Battisti, E.

Duscher, G. G.

Felsberger, G.

Ferroglio, E.

Fusani, L.

Hodzic, A.

Hufnagl, P.

Urach, K.

English

Institutional Research Information System University of Turin

Migratory birds can be biological and mechanical carriers of viruses, bacteria, and protozoa. They also can transport infected ectoparasites, such as ticks, across continents, enabling the spread of these vectors and their pathogens into new ecologic niches. Several studies have reported the Borrelia burgdorferi sensu lato, spotted fever group (SFG) rickettsiae, and Crime-an-Congo hemorrhagic fever virus (CCHFV) in Ixodes ricinus and Hyalomma marginatum ticks collected from birds that migrate annually from Africa to Europe (1,2). The role of migratory birds as carriers of vectorborne pathogens in Italy is poorly understood. To assess the risk for introduction of zoonotic microbial agents in Europe by migratory birds, we investigated microor-ganisms in ticks collected from migratory birds in Italy.The StudyWe conducted fieldwork activities at the Ponza Ring-ing Station on the island of Ponza (Central Tyrrhenian Sea, Italy; 40°55′N, 12°58′E) during spring (March–May) 2016 and 2017. We captured 744 migratory birds belonging to 20 different species (Table) during regu-lar ringing procedures and checked them for ticks. Fourteen bird species were long-distance migrants that wintered in sub-Saharan Africa, and 6 were par-tial migrants, such as the blackbird (Turdus merula), the dunnock (Prunella modularis), the Eurasian blackcap (Sylvia atricapilla), the European robin (Eithacus ru-becula), the song thrush (Turdus philomenos), and the subalpine warbler (Sylvia cantillas).We collected 231 engorged ticks and identified them using standard morphologic keys (3) and PCR ampli-fication of the internal transcribed spacer (ITS) region when possible (4). We used commercial kits for RNA (High Pure Viral Nucleic Isolation Kit; Roche Diagnos-tics, https://diagnostics.roche.com) and DNA (High Pure PCR Template Preparation Kit; Roche Diagnostics) extraction. We used the RealStar CCHFV RT-PCR Kit 1.0 (Altona Diagnostics, https://www.altona-diagnos-tics.com) for CCHFV detection; we used conventional PCR with protocols described elsewhere (5) to detect DNA from Babesia spp., Anaplasma spp., Ehrlichia spp., SFG rickettsiae, and Borrelia spp. We used DNA from Babesia canis (dog 825/08, 1:10 diluted), Anaplasma phagocytophilum (cattle 2008/13, 1:10 diluted), Ehrlichia canis (clone), Rickettsia raoultii (clone) and B. burgdorferi (clone) as positive controls for each amplification.Using PCR amplification of the ITS region, we identified 94 ticks at the species level: H. marginatum complex (5 larvae, 82 nymphs), I. frontalis (3 nymphs), I. ventalloi (3 nymphs), and Amblyomma marmoreum (1 nymph). Amplification of the ITS region failed in the remaining ticks, identifying only the genus; these ticks were mostly Hyalomma spp. (1 larva, 118 nymphs) or Ixodes spp. (3 larvae, 14 nymphs, and 1 adult).Of the analyzed ticks, 50 tested positive for SFG rickettsiae DNA; the overall prevalence was 21.7% (95% CI 16.8%–27.4%). To determine the species, we amplified a fragment of the ompA gene in all the SFG rickettsiae–positive ticks (5). Positive amplicons were sequenced by LGC Genomics (https://www.lgcgroup.com) and compared with sequences deposited in Gen-Bank. Results revealed R. aeschlimannii DNA in 47 (94.0% [95% CI 83.8%–97.9%]) of 50 ticks (Table). We identified 46 sequences identical to an R. aeschlimanni strain documented from Egypt (GenBank accession no. HQ335157), Turkey (GenBank accession no. MF379299), and Italy (GenBank accession no. MH532239) and 1 se-quence identical to R. aeschlimanni strain RH (GenBank Zoonotic Pathogens in Ticks  from Migratory Birds, ItalyElena Battisti, Katharina Urach, Adnan Hodžić, Leonida Fusani, Peter Hufnagl,  Gerit Felsberger, Ezio Ferroglio, Georg Gerhard Duscher2986 Emerging Infectious Diseases • www.cdc.gov/eid • Vol. 26, No. 12, December 2020DISPATCHESAuthor affiliations: Università degli Studi di Torino, Turin, Italy  (E. Battisti, E. Ferroglio); University of Veterinary Medicine Vienna, Vienna, Austria (K. Urach, A. Hodžić, L. Fusani, G.G. Duscher); University of Vienna, Vienna (K. Urach, L. Fusani); Austrian Agency for Health and Food Safety, Vienna (P. Hufnagl,  G. Felsberger, G.G. Duscher)DOI: https://doi.org/10.3201/eid2612.181686Migratory birds can transport infected ticks across con-tinents. We evaluated pathogens in ticks collected from migratory birds in Italy. We found DNA from Rickettsia ae-schlimannii, R. africae, and R. raoultii bacteria, all of which can cause disease in humans. Bird migrations might facili-tate the spread of these pathogens into new areas.Zoonotic Pathogens in Ticks from Migratory Birdsaccession no. HM050286) from Senegal; the latter strain differed from the others by 1 nt (T instead of C at nt 425). Two (4.0% [95% CI 1.1%–13.5%]) sequences were identi-cal to R. africae (GenBank accession no. HQ335132), and 1 (2.0% [95% CI 0.4%–10.5%]) sequence was identical to R. raoultii (GenBank accession no. MF166732). We also screened a subset of positive ticks using primers target-ing a fragment of the gltA gene (5), confirming the re-sults obtained with the ompA gene. No ticks tested posi-tive for other microorganisms.ConclusionsAlthough ticks of the H. marginatum species com-plex (i.e., H. marginatum, H. rufipes, H. turanicum, and H. isaaci) are the most widespread ticks in Africa, they also have been found in some countries in Europe, such as the United Kingdom (6). These tick species are also vectors for CCHFV, which occurs mainly in Africa and southeastern Europe and can cause life-threatening dis-ease in humans. Hyalomma ticks are vectors and reser-voirs of this virus; birds, which are the primary hosts for the immature stages of these ticks, can maintain and spread the virus into new areas through migration (7).R. aeschlimannii and R. africae, which are zoonotic bacterial species endemic to Africa, are transmitted by ticks belonging to the genera Hyalomma and Am-blyomma. However, these bacteria have also been de-tected in ticks from other regions, such as Oceania, the  Emerging Infectious Diseases • www.cdc.gov/eid • Vol. 26, No. 12, December 2020 2987Page 4 of 1  Table. Sampled bird species, ticks, and Rickettsia PCR positivity, Italy, 2016–2017* Year, bird species No. birds Tick species found No. pathogen-positive ticks/no. tested ticks Rickettsia R. aeschlimanni R. africae R. raoultii 2016        Barn swallow (Hirundo rustica) 18 NA NA     Blackbird (Turdus merula) 1 Ixodes ventalloi 0/1     Black redstart (Phoenicuros ochruros) 29 I. ventalloi 0/2    Hyalomma sp. 1/3 1 0 0  Eurasian blackcap (Sylvia atricapilla) 1 NA NA     European robin (Erithacus rubecula) 22 I. frontalis 0/1     Garden warbler (Sylvia borin) 83 NA NA     Icterine warbler (Hippolais icterina) 19 Hyalomma sp. 1/2 0 1 0  Northern weathear (Oenanthe oenanthe) 1 Hyalomma sp. 1/1 1 0 0  Pied flycatcher (Ficedula hypoleuca) 21 Hyalomma sp. 1/5 1 0 0  Redstart (Phoenicuros phoenicuro) 14 Hyalomma sp. 7/9 7 0 0  Spotted flycatcher (Muscicapa striata) 25 NA NA     Subalpine warbler (Sylvia cantillas) 1 I. frontalis 0/1     Tree pipit (Anthus trivialis) 1 Hyalomma sp. 1/2 1 0 0  Whinchat (Saxicola rubetra) 38 I. frontalis 0/1    Hyalomma sp. 4/13 4 0 0  Whitethroat (Sylvia communis) 92 Ixodes sp. 0/1    Hyalomma sp. 10/24 9 0 1  Willow warbler (Phylloscopus trochilus) 1 NA NA     Wood warbler (Phylloscopus sibilatrix) 1 Hyalomma sp. 0/3    2017        Barn swallow (H. rustica) 20 Hyalomma sp. 0/1     Black redstart (P. ochruros) 3 H. rufipes 1/1 0 1 0  Collared flycatcher (Ficedula albicollis) 1 H. rufipes 1/1 1 0 0  Dunnock (Prunella modularis) 1 Hyalomma sp. 0/1     Eurasian blackcap (S. atricapilla) 48 NA NA     European robin (E. rubecula) 39 H.rufipes 2/10 2 0 0  Garden warbler (S. borin) 30 NA NA     Icterine warbler (H. icterina) 41 NA NA     Northern weathear (O. oenanthe) 1 H. rufipes 1/1 1    Pied flycatcher (F. hypoleuca) 30 Hyalomma sp. 0/1     Redstart (P. phoenicuros) 25 H. rufipes 8/12 8 0 0  Song thrush (Turdus philomenos) 4 H. rufipes 1/1 1 0 0 Hyalomma sp. 0/3     Spotted flycatcher (M. striata) 24 H. rufipes 1/2 1 0 0  Subalpine warbler (S. cantillas) 1 Hyalomma sp. 0/1     Tree pipit (A. trivialis) 2 Amblyomma marmoreum 1/1 1 0 0 Hyalomma sp. 0/1     Whinchat (S. rubetra) 43 H. rufipes 5/7 5 0 0  Whitethroat (S. communis) 57 H. rufipes 2/5 2 0 0  Willow warbler (P. trochilus) 1 Hyalomma sp. 0/1     Wood warbler (P. sibilatrix) 5 H. rufipes 1/1 1 0 0 Hyalomma sp. 0/4    *NA, no ticks collected.   DISPATCHESCaribbean islands, and Europe (7–9). Autochthonous cases of human rickettsiosis caused by R. aeschliman-nii have been recently described in Greece (10) and Italy (11). We detected R. africae in H. rufipes and R. raoultii in Hyalomma sp., which are not known vectors for these pathogens. Because we did not test the birds for Rickettsia spp. and the ticks were engorged, we cannot exclude the possibility that the ticks acquired these microorganisms by feeding on positive birds. Nevertheless, our results agree with those observed in a study in Italy (12) and confirm the circulation of these Rickettsia species into areas to which they are not endemic. They also highlight the role of migrato-ry birds in the passive transportation of infected ticks.Although no ticks tested positive for CCHFV in our study, some studies report this virus in H. margin-atum complex ticks attached to birds migrating from Africa to Europe (13). Migratory birds might have con-tributed to the establishment of the CCHFV in Spain (14). Moreover, climate change could cause prolonged, warmer, and drier summers and autumns. These sea-sonal changes might lead to the establishment of au-tochthonous populations of Hyalomma ticks in areas previously free of these vectors. Finally, RNA of anoth-er relevant human pathogen, the recently discovered Alkhurma hemorrhagic virus (15), has been detected in ticks of the H. marginatum complex.In summary, we found zoonotic bacteria in ticks carried by birds across their migratory routes and as-sessed the risk for pathogen introduction in Italy. How-ever, further studies are needed to clarify the role of these ticks in the epidemiology of zoonotic pathogens.AcknowledgmentsWe thank Marco Pombi and 2 anonymous reviewers who provided helpful comments and suggestions to improve this manuscript.About the AuthorDr. Battisti is a postdoctoral researcher at the Department of Veterinary Science, University of Turin. Her main research focuses on zoonotic s transmitted by vectors.References1. Comstedt P, Bergström S, Olsen B, Garpmo U, Marjavaara L, Mejlon H, et al. Migratory passerine birds as reservoirs of Lyme borreliosis in Europe. Emerg Infect Dis. 2006;12:1087–95. https://doi.org/10.3201/eid1207.060127  2. Palomar AM, Portillo A, Mazuelas D, Roncero L, Arizaga J, Crespo A, et al. Molecular analysis of Crimean-Congo  hemorrhagic fever virus and Rickettsia in Hyalomma  marginatum ticks removed from patients (Spain) and birds (Spain and Morocco), 2009–2015. 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N Engl J Med. 2017;377:154–61. https://doi.org/10.1056/NEJMoa161516215. Hoffman T, Lindeborg M, Barboutis C, Erciyas-Yavuz K, Evander M, Fransson T, et al. Alkhurma hemorrhagic fever virus RNA in Hyalomma rufipes ticks infesting migratory birds, Europe and Asia Minor. Emerg Infect Dis. 2018;24:879–82. https://doi.org/10.3201/eid2405.171369>Address for correspondence: Georg Gerhard Duscher, Institute of Parasitology, Department of Pathobiology, University of Veterinary Medicine, Veterinaerplatz 1, 1210 Vienna, Austria; email: georg.duscher@vetmeduni.ac.at2988 Emerging Infectious Diseases • www.cdc.gov/eid • Vol. 26, No. 12, December 2020

Zoonotic Pathogens in Ticks from Migratory Birds, Italy

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Zoonotic Pathogens in Ticks from Migratory Birds, Italy

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