Serpil Nalbantoglu

Spotted fever group rickettsiae in ticks in Turkey

One hundred twenty-six ticks belonging to 12 tick species were collected from humans, domestic and wild animals, and from the ground as unfed (questing ticks) from distinct localities in Turkey in 2011. Ticks were individually tested by polymerase chain reaction (PCR) for Rickettsia spp., amplifying citrate synthase (gltA), and outer membrane protein (ompA) genes. Twenty-five ticks (19.8%) were found to be infected with Rickettsia species. Five SFG rickettsiae were identified, including 4 pathogens: Ri. aeschlimannii in Hyalomma marginatum, Hy. aegyptium, Hyalomma sp. (nymph), and Rhipicephalus turanicus; Ri. africae in Hy. excavatum, Hy. aegyptium, and Hyalomma sp. (nymph); Ri. slovaca and Ri. raoultii in Dermacentor marginatus; and one species with unknown pathogenicity, Ri. hoogstraalii, in Haemaphysalis parva. Rickettsia slovaca and Ri. hoogstraalii were reported for the first time from Turkey. In addition, Ri. hoogstraalii and Ri. africae were detected for the first time in Ha. parva and Hy. excavatum ticks, respectively.

Studies on the epidemiology of tropical theileriosis (Theileria annulata infection) in cattle in Central Anatolia, Turkey.

An epidemiological survey for Theileria annulata infection was conducted in 12 selected villages around Ankara in Central Anatolia, Turkey, during the period April 1990 to January 1993. During the survey, 198 cattle of 30 local breeds, 84 Holstein-Friesian×local breeds and 84 Holstein-Friesian breed were examined for antibodies to T. annulata and the presence of the vector ticks. Four species of Hyalomma ticks were identified: Hyalomma anatolicum anatolicum, Hyalomma anatolicum excavtum, Hyalomma detritum and Hyalomma marginatum marginatum. Salivary gland staining indicated that infected adult ticks of all four species were present and, therefore, were implicated in the transmission of tropical theileriosis in the field. Generally, the Hyalomma infestation rate was low, with the heaviest infestations occurring on the older animals. Young adults and calves had very low infestation rates. Most ticks seen on cattle were adults, very few nymphs were found. The blood smear and serological examination of the 198 cattle conducted in March, before the start of the first disease season, showed that the prevalence of piroplasmosis was 11.1% (22 out of 198) and the seroprevalence of T. annulata was 10.6% (21 out of 198). Forty-three animals were then excluded from the study because they were seropositive and/or harboured piroplasms. Ninety-two seronegative animals showed piroplasmosis (92 out of 155) and 34 seronegative animals became seropositive for T. annulata (34 out of 155) during the three disease seasons. One animal became clinically ill with tropical theileriosis and required treatment. The incidence of cattle showing piroplasmosis and disease in the total study sample was 50.7% and 0.5% per disease season, respectively. The seroconversion rate of new infection with T. annulata in the total study was 14.3% per animal season. The number of cattle showing piroplasmosis was much greater than the number of seropositive cattle, which may indicate the presence of another species of Theileria. The two different management systems encountered in the study were considered to have influenced the tick infestation levels.

Identification of Tick-Borne Pathogens in Ticks Feeding on Humans in Turkey

Background The importance of tick-borne diseases is increasing all over the world, including Turkey. The tick-borne disease outbreaks reported in recent years and the abundance of tick species and the existence of suitable habitats increase the importance of studies related to the epidemiology of ticks and tick-borne pathogens in Turkey. The aim of this study was to investigate the presence of and to determine the infection rates of some tick-borne pathogens, including Babesia spp., Borrelia burgdorferi sensu lato and spotted fever group rickettsiae in the ticks removed from humans in different parts of Ankara. Methodology/Principal Findings A total of 169 ticks belonging to the genus Haemaphysalis, Hyalomma, Ixodes and Rhipicephalus were collected by removing from humans in different parts of Ankara. Ticks were molecularly screened for Babesia spp., Borrelia burgdorferi sensu lato and spotted fever group rickettsiae by PCR and sequencing analysis. We detected 4 Babesia spp.; B. crassa, B. major, B. occultans and B. rossi, one Borrelia spp.; B. burgdorferi sensu stricto and 3 spotted fever group rickettsiae; R. aeschlimannii, R. slovaca and R. hoogstraalii in the tick specimens analyzed. This is the report showing the presence of B. rossi in a region that is out of Africa and in the host species Ha. parva. In addition, B. crassa, for which limited information is available on its distribution and vector species, and B. occultans, for which no conclusive information is available on its presence in Turkey, were identified in Ha. parva and H. marginatum, respectively. Two human pathogenic rickettsia species (R. aeschlimannii and R. slovaca) were detected with a high prevalence in ticks. Additionally, B. burgdorferi sensu stricto was detected in unusual tick species (H. marginatum, H. excavatum, Hyalomma spp. (nymph) and Ha. parva). Conclusions/Significance This study investigates both the distribution of several tick-borne pathogens affecting humans and animals, and the presence of new tick-borne pathogens in Turkey. More epidemiological studies are warranted for B. rossi, which is very pathogenic for dogs, because the presented results suggest that B. rossi might have a wide distribution in Turkey. Furthermore, we recommend that tick-borne pathogens, especially R. aeschlimannii, R. slovaca, and B. burgdorferi sensu stricto, should be taken into consideration in patients who had a tick bite in Turkey.

Ticks on humans in Ankara, Turkey.

In this study, a total of 5,094 ticks found on humans were examined in terms of species, development stage, gender, host features and seasonality for a year period. Of these ticks 17 were argasid and 5,077 were ixodid. Predominantly species of the ixodid genera Hyalomma, Dermacentor, Rhipicephalus and Haemaphysalis were found on humans in Ankara (Anatolia). Most abundant were Hyalomma nymphs (29.8%) and adults (28.2%). Primary factors in terms of tick bite risk were region, habitat and season.

Urogenital myiasis caused by Psychoda albipennis (Diptera: Nematocera) in Turkey

We report a 21-year-old female patient from Sakarya, Turkey, who visited our hospital with pain in the right costo-lumbar region. She also complained of irritation in the vagina, dysuria, polyuria, hematuria, vomiting and diarrhea. Physical examination of the patient did not reveal any abnormalities. Biochemical examination revealed a slight decrease in hemoglobin (10.8 g/ l) and hematocrit (34%) levels. Microscopic examination of the urine showed the presence of 6–7 leukocytes and 8–10 erythrocytes. Radiological and ultrasonographic examinations showed that the patient was suffering from kidney stones (nephrolithiasis), and a 2-cm diameter stone was seen in the right kidney. The patient was treated with the extracorporeal shockwave lithotripsy. During her stay in the hospital five grayishbrown larvae, approximately 3 mm in length, were isolated from her urine. They were killed in boiling water and placed in 5% glycerin in 70% ethyl alcohol. The larvae were identified as the fourth stage of the moth fly Psychoda albipennis (Fig. 1). No more larvae were collected from the patient and the urogenital and gastrointestinal symptoms ceased within a month.

Tick-borne diseases in Turkey

Livestock provides approximately 35% of agricultural output in Turkey, with a population of over 13 million cattle, 40 million sheep and 10 million goats. Production from local breeds is low and there is a trend towards importation of high yielding European breeds, particularly dairy cattle. Currently, 71% of cattle are pure-bred, with 18% cross breeds and 11% pure European cattle. Tick-borne diseases, particularly babesiois and theileriosis, are known to be prevalent in many parts of Turkey, although information on the presence of Ehrlichi spp., Cowdria spp. and Eperythrozoon spp. has yet to be gathered. Babesiosis of cattle has been identified for some time in Turkey and Babesia bovis, B. bigemina, B. divergens and B. major are the four parasites which affect cattle. Seroprevalence is generally highest for B. bigemina, although B. divergens is more prevalent in the Black Sea region. Reports of cattle babesiosis are regularly received from large animal practices, although detailed epidemiological studies and assessments of economic impact are yet to be carried out. Ovine babesiosis, due to B. ovis and B. motasi, is also thought to be endemic in Turkey with 50-80% of sheep sero-positive for B. ovis depending on region, although clinical cases appear to be mostly confined to lambs. Treatment of babesiosis is mostly through chemotherapy, with acriflavine, acaparin and diminazene aceturate the drugs currently used. Tropical theileriosis is widespread in Turkey with over 90% of animals sero-positive in some areas. Approximately 20-60% of cattle may be exposed to the disease in one season. Several vector Hyalomm~ spp. are present in Turkey and over 40% of ticks can be infected with Theileria annulata in Central Anatolica. Mortality in local cattle breeds is approximately 50%, but can be up to 100% in imported animals. Tropical theileriosis control is effected through a cell-line vaccine, of which 170,000 doses per year are prepared. Vaccinated animals appear disease-free and large-scale post vaccination surveys are currently underway. Clinical cases of ovine theileriosis have not been documented, although T. hirci and T. recondita have been found in Turkey.

Crimean-Congo hemorrhagic fever virus in ticks in Turkey: A broad range tick surveillance study

In Turkey, Crimean-Congo hemorrhagic fever (CCHF) outbreaks started in northern regions in 2002. Human cases still continue to increase and the disease spreads in many other provinces of Turkey. The ecological role of the vector tick species occurring in Turkey is not certain exactly. Therefore, we planned a broad range tick study in three different ecological and geographical areas extending from the West Black Sea regions down to the Central Anatolia. The aim of this study was to determine and characterize CCHFV molecularly in feeding-ticks collected from various wild and domestic animals and from humans as well as in questing and unfed ticks. In this study, 4283 tick samples derived from 21 tick species were collected from 76 villages and 10 central districts in total. All tick pools were screened for the presence of CCHFV RNA by two nested RT-PCRs. PCR assays were positive for 27 (3.6%) of 736 pools. CCHFV was detected in Hyalomma marginatum, Dermacentor marginatus, Rhipicephalus bursa, Rhipicephalus turanicus, Hyalomma excavatum and Haemaphysalis parva pools. As a result of the phylogenetic analysis, it was determined that the obtained CCHFV sequences are clustered into Europe 1 clade. CCHFV was detected among ticks obtained from cattle, goats, wild boar, hare, and the ground. The presence of CCHFV in ticks obtained from various domestic and wild hosts and the nature, and thereby the distribution patterns of the virus in different ecological areas were presented in this study. Furthermore, CCHFV was also detected in unusual tick species. Consequently, these results indicate that tick surveillance studies in large-scale and wide varieties contribute to the ecology and epidemiology of CCHF in that region, and can be used as an early-warning system.

Some biological features of Hyalomma marginatum in the laboratory

OBJECTIVE This study has been planned to investigate some biological features of Hyalomma marginatum, which is one of the important vectors in the world and in our country. METHODS The study started with the adult H. marginatum which were collected from cattle in the field and attempts were made for these to be adapted to the laboratory by breeding in the laboratory throughout a generation. Unfed adult ticks and unfed larvae were bred on the rabbit ear while unfed nymphs were bred on the calf ear. The biologic development stages of this tick kind, except for sucking blood stage, passed in an incubator which was at a temperature of 28°C and 85% relative humidity, while the unfed active stages passed in an incubator which was at 18°C and 85% relative humidity to conserve for a long time. RESULTS Unfed females on rabbits were full and fell in approximately 15 days, began to ovulate 20.5 days later and ovulated for 16 days. The larvae which hatched out approximately 29 days later became active in 8.5 days. These larvae sucked blood from rabbits for 14.5 days and abandoned these animals as full nymphs. Unfed adult ticks, which existed as a result of these nymphs casting off their skin in approximately 26 days, became active by completing their cutinization in approximately 10 days. CONCLUSION At the end of the study, it was determined that H. marginatum showed 2 different behaviors in rabbits. According to this, the total life cycle in the laboratory environment changed by between 97 and 182 days and lasted approximately 138.5 days.

Unexpected cause of conjunctival injection

[No abstract available] Saudi Med J 2015; Vol. 36 (4): 502-503. doi: 10.15537/smj.2015.4.11342