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de Souza VL, Costa FB, Martins TF, de Oliveira PR, Lima J, Guimarães DP, Dos Santos EA, de Moura-Martiniano NO, Sato TP, Borsoi ABP, Bitencourth K, Souza JRLD, Gazeta GS, Guilherme E, Santos FGDA. Detection of Rickettsia tamurae-like and other spotted fever group rickettsiae in ticks (Acari: Ixodidae) associated with wild birds in the Western Amazon, Brazil. Ticks Tick Borne Dis 2023; 14:102182. [PMID: 37100028 DOI: 10.1016/j.ttbdis.2023.102182] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2021] [Revised: 04/05/2023] [Accepted: 04/08/2023] [Indexed: 04/28/2023]
Abstract
Ticks are vectors for several pathogens, including bacteria belonging to the Rickettsia genus, such as Rickettsia rickettsii and Rickettsia parkeri, the causative agents of spotted fever. The aim of the present study was to investigate the tick species richness and rickettsial agents associated with wild birds captured in the Humaita Forest Reserve, Acre, in the Western Amazon region. Wild birds were captured with ornithological nets for visual inspection with the purpose of collecting ticks, which were identified through morphological analyses and molecular tests for several genes (12S rDNA, 16S rDNA, gltA, ompA, and sca4). A total of 607 wild birds were captured, 12% of which were parasitized by 268 ticks of the Amblyomma genus, with new host-parasite associations reported for Amblyomma calcaratum, Amblyomma geayi, Amblyomma longirostre, Amblyomma naponense, Amblyomma nodosum, and Amblyomma varium. Of the total ticks collected, 113 were tested for the presence of rickettsial DNA fragments, with 19 testing positive for R. parkeri in A. geayi, Rickettsia tamurae-like in Amblyomma sp., and Rickettsia amblyommatis in A. geayi, A. longirostre, and Amblyomma sp. We detected R. tamurae-like in Amblyomma larvae for the first time in the Western Brazilian Amazon biome, and registered spotted fever group rickettsiae, although the relevance of the detected species in a public health context should be further explored in South America, as well as new host-parasite interactions in this underexplored region.
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Affiliation(s)
- Vanessa Lima de Souza
- Programa de Pós-graduação em Sanidade e Produção Animal Sustentável na Amazônia Ocidental, Universidade Federal do Acre, Rio Branco, AC, Brazil; Laboratório de Ornitologia, Centro de Ciências Biológicas e da Natureza, Universidade Federal do Acre, Rio Branco, AC, Brazil.
| | - Francisco Borges Costa
- Programa de Pós-graduação em Ciência Animal, Universidade Estadual do Maranhão, São Luís, MA, Brazil
| | - Thiago Fernandes Martins
- Departamento de Medicina Veterinária Preventiva e Saúde Animal, Faculdade de Medicina Veterinária e Zootecnia, Universidade de São Paulo, São Paulo, SP, Brazil; Departamento de Laboratórios Especializados, Superintendência de Controle de Endemias, Secretaria de Estado da Saúde de São Paulo, São Paulo, SP, Brazil
| | - Patricia Rosa de Oliveira
- Programa de Pós-graduação em Química, Centro de Ciências Exatas e Tecnologia, Universidade Federal do Maranhão, São Luís, MA, Brazil; Programa de Pós-graduação em Biociências, Instituto Multidisciplinar em Saúde, Universidade Federal da Bahia, Vitória da Conquista, BA, Brazil
| | - Jonatas Lima
- Laboratório de Ornitologia, Centro de Ciências Biológicas e da Natureza, Universidade Federal do Acre, Rio Branco, AC, Brazil
| | - David Pedroza Guimarães
- Laboratório de Ornitologia, Centro de Ciências Biológicas e da Natureza, Universidade Federal do Acre, Rio Branco, AC, Brazil
| | - Ednaira Alencar Dos Santos
- Laboratório de Ornitologia, Centro de Ciências Biológicas e da Natureza, Universidade Federal do Acre, Rio Branco, AC, Brazil
| | - Nicole Oliveira de Moura-Martiniano
- Laboratório de Carrapatos e outros Artrópodes Ápteros - Referência Nacional em Vetores das Rickettsioses, Instituto Oswaldo Cruz/Fiocruz, Rio de Janeiro, RJ, Brazil
| | - Tayra Pereira Sato
- Laboratório de Carrapatos e outros Artrópodes Ápteros - Referência Nacional em Vetores das Rickettsioses, Instituto Oswaldo Cruz/Fiocruz, Rio de Janeiro, RJ, Brazil
| | - Ana Beatriz Pais Borsoi
- Laboratório de Carrapatos e outros Artrópodes Ápteros - Referência Nacional em Vetores das Rickettsioses, Instituto Oswaldo Cruz/Fiocruz, Rio de Janeiro, RJ, Brazil
| | - Karla Bitencourth
- Laboratório de Carrapatos e outros Artrópodes Ápteros - Referência Nacional em Vetores das Rickettsioses, Instituto Oswaldo Cruz/Fiocruz, Rio de Janeiro, RJ, Brazil
| | | | - Gilberto Salles Gazeta
- Laboratório de Carrapatos e outros Artrópodes Ápteros - Referência Nacional em Vetores das Rickettsioses, Instituto Oswaldo Cruz/Fiocruz, Rio de Janeiro, RJ, Brazil
| | - Edson Guilherme
- Laboratório de Ornitologia, Centro de Ciências Biológicas e da Natureza, Universidade Federal do Acre, Rio Branco, AC, Brazil; Centro de Ciências Biológicas e da Natureza, Universidade Federal do Acre, Rio Branco, AC, Brazil
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Santos FBD, Gazeta GS, Correa LL, Lobão LF, Palmer JP, Dib LV, Damasceno JAL, Moura-Martiniano NO, Bastos OMP, Uchôa CMA, Barbosa ADS. Molecular evaluation of piroplasms and hematological changes in canine blood stored in a clinical laboratory in Niterói, Rio de Janeiro. ACTA ACUST UNITED AC 2020; 29:e012420. [PMID: 32756775 DOI: 10.1590/s1984-29612020057] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2020] [Accepted: 06/10/2020] [Indexed: 11/21/2022]
Abstract
Piroplasm species were analyzed by molecular tools in total 31 blood samples from positive dogs, previously checked by stained slides, stored until DNA extraction between 2016 to 2018 in the laboratory Clinical Analyzes in Niterói, Rio de Janeiro. The piroplasms were identified by PCR, targeting the 18S rRNA gene and sequencing. From the total number of samples only 24 (77.4%) were positive and show adequate nucleotide sequences for interpretation with identity between 93%-100% with Babesia vogeli in compared to the sequences isolated of infected dogs from other states in Brazil deposited on GenBank. Most of dogs infected with B. vogeli had anemia (62.5%) and thrombocytopenia (95.8%). The findings of this study are compatible with previous reports in the literature and highlight B. vogeli as the most incriminated species in canine piroplasmosis in Brazil, and thrombocytopenia the hematological alteration most frequently identified in this infection. It is important to note that this is the first study involving the molecular characterization of piroplasms in the metropolitan region of Rio de Janeiro, based on PCR followed by sequencing.
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Affiliation(s)
- Fernanda Barbosa Dos Santos
- Departamento de Microbiologia e Parasitologia, Instituto Biomédico, Universidade Federal Fluminense - UFF, Niterói, RJ, Brasil
| | - Gilberto Salles Gazeta
- Laboratório de Referência Nacional em Vetores das Riquetsioses, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz - Fiocruz, Rio de Janeiro, RJ, Brasil
| | - Laís Lisboa Correa
- Departamento de Microbiologia e Parasitologia, Instituto Biomédico, Universidade Federal Fluminense - UFF, Niterói, RJ, Brasil
| | - Lucas Fernandes Lobão
- Departamento de Microbiologia e Parasitologia, Instituto Biomédico, Universidade Federal Fluminense - UFF, Niterói, RJ, Brasil
| | - João Pedro Palmer
- Departamento de Microbiologia e Parasitologia, Instituto Biomédico, Universidade Federal Fluminense - UFF, Niterói, RJ, Brasil
| | - Laís Verdan Dib
- Departamento de Microbiologia e Parasitologia, Instituto Biomédico, Universidade Federal Fluminense - UFF, Niterói, RJ, Brasil.,Laboratório de Toxoplasmose e outras Protozooses, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz - Fiocruz, Rio de Janeiro, Brasil
| | | | - Nicole Oliveira Moura-Martiniano
- Laboratório de Referência Nacional em Vetores das Riquetsioses, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz - Fiocruz, Rio de Janeiro, RJ, Brasil
| | - Otilio Machado Pereira Bastos
- Departamento de Microbiologia e Parasitologia, Instituto Biomédico, Universidade Federal Fluminense - UFF, Niterói, RJ, Brasil
| | - Claudia Maria Antunes Uchôa
- Departamento de Microbiologia e Parasitologia, Instituto Biomédico, Universidade Federal Fluminense - UFF, Niterói, RJ, Brasil
| | - Alynne da Silva Barbosa
- Departamento de Microbiologia e Parasitologia, Instituto Biomédico, Universidade Federal Fluminense - UFF, Niterói, RJ, Brasil.,Laboratório de Toxoplasmose e outras Protozooses, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz - Fiocruz, Rio de Janeiro, Brasil
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Silva AF, Caetano RL, Carriço C, Amorim M, Gazeta GS, Pinto ZT. Rhizoglyphus echinopus (Acari: Acaridae) associated with Atta sexdens (Insecta: Formicidae). Arq Inst Biol 2020. [DOI: 10.1590/1808-1657000692019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Four deutonymphs of bulb mites (hypopus) from Rhizoglyphus echinopus (Fumouze & Robin) (Acari: Acaridae) were found attached to the head of Atta sexdens in Rio de Janeiro, Brazil. This mite species is commonly associated with ornamental plants and trees with bulbs, corms and tubers. The results of this study provided an insight into the phoretic relationship between mites and ants, indicating the role of the latter in the dispersion of the first. Despite the abundant and diverse mite fauna existing in ants, little is known about their diversity, biology, ecology and the nature of their associations.
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Affiliation(s)
| | - Rebecca Leal Caetano
- Universidade Estácio de Sá, Brazil; Instituto Oswaldo Cruz – Laboratório de Educação em Ambiente e Saúde, Brazil
| | - Cesar Carriço
- Instituto Brasileiro de Medicina de Reabilitação, Brazil; Instituto Oswaldo Cruz – Laboratório de Educação em Ambiente e Saúde, Brazil
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de Oliveira SV, Bitencourth K, Borsoi ABP, de Freitas FSS, Castelo Branco Coelho G, Amorim M, Gazeta GS. Human parasitism and toxicosis by Ornithodoros rietcorreai (Acari: Argasidae) in an urban area of Northeastern Brazil. Ticks Tick Borne Dis 2018; 9:1494-1498. [PMID: 30054213 DOI: 10.1016/j.ttbdis.2018.07.011] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2018] [Revised: 07/14/2018] [Accepted: 07/21/2018] [Indexed: 11/16/2022]
Abstract
The soft tick, Ornithodoros rietcorreai, is a parasite of the rodent, Kerodon rupestris, and, to a lesser extent, of bats living in rock cavities in Northeastern Brazil. This report describes the first recorded episodes of human parasitism by this argasid tick, reported to the Brazilian Ministry of Health in September 2017. We assessed outdoor environments, roofs, animal nests and chicken coops in five houses located in an urban area of Russas City, Ceará State, Brazil. Our results confirmed the presence of the tick in two of the assessed houses. The collected specimens were molecularly identified as O. rietcorreai. Of the ten individuals living in the investigated properties, three reported being parasitized by ticks. Although O. rietcorreai ticks were recovered from the evaluated houses, the primary hosts for the ticks were not identified. The retrospective medical records of parasitized individuals reported the following: local pruritus 3/3, malaise 3/3, local edema and erythema 3/3, local rash 3/3, local pain 3/3, slow lesion healing 3/3 and paresthesia 1/3. One of the individuals reported four parasitism episodes (March, June, July and August 2017) and required medical attention and the administration of anti-allergy and anti-inflammatory drugs. The aforementioned reports were the first to address human parasitism, with subsequent toxicosis, by this tick species in Brazilian urban areas. Attention was drawn to the potential consequences of such episodes to the health of previously exposed individuals.
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Affiliation(s)
- Stefan Vilges de Oliveira
- Faculty of Medicine, Federal University of Uberlandia, Uberlândia, MG, Brazil; National Reference Laboratory for Rickettsial Disease Vectors, Oswaldo Cruz Foundation, Rio de Janeiro, RJ, Brazil; Health Surveillance Secretariat of the Health Ministry, Brasilia, DF, Brazil.
| | - Karla Bitencourth
- National Reference Laboratory for Rickettsial Disease Vectors, Oswaldo Cruz Foundation, Rio de Janeiro, RJ, Brazil
| | - Ana Beatriz Pais Borsoi
- National Reference Laboratory for Rickettsial Disease Vectors, Oswaldo Cruz Foundation, Rio de Janeiro, RJ, Brazil
| | | | | | - Marinete Amorim
- National Reference Laboratory for Rickettsial Disease Vectors, Oswaldo Cruz Foundation, Rio de Janeiro, RJ, Brazil
| | - Gilberto Salles Gazeta
- National Reference Laboratory for Rickettsial Disease Vectors, Oswaldo Cruz Foundation, Rio de Janeiro, RJ, Brazil
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Silva AB, Cardoso KM, de Oliveira SV, Costa RMF, Oliveira G, Amorim M, Alves LC, Monteiro MFM, Gazeta GS. Rickettsia amblyommatis infecting Amblyomma pseudoconcolor in area of new focus of spotted fever in northeast Brazil. Acta Trop 2018; 182:305-308. [PMID: 29545159 DOI: 10.1016/j.actatropica.2018.03.005] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2017] [Revised: 03/07/2018] [Accepted: 03/10/2018] [Indexed: 11/18/2022]
Abstract
In Brazil, active infections of Rickettsia spp. is confirmed in all regions, involving various species of ticks. During investigation of a new focus of Spotted Fever (SF) incidence in the state of Pernambuco, northeastern Brazil, tick species Rhipicephalus sanguineus sensu lato (Latreille), and Amblyomma pseudoconcolor were collected from one Canis familiaris and four Euphractus sexcinctus, respectively, and analized for the presence of rickettsial genes. Ten A. pseudoconcolor ticks (90.9%) were found to be infected with Rickettsia, whereas no evidence of Rickettsia spp. was found in R. sanguineus s. l. Genetic analysis based of five rickettsial genes showed that the detected strain is most closely related to Rickettsia amblyommatis (formerly Candidatus Rickettsia amblyommii). R. amblyommatis was, for the first time, detected in Amblyomma pseudoconcolor and the results pointed to this tick like a potential vector in the enzootic cycle of R. amblyommatis in a typical semiarid Brazilian savannah region. In conclusion, despite the need for further studies to confirm if R. amblyommatis was responsible for the observed case in the state of Pernambuco, the presence of this bacterium during an SF focussed investigation should be a major concern in terms of public health due the capacity of SF for rapid and extensive dispersion within Brazilian territory.
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Affiliation(s)
- Arannadia Barbosa Silva
- Fundação Oswaldo Cruz/Instituto Oswaldo Cruz/(FIOCRUZ/IOC), Laboratório de Referência Nacional em Vetores das Riquetsioses (LIRN), Rio de Janeiro, RJ, Brazil; Universidade CEUMA - UNICEUMA, Imperatriz, MA, Brazil; Faculdade Vale do Aço - FAVALE, Açailândia, MA, Brazil
| | - Karen Medeiros Cardoso
- Fundação Oswaldo Cruz/Instituto Oswaldo Cruz/(FIOCRUZ/IOC), Laboratório de Referência Nacional em Vetores das Riquetsioses (LIRN), Rio de Janeiro, RJ, Brazil
| | - Stefan Vilges de Oliveira
- Coordenação Geral de Doenças Transmissíveis, Departamento de Vigilância das Doenças Transmissíveis, Secretaria de Vigilância em Saúde, Ministério da Saúde, Brasília, DF, Brazil
| | | | - Geane Oliveira
- Secretaria de Saúde do Estado de Pernambuco, Recife, PE, Brazil
| | - Marinete Amorim
- Fundação Oswaldo Cruz/Instituto Oswaldo Cruz/(FIOCRUZ/IOC), Laboratório de Referência Nacional em Vetores das Riquetsioses (LIRN), Rio de Janeiro, RJ, Brazil
| | - Leucio Câmara Alves
- Departamento de Medicina Veterinária, Universidade Federal Rural de Pernambuco, Recife, PE, Brazil
| | | | - Gilberto Salles Gazeta
- Fundação Oswaldo Cruz/Instituto Oswaldo Cruz/(FIOCRUZ/IOC), Laboratório de Referência Nacional em Vetores das Riquetsioses (LIRN), Rio de Janeiro, RJ, Brazil.
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Oliveira SVD, Costa RMF, Ferreira G, Pereira SVC, Amorim M, Monteiro MFM, Alves LC, Gazeta GS. Fatal case of spotted fever in a patient from Northeastern Brazil. Rev Inst Med Trop Sao Paulo 2018; 60:e21. [PMID: 29846472 PMCID: PMC5975566 DOI: 10.1590/s1678-9946201860021] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2017] [Accepted: 03/01/2018] [Indexed: 11/22/2022] Open
Abstract
Spotted fevers are diseases caused by bacterial agents belonging to the
spotted-fever (SF) group of the genus Rickettsia. The first
documented case of SF in Pernambuco State, Northeast Brazil, was reported here.
Also, it is the first case described of fatal SF in Northeast region of Brazil.
The patient was a resident of Arcoverde municipality and the probable site of
infection lies in Sertania municipality, both in Pernambuco State, a semi-arid
region of Brazil. The patient had not visited other areas where SF is endemic.
The patient showed clinical manifestations and epidemiological exposure
compatible with SF, and the infection was confirmed by molecular biology
techniques.
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Affiliation(s)
| | | | - Geane Ferreira
- Secretaria de Saúde do Estado de Pernambuco, Recife, Pernambuco, Brazil
| | | | - Marinete Amorim
- Laboratório de Referência Nacional para Vetores das Riquetsioses, Fundação Oswaldo Cruz, Rio de Janeiro, Rio de Janeiro, Brazil
| | | | - Leucio Câmara Alves
- Departamento de Medicina Veterinária, Universidade Federal Rural de Pernambuco, Recife, Pernambuco, Brazil
| | - Gilberto Salles Gazeta
- Laboratório de Referência Nacional para Vetores das Riquetsioses, Fundação Oswaldo Cruz, Rio de Janeiro, Rio de Janeiro, Brazil
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Oliveira SVD, Romero-Alvarez D, Martins TF, Santos JPD, Labruna MB, Gazeta GS, Escobar LE, Gurgel-Gonçalves R. Amblyomma ticks and future climate: Range contraction due to climate warming. Acta Trop 2017; 176:340-348. [PMID: 28865899 DOI: 10.1016/j.actatropica.2017.07.033] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2017] [Revised: 07/26/2017] [Accepted: 07/27/2017] [Indexed: 11/19/2022]
Abstract
Ticks of the Amblyomma cajennense species complex are important vectors of spotted fever in Latin America. Environmental conditions determine the geographic distribution of ticks, such that climate change could influence the distribution of tick-borne diseases. This study aimed to analyze the potential geographic distribution of A. cajennense complex ticks in a Brazil region under present-day and future climate models, assuming dispersal limitations and non-evolutionary adaptation of these tick populations to climate warming. Records of A. cajennense sensu stricto (s.s.) and Amblyomma sculptum were analyzed. Niche models were calibrated using Maxent considering climate variables for 1950-2000 and projecting models to conditions anticipated for 2050 and 2070 under two models of future climate (CCSM4 and HadGEM2-AO). Broad suitable areas for A. cajennense s.s. and A. sculptum were found in present-day climate models, but suitability was reduced when models were projected to future conditions. Our exploration of future climates showed that broad areas had novel climates not existing currently in the study region, including novel extremely high temperatures. Indeed, predicted suitability in these novel conditions would lead to biologically unrealistic results and therefore incorrect forecasts of future tick-distribution. Previous studies anticipating expansions of vectors populations due to climate change should be considered with caution as they assume that model extrapolation anticipates that species would evolve rapidly for adaptation to novel climatic conditions.
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Affiliation(s)
- Stefan Vilges de Oliveira
- Programa de Pós Graduação em Medicina Tropical da Universidade de Brasília, Campus Universitário Darcy Ribeiro, Asa Norte, CEP: 70910-900, Brasília, Brazil; Secretaria de Vigilância em Saúde do Ministério da Saúde do Brasil, Setor de Rádio TV Norte - 701 - Via W5 Norte, Edifício PO 0700, CEP: 70719-040, Brasília, Brazil; Laboratório de Referência Nacional em Vetores das Riquetsioses da Fundação Oswaldo Cruz, Av. Brasil 4365, Manguinhos, CEP: 21040-360, Rio de Janeiro, Brazil.
| | - Daniel Romero-Alvarez
- Department of Ecology and Evolutionary Biology, University of Kansas, Lawrence, KS, 66045, USA
| | - Thiago Fernandes Martins
- Departamento de Medicina Veterinária Preventiva e Saúde Animal, Faculdade de Medicina Veterinária e Zootecnia, Universidade de São Paulo, Av. Prof. Orlando Marques de Paiva, Cidade Universitária, CEP: 05508-270, São Paulo, SP, Brazil
| | - Janduhy Pereira Dos Santos
- Departamento de Geografia da Universidade de Brasília, Campus Universitário Darcy Ribeiro, Asa Norte, CEP: 70910-900, Brasília, Brazil
| | - Marcelo B Labruna
- Departamento de Medicina Veterinária Preventiva e Saúde Animal, Faculdade de Medicina Veterinária e Zootecnia, Universidade de São Paulo, Av. Prof. Orlando Marques de Paiva, Cidade Universitária, CEP: 05508-270, São Paulo, SP, Brazil
| | - Gilberto Salles Gazeta
- Laboratório de Referência Nacional em Vetores das Riquetsioses da Fundação Oswaldo Cruz, Av. Brasil 4365, Manguinhos, CEP: 21040-360, Rio de Janeiro, Brazil
| | - Luis E Escobar
- Department of Fish and Wildlife Conservation, Virginia Tech, Blacksburg, VAN, 24061, USA
| | - Rodrigo Gurgel-Gonçalves
- Laboratório de Parasitologia Médica e Biologia de Vetores da Faculdade de Medicina da Universidade de Brasília, Campus Universitário Darcy Ribeiro, Asa Norte, CEP: 70910-900, Brasília, Brazil
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Lopez DM, de Mello FL, Giordano Dias CM, Almeida P, Araújo M, Magalhães MA, Gazeta GS, Brasil RP. Evaluating the Surveillance System for Spotted Fever in Brazil Using Machine-Learning Techniques. Front Public Health 2017; 5:323. [PMID: 29250519 PMCID: PMC5714864 DOI: 10.3389/fpubh.2017.00323] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2017] [Accepted: 11/15/2017] [Indexed: 11/30/2022] Open
Abstract
This work analyses the performance of the Brazilian spotted fever (SF) surveillance system in diagnosing and confirming suspected cases in the state of Rio de Janeiro (RJ), from 2007 to 2016 (July) using machine-learning techniques. Of the 890 cases reported to the Disease Notification Information System (SINAN), 11.7% were confirmed as SF, 2.9% as dengue, 1.6% as leptospirosis, and 0.7% as tick bite allergy, with the remainder being diagnosed as other categories (10.5%) or unspecified (72.7%). This study confirms the existence of obstacles in the diagnostic classification of suspected cases of SF by clinical signs and symptoms. Unlike man-capybara contact (1.7% of cases), man-tick contact (71.2%) represents an important risk indicator for SF. The analysis of decision trees highlights some clinical symptoms related to SF patient death or cure, such as: respiratory distress, convulsion, shock, petechiae, coma, icterus, and diarrhea. Moreover, cartographic techniques document patient transit between RJ and bordering states and within RJ itself. This work recommends some changes to SINAN that would provide a greater understanding of the dynamics of SF and serve as a model for other endemic areas in Brazil.
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Affiliation(s)
- Diego Montenegro Lopez
- Laboratório de Doenças Parasitárias, Instituto Oswaldo Cruz (IOC)/Fiocruz, Rio de Janeiro, Brasil
- Laboratório de Referência Nacional em Vetores das Riquetsioses, IOC/Fiocruz, Rio de Janeiro, Brasil
| | - Flávio Luis de Mello
- Laboratory of Machine Intelligence and Computation Models, Electronic and Computer Engineering Department, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | | | - Paula Almeida
- Secretaria de Estado de Saúde do Rio de Janeiro – SES, Rio de Janeiro, Brasil
| | - Milton Araújo
- Secretaria de Estado de Saúde do Rio de Janeiro – SES, Rio de Janeiro, Brasil
| | - Monica Avelar Magalhães
- Instituto de Comunicação e Informação Científica e Tecnologia em Saúde – ICICT, Rio de Janeiro, Brasil
| | - Gilberto Salles Gazeta
- Laboratório de Referência Nacional em Vetores das Riquetsioses, IOC/Fiocruz, Rio de Janeiro, Brasil
| | - Reginaldo Peçanha Brasil
- Laboratório de Doenças Parasitárias, Instituto Oswaldo Cruz (IOC)/Fiocruz, Rio de Janeiro, Brasil
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Caetano RL, Vizzoni VF, Bitencourth K, Carriço C, Sato TP, Pinto ZT, De Oliveira SV, Amorim M, Voloch CM, Gazeta GS. Ultrastructural Morphology and Molecular Analyses of Tropical and Temperate "Species" of Rhipicephalus sanguineus sensu lato (Acari: Ixodidae) in Brazil. J Med Entomol 2017; 54:1201-1212. [PMID: 28399274 PMCID: PMC5850649 DOI: 10.1093/jme/tjx066] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/22/2016] [Indexed: 06/07/2023]
Abstract
The Rhipicephalus sanguineus (Latreille) complex (Acari:Ixodidae) is composed of species with intra- and interspecific morphological variation that make their diagnosis difficult. In the present study, male specimens of the R. sanguineus complex were collected from dogs in six districts of three regions of Brazil and submitted to molecular and scanning electron microscopy (SEM) analyses. Analysis of COX1 gene, 12S rDNA, and D-loop rDNA shows that ticks classified as R. sanguineus form two different clades. Morphological comparisons using SEM found adult males to exhibit morphological differences in Haller's organ, festoons, and adanal, spiracular, and genital plates, with the last having potential usefulness in distinguishing male specimens of the complex.
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Affiliation(s)
- Rebecca Leal Caetano
- Instituto Oswaldo Cruz/Fundação Oswaldo Cruz (IOC/FIOCRUZ), Laboratório de Referência Nacional em Vetores das Riquetsioses, Avenida Brasil, 4365, CEP 21040-900, Rio de Janeiro, RJ, Brazil (; ; ; ; ; ; )
- Instituto Oswaldo Cruz/Fundação Oswaldo Cruz (IOC/FIOCRUZ), Programa de Pós-Graduação em Biodiversidade e Saúde, Avenida Brasil, 4365, CEP 21040-900, Rio de Janeiro, RJ, Brazil
- Universidade Estácio de Sá (UNESA), Rua Bingen, 50 – Bingen, CEP 25660-004, Petrópolis, RJ, Brazil
- Corresponding author, e-mail:
| | - Vinicius Figueiredo Vizzoni
- Instituto Oswaldo Cruz/Fundação Oswaldo Cruz (IOC/FIOCRUZ), Laboratório de Referência Nacional em Vetores das Riquetsioses, Avenida Brasil, 4365, CEP 21040-900, Rio de Janeiro, RJ, Brazil (; ; ; ; ; ; )
| | - Karla Bitencourth
- Instituto Oswaldo Cruz/Fundação Oswaldo Cruz (IOC/FIOCRUZ), Laboratório de Referência Nacional em Vetores das Riquetsioses, Avenida Brasil, 4365, CEP 21040-900, Rio de Janeiro, RJ, Brazil (; ; ; ; ; ; )
- Instituto Oswaldo Cruz/Fundação Oswaldo Cruz (IOC/FIOCRUZ), Programa de Pós-Graduação em Biodiversidade e Saúde, Avenida Brasil, 4365, CEP 21040-900, Rio de Janeiro, RJ, Brazil
| | - Cesar Carriço
- Instituto Oswaldo Cruz/Fundação Oswaldo Cruz (IOC/FIOCRUZ), Laboratório de Referência Nacional em Vetores das Riquetsioses, Avenida Brasil, 4365, CEP 21040-900, Rio de Janeiro, RJ, Brazil (; ; ; ; ; ; )
| | - Tayra Pereira Sato
- Instituto Oswaldo Cruz/Fundação Oswaldo Cruz (IOC/FIOCRUZ), Laboratório de Referência Nacional em Vetores das Riquetsioses, Avenida Brasil, 4365, CEP 21040-900, Rio de Janeiro, RJ, Brazil (; ; ; ; ; ; )
- Universidade Federal de Juiz de Fora (UFJF), Programa de Pós-Graduação em Comportamento e Biologia Animal, MG, Brazil
| | - Zeneida Teixeira Pinto
- Instituto Oswaldo Cruz/Fundação Oswaldo Cruz (IOC/FIOCRUZ), Laboratório de Educação em Ambiente e Saúde, Avenida Brasil, 4365, CEP 21040-900, Rio de Janeiro, RJ, Brazil ()
| | - Stefan Vilges De Oliveira
- Secretaria de Vigilância em Saúde/Ministério da Saúde (SVS/MS), Unidade técnica de vigilância de zoonoses, SCS - Quadra 04 Bloco “A” Edifício Principal - 3º Andar, CEP: 70.304-000, DF, Brazil ()
| | - Marinete Amorim
- Instituto Oswaldo Cruz/Fundação Oswaldo Cruz (IOC/FIOCRUZ), Laboratório de Referência Nacional em Vetores das Riquetsioses, Avenida Brasil, 4365, CEP 21040-900, Rio de Janeiro, RJ, Brazil (; ; ; ; ; ; )
| | - Carolina Moreira Voloch
- Laboratório de Biologia Evolutiva Teórica e Aplicada, Universidade Federal do Rio de Janeiro - UFRJ, Instituto de Biologia, Departamento de Genética, Av. Prof. Rodolpho Paulo Rocco s/n CCS, Bloco A, A2-097, Ilha do Fundão - Rio de Janeiro, RJ, CEP: 21941-901, Brazil ()
| | - Gilberto Salles Gazeta
- Instituto Oswaldo Cruz/Fundação Oswaldo Cruz (IOC/FIOCRUZ), Laboratório de Referência Nacional em Vetores das Riquetsioses, Avenida Brasil, 4365, CEP 21040-900, Rio de Janeiro, RJ, Brazil (; ; ; ; ; ; )
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Vizzoni VF, Silva AB, Cardoso KM, Dos Santos FB, Stenzel B, Amorim M, de Oliveira SV, Gazeta GS. Erratum to "Genetic identification of Rickettsia sp. strain Atlantic rainforest in an endemic area of a mild spotted fever in Rio Grande do Sul state, Southern Brazil" [Acta Trop. 162 (2016) 142-145]. Acta Trop 2017; 171:240. [PMID: 28359458 DOI: 10.1016/j.actatropica.2017.03.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Vinicius Figueiredo Vizzoni
- Serviço de Referência Nacional em Vetores das Riquetsioses, Fundação Oswaldo Cruz, Instituto Oswaldo Cruz, Av. Brasil, 4365, Pav. Lauro Travassos, anexo posterior/sala 08, Manguinhos, Rio de Janeiro, RJ, CEP: 21045-900, Brazil
| | - Arannadia Barbosa Silva
- Serviço de Referência Nacional em Vetores das Riquetsioses, Fundação Oswaldo Cruz, Instituto Oswaldo Cruz, Av. Brasil, 4365, Pav. Lauro Travassos, anexo posterior/sala 08, Manguinhos, Rio de Janeiro, RJ, CEP: 21045-900, Brazil
| | - Karen Medeiros Cardoso
- Serviço de Referência Nacional em Vetores das Riquetsioses, Fundação Oswaldo Cruz, Instituto Oswaldo Cruz, Av. Brasil, 4365, Pav. Lauro Travassos, anexo posterior/sala 08, Manguinhos, Rio de Janeiro, RJ, CEP: 21045-900, Brazil
| | - Fernanda Barbosa Dos Santos
- Serviço de Referência Nacional em Vetores das Riquetsioses, Fundação Oswaldo Cruz, Instituto Oswaldo Cruz, Av. Brasil, 4365, Pav. Lauro Travassos, anexo posterior/sala 08, Manguinhos, Rio de Janeiro, RJ, CEP: 21045-900, Brazil
| | - Barbara Stenzel
- Centro Estadual de Vigilância em Saúde, Porto Alegre, Rio Grande do Sul, Brazil
| | - Marinete Amorim
- Serviço de Referência Nacional em Vetores das Riquetsioses, Fundação Oswaldo Cruz, Instituto Oswaldo Cruz, Av. Brasil, 4365, Pav. Lauro Travassos, anexo posterior/sala 08, Manguinhos, Rio de Janeiro, RJ, CEP: 21045-900, Brazil
| | - Stefan Vilges de Oliveira
- Ministério da Saúde, Secretaria de Vigilância em Saúde, Unidade Técnica de Vigilância de Zoonoses, Brasília, Distrito Federal, Brazil
| | - Gilberto Salles Gazeta
- Serviço de Referência Nacional em Vetores das Riquetsioses, Fundação Oswaldo Cruz, Instituto Oswaldo Cruz, Av. Brasil, 4365, Pav. Lauro Travassos, anexo posterior/sala 08, Manguinhos, Rio de Janeiro, RJ, CEP: 21045-900, Brazil.
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11
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de Oliveira SV, Willemann MCA, Gazeta GS, Angerami RN, Gurgel-Gonçalves R. Predictive Factors for Fatal Tick-Borne Spotted Fever in Brazil. Zoonoses Public Health 2017; 64:e44-e50. [PMID: 28169507 DOI: 10.1111/zph.12345] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2016] [Indexed: 11/28/2022]
Abstract
In Brazil, two pathogenic Rickettsia species have been identified causing tick-borne spotted fever (SF). The aetiological agent Rickettsia rickettsii causes serious illness, particularly in the south-eastern region of the country. Moreover, the Rickettsia sp. strain Atlantic Rainforest cause milder clinical manifestations in south-eastern, south and north-east regions. This study has sought to analyse predictive factors for fatal SF. A case-control study was performed using disease notification records in Brazil. The cases included were individuals with laboratory confirmation and fatal progression of SF, while the controls included individuals with SF who were cured. A total of 386 cases and 415 controls were identified (1 : 1.1), and the cases and controls were similar in age. The factors identified as being protective against death were reported presence of ticks (odds ratio [OR], 0.60; 95% confidence interval [CI], 0.41-0.88), residing in urban areas (OR, 0.47, 95% CI, 0.31-0.74) and presenting lymphadenopathy (OR, 0.43; 95% CI, 0.23-0.82). Males exhibited a greater chance of death (OR, 1.57; 95% CI, 1.13-2.18), as did patients who were hospitalized (OR, 10.82; 95% CI, 6.38-18.35) and who presented hypotension or shock (OR, 10.80; 95% CI, 7.33-15.93), seizures (OR, 11.24; 95% CI, 6.49-19.45) and coma (OR of 15.16; 95% CI, 8.51-27.02). The study demonstrates the severity profile of the SF cases, defined either as the frequency of hospitalization (even in cases that were cured) or as the increased frequency of the clinical complications typically found in critical patients. Opportune clinical diagnosis, a careful evaluation of the epidemiological aspects of the disease and adequate care for patients are determining factors for reducing SF fatality rates.
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Affiliation(s)
- S V de Oliveira
- Graduate Program in Tropical Medicine at the University of Brasília, Brasília, DF, Brazil.,Health Surveillance Secretariat of the Ministry of Health, Brasília, DF, Brazil.,National Reference Laboratory for Rickettsial disease Vectors of the Oswaldo Cruz Foundation, Rio de Janeiro, RJ, Brazil
| | - M C A Willemann
- Department of Health Surveillance of the Secretariat of Health of Santa Catarina State, Florianópolis, SC, Brazil
| | - G S Gazeta
- National Reference Laboratory for Rickettsial disease Vectors of the Oswaldo Cruz Foundation, Rio de Janeiro, RJ, Brazil
| | - R N Angerami
- Clinical Hospital of the State University of Campinas (UNICAMP), Campinas, SP, Brazil
| | - R Gurgel-Gonçalves
- Medical Parasitology and Vector Biology Laboratory, University of Brasília, Brasília, DF, Brazil
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12
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Oliveira SVD, Caldas EPD, Colombo S, Gazeta GS, Labruna MB, Santos FCPD, Angerami RN. A fatal case of Brazilian spotted fever in a non-endemic area in Brazil: the importance of having health professionals who understand the disease and its areas of transmission. Rev Soc Bras Med Trop 2016; 49:653-655. [PMID: 27812666 DOI: 10.1590/0037-8682-0088-2016] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2016] [Accepted: 05/05/2016] [Indexed: 11/22/2022] Open
Abstract
Brazilian spotted fever (BSF) is caused by the bacterium Rickettsia rickettsii. Because of its high case-fatality rate and apparent increase in areas of transmission, it is considered to be the rickettsial illness of primary public health interest. Cases of this disease have historically occurred in Southeastern Brazil. This article reports the first fatal case of BSF in Southern Brazil. This case high lights the importance of BSF to be considered as a differential diagnosis for acute hemorrhagic fever in areas where cases of BSF may not be expected.
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Affiliation(s)
- Stefan Vilges de Oliveira
- Secretaria de Vigilância em Saúde, Ministério da Saúde, Brasília, Distrito Federal, Brazil.,Programa de Pós-Graduação em Medicina Tropical, Universidade de Brasília, Brasília, Distrito Federal, Brazil.,Laboratório de Referência Nacional em Vetores das Riquetsioses, Fundação Oswaldo Cruz, Rio de Janeiro, Rio de Janeiro, Brazil
| | | | - Silvia Colombo
- Laboratório de Riquétsias, Instituto Adolfo Lutz, São Paulo, São Paulo, Brazil
| | - Gilberto Salles Gazeta
- Laboratório de Referência Nacional em Vetores das Riquetsioses, Fundação Oswaldo Cruz, Rio de Janeiro, Rio de Janeiro, Brazil
| | - Marcelo Bahia Labruna
- Departamento de Medicina Veterinária Preventiva e Saúde Animal, Universidade de São Paulo, São Paulo, Brazil
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13
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Figueiredo Voizzoni V, Barbosa Silva A, Medeiros Cardoso K, Barbosa Dos Santos F, Stenzel B, Amorim M, Vilges de Oliveira S, Salles Gazeta G. Genetic identification of Rickettsia sp. strain Atlantic rainforest in an endemic area of a mild spotted fever in Rio Grande do Sul state, Southern Brazil. Acta Trop 2016; 162:142-145. [PMID: 27338183 DOI: 10.1016/j.actatropica.2016.06.018] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2016] [Revised: 06/14/2016] [Accepted: 06/16/2016] [Indexed: 11/19/2022]
Abstract
Rickettsia sp. strain Atlantic rainforest causes a less severe rickettsiosis, with two cases confirmed until now. The tick species Amblyomma ovale is appointed as the main vector of this bacterium. The southern region of Brazil has reported patients with spotted fever who have milder symptoms. In 2013, during an investigation of rickettsiosis cases, an A. ovale tick was found attached to a man in an area where there were two cases. The parasite was processed for molecular analysis and the rickettsial infection was confirmed based on phylogenetic analysis of genes ompA, ompB and geneD (sca4). In the present study the human pathogenic Rickettsia sp. strain Atlantic rainforest was identified in the state of Rio Grande do Sul, Southern Brazil. Since A. ovale, its main vector, is found frequently parasitizing dogs, animals that can cross international borders freely in southern Brazil, this bacteria can bring major concerns in terms of public health.
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Affiliation(s)
- Vinicius Figueiredo Voizzoni
- Serviço de Referência Nacional em Vetores das Riquetsioses, Fundação Oswaldo Cruz, Instituto Oswaldo Cruz, Av. Brasil, 4365, Pav. Lauro Travassos, anexo posterior/sala 08, Manguinhos, Rio de Janeiro, RJ, CEP: 21045-900, Brazil
| | - Arannadia Barbosa Silva
- Serviço de Referência Nacional em Vetores das Riquetsioses, Fundação Oswaldo Cruz, Instituto Oswaldo Cruz, Av. Brasil, 4365, Pav. Lauro Travassos, anexo posterior/sala 08, Manguinhos, Rio de Janeiro, RJ, CEP: 21045-900, Brazil
| | - Karen Medeiros Cardoso
- Serviço de Referência Nacional em Vetores das Riquetsioses, Fundação Oswaldo Cruz, Instituto Oswaldo Cruz, Av. Brasil, 4365, Pav. Lauro Travassos, anexo posterior/sala 08, Manguinhos, Rio de Janeiro, RJ, CEP: 21045-900, Brazil
| | - Fernanda Barbosa Dos Santos
- Serviço de Referência Nacional em Vetores das Riquetsioses, Fundação Oswaldo Cruz, Instituto Oswaldo Cruz, Av. Brasil, 4365, Pav. Lauro Travassos, anexo posterior/sala 08, Manguinhos, Rio de Janeiro, RJ, CEP: 21045-900, Brazil
| | - Barbara Stenzel
- Centro Estadual de Vigilância em Saúde, Porto Alegre, Rio Grande do Sul, Brazil
| | - Marinete Amorim
- Serviço de Referência Nacional em Vetores das Riquetsioses, Fundação Oswaldo Cruz, Instituto Oswaldo Cruz, Av. Brasil, 4365, Pav. Lauro Travassos, anexo posterior/sala 08, Manguinhos, Rio de Janeiro, RJ, CEP: 21045-900, Brazil
| | - Stefan Vilges de Oliveira
- Ministério da Saúde, Secretaria de Vigilância em Saúde, Unidade Técnica de Vigilância de Zoonoses, Brasília, Distrito Federal, Brazil
| | - Gilberto Salles Gazeta
- Serviço de Referência Nacional em Vetores das Riquetsioses, Fundação Oswaldo Cruz, Instituto Oswaldo Cruz, Av. Brasil, 4365, Pav. Lauro Travassos, anexo posterior/sala 08, Manguinhos, Rio de Janeiro, RJ, CEP: 21045-900, Brazil.
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Oliveira SVD, Caldas EPD, Limongi JE, Gazeta GS. Avaliação dos conhecimentos e atitudes de prevenção sobre a febre maculosa entre profissionais de saúde no Brasil Knowledge and attitudes of prevention evaluation of spotted fever among health care professionals in Brazil doi:10.12662/2317-3076jhbs.v4i3.851.p152-159.2016. ACTA ACUST UNITED AC 2016. [DOI: 10.12662/2317-3076jhbs.v4i3.851.p152-159.2016] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
Introdução: A febre maculosa (FM) é uma doença transmitida por carrapatos, o que, no Brasil, preocupa as autoridades do Sistema Único de Saúde (SUS) por apresentar elevados coeficientes de letalidade. Objetivo: Descrever os conhecimentos e as atitudes de prevenção sobre a FM entre profissionais do SUS. Métodos: Foi realizado entre os meses de outubro a dezembro de 2015, um inquérito sobre os conhecimentos e as atitudes de prevenção sobre a FM entre os profissionais da saúde. Um questionário na plataforma FormSUS foi submetido a 426 profissionais de todo o Brasil que previamente já haviam participado de capacitações e atividades que envolviam o tema em questão. Vinte unidades federadas foram respondedoras da pesquisa (112/426). Foi possível verificar que a maioria dos profissionais de saúde conhece as condutas de notificação e de investigação epidemiológica. As incorporações recentes no programa de vigilância epidemiológica são de conhecimento da maioria dos respondentes. A rotatividade dos profissionais foi mencionada como principal dificultador das ações de vigilância da doença. Ações de fortalecimento dos programas de vigilância são realizadas de forma esporádica, somente no momento da ocorrência de casos de FM e não ocorrem de forma integral no âmbito do SUS. Conclusão: Cabe a cada segmento do SUS buscar seguir as diretrizes do sistema de vigilância epidemiológica da FM para que, de forma integral, se consiga reverter o panorama de morbimortalidade desta importante doença no Brasil.
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de Oliveira SV, Guimarães JN, Reckziegel GC, Neves BMDC, Araújo-Vilges KMD, Fonseca LX, Pinna FV, Pereira SVC, de Caldas EP, Gazeta GS, Gurgel-Gonçalves R. An update on the epidemiological situation of spotted fever in Brazil. J Venom Anim Toxins Incl Trop Dis 2016; 22:22. [PMID: 27555867 PMCID: PMC4994305 DOI: 10.1186/s40409-016-0077-4] [Citation(s) in RCA: 82] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2016] [Accepted: 07/19/2016] [Indexed: 11/25/2022] Open
Abstract
Background Spotted fever is a tick-borne rickettsial disease. In Brazil, its notification to the Ministry of Health is compulsory. Since 2007, cases of spotted fever have been integrated to the Notifiable Diseases Information System, and epidemiological analyzes are part of the routines on surveillance programs. Methods This descriptive study updates epidemiological information on cases of spotted fever registered in Brazil between 2007 and 2015. Results In Brazil, 17,117 suspected cases of the disease were reported and 1,245 were confirmed in 12 states, mainly in São Paulo (550, 44.2 %) and Santa Catarina (276, 22.2 %). No geographic information was registered for 132 cases (10.6 %). Most of the infected people were men (70.9 %), mainly in rural areas (539, 43.3 %), who had contact with ticks (72.7 %). A higher number of suspected cases were registered between 2011 and 2015, but the number of confirmed cases and the incidence were relatively low. Moreover, 411 deaths were registered between 2007 and 2015, mainly in the southeastern region of the country, where the case-fatality rate was 55 %. Lack of proper filling of important fields of notification forms was also observed. Conclusions The results showed expansion of suspected cases of spotted fever and high case-fatality rates, which could be related to diagnostic difficulties and lack of prompt treatment. These factors may comprise limitations to the epidemiological surveillance system in Brazil, hence improvement of notification and investigation are crucial to reduce morbidity and mortality due to spotted fever in Brazil.
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Affiliation(s)
- Stefan Vilges de Oliveira
- Secretariat of Health Surveillance, Brazilian Ministry of Health, Brasília, DF Brazil ; Graduate Program in Tropical Medicine, University of Brasília, Brasília, DF Brazil ; National Reference Laboratory of Vectors of Rickettsioses, Oswaldo Cruz foundation, Rio de Janeiro, RJ Brazil
| | | | | | - Bidiah Mariano da Costa Neves
- Graduate Program in Infectious and Parasitic Diseases, School of Veterinary Medicine, University of Brasília, Brasília, DF Brazil
| | | | - Lidsy Ximenes Fonseca
- Secretariat of Health Surveillance, Brazilian Ministry of Health, Brasília, DF Brazil
| | | | | | | | - Gilberto Salles Gazeta
- National Reference Laboratory of Vectors of Rickettsioses, Oswaldo Cruz foundation, Rio de Janeiro, RJ Brazil
| | - Rodrigo Gurgel-Gonçalves
- Laboratory of Medical Parasitology and Vector Biology, School of Medicine, University of Brasília, Brasília, DF Brazil
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Oliveira SVD, Pereira SVC, Pinna FV, Fonseca LX, Serra-Freire NMD, Cardoso KM, Borsoi ABP, Amorim M, Caldas EPD, Gazeta GS. Vigilância de ambientes da febre maculosa: explorando as áreas silenciosas do Brasil. ACTA ACUST UNITED AC 2016. [DOI: 10.5123/s2176-62232016000300008] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
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Nunes EDC, Vizzoni VF, Navarro DL, Iani FCDM, Durães LS, Daemon E, Soares CAG, Gazeta GS. Rickettsia amblyommii infecting Amblyomma sculptum in endemic spotted fever area from southeastern Brazil. Mem Inst Oswaldo Cruz 2015; 110:1058-61. [PMID: 26676317 PMCID: PMC4708027 DOI: 10.1590/0074-02760150266] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2015] [Accepted: 11/06/2015] [Indexed: 11/30/2022] Open
Abstract
The Rickettsia bacteria include the aetiological agents for the
human spotted fever (SF) disease. In the present study, a SF groupRickettsia
amblyommii related bacterium was detected in a field collected
Amblyomma sculptum (Amblyomma cajennense species
complex) tick from a Brazilian SF endemic site in southeastern Brazil, in the
municipality of Juiz de Fora, state of Minas Gerais. Genetic analysis based on genes
ompA,ompB and htrA showed that
the detected strain, named R. amblyommii str. JF, is related to the
speciesR. amblyommii.
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Affiliation(s)
- Emília de Carvalho Nunes
- Instituto de Ciências Biológicas, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil
| | - Vinicius Figueiredo Vizzoni
- Laboratório de Referência Nacional em Vetores das Riquetsioses, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brasil
| | - Daniel Leal Navarro
- Instituto de Ciências Biológicas, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil
| | | | - Liliane Silva Durães
- Instituto de Ciências Biológicas, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil
| | - Erik Daemon
- Instituto de Ciências Biológicas, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil
| | - Carlos Augusto Gomes Soares
- Departamento de Genética, Instituto de Biologia, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil
| | - Gilberto Salles Gazeta
- Laboratório de Referência Nacional em Vetores das Riquetsioses, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brasil
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Machado-Ferreira E, Vizzoni VF, Piesman J, Gazeta GS, Soares CAG. Bacteria associated with Amblyomma cajennense tick eggs. Genet Mol Biol 2015; 38:477-83. [PMID: 26537602 PMCID: PMC4763323 DOI: 10.1590/s1415-475738420150040] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2015] [Accepted: 05/25/2015] [Indexed: 01/27/2023] Open
Abstract
Ticks represent a large group of pathogen vectors that blood feed on a diversity of hosts. In the Americas, the Ixodidae ticks Amblyomma cajennense are responsible for severe impact on livestock and public health. In the present work, we present the isolation and molecular identification of a group of culturable bacteria associated with A. cajennense eggs from females sampled in distinct geographical sites in southeastern Brazil. Additional comparative analysis of the culturable bacteria from Anocentor nitens, Rhipicephalus sanguineus and Ixodes scapularis tick eggs were also performed. 16S rRNA gene sequence analyses identified 17 different bacterial types identified as Serratia marcescens, Stenotrophomonas maltophilia, Pseudomonas fluorescens, Enterobacter spp., Micrococcus luteus, Ochrobactrum anthropi, Bacillus cereus and Staphylococcus spp., distributed in 12 phylogroups. Staphylococcus spp., especially S. sciuri, was the most prevalent bacteria associated with A. cajennense eggs, occurring in 65% of the samples and also frequently observed infecting A. nitens eggs. S. maltophilia, S. marcescens and B. cereus occurred infecting eggs derived from specific sampling sites, but in all cases rising almost as pure cultures from infected A. cajennense eggs. The potential role of these bacterial associations is discussed and they possibly represent new targets for biological control strategies of ticks and tick borne diseases.
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Affiliation(s)
- Erik Machado-Ferreira
- Laboratório de Genética Molecular de Eucariontes e Simbiontes, Deptartamento de Genética, Instituto de Biologia, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Vinicius Figueiredo Vizzoni
- Laboratório de Genética Molecular de Eucariontes e Simbiontes, Deptartamento de Genética, Instituto de Biologia, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Joseph Piesman
- Bacterial Diseases Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, Fort Collins, CO, USA
| | - Gilberto Salles Gazeta
- Laboratorio de Referência Nacional em Vetores das Riquetsioses, Instituto Oswaldo Cruz, Rio de Janeiro, RJ, Brazil
| | - Carlos Augusto Gomes Soares
- Laboratório de Genética Molecular de Eucariontes e Simbiontes, Deptartamento de Genética, Instituto de Biologia, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
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Menezes C, Coletto-Silva A, Gazeta GS, Kerr WE. Infestation by Pyemotes tritici (Acari, Pyemotidae) causes death of stingless bee colonies (Hymenoptera: Meliponina). Genet Mol Res 2009; 8:630-4. [PMID: 19554756 DOI: 10.4238/vol8-2kerr021] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
We report the infestation of stingless bee nests by the mite Pyemotes tritici, which killed four colonies of Tetragonisca angustula and one colony of Frieseomelitta varia in Brazil. The first infected colony, a colony of T. angustula, came from an area between Uberlândia and Araguari, Minas Gerais. The transfer of the mites to the other colonies occurred through the transfer of infected combs and subsequent manipulations. Other colonies in the same meliponary, which had not been manipulated, were not infected. The infestation was terminated by isolating the dead colonies from the meliponary.
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Affiliation(s)
- C Menezes
- Departamento de Biologia, Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil.
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Ezequiel ODS, Gazeta GS, Amorim M, Serra-Freire NM. ÁCAROS DA FAMÍLIA CHEYLETIDAE (ACARI: ACTINEDIDA) EM ECOSSISTEMA DOMICILIAR NO MUNICÍPIO DE JUIZ DE FORA, ESTADO DE MINAS GERAIS, BRASIL. Rev Patol Trop 2008. [DOI: 10.5216/rpt.v37i1.4034] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Gazeta GS, Freire ML, Ezequiel ODS, Mayhé Nunes AJ, Ferreira SV, Norberg AN. ARTRÓPODES CAPTURADOS EM AMBIENTE HOSPITALAR DO RIO DE JANEIRO, BRASIL. Rev Patol Trop 2008. [DOI: 10.5216/rpt.v36i3.3182] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Ezequiel ODS, Gazeta GS, Freire NMDS. Prevalence of asthma attacks treated in public health facilities in the city of Juiz de Fora, Brazil. J Bras Pneumol 2007; 33:20-7. [PMID: 17568864 DOI: 10.1590/s1806-37132007000100007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2005] [Accepted: 04/10/2006] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To evaluate the prevalence of asthma attacks treated in public health facilities in the city of Juiz de Fora, Brazil from February 1, 2002 to January 31, 2003. METHODS This was a cross-sectional study involving monthly analyses performed in order to evaluate the asthma attacks treated. The variables analyzed were patient gender, age, and place of residence, as well as the profile of the visits by age bracket and by the site of the visit. In addition, we attempted to determine whether asthma attacks correlated with temperature or relative humidity. RESULTS A total of 25,243 patients were treated for asthma attacks, accounting for 11.1% of the total number of visits to pediatric clinics and 2.7% of the total number visits to medical clinics. The mean age of the patients was 11.6 years (median, 4 years), and 52.9% of the patients were male. The analysis of the annual distribution revealed an increase in the number of asthma attacks treated in the months of May (11.5%), June (10.8%), and July (10.9%). Asthma attack presented a strong inverse correlation with temperature (-0.86) and a weak inverse correlation with relative humidity (-0.27). Statistically significant differences, in terms of mean age and gender, were found between patients with asthma attacks treated in emergency rooms and those treated in basic health clinics. The evaluation by age bracket revealed a predominance of males among patients younger than 12 years of age and a predominance of females among those aged 12 or older. CONCLUSION We found that asthma represents a significant public health problem in this city. Local strategies are urgently needed in order to increase in the availability of prophylactic treatment.
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de Lemos ER, Machado RD, Coura JR, Guimarães MA, Freire NM, Amorim M, Gazeta GS. Epidemiological aspects of the Brazilian spotted fever: seasonal activity of ticks collected in an endemic area in São Paulo, Brazil. Rev Soc Bras Med Trop 1997; 30:181-5. [PMID: 9197151 DOI: 10.1590/s0037-86821997000300002] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open
Abstract
Ticks were collected from vegetation and animals at monthly intervals during one year (1993-1994) in an endemic area of Brazilian spotted fever in the Country of Pedreira, State of São Paulo. Six species of ticks were identified Amblyomma cajennense, Amblyomma cooperi, Amblyomma triste, Anocentor nitens, Rhipicephalus sanguineus and Boophilus microplus. Only the first species was sufficiently numerous to permit a quantitative study with seasonal activity, although the distribution and source of capture of other species were observed and are reported. This information is correlated with the epidemiology of tick-borne rickettsiosis.
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Affiliation(s)
- E R de Lemos
- Departamento de Medicina Tropical, Instituto Oswaldo Cruz, Rio de Janeiro, Brasil
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