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Coexistence of ehrlichiae of the phagocytophila group with
Borrelia burgdorferi
in
Ixodes ricinus
from Southern Germany
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ORIGINAL INVESTIGATION
Coexistence of ehrlichiae of the phagocytophila group with Borrelia burgdorferi in Ixodes ricinus from Southern Germany
V. Fingerle1, U. G. Munderloh3, G. Liegl1 and B. Wilske1
| (1) |
Max von Pettenkofer-Institut für Hygiene und Medizinische Mikrobiologie, Ludwig-Maximilians-Universität München, Pettenkoferstrasse
9a, D-80336 München, Germany Tel.: +49-89-51605225, Fax: +49-89-51604757, DE |
| (2) |
Institut für Mikrobiologie und Hygiene, Humboldt Universität Berlin, Berlin, Germany, DE |
| (3) |
College of Agriculture, University of Minnesota, St. Paul, Minnesota, USA, US |
Abstract Human granulocytic ehrlichiosis (HGE) is an emerging infectious disease recognized in the Western hemisphere. HGE is well
known to occur in North America, but records from outside the United States are sparse. The great majority of data from Europe
are restricted to seroprevalence studies and molecular biological detection of granulocytic ehrlichiae (GE) in ticks and mammals,
but include defined cases from Slovenia. They argue for the existence of this disease in many parts of Europe. In the present
study, 510 Ixodes ricinus ticks collected in five different regions of Southern Germany were investigated for the presence of GE and Borrelia burgdorferi sensu lato using polymerase chain reaction. In all, 8 (1.6%) of the 492 ticks that could be evaluated (193 females, 208 males,
and 91 nymphs) contained GE and 178 (36.2%) B. burgdorferi s.l.. Four of these ticks were infected with both pathogens. Interestingly, all ehrlichia-infected ticks were adults and
all were collected in the English Garden, a recreational park area located in the city of Munich. Sequencing of the 16S rDNA
(bp 1–1101) of four of the GE showed 100% sequence identity to each other and greater than 99.9% identity with the published
sequence of the HGE agent. The four GE differed in respect to other hitherto described GE by a nucleotide exchange at position
336. These results show that GE that are closely related to the HGE agent are present in Southern Germany, and that coinfection
with B. burgdorferi is common in GE-infected ticks. However, in contrast to B. burgdorferi which is endemic everywhere in Southern Germany, the distribution of GE seems to be focal.
Key words Human granulocytic ehrlichiosis - Granulocytic ehrlichiae - Ixodes ricinus - Borrelia burgdorferi - Southern Germany
Received: 30 July 1999
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