Rickettsia slovaca Infection: DEBONEL/TIBOLA

Producción CientíficaThis study describes the epidemiological, clinical, and microbiological characteristics of a new tick-borne disease in Spain—Dermacentor-borne necrosis erythema lymphadenopathy (DEBONEL). The clinical presentations include an eschar at the site of the tick bite, surrounded by an erythema and painful regional lymphadenopathy. The disease appears during the colder months and its vector is Dermacentor marginatus (D. marginatus). From January 1990 to December 2004, 54 patients presented at Hospital of La Rioja with these clinical and epidemiological data. The ratio of females to males was 32/22. The average age was 37 years. In all cases tick bites were located on the upper body (90% on the scalp). The median incubation period was 4.7 days. Signs and symptoms were mild in all cases. Only a small number of patients presented mild and nonspecific abnormalities in a complete blood cell count and mild elevation of erythrocyte sedimentation rates and C-protein reactive and liver enzyme levels. Serological evidence of acute rickettsiosis was observed in 19 patients (61%). In 29% sera tested by polymerase chain reactions (PCRs) were positive. The sequence obtained from a PCR product revealed 98% identity with Rickettsia sp. strains RpA4, DnS14, and DnS28. All ticks removed from patients were PCR-positive. Sequencing showed 8 of them identified as R. slovaca and 2 as Rickettsia sp. strains RpA4, DnS14, and DnS28

Implications of the Fermi-LAT diffuse gamma-ray measurements on annihilating or decaying Dark Matter

We analyze the recently published Fermi-LAT diffuse gamma-ray measurements in the context of leptonically annihilating or decaying dark matter (DM) with the aim to explain simultaneously the isotropic diffuse gamma-ray and the PAMELA, Fermi and HESS (PFH) anomalous $e^\pm$ data. Five different DM annihilation/decay channels $2e$, $2\mu$, $2\tau$, $4e$, or $4\mu$ (the latter two via an intermediate light particle $\phi$) are generated with PYTHIA. We calculate both the Galactic and extragalactic prompt and inverse Compton (IC) contributions to the resulting gamma-ray spectra. To find the Galactic IC spectra we use the interstellar radiation field model from the latest release of GALPROP. For the extragalactic signal we show that the amplitude of the prompt gamma-emission is very sensitive to the assumed model for the extragalactic background light. For our Galaxy we use the Einasto, NFW and Isothermal DM density profiles and include the effects of DM substructure assuming a simple subhalo model. Our calculations show that for the annihilating DM the extragalactic gamma-ray signal can dominate only if rather extreme power-law concentration-mass relation $C(M)$ is used, while more realistic $C(M)$ relations make the extragalactic component comparable or subdominant to the Galactic signal. For the decaying DM the Galactic signal always exceeds the extragalactic one. In the case of annihilating DM the PFH favored parameters can be ruled out only if power-law $C(M)$ relation is assumed. For DM decaying into $2\mu$ or $4\mu$ the PFH favored DM parameters are not in conflict with the Fermi gamma-ray data. We find that, due to the (almost) featureless Galactic IC spectrum and the DM halo substructure, annihilating DM may give a good simultaneous fit to the isotropic diffuse gamma-ray and to the PFH $e^\pm$ data without being in clear conflict with the other Fermi-LAT gamma-ray measurements.Comment: Accepted for publication in JCAP, added missing references, new Figs. 9 \& 10, 35 page

Risk profiles and one-year outcomes of patients with newly diagnosed atrial fibrillation in India: Insights from the GARFIELD-AF Registry.

BACKGROUND: The Global Anticoagulant Registry in the FIELD-Atrial Fibrillation (GARFIELD-AF) is an ongoing prospective noninterventional registry, which is providing important information on the baseline characteristics, treatment patterns, and 1-year outcomes in patients with newly diagnosed non-valvular atrial fibrillation (NVAF). This report describes data from Indian patients recruited in this registry. METHODS AND RESULTS: A total of 52,014 patients with newly diagnosed AF were enrolled globally; of these, 1388 patients were recruited from 26 sites within India (2012-2016). In India, the mean age was 65.8 years at diagnosis of NVAF. Hypertension was the most prevalent risk factor for AF, present in 68.5% of patients from India and in 76.3% of patients globally (P < 0.001). Diabetes and coronary artery disease (CAD) were prevalent in 36.2% and 28.1% of patients as compared with global prevalence of 22.2% and 21.6%, respectively (P < 0.001 for both). Antiplatelet therapy was the most common antithrombotic treatment in India. With increasing stroke risk, however, patients were more likely to receive oral anticoagulant therapy [mainly vitamin K antagonist (VKA)], but average international normalized ratio (INR) was lower among Indian patients [median INR value 1.6 (interquartile range {IQR}: 1.3-2.3) versus 2.3 (IQR 1.8-2.8) (P < 0.001)]. Compared with other countries, patients from India had markedly higher rates of all-cause mortality [7.68 per 100 person-years (95% confidence interval 6.32-9.35) vs 4.34 (4.16-4.53), P < 0.0001], while rates of stroke/systemic embolism and major bleeding were lower after 1 year of follow-up. CONCLUSION: Compared to previously published registries from India, the GARFIELD-AF registry describes clinical profiles and outcomes in Indian patients with AF of a different etiology. The registry data show that compared to the rest of the world, Indian AF patients are younger in age and have more diabetes and CAD. Patients with a higher stroke risk are more likely to receive anticoagulation therapy with VKA but are underdosed compared with the global average in the GARFIELD-AF. CLINICAL TRIAL REGISTRATION-URL: http://www.clinicaltrials.gov. Unique identifier: NCT01090362

Pathological alterations and prevalence of Trypanosoma cruzi in opossums from western Mexico

There are scarce reports about lesions and pathological alterations by Trypanosoma cruzi infections on opossums (Didelphis virginiana), considered some of the most important reservoir hosts for T. cruzi in western Mexico. After two serological analyses (Serodia and IHA), 12 (24%) of 50 collected opossums in two small towns in western Mexico were positive for the presence of T. cruzi. Eight had some kind of organ alterations: four with alterations in only one organ, three in two organs and one with alterations in three organs. Splenomegaly was the most common alteration in the examined opossums. In light of the present findings, it is possible that organ alterations on studied opossums may have been associated with T. cruzi infections

Monitoring triatomid bug (Hemiptera: Reduviidae) presence by sentinel chicken coops in Southern Jalisco State, México [Vigilancia de la presencia de triatominos mediante gallineros en el sur de Jalisco, México]

Introduction. Chagas disease is an important public health problem in Mexico. At least 30 Triatominae species, vectors of that disease have been recorded, most with domiciliary habits and tendency to invade human dwellings. Objective. The usefulness of using chicken coops was evaluated for monitoring peridomestic triatomine presence, identity and infection with Trypanosoma cruzi. Materials and methods. A year-long, longitudinal field study was designed. Fifty chicken coops were placed in 50 human dwellings on three localities in Teocuitatlán de Corona County, Jalisco State, Mexico. The coops and human dwellings were routinely inspected to determine if the coops alone can monitor for the presence of triatomines. Results. Significantly (p<0.05) more Meccus longipennis specimens (93.0%) than of Triatoma barberi (7.0%) were collected. Almost a third (31.3%) of M. longipennis and none of T. barberi specimens were collected in the coops. Meccus longipennis was found with infections of Trypanosoma cruzi of 25.7%, and T. barberi of 53.2%. Most triatomines were collected in spring and summer months. Conclusions. Chicken coops proved useful tools to detect presence of M. longipennis; however, they were not effective for T. barberi. The importance of M. longipennis as a potential vector was confirmed, and the possible primary vector role of T. barberi was established as well

Monitoring triatomid bug (Hemiptera: Reduviidae) presence by sentinel chicken coops in Southern Jalisco State, México [Vigilancia de la presencia de triatominos mediante gallineros en el sur de Jalisco, México]

Introduction. Chagas disease is an important public health problem in Mexico. At least 30 Triatominae species, vectors of that disease have been recorded, most with domiciliary habits and tendency to invade human dwellings. Objective. The usefulness of using chicken coops was evaluated for monitoring peridomestic triatomine presence, identity and infection with Trypanosoma cruzi. Materials and methods. A year-long, longitudinal field study was designed. Fifty chicken coops were placed in 50 human dwellings on three localities in Teocuitatlán de Corona County, Jalisco State, Mexico. The coops and human dwellings were routinely inspected to determine if the coops alone can monitor for the presence of triatomines. Results. Significantly (p<0.05) more Meccus longipennis specimens (93.0%) than of Triatoma barberi (7.0%) were collected. Almost a third (31.3%) of M. longipennis and none of T. barberi specimens were collected in the coops. Meccus longipennis was found with infections of Trypanosoma cruzi of 25.7%, and T. barberi of 53.2%. Most triatomines were collected in spring and summer months. Conclusions. Chicken coops proved useful tools to detect presence of M. longipennis; however, they were not effective for T. barberi. The importance of M. longipennis as a potential vector was confirmed, and the possible primary vector role of T. barberi was established as well

Influence of the Blood Meal Source on the Biology of Meccus picturatus Usinger 1939 (Hemiptera: Reduviidae: Triatominae) under Laboratory Conditions

Aspects related to hatching, time-lapse between presenting the blood meal and beginning of feeding, feeding time, postfeed defecation delay, life time, mortality and fecundity for each stage of Meccus picturatus, life-cycle were evaluated and compared in two cohorts of M. picturatus fed on hens or rabbits. The hatching rate observed for each of the two studied groups of eggs was 78.1% (n = 2298) on the group fed on hens and 82.1% (n = 2704) on that fed on rabbits, and the average time of hatching was 20 days. Mean time-lapse for beginning feeding was under 3 min in nymphal stages and postfeed defecation delay was under 10 min in all stages, in both cohorts. Mean feeding time was significantly (P 0.05) differences were recorded among the average times from NI to adult in the cohort fed on hens (196.8 � 15.8 days) and the average time in the cohort fed on rabbits (189.5 � 22.9). The average span in days for each stage fed on hens was not significantly different to the average span for each stage fed on rabbits. The number of blood meals at each nymphal stage varied from 1 to 6 in both cohorts. The mortality rates were higher on fifth nymphal stage, in both cohorts. No significant (P > 0.05) differences were recorded on mortality rates on most nymphal stages of both cohorts. The average number of eggs laid per female from the cohort fed on hens in a 9-month period was 791.1, whereas the average number of eggs in the cohort fed on rabbits was 928.3

Influence of the Blood Meal Source on the Biology of Meccus picturatus Usinger 1939 (Hemiptera: Reduviidae: Triatominae) under Laboratory Conditions

Aspects related to hatching, time-lapse between presenting the blood meal and beginning of feeding, feeding time, postfeed defecation delay, life time, mortality and fecundity for each stage of Meccus picturatus, life-cycle were evaluated and compared in two cohorts of M. picturatus fed on hens or rabbits. The hatching rate observed for each of the two studied groups of eggs was 78.1% (n = 2298) on the group fed on hens and 82.1% (n = 2704) on that fed on rabbits, and the average time of hatching was 20 days. Mean time-lapse for beginning feeding was under 3 min in nymphal stages and postfeed defecation delay was under 10 min in all stages, in both cohorts. Mean feeding time was significantly (P 0.05) differences were recorded among the average times from NI to adult in the cohort fed on hens (196.8 ± 15.8 days) and the average time in the cohort fed on rabbits (189.5 ± 22.9). The average span in days for each stage fed on hens was not significantly different to the average span for each stage fed on rabbits. The number of blood meals at each nymphal stage varied from 1 to 6 in both cohorts. The mortality rates were higher on fifth nymphal stage, in both cohorts. No significant (P > 0.05) differences were recorded on mortality rates on most nymphal stages of both cohorts. The average number of eggs laid per female from the cohort fed on hens in a 9-month period was 791.1, whereas the average number of eggs in the cohort fed on rabbits was 928.3

The morphological variation of the eggs and genital plates of two morphotypes of Triatoma protracta Uhler, 1894

The control of triatomine insects is necessary because these insects are the principal vectors of Trypanosoma cruzi, the agent of Chagas disease. Nevertheless, some of these vectors, such as Triatoma protracta, have not been studied adequately and their importance and taxonomic status has not yet been defined in detail and must be reevaluated in view of the continuing taxonomic uncertainties associated with the species. To help clarify the taxonomic status of T. protracta, the eggs and genital plates of two morphotypes were analyzed. Qualitative and quantitative morphological differences were observed in two morphotypes, designated T. p. protracta and T. p. nahuatlae according to Ryckman (1962). The morphotype T. p. protracta exhibited large and wide eggs with pores forming large padded polygonal structures, whereas the eggs of the morphotype T. p. nahuatlae were small and smooth. The size of the 9th genital urosternite was longer and wider in females in contrast to males in both morphotypes. However, these size differences were relatively greater in T. p. protracta. The high morphological variation found between the morphotypes of T. protracta suggests that they should be separated. Accordingly, it is probable that this group should be re-classified. © 2012 The Society for Vector Ecology