, Sittard-Geleen, Heerlen, the Netherlands
| | - Nicole de Smet
- Zuyderland-Eyescan BV, Department of Ophthalmology, Zuyderland Medical Center, Sittard-Geleen, the Netherlands
| | - Tim Linssen
- Huisartsenpraktijk Urmond, Urmond, the Netherlands
| | - Robert Jan Wijdh
- University Medical Centre Groningen, Department of Ophthalmology, Groningen, the Netherlands
| | - Robert Huis in ’t Veld
- University Medical Centre Groningen, Department of Medical Microbiology, Groningen, the Netherlands
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Tîrziu A, Herman V, Imre K, Degi DM, Boldea M, Florin V, Bochiș TA, Adela M, Degi J. Occurrence of Chlamydia spp. in Conjunctival Samples of Stray Cats in Timișoara Municipality, Western Romania. Microorganisms 2022; 10:microorganisms10112187. [PMID: 36363779 PMCID: PMC9693150 DOI: 10.3390/microorganisms10112187] [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: 09/28/2022] [Revised: 10/12/2022] [Accepted: 11/01/2022] [Indexed: 11/06/2022] Open
Abstract
Despite the widespread public health concern about stray cats serving as reservoirs for zoonotic agents, little is known about the effect of urban and peri-urban landscapes on exposure risk. We conducted this study to monitor the presence of Chlamydia spp. in stray cats, with or without conjunctivitis, living in Timișoara Municipality, Western Romania, using staining and PCR methods. A total of 95 cats were enrolled, and conjunctival samples were harvested from 68 clinically healthy cats and another 27 cats presenting with clinical signs of conjunctivitis. Overall, we found that 65.3% (62/95) of the cats tested positive for Chlamydia spp. by PCR. Chlamydia spp. were detected in 45/95 conjunctival samples using a standard Giemsa stain, compared with 62/95 using PCR (Cohen’s kappa index = 0.308; p = 0.0640). Of the cats that tested positive by PCR, 72.6% (45/62) were asymptomatic, and another 27.4% (17/62) expressed clinical signs of conjunctivitis. We found no significant difference between (p > 0.05) the distribution of infection and the recorded epidemiological data (sex, breed, age, territorial distribution, or sampling season). However, the Chlamydia spp. detection frequency was significantly higher in asymptomatic than in symptomatic cats (p = 0.0383). The obtained results increase the level of concern and awareness about the possible zoonotic potential of this pathogen and highlight that urban stray cats can be essential sources of feline chlamydiosis.
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Affiliation(s)
- Andreea Tîrziu
- Ophthalmology Department, “Victor Babes” University of Medicine and Pharmacy, Piața Eftimiu Murgu No. 2, 300041 Timisoara, Romania
| | - Viorel Herman
- Department of Infectious Diseases and Preventive Medicine, Faculty of Veterinary Medicine, University of Life Science “King Michael I” from Timișoara, 300645 Timisoara, Romania
| | - Kálmán Imre
- Department of Public Health, Faculty of Veterinary Medicine, University of Life Science “King Michael I” from Timișoara, 300645 Timisoara, Romania
| | - Diana Maria Degi
- Department of Pharmacology and Pharmacy, Faculty of Veterinary Medicine, University of Life Science “King Michael I” from Timișoara, 300645 Timisoara, Romania
| | - Marius Boldea
- Department of Exact Sciences, Faculty of Agriculture, University of Life Science “King Michael I” from Timișoara, 300645 Timisoara, Romania
| | - Vlad Florin
- Department of Infectious Diseases and Preventive Medicine, Faculty of Veterinary Medicine, University of Life Science “King Michael I” from Timișoara, 300645 Timisoara, Romania
| | - Timea Andrea Bochiș
- Department of Semiology—Preclinical I, Faculty of Veterinary Medicine, University of Life Science “King Michael I” from Timișoara, 300645 Timisoara, Romania
| | - Marcu Adela
- Department of Animal Production Engineering, Faculty of Bioengineering of Animal Recourses, University of Life Science “King Michael I” from Timișoara, 300645 Timisoara, Romania
| | - János Degi
- Department of Infectious Diseases and Preventive Medicine, Faculty of Veterinary Medicine, University of Life Science “King Michael I” from Timișoara, 300645 Timisoara, Romania
- Correspondence:
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Marti H, Jelocnik M. Animal Chlamydiae: A Concern for Human and Veterinary Medicine. Pathogens 2022; 11:pathogens11030364. [PMID: 35335688 PMCID: PMC8951289 DOI: 10.3390/pathogens11030364] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2022] [Accepted: 03/14/2022] [Indexed: 11/28/2022] Open
Affiliation(s)
- Hanna Marti
- Institute of Veterinary Pathology, Vetsuisse-Faculty University of Zurich, 8057 Zurich, Switzerland
- Correspondence: (H.M.); (M.J.)
| | - Martina Jelocnik
- Centre for Bioinnovation, University of the Sunshine Coast, Sippy Downs 4556, Australia
- Correspondence: (H.M.); (M.J.)
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