Albertina Iori

Endoparasites of red fox (Vulpes vulpes) in central italy

A parasitologic study on 129 red foxes (Vulpes vulpes) from Tuscany (central Italy) was carried out in 2004–2006. Five intestinal species were found at necropsy: Dipylidium caninum (prevalence 57.3%), Mesocestoides lineatus (45.4%), Uncinaria stenocephala (39.1%), Toxocara canis (9.1%), and Toxascaris leonina (5.4%). Other parasites not associated with the intestine included Crenosoma vulpis (14.7%), Capillaria aerophila (7.0%), Angiostrongylus vasorum (7.0%), and filarial parasites (17.8%). Coprologic tests were less sensitive and less specific in identifying parasites than direct examinations at necropsy. Trichinella larvae were not found in muscles submitted to artificial digestion. By immunologic assay, antigens of Echinococcus spp. were detected in fecal samples of 20 foxes, but results could not be confirmed by fecal examination or molecular tests.

Tick reservoirs for piroplasms in central and northern Italy.

Ticks, collected in central and northern Italy from pets, livestock, wild animals and the environment (n=2107), were identified by microscopy and processed by molecular diagnostics to determine the species that act as a reservoir for piroplasms. A total of 11 ixodid tick species were identified, with five of them proving to be piroplasm positive. Molecular diagnostics identified Theileria equi and eight Babesia species in 52 adult specimens, mostly (n=50) removed from piroplasm-free vertebrate hosts. Ixodes ricinus hosted the highest number of species, although the highest infection rate was recorded in Hyalomma marginatum (9.1%), followed by I. ricinus (5.1%), Dermacentor marginatus (5%), Rhipicephalus turanicus (3.1%) and R. sanguineus (1.2%). Novel tick/pathogen associations were detected, suggesting that certain tick species (such as Hy. marginatum, R. sanguineus and I. ricinus) are vector of more piroplasm species than previously thought. Trans-stadial maintenance of the piroplasms was observed in each positive tick species; vertical transmission of B. canis canis was demonstrated in R. sanguineus. Finally, the detection of Babesia sp., B. microti-like species and B. rodhaini, phylogenetically related to zoonotic species, suggests that the human population could be at risk of infection in the studied area.

The first report of hepatozoon canis identified in vulpes vulpes and Ticks from Italy

This is the first report on the presence of Hepatozoon canis in Vulpes vulpes in Italy. During the years 2005 and 2006, a total of 119 foxes were collected and their spleen tissues were screened by microscopy, polymerase chain reaction, and sequencing. In the same area, 290 ticks were picked off from dogs or collected from the environment. Microscopy detected inclusion bodies regarded as belonging to the genus Hepatozoon in four samples, whereas molecular diagnostics evidenced 16 foxes (13.4%) and 6 ticks (2.1%) positive to H. canis. The H. canis isolates we found in foxes, compared with the strains we previously detected in dogs from the same area and with the strains found in foxes from other European countries, show a certain genetic heterogeneity. In fact, seven isolates cluster with the Italian dog strain and nine isolates cluster with the fox strain found in Spain and Slovakia; moreover, the dogs strain is closely related to one ticks isolate, and the strain found in three Rhipicephalus sanguineus and in one Ixodes ricinus collected from the environment cluster with the aforementioned Spanish and Slovak fox strains. Our findings confirm the importance of R. sanguineus as final host and suggest that I. ricinus might also be implicated in parasite transmission, explaining in that way the occurrence of hepatozoonosis in areas considered R. sanguineus-free. The peridomestic habits of V. vulpes and the increasing global temperature are expected to amplify the impact of this vector-borne disease and to enforce the transmission of Hepatozoon to domestic animals.

Detection of four Borrelia burgdorferi genospecies and first report of human granulocytic ehrlichiosis agent in Ixodes ricinus ticks collected in central Italy

The presence of Borrelia burgdorferi s.l. and of Ehrlichia phagocytophila group was sought by PCR in Ixodes ricinus collected in a protected area of central Italy. Nymphs (n = 1475, gathered in 295 pools of 5 nymphs each) and adult ticks (n = 28) were examined. B. burgdorferi s.l. was detected in 13.8% of the nymph pools; of these, 63.4% were infected by B. valaisiana, 26.8% by B. afzelii, 7.3% by B. garinii, and 2.5% by B. burgdorferi s.s. Only a single adult male tick proved to host B. afzelii. The agent of human granulocytic ehrlichiosis (HGE) was detected in 2.7% of the nymph pools. Two HGE agent-positive nymph pools were also found to be positive for B. garinii and for B. afzelii, respectively. This is the first report from central Italy of the finding of the HGE agent in ticks.

Investigation on the occurrence of Echinococcus multilocularis in Central Italy

BackgroundRecent studies on geographic distribution of Echinococcus multilocularis in Europe show that it has a wider range than previously thought. It is unclear, however, if the wider distribution is due to its recent spreading or to a lack of previous data from the new areas. Italy, previously considered E. multilocularis-free, is now part of these new areas: infected foxes (the main definitive host of the tapeworm) have been observed in a Northern Alpine territory. Thus, more surveys need to be done in other Italian regions in order to monitor the spreading of E. multilocularis. The aim of the present study was to look for this parasite in 283 foxes collected in an Apennine area of Central Italy by different diagnostic methods.ResultsThe foxes were heavily parasitized by 11 helminthic genera, but none of the animals was infected by E. multilocularis neither by E. granulosus (harboured adult worms or their DNA). Low specificity was observed in commercially available ELISA kits for the detection of E. multilocularis antigens in the faeces. Molecular diagnostics were sensitive and specific for the detection and identification of tapeworm eggs in faeces, but less sensitive, although specific, to adult tapeworms in the intestinal content.ConclusionPreliminarily, we can say that no E. multilocularis could be found in the study area. These data will enable us to follow temporal changes of the spatial distribution of the parasite in the study area of the Central Apennines. Due to its low specificity the ELISA kit for E. multilocularis coproantigens is not suitable for epidemiological surveys, whereas molecular diagnostics applied to faecal samples give useful results. Finally, absence of E. granulosus in foxes living in the endemic areas studied confirms the thought that this tapeworm prefers a different definitive host.

Molecular detection of Rickettsia, Borrelia, and Babesia species in Ixodes ricinus sampled in northeastern, central, and insular areas of Italy

The aim of the present study was to provide insight into the diversity of tick-borne pathogens circulating in Italy, carried/transmitted by Ixodes ricinus, one of the most abundant tick species in the country. A total of 447 specimens sampled in five areas of northeastern, central and insular Italy were analysed by polymerase chain reaction and sequencing for the presence of rickettsiae, borreliae and babesiae. Several rickettsial species of the spotted fever group of zoonotic concern and other zoonotic pathogens were found, such as Borrelia burgdorferi s.s., Borrelia afzelii, Borrelia garinii, and Babesia venatorum. These findings confirm a wide distribution of tick-borne bacterial and protozoan species in Italy, and highlight the sanitary importance of I. ricinus, often recorded as feeding on humans.

Risk of Tick-Borne Bacterial Diseases in Humans in the Florence Area, Tuscany

In Italy, ticks are the vector of several bacterial diseases, including Mediterranean spotted fever (MSF), Lyme disease, and tularemia. 1–4 Although no cases of human monocytic ehrlichiosis (HME) or granulocytic ehrlichiosis (HGE) have been reported, some seroepidemiological findings suggest the presence of the agent of HME ( Ehrlichia chaffeensis ) and the HGE agent in some regions. 5–9 MSF, which is caused by Rickettsia conorii , is the only rickettsiosis of the spotted-fever group (SFG) that is known to occur in Italy, where it is the predominant tick-borne disease. The objective of this study was to evaluate the risk of acquiring infection due to R. conorii , Borrelia burgdorferi sensu lato, E. chaffeensis , the HGE agent, and Francisella tularensis after a tick bite. The study was conducted in and around the city of Florence, which is located in the region of Tuscany (central Italy) and where cases of tick-borne bacterial diseases (e.g., MSF, Lyme disease, and tularemia) have been reported 1–3,10–15 but where, as in the rest of Italy, information on the epidemiology of these tick-borne diseases is scanty. The study was conducted at two hospitals in Florence: the “Nuovo San Giovanni di Dio” Hospital and the “Careggi” Hospital. We enrolled all persons who, in the period from June 1997 to October 1999, presented to the hospitals after tick bite. The persons were clinically examined upon arrival (T0), after one week (T1), and after 21–28 days (T2). Serum samples were collected at T0 and T2. Sera were tested for antibodies to B. burgdorferi sensu lato, F. tularensis , R. conorii , E. chaffeensis and the HGE agent. Antibody titers to B. burgdorferi sensu lato were determined by an enzyme-linked immunosorbent assay (ELISA) (MarDx Diagnostics, Carlsbad, CA,

Cross-sectional survey of ticks (Acari: Ixodidae) in sheep from an area of the southern Italian Apennines

A cross-sectional survey of ticks was conducted on 197 ovine farms with animals pasturing in an area (3971 km2) of the southern Italian Apennines. The farms were selected to be uniformly distributed throughout the study area using geographical information system (GIS). Ticks were collected from 309 (31.4%) out of the 985 sheep sampled, belonging to 92 (46.7%) out of the 197 farms included in the study. The following tick species were found (farm prevalence): Dermacentor marginatus (37.6%), Haemaphysalis punctata (29.4%), H. sulcata (2.5%), H. parva (2.0%), H. inermis (0.5%), I. gibbosus (2.0%), Ixodes ricinus (0.5%), Rhipicephalus sanguineus group (1.0%), and R. bursa (0.5%). A point distribution map (PDM) was drawn by GIS in order to display the distribution of each tick genus in the study area. The general trends of the PDM show that Dermacentor marginatus and Haemaphysalis spp. were widely and homogeneously spread throughout the study area, whereas Rhipicephalus spp. and Ixodes spp. were present only in a few concentrated zones of the study area in accordance to their biological and ecological characteristics.