New Spotted Fever Tick Borne Disease
(Discovered in Maryland by Military)
Rickettsia amblyommii
VECTOR-BORNE AND ZOONOTIC DISEASES
Volume 8, Number 1, 2008
Rickettsia amblyommii Infecting Amblyomma americanum Larvae
ELLEN Y. STROMDAHL, 1MARY A. VINCE,1PEGGY M. BILLINGSLEY,2
NICOLE A. DOBBS,3 and PHILLIP C. WILLIAMSON2
ABSTRACT
Polymerase chain reaction analysis of Amblyomma americanumadults, nymphs, and larvae from Aberdeen Proving Ground, MD (APG), revealed a very high prevalence of a spotted fever group (SFG) rickettsia. Restriction fragment length polymorphism (RFLP) and sequence analysis identified “Rickettsia amblyommii.”
This organism is not yet described or well studied, and its pathogenicity is unknown; however, investigations of the organism are warranted because of its high prevalence in A. americanum. This tick is extremely abundant at military training facilities in the south, central, and Mid-Atlantic United States, and many soldiers experience multiple concurrent tick bites.
Bites by R. amblyommii-infected A. americanummay account for rates of SFG rickettsia seropositivity
that are higher than reported rates of Rocky Mountain spotted fever (RMSF) cases from the same location. Seroconversion to SFG rickettsia following bites ofA. americanummay suggest that R. amblyommii is infectious in humans. Subclinical infection in the numerous A. americanumtick bite victims could contaminate donated blood and compromise immunodeficient recipients.
Detection of R. amblyommiiin questing A. americanumlarvae suggests transovarial transmission. The absence of R. rickettsii, the agent of RMSF, in A. americanummay be due to transovarial interference by R. amblyommii. The likelihood of pathogen transmission by larvae is magnified by their habit of mass attack.
The very small size of the larvae is also a risk factor for pathogen transmission. High R. amblyommii prevalence in populations of A. americanumpresage co-infection with other A. americanum-borne pathogens.
A. americanumnymphs and adults from APG were found to be co-infected withR. amblyommii and Borrelia lonestari, Ehrlichia chaffeensisand Ehrlichia ewingii, respectively, and larval pools were infected with both R. amblyommiiand B. lonestari.
Co-infections can compound effects and complicate diagnosis of tick-borne disease.
Key words: Rickettsia amblyommii—Amblyomma americanum—Prevalence—Pathogenicity—Co-infec-
tion.
Address reprint requests to:
Ellen Stromdahl
Entomological Science Program
U.S. Army Center for Health Promotion &
Preventive Medicine
5158 Blackhawk Rd.
BLDG E-5800
Aberdeen Proving Ground, MD 21010-5403
E-mail: ellen.stromdahl@us.army.mil