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Published on: February 20, 2015
'Candidatus Neoehrlichia mikurensis' in Europe
A Portillo1, P Santibáñez1, A M Palomar1
1Center of Rickettsiosis and Arthropod-Borne Diseases, Infectious Diseases Department, Hospital San Pedro-Center of Biomedical Research from La Rioja (CIBIR), La Rioja, Spain.
Abstract:
'Candidatus Neoehrlichia mikurensis' is an uncultured emerging bacterium that is provisionally included in the family Anaplasmataceae. In Europe, it is transmitted by Ixodes ricinus ticks. Rodents are the reservoirs. It is widely distributed in mammals (both wild and domestic) and birds. It causes an inflammatory disease in humans with underlying diseases, but the microorganism also affects immunocompetent individuals in which asymptomatic infection has been recognized. A high degree of suspicion and the use of molecular tools are needed for the correct diagnosis. Efforts to cultivate it and to investigate its pathogenesis should be a priority.
Insights
Neoehrlichia mikurensis is an emerging bacterium transmitted by ticks, affecting both immunocompromised and healthy individuals. Early diagnosis requires high suspicion and molecular methods.
Area of Science:
- Microbiology
- Infectious Diseases
- Veterinary Medicine
Background:
- 'Candidatus Neoehrlichia mikurensis' is an uncultured emerging bacterium.
- It is provisionally classified within the Anaplasmataceae family.
- Transmitted by Ixodes ricinus ticks in Europe, with rodents as reservoirs.
Purpose of the Study:
- To summarize the current understanding of 'Candidatus Neoehrlichia mikurensis'.
- To highlight its distribution, transmission, and clinical significance in humans and animals.
- To emphasize diagnostic challenges and future research priorities.
Main Methods:
- Literature review and synthesis of existing data.
- Epidemiological analysis of Neoehrlichia mikurensis distribution.
- Clinical case review and diagnostic approach discussion.
Main Results:
- Neoehrlichia mikurensis is widespread in mammals and birds.
- It causes inflammatory disease in humans, particularly those with underlying conditions.
- Asymptomatic infections are recognized in immunocompetent individuals.
- Diagnosis necessitates high clinical suspicion and molecular detection methods.
Conclusions:
- 'Candidatus Neoehrlichia mikurensis' represents a significant emerging infectious agent.
- Accurate diagnosis requires molecular tools and awareness.
- Prioritizing cultivation and pathogenesis research is crucial for better management.
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