Identification of trombiculid mites (Acari: Trombiculidae) on rodents from Chiloé Island and molecular evidence of infection with Orientia species
Scrub typhus is an emerging vector-borne zoonosis, caused by Orientia spp. and transmitted by larvae of trombiculid mites, called chiggers. It mainly occurs within a region of the Asia-Pacific called the tsutsugamushi triangle, where rodents are known as the most relevant hosts for the trombiculid v...
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description | Scrub typhus is an emerging vector-borne zoonosis, caused by Orientia spp. and transmitted by larvae of trombiculid mites, called chiggers. It mainly occurs within a region of the Asia-Pacific called the tsutsugamushi triangle, where rodents are known as the most relevant hosts for the trombiculid vector. However, the reservoir(s) and vector(s) of the scrub typhus outside Asia-Pacific are unknown. The disease has recently been discovered on and is considered endemic for Chiloé Island in southern Chile. The aim of the present work was to detect and determine the prevalence of chiggers on different rodent species captured in probable sites for the transmission of orientiae responsible for scrub typhus on Chiloé Island in southern Chile and to molecularly examine collected chiggers for the presence of Orientia DNA.
During the austral summer 2018, rodents were live-trapped in six sites and examined for chigger infestation. All study sites were rural areas on Chiloé Island, previously identified as probable localities where human cases acquired the scrub typhus. During a total of 4,713 trap-nights, 244 rodents of seven species were captured: the most abundant was Abrothrix olivacea. Chiggers were detected on all seven rodent species with a 55% prevalence rate. Chiggers showed low host specificity and varied according to site specific host abundance. Three genera of trombiculids were identified. Herpetacarus was the most abundant genus (93%), prevalent in five of the six sites. Infestation rates showed site specific differences, which were statistically significant using a GLM model with binomial errors. Molecular analyses proved that 21 of 133 (15.8%) mite pools were positive for Orientia species, all of them belonged to the genus Herpetacarus.
This study firstly reports the presence of different rodent-associated chigger mites positive for Orientia sp., in a region endemic for scrub typhus in southern Chile. Herpetacarus and two other genera of mites were found with high infestation rates of rodents in sites previously identified as probable exposure of scrub typhus cases. A substantial percentage of mite pools were positive for Orientia DNA, suggesting that chigger mites serve as vectors and reservoirs of this emerging zoonosis in South America. |
doi_str_mv | 10.1371/journal.pntd.0007619 |
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During the austral summer 2018, rodents were live-trapped in six sites and examined for chigger infestation. All study sites were rural areas on Chiloé Island, previously identified as probable localities where human cases acquired the scrub typhus. During a total of 4,713 trap-nights, 244 rodents of seven species were captured: the most abundant was Abrothrix olivacea. Chiggers were detected on all seven rodent species with a 55% prevalence rate. Chiggers showed low host specificity and varied according to site specific host abundance. Three genera of trombiculids were identified. Herpetacarus was the most abundant genus (93%), prevalent in five of the six sites. Infestation rates showed site specific differences, which were statistically significant using a GLM model with binomial errors. Molecular analyses proved that 21 of 133 (15.8%) mite pools were positive for Orientia species, all of them belonged to the genus Herpetacarus.
This study firstly reports the presence of different rodent-associated chigger mites positive for Orientia sp., in a region endemic for scrub typhus in southern Chile. Herpetacarus and two other genera of mites were found with high infestation rates of rodents in sites previously identified as probable exposure of scrub typhus cases. A substantial percentage of mite pools were positive for Orientia DNA, suggesting that chigger mites serve as vectors and reservoirs of this emerging zoonosis in South America.</description><identifier>ISSN: 1935-2735</identifier><identifier>ISSN: 1935-2727</identifier><identifier>EISSN: 1935-2735</identifier><identifier>DOI: 10.1371/journal.pntd.0007619</identifier><identifier>PMID: 31971956</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Animals ; Biology and Life Sciences ; Chile - epidemiology ; Deoxyribonucleic acid ; Disease ; DNA ; DNA, Protozoan ; Earth Sciences ; Ectoparasitic Infestations ; Host specificity ; Identification ; Infestation ; Larvae ; Medicine and Health Sciences ; Mites ; Orientia tsutsugamushi ; Orientia tsutsugamushi - genetics ; Orientia tsutsugamushi - isolation & purification ; People and places ; Pools ; Precipitation ; Real-Time Polymerase Chain Reaction ; Rodentia - parasitology ; Rodents ; Rural areas ; Scrub typhus ; Scrub Typhus - veterinary ; Species ; Specificity ; Statistical analysis ; Transmission ; Trombiculidae - classification ; Trombiculidae - parasitology ; Tropical diseases ; Typhus ; Vectors ; Zoonoses</subject><ispartof>PLoS neglected tropical diseases, 2020-01, Vol.14 (1), p.e0007619-e0007619</ispartof><rights>This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication: https://creativecommons.org/publicdomain/zero/1.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c526t-d9d9924ebeb5c7af57e11edf4915903555bfec7958a6cc9ded68eda40bba3ef53</citedby><cites>FETCH-LOGICAL-c526t-d9d9924ebeb5c7af57e11edf4915903555bfec7958a6cc9ded68eda40bba3ef53</cites><orcidid>0000-0002-2836-9817 ; 0000-0002-9804-2123 ; 0000-0002-9645-3551</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6999909/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6999909/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2095,2914,23846,27902,27903,53768,53770,79345,79346</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31971956$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Stenos, John</contributor><creatorcontrib>Acosta-Jamett, Gerardo</creatorcontrib><creatorcontrib>Martínez-Valdebenito, Constanza</creatorcontrib><creatorcontrib>Beltrami, Esperanza</creatorcontrib><creatorcontrib>Silva-de La Fuente, María Carolina</creatorcontrib><creatorcontrib>Jiang, Ju</creatorcontrib><creatorcontrib>Richards, Allen L</creatorcontrib><creatorcontrib>Weitzel, Thomas</creatorcontrib><creatorcontrib>Abarca, Katia</creatorcontrib><title>Identification of trombiculid mites (Acari: Trombiculidae) on rodents from Chiloé Island and molecular evidence of infection with Orientia species</title><title>PLoS neglected tropical diseases</title><addtitle>PLoS Negl Trop Dis</addtitle><description>Scrub typhus is an emerging vector-borne zoonosis, caused by Orientia spp. and transmitted by larvae of trombiculid mites, called chiggers. It mainly occurs within a region of the Asia-Pacific called the tsutsugamushi triangle, where rodents are known as the most relevant hosts for the trombiculid vector. However, the reservoir(s) and vector(s) of the scrub typhus outside Asia-Pacific are unknown. The disease has recently been discovered on and is considered endemic for Chiloé Island in southern Chile. The aim of the present work was to detect and determine the prevalence of chiggers on different rodent species captured in probable sites for the transmission of orientiae responsible for scrub typhus on Chiloé Island in southern Chile and to molecularly examine collected chiggers for the presence of Orientia DNA.
During the austral summer 2018, rodents were live-trapped in six sites and examined for chigger infestation. All study sites were rural areas on Chiloé Island, previously identified as probable localities where human cases acquired the scrub typhus. During a total of 4,713 trap-nights, 244 rodents of seven species were captured: the most abundant was Abrothrix olivacea. Chiggers were detected on all seven rodent species with a 55% prevalence rate. Chiggers showed low host specificity and varied according to site specific host abundance. Three genera of trombiculids were identified. Herpetacarus was the most abundant genus (93%), prevalent in five of the six sites. Infestation rates showed site specific differences, which were statistically significant using a GLM model with binomial errors. Molecular analyses proved that 21 of 133 (15.8%) mite pools were positive for Orientia species, all of them belonged to the genus Herpetacarus.
This study firstly reports the presence of different rodent-associated chigger mites positive for Orientia sp., in a region endemic for scrub typhus in southern Chile. Herpetacarus and two other genera of mites were found with high infestation rates of rodents in sites previously identified as probable exposure of scrub typhus cases. A substantial percentage of mite pools were positive for Orientia DNA, suggesting that chigger mites serve as vectors and reservoirs of this emerging zoonosis in South America.</description><subject>Animals</subject><subject>Biology and Life Sciences</subject><subject>Chile - epidemiology</subject><subject>Deoxyribonucleic acid</subject><subject>Disease</subject><subject>DNA</subject><subject>DNA, Protozoan</subject><subject>Earth Sciences</subject><subject>Ectoparasitic Infestations</subject><subject>Host specificity</subject><subject>Identification</subject><subject>Infestation</subject><subject>Larvae</subject><subject>Medicine and Health Sciences</subject><subject>Mites</subject><subject>Orientia tsutsugamushi</subject><subject>Orientia tsutsugamushi - genetics</subject><subject>Orientia tsutsugamushi - isolation & purification</subject><subject>People and places</subject><subject>Pools</subject><subject>Precipitation</subject><subject>Real-Time Polymerase Chain Reaction</subject><subject>Rodentia - parasitology</subject><subject>Rodents</subject><subject>Rural areas</subject><subject>Scrub typhus</subject><subject>Scrub Typhus - veterinary</subject><subject>Species</subject><subject>Specificity</subject><subject>Statistical analysis</subject><subject>Transmission</subject><subject>Trombiculidae - classification</subject><subject>Trombiculidae - parasitology</subject><subject>Tropical diseases</subject><subject>Typhus</subject><subject>Vectors</subject><subject>Zoonoses</subject><issn>1935-2735</issn><issn>1935-2727</issn><issn>1935-2735</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNptUt1qFDEUHkSxtfoGogFv6sWuyUx-Jl4IZfFnodCbeh0yyUk3S2ayJrMVn8On8Dl8MTPdaW3FQEjI-X7OF05VvSR4SRpB3m3jPg06LHfDaJcYY8GJfFQdE9mwRS0a9vje_ah6lvMWYyZZS55WRw2RgkjGj6ufawvD6J03evRxQNGhMcW-82YfvEW9HyGj0zOjk3-PLv9WNLxFBZ7iRM_IlQpabXyIv3-hdQ56sGjafQxQ8DohuPYFamBy8IMDc2P33Y8bdJH81INGeQfGQ35ePXE6ZHgxnyfV108fL1dfFucXn9ers_OFYTUfF1ZaKWsKHXTMCO2YAELAOioJk7hhjHXFRpTImhsjLVjegtUUd51uwLHmpHp90N2FmNX8n1nVlGPZtoy2BbE-IGzUW7VLvtfph4raq5uHmK6UTqM3AZQGS-ra2NoJSbmwWnDnuKa8sZiSdnL7MLvtux6sKZGTDg9EH1YGv1FX8VpxWRaWReB0Fkjx2x7yqHqfDYTy2RD3pe-G0lpg0tICffMP9P_p6AFlUsw5gbtrhmA1zdgtS00zpuYZK7RX94PckW6HqvkDIMzUkw</recordid><startdate>20200101</startdate><enddate>20200101</enddate><creator>Acosta-Jamett, Gerardo</creator><creator>Martínez-Valdebenito, Constanza</creator><creator>Beltrami, Esperanza</creator><creator>Silva-de La Fuente, María Carolina</creator><creator>Jiang, Ju</creator><creator>Richards, Allen L</creator><creator>Weitzel, Thomas</creator><creator>Abarca, Katia</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7SS</scope><scope>7T2</scope><scope>7T7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>F1W</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>H95</scope><scope>H97</scope><scope>K9.</scope><scope>L.G</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-2836-9817</orcidid><orcidid>https://orcid.org/0000-0002-9804-2123</orcidid><orcidid>https://orcid.org/0000-0002-9645-3551</orcidid></search><sort><creationdate>20200101</creationdate><title>Identification of trombiculid mites (Acari: Trombiculidae) on rodents from Chiloé Island and molecular evidence of infection with Orientia species</title><author>Acosta-Jamett, Gerardo ; Martínez-Valdebenito, Constanza ; Beltrami, Esperanza ; Silva-de La Fuente, María Carolina ; Jiang, Ju ; Richards, Allen L ; Weitzel, Thomas ; Abarca, Katia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c526t-d9d9924ebeb5c7af57e11edf4915903555bfec7958a6cc9ded68eda40bba3ef53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Animals</topic><topic>Biology and Life Sciences</topic><topic>Chile - epidemiology</topic><topic>Deoxyribonucleic acid</topic><topic>Disease</topic><topic>DNA</topic><topic>DNA, Protozoan</topic><topic>Earth Sciences</topic><topic>Ectoparasitic Infestations</topic><topic>Host specificity</topic><topic>Identification</topic><topic>Infestation</topic><topic>Larvae</topic><topic>Medicine and Health Sciences</topic><topic>Mites</topic><topic>Orientia tsutsugamushi</topic><topic>Orientia tsutsugamushi - genetics</topic><topic>Orientia tsutsugamushi - isolation & purification</topic><topic>People and places</topic><topic>Pools</topic><topic>Precipitation</topic><topic>Real-Time Polymerase Chain Reaction</topic><topic>Rodentia - parasitology</topic><topic>Rodents</topic><topic>Rural areas</topic><topic>Scrub typhus</topic><topic>Scrub Typhus - veterinary</topic><topic>Species</topic><topic>Specificity</topic><topic>Statistical analysis</topic><topic>Transmission</topic><topic>Trombiculidae - classification</topic><topic>Trombiculidae - parasitology</topic><topic>Tropical diseases</topic><topic>Typhus</topic><topic>Vectors</topic><topic>Zoonoses</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Acosta-Jamett, Gerardo</creatorcontrib><creatorcontrib>Martínez-Valdebenito, Constanza</creatorcontrib><creatorcontrib>Beltrami, Esperanza</creatorcontrib><creatorcontrib>Silva-de La Fuente, María Carolina</creatorcontrib><creatorcontrib>Jiang, Ju</creatorcontrib><creatorcontrib>Richards, Allen L</creatorcontrib><creatorcontrib>Weitzel, Thomas</creatorcontrib><creatorcontrib>Abarca, Katia</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>ASFA: Aquatic Sciences and Fisheries Abstracts</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Aquatic Science & Fisheries Abstracts (ASFA) 1: Biological Sciences & Living Resources</collection><collection>Aquatic Science & Fisheries Abstracts (ASFA) 3: Aquatic Pollution & Environmental Quality</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Aquatic Science & Fisheries Abstracts (ASFA) Professional</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PLoS neglected tropical diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Acosta-Jamett, Gerardo</au><au>Martínez-Valdebenito, Constanza</au><au>Beltrami, Esperanza</au><au>Silva-de La Fuente, María Carolina</au><au>Jiang, Ju</au><au>Richards, Allen L</au><au>Weitzel, Thomas</au><au>Abarca, Katia</au><au>Stenos, John</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Identification of trombiculid mites (Acari: Trombiculidae) on rodents from Chiloé Island and molecular evidence of infection with Orientia species</atitle><jtitle>PLoS neglected tropical diseases</jtitle><addtitle>PLoS Negl Trop Dis</addtitle><date>2020-01-01</date><risdate>2020</risdate><volume>14</volume><issue>1</issue><spage>e0007619</spage><epage>e0007619</epage><pages>e0007619-e0007619</pages><issn>1935-2735</issn><issn>1935-2727</issn><eissn>1935-2735</eissn><abstract>Scrub typhus is an emerging vector-borne zoonosis, caused by Orientia spp. and transmitted by larvae of trombiculid mites, called chiggers. It mainly occurs within a region of the Asia-Pacific called the tsutsugamushi triangle, where rodents are known as the most relevant hosts for the trombiculid vector. However, the reservoir(s) and vector(s) of the scrub typhus outside Asia-Pacific are unknown. The disease has recently been discovered on and is considered endemic for Chiloé Island in southern Chile. The aim of the present work was to detect and determine the prevalence of chiggers on different rodent species captured in probable sites for the transmission of orientiae responsible for scrub typhus on Chiloé Island in southern Chile and to molecularly examine collected chiggers for the presence of Orientia DNA.
During the austral summer 2018, rodents were live-trapped in six sites and examined for chigger infestation. All study sites were rural areas on Chiloé Island, previously identified as probable localities where human cases acquired the scrub typhus. During a total of 4,713 trap-nights, 244 rodents of seven species were captured: the most abundant was Abrothrix olivacea. Chiggers were detected on all seven rodent species with a 55% prevalence rate. Chiggers showed low host specificity and varied according to site specific host abundance. Three genera of trombiculids were identified. Herpetacarus was the most abundant genus (93%), prevalent in five of the six sites. Infestation rates showed site specific differences, which were statistically significant using a GLM model with binomial errors. Molecular analyses proved that 21 of 133 (15.8%) mite pools were positive for Orientia species, all of them belonged to the genus Herpetacarus.
This study firstly reports the presence of different rodent-associated chigger mites positive for Orientia sp., in a region endemic for scrub typhus in southern Chile. Herpetacarus and two other genera of mites were found with high infestation rates of rodents in sites previously identified as probable exposure of scrub typhus cases. A substantial percentage of mite pools were positive for Orientia DNA, suggesting that chigger mites serve as vectors and reservoirs of this emerging zoonosis in South America.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>31971956</pmid><doi>10.1371/journal.pntd.0007619</doi><orcidid>https://orcid.org/0000-0002-2836-9817</orcidid><orcidid>https://orcid.org/0000-0002-9804-2123</orcidid><orcidid>https://orcid.org/0000-0002-9645-3551</orcidid><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; PubMed Central Open Access; Public Library of Science (PLoS) |
subjects | Animals Biology and Life Sciences Chile - epidemiology Deoxyribonucleic acid Disease DNA DNA, Protozoan Earth Sciences Ectoparasitic Infestations Host specificity Identification Infestation Larvae Medicine and Health Sciences Mites Orientia tsutsugamushi Orientia tsutsugamushi - genetics Orientia tsutsugamushi - isolation & purification People and places Pools Precipitation Real-Time Polymerase Chain Reaction Rodentia - parasitology Rodents Rural areas Scrub typhus Scrub Typhus - veterinary Species Specificity Statistical analysis Transmission Trombiculidae - classification Trombiculidae - parasitology Tropical diseases Typhus Vectors Zoonoses |
title | Identification of trombiculid mites (Acari: Trombiculidae) on rodents from Chiloé Island and molecular evidence of infection with Orientia species |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-27T10%3A12%3A21IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Identification%20of%20trombiculid%20mites%20(Acari:%20Trombiculidae)%20on%20rodents%20from%20Chilo%C3%A9%20Island%20and%20molecular%20evidence%20of%20infection%20with%20Orientia%20species&rft.jtitle=PLoS%20neglected%20tropical%20diseases&rft.au=Acosta-Jamett,%20Gerardo&rft.date=2020-01-01&rft.volume=14&rft.issue=1&rft.spage=e0007619&rft.epage=e0007619&rft.pages=e0007619-e0007619&rft.issn=1935-2735&rft.eissn=1935-2735&rft_id=info:doi/10.1371/journal.pntd.0007619&rft_dat=%3Cproquest_plos_%3E2460988548%3C/proquest_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2460988548&rft_id=info:pmid/31971956&rft_doaj_id=oai_doaj_org_article_aed122cd2f79467da76ff6a463d04185&rfr_iscdi=true |