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Sexual Transmission of American Trypanosomes from Males and Females to Naive Mates
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Endemic scrub typhus-like illness, Chile.

M Elvira Balcells1, Ricardo Rabagliati, Patricia García

  • 1School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.

Emerging Infectious Diseases
|September 6, 2011
PubMed
Summary

A case of scrub typhus was identified in Chile, linked to terrestrial leech bites. Molecular analysis revealed an Orientia-like agent, suggesting a new cause of scrub typhus-like illness in the Western Hemisphere.

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Area of Science:

  • Infectious Diseases
  • Molecular Biology
  • Epidemiology

Background:

  • Scrub typhus is a disease caused by Orientia tsutsugamushi, typically found in Asia and the Western Pacific.
  • The disease is transmitted through the bite of infected chiggers (larval mites).
  • Terrestrial leech bites are not a commonly recognized vector for scrub typhus.

Observation:

  • A 54-year-old man presented with scrub typhus symptoms after terrestrial leech bites on Chiloé Island, Chile.
  • An eschar biopsy yielded a molecular sample.
  • The sample's 16S rRNA gene sequence showed relation to Orientia tsutsugamushi.

Findings:

  • Serologic tests confirmed immunoglobulin G conversion against O. tsutsugamushi.
  • Molecular analysis indicated an Orientia-like agent, closely related but not identical to Asian strains.
  • This suggests the presence of a novel Orientia species or strain in the Western Hemisphere.

Implications:

  • This case expands the known geographic distribution of Orientia-like bacteria.
  • It highlights terrestrial leeches as a potential, previously unrecognized vector for scrub typhus transmission.
  • Further research is needed to characterize this new agent and its public health implications in the Americas.