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Volume 4, Number 2—June 1998
Perspective

Rickettsial Pathogens and Their Arthropod Vectors

Abdu F. Azad*Comments to Author  and Charles B. Beard†
Author affiliations: *University of Maryland School of Medicine, Baltimore, Maryland, USA; †Centers for Disease Control and Prevention, Atlanta, Georgia, USA

Main Article

Table 1

Epidemiologic features of the pathogenic rickettsiaea

Rickettsia species Disease Natural cycleb
Geographic distribution
Vectors Hosts
Typhus group:
Rickettsia prowazekii Epidemic typhus Human body lice Humans Worldwide
Recrudescent typhus None Humans Worldwide
Lice, fleas Flying squirrels Eastern USA
R. typhi Murine typhus Fleas Rodents Worldwide
Fleas Opossums USA
R. felis Murine typhuslike Fleas Opossums USA
Spotted Fever group:
R. rickettsii Rocky Mountain spotted fever Ticks Small mammals, dogs, rabbits, birds North & South America
R. conorii Boutonneuse fever Ticks Rodents, dogs Africa, Southern Europe, India
R. sibirica North Asia tick typhus Ticks Rodents Eurasia, Asia
R. japonica Japanese spotted fever Ticks Rodents, dogs Japan
R. australis Queensland tick typhus Ticks Rodents Australia
R. akari Rickettsialpox Mites House mice, rats Worldwide
Ehrlichioses group:
Ehrlichia chaffeensis Human monocytic ehrlichiosis Ticks Humans, deer USA, Europe
Ehrlichia Sp Human granulocytic ehrlichiosis Ticks Humans, deer, rodents USA, Europe
Others:
Coxiella burnetii Q fever Ticks Small mammals, sheep, goats, cattle, dogs Worldwide
Orientia tsutsugamushi Scrub typhus Mites Rodents Asia, Indian subcontinent, Australia

aNot listed are R. helvetica, R. honei, and R. slovaca (6).
bEvidence for arthropod serving as a vector or vertebrate serving as a host is based on the rickettsial isolation from field-collected specimens, experimental studies, and indirect evidence for rickettsial presence or exposure to rickettsiae (hemolymph test and serosurveys).

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References
  1. Zinsser  H. Rats, lice and history. Boston: Little, Brown and Co.;1934.
  2. Raoult  D, Roux  V, Ndihokubwayo  JB, Bise  G, Baudon  D, Martet  G, Jail fever (epidemic typhus) outbreak in Burundi. Emerg Infect Dis. 1997;3:35760. DOIPubMedGoogle Scholar
  3. Walker  DH, Barbour  A, Oliver  JH, Dumler  JS, Dennis  DT, Azad  AF, Emerging bacterial zoonotic and vector-borne diseases: prospects for the effects on the public health. JAMA. 1996;275:4639. DOIPubMedGoogle Scholar
  4. Werren  JH. Biology of Wolbachia. Annu Rev Entomol.;199742:587609.
  5. Azad  AF. Relationship to vector biology and epidemiology of louse and flea-borne rickettsioses. In: Walker DH, editor. Biology of rickettsial diseases. Boca Raton (FL): CRC Press; 1988. p. 52-62.
  6. La Scola  B, Raoult  D. Laboratory diagnosis of rickettsioses: current approaches to diagnosis of old and new rickettsial diseases. J Clin Microbiol. 1997;35:271527.PubMedGoogle Scholar
  7. McDade  JE, Newhouse  VF. Natural history of Rickettsia rickettsii. Annu Rev Microbiol. 1986;40:287309. DOIPubMedGoogle Scholar
  8. Burgdorfer  W. Ecological and epidemiological consideration of Rocky Mountain spotted fever and scrub typhus. In: Walker DH, editor. Biology of Rickettsial Diseases. Boca Raton (FL): CRC Press; 1988. p. 33-50.
  9. Schriefer  ME, Azad  AF. Ecology and natural history of Rickettsia rickettsii. In: Sonenshine DE, Mather TN, editors. Ecological dynamics of tick-borne zoonoses. Oxford: Oxford University Press;1994.
  10. Burgdorfer  W, Brinton  PL. Mechanisms of transovarial infection of spotted fever rickettsiae in ticks. Ann N Y Acad Sci. 1975;266:6172. DOIPubMedGoogle Scholar
  11. Niebylski  ML, Schrumpf  ME, Burgdorfer  W, Fischer  ER, Gage  KL, Schwan  TG. Rickettsia peacockii sp nov., a new species infecting wood ticks, Dermacentor andersoni, in western Montana. Int J Syst Bacteriol. 1997;47:44652. DOIPubMedGoogle Scholar
  12. Azad  AF. Epidemiology of murine typhus. Annu Rev Entomol. 1990;35:55369. DOIPubMedGoogle Scholar
  13. Traub  R, Wisseman  CL Jr, Azad  AF. The ecology of murine typhus: a critical review. Trop Dis Bull. 1978;75:237317.PubMedGoogle Scholar
  14. Azad  AF, Radulovic  S, Higgins  JA, Noden  BH, Troyer  MJ. Flea-borne rickettsioses: some ecological considerations. Emerg Infect Dis. 1997;3:31928. DOIPubMedGoogle Scholar
  15. Azad  AF, Sacci  JB Jr, Nelson  WM, Dasch  GA, Schmidtman  ET, Carl  M. Genetic characterization and transovarial transmission of a novel typhus-like Rickettsia found in cat fleas. Proc Natl Acad Sci U S A. 1992;89:436. DOIPubMedGoogle Scholar
  16. Azad  AF, Traub  R, Baquar  S. Transovarial transmission of murine typhus rickettsiae in Xenopsylla cheopis. Science. 1985;227:5435. DOIPubMedGoogle Scholar
  17. Adams  WH, Emmons  RW, Brooks  JE. The changing ecology of murine (endemic) typhus in southern California. Am J Trop Med Hyg. 1970;19:3118.PubMedGoogle Scholar
  18. McDade  JE, Shepard  CC, Redus  MA, Newhouse  VF, Smith  JD. Evidence of Rickettsia prowazekii infection in the United States. Am J Trop Med Hyg. 1980;29:27784.PubMedGoogle Scholar
  19. Dumler  JS, Taylor  JP, Walker  DH. Clinical and laboratory features of murine typhus in Texas, 1980 through 1987. JAMA. 1991;266:136570. DOIPubMedGoogle Scholar
  20. Williams  SG, Sacci  JB Jr, Schriefer  ME, Anderson  EM, Fujioka  K, Sorvilo  FJ, Typhus and typhus-like rickettsiae associated with opossums and their fleas in Los Angeles County, California. J Clin Microbiol. 1992;30:175862.PubMedGoogle Scholar
  21. Sorvillo  FJ, Gondo  B, Emmons  R, Ryan  P, Waterman  SH, Tilzer  A, A suburban focus of endemic typhus in Los Angeles County: association with seropositive domestic cats and opossums. Am J Trop Med Hyg. 1993;48:26973.PubMedGoogle Scholar
  22. Schriefer  ME, Sacci  JB Jr, Dumler  JS, Bullen  MG, Azad  AF. Identification of a novel rickettsial infection in a patient diagnosed with murine typhus. J Clin Microbiol. 1994;32:94954.PubMedGoogle Scholar
  23. Schriefer  ME, Sacci  JB Jr, Higgins  JA, Taylor  JP, Azad  AF. Murine typhus: updated role of multiple urban components and a second typhus-like rickettsiae. J Med Entomol. 1994;31:6815.PubMedGoogle Scholar
  24. Higgins  JA, Radulovic  S, Schriefer  ME, Azad  AF. Rickettsia felis: a new species of pathogenic rickettsia isolated from cat fleas. J Clin Microbiol. 1996;34:6714.PubMedGoogle Scholar
  25. Noden  BH, Radulovic  S, Higgins  JA, Azad  AF. Molecular identification of two closely related rickettsial species, Rickettsia typhi and R. felis, in individual cat fleas, Ctenocephalides felis (Siphonaptera: Pulicidae). J Med Entomol. 1998. In press.PubMedGoogle Scholar
  26. Pancholi  P, Kolbert  CP, Mitchell  PD, Reed  KD, Dumler  JS, Bakken  JS, Ixodes dammini as a potential vector of human granulocytic ehrlichiosis. J Infect Dis. 1995;:100712.PubMedGoogle Scholar
  27. Werren  JH, Hurst  GDD, Zhang  W, Breeuwer  JAJ, Stouthamer  R, Majerus  MEN. Rickettsial relative associated with male killing in the ladybird beetle (Adalia bipunctata). J Bacteriol. 1994;176:38894.PubMedGoogle Scholar
  28. Higgins  JA, Sacci  JB Jr, Schriefer  ME, Endris  RG, Azad  AF. Molecular identification of rickettsia-like microorganisms associated with colonized cat fleas (Ctenocephalides felis). Insect Mol Biol. 1994;3:2733.PubMedGoogle Scholar
  29. Vaughan  JA, Azad  AF. Acquisition of murine typhus rickettsiae by fleas. Ann N Y Acad Sci. 1990;590:705. DOIPubMedGoogle Scholar
  30. Munderloh  UG, Kurtti  TJ. Cellular and molecular interrelationships between ticks and prokaryotic tick-borne pathogens. Annu Rev Entomol. 1995;40:22143. DOIPubMedGoogle Scholar
  31. Hackstadt  T. The biology of rickettsiae. Infect Agents Dis. 1996;5:12743.PubMedGoogle Scholar

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