Spotted fever rickettsioses in southern and eastern Europe

Philippe Brouqui1, Philippe Parola, Pierre Edouard Fournier

  • 1Unité des Rickettsies, Faculté de Médecine, Université de la Méditerranée, Marseille, France. philippe.brouqui@medecine.univ-mrs.fr

Insights

Emerging tick-borne and flea-borne rickettsial diseases are increasingly recognized in Europe. This overview highlights newly identified Rickettsia species and their public health significance.

Area of Science:

  • * Infectious Diseases
  • * Medical Entomology
  • * Microbiology

Background:

  • * Mediterranean spotted fever, caused by Rickettsia conorii conorii, was historically considered the sole tick-borne rickettsial disease in southern and eastern Europe.
  • * Recent discoveries have identified six additional spotted fever group Rickettsia species/subspecies as emerging pathogens in the region.
  • * Other emerging rickettsial threats include Rickettsia felis (flea-borne) and Rickettsia akari (mite-borne).

Purpose of the Study:

  • * To provide an overview of emerging rickettsioses in southern and eastern Europe.
  • * To focus on the significance of newly described Rickettsia species and their vectors.
  • * To raise awareness about potential future emerging pathogens detected in ticks.

Main Methods:

  • * Review of existing literature and epidemiological data.
  • * Identification and characterization of Rickettsia species from ticks, fleas, and mites.
  • * Analysis of clinical and public health implications of emerging rickettsial agents.

Main Results:

  • * Six new tick-borne Rickettsia species/subspecies have emerged in Europe, including Rickettsia conorii israelensis, R. c. caspia, R. aeschlimannii, R. slovaca, R. sibirica mongolitimonae, and R. massiliae.
  • * Rickettsia felis, a flea-associated emerging pathogen, poses a risk to human health.
  • * Rickettsia akari, the cause of rickettsialpox, is also prevalent in Europe.

Conclusions:

  • * The spectrum of tick-borne rickettsial diseases in Europe is broader than previously understood.
  • * Emerging Rickettsia species represent a growing public health concern.
  • * Continued surveillance and research are crucial for identifying and managing novel rickettsial pathogens.

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