Serologic Evidence for Orientia Exposure in the Democratic Republic of Sao Tome and Principe

Orientia tsutsugamushi is an obligate intracellular bacterium that causes scrub typhus in humans. Formerly thought to be confined to the “tsutsugamushi triangle” within the Asia–Pacific region, scrub typhus was recently identified in the Western Hemisphere. Moreover, a new species of Orientia bacter...

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Veröffentlicht in:Vector borne and zoonotic diseases (Larchmont, N.Y.) N.Y.), 2019-11, Vol.19 (11), p.821-827
Hauptverfasser: Yen, Tsai-Ying, Zhang, Zhiwen, Chao, Chien-Chung, Ching, Wei-Mei, Shu, Pei-Yun, Tseng, Lien-Feng, Carvalho, Arlindo Vicente de Assunção, Tsai, Kun-Hsien
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container_end_page 827
container_issue 11
container_start_page 821
container_title Vector borne and zoonotic diseases (Larchmont, N.Y.)
container_volume 19
creator Yen, Tsai-Ying
Zhang, Zhiwen
Chao, Chien-Chung
Ching, Wei-Mei
Shu, Pei-Yun
Tseng, Lien-Feng
Carvalho, Arlindo Vicente de Assunção
Tsai, Kun-Hsien
description Orientia tsutsugamushi is an obligate intracellular bacterium that causes scrub typhus in humans. Formerly thought to be confined to the “tsutsugamushi triangle” within the Asia–Pacific region, scrub typhus was recently identified in the Western Hemisphere. Moreover, a new species of Orientia bacterial genus was isolated from a patient in Dubai. This study investigated Orientia exposure in an African country, the Democratic Republic of Sao Tome and Principe. Two sets of samples were analyzed in the study: 240 dried blood spots (DBSs) collected in 2016 and 863 serum samples from 570 pregnant women in 2003. Antibodies against O. tsutsugamushi were examined by immunofluorescence assay (IFA) and enzyme-linked immunosorbent assay (ELISA). The positive samples were further confirmed by Western blot. The results of IFA showed that 5.8% (14/240) of DBSs and 20.4% (116/570) of the serum samples contained reactive antibodies, whereas IgG ELISA yielded a positive rate of 15.4% (88/570) for the serum samples. These findings provided serologic evidence of potential Orientia exposure even though case of scrub typhus has never been diagnosed in the nation. Further studies are needed to determine the epidemiology and the burden of this neglected tropical disease in Africa.
doi_str_mv 10.1089/vbz.2018.2426
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Formerly thought to be confined to the “tsutsugamushi triangle” within the Asia–Pacific region, scrub typhus was recently identified in the Western Hemisphere. Moreover, a new species of Orientia bacterial genus was isolated from a patient in Dubai. This study investigated Orientia exposure in an African country, the Democratic Republic of Sao Tome and Principe. Two sets of samples were analyzed in the study: 240 dried blood spots (DBSs) collected in 2016 and 863 serum samples from 570 pregnant women in 2003. Antibodies against O. tsutsugamushi were examined by immunofluorescence assay (IFA) and enzyme-linked immunosorbent assay (ELISA). The positive samples were further confirmed by Western blot. The results of IFA showed that 5.8% (14/240) of DBSs and 20.4% (116/570) of the serum samples contained reactive antibodies, whereas IgG ELISA yielded a positive rate of 15.4% (88/570) for the serum samples. These findings provided serologic evidence of potential Orientia exposure even though case of scrub typhus has never been diagnosed in the nation. 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subjects Antibodies
Enzyme-linked immunosorbent assay
Epidemiology
Exposure
Health risk assessment
Immunofluorescence
Immunoglobulin G
New species
Orientia tsutsugamushi
Original Articles
Pregnancy
Scrub typhus
Typhus
Western Hemisphere
title Serologic Evidence for Orientia Exposure in the Democratic Republic of Sao Tome and Principe
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