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Article
Two Pathogens and One Disease: Detection and Identification of Flea-Borne Rickettsiae in Areas Endemic for Murine Typhus in California
Journal of Medical Entomology
  • Marina Eremeeva, Georgia Southern University
  • Sandor E. Karpathy, Centers for Disease Control and Prevention
  • Laura Krueger, Orange County Vector Control District
  • Erica K. Hayes, Centers for Disease Control and Prevention
  • Ashley M. Williams, Centers for Disease Control and Prevention
  • Yamitzel Zaldivar, Centers for Disease Control and Prevention
  • Stephen Bennett, Orange County Vector Control District
  • Robert Cummings, Orange County Vector Control District
  • Art Tilzer, Orange County Vector Control District
  • Robert K. Velten, Orange County Vector Control District
  • Nelson Kerr, Long Beach Vector Control Program
  • Gregory A. Dasch, Centers for Disease Control and Prevention
  • Renjie Hu, California Department of Public Health
Document Type
Article
Publication Date
12-1-2012
DOI
10.1603/ME11291
Abstract

Results of an environmental assessment conducted in a newly emergent focus of murine typhus in southern California are described. Opossums, Didelphis virginiana Kerr, infested with cat fleas,Ctenocephalides felis Buché, in the suburban area were abundant. Animal and flea specimens were tested for the DNA of two flea-borne rickettsiae, Rickettsia typhi and Rickettsia felis. R. felis was commonly detected in fleas collected throughout this area while R. typhi was found at a much lower prevalence in the vicinity of just 7 of 14 case-patient homes identified. DNA of R. felis, but not R. typhi, was detected in renal, hepatic, and pulmonary tissues of opossums. In contrast, there were no hematologic polymerase chain reaction findings of R. felis or R. typhi in opossums, rats, and cats within the endemic area studied. Our data suggest a significant probability of human exposure to R. felis in the area studied; however, disease caused by this agent is not recognized by the medical community and may be misdiagnosed as murine typhus using nondiscriminatory serologic methods.

Citation Information
Marina Eremeeva, Sandor E. Karpathy, Laura Krueger, Erica K. Hayes, et al.. "Two Pathogens and One Disease: Detection and Identification of Flea-Borne Rickettsiae in Areas Endemic for Murine Typhus in California" Journal of Medical Entomology Vol. 49 Iss. 6 (2012) p. 1485 - 1494
Available at: http://works.bepress.com/marina_eremeeva/135/