Niterói, November 30, 2017
Dear editor
Bacteria of genus Bartonella are worldwide distributed and responsible for several diseases in human and animal hosts11. Hegarty BC, Bradley JM, Lappin MR, Balakrishnan N. Mascarelli PE, Breitschwerdt EB. Analysis of seroreactivity against cell culture-derived Bartonella spp. antigens in dogs. J Vet Intern Med. 2014;28:38-41.. They are facultative intracellular microorganisms and remain for long periods in bloodstream, allowing continuous transmission by arthropods during blood-feeding22. Harms A, Dehio C. Intruders below the radar: molecular pathogenesis of Bartonella spp. Clin Microbiol Rev. 2012;25:42-78.. Cat-scratch disease is caused by Bartonella henselae. Cats are considered the main reservoir of this bacterium, which is usually transmitted to cats by arthropods, such as Ctenocephalides felis flea33. Foil L, Andress E, Freeland RL, Roy AF, Rutledge R, Triche PC, et al. Experimental infection of domestic cats with Bartonella henselae by inoculation of Ctenocephalides fells (Siphonaptera: Pulicidae) feces. J Med Entomol. 1998;35:625-8..
The pathogen is well adapted to its reservoir, and feline hosts are often asymptomatic22. Harms A, Dehio C. Intruders below the radar: molecular pathogenesis of Bartonella spp. Clin Microbiol Rev. 2012;25:42-78.,44. Stützer B, Hartmann K. Chronic Bartonellosis in cats: what are the potential implications? J Feline Med Surg. 2012;14:612-21.. However, cats can develop febrile illness and endocarditis55. Guptill L. Bartonella infections in cats: what is the significance? In Pract. 2012;34:434-45..
Transmission of B. henselae between cats occurs through contamination of skin wounds with flea feces33. Foil L, Andress E, Freeland RL, Roy AF, Rutledge R, Triche PC, et al. Experimental infection of domestic cats with Bartonella henselae by inoculation of Ctenocephalides fells (Siphonaptera: Pulicidae) feces. J Med Entomol. 1998;35:625-8., and cats transmit the organism to humans via scratching, biting or saliva66. Tsai YL, Lin CC, Chomel BB, Chuang ST, Tsai KH, Wu WJ, et al. Bartonella infection in shelter cats and dogs and their ectoparasites. VectorBorne Zoonotic Dis. 2011;11:1023-30.. In immunocompetent humans B. henselae infection is usually self-limited, characterized by regional lymphadenopathy with or without other clinical abnormalities, such as fever or fatigue. Occasionally, long-term intraerythrocytic bacteremia can be observed, as well as infection by other species of the genus, including Bartonella clarridgeiae and Bartonella quintana22. Harms A, Dehio C. Intruders below the radar: molecular pathogenesis of Bartonella spp. Clin Microbiol Rev. 2012;25:42-78..
We now aimed to demonstrate the presence of Bartonella sp. in domestic cats inhabiting the Serra da Tiririca State Park (PESET), a preserved area located within the municipalities of Niterói and Maricá, State of Rio de Janeiro, Brazil, which is part of the Atlantic rainforest biome; harboring a large diversity of endemic fauna and flora constituting an important ecotourism area for human visitors. Unfortunately, the park has been damaged due to inadequate housing construction, increase in human and animal populations living improperly inside or on the edge of the park acts of vandalism, fire, hunting and inadequate garbage disposal77. Rio de Janeiro. Instituto Estadual do Ambiente. Resumo executivo: plano de manejo: Parque Estadual da Serra da Tiririca – PESET. Rio de Janeiro: INEA; 2012..
This study was approved by the Ethics Commission on Animal Use (CEUA) from Universidade Federal Fluminense (process Nº 677). We collected blood samples from 89 domestic cats living in households and free-roaming cats at PESET. DNA extraction from blood samples was performed with the Illustra™ blood genomic Prep Mini Spin Kit (GE Healthcare). Samples were processed by conventional polymerase chain reaction (PCR) targeting a fragment of the citrate synthase gene of Bartonella spp. with the primers BhCS781p (GGGGACCAGCTCATGGTGG) and BhCS1137n (AATGCAAAAAGAACAGTAA ACA)88. Norman AF, Regnery R, Jameson P, Greene C, Krause DC. Differentiation of Bartonella-like isolates at the species level by PCR-restriction fragment length polymorphism in the citrate synthase gene. J Clin Microbiol. 1995;33:1797-803.. Positive results were obtained in 24.72% (22/89) of the PCR assays. In Brazil, the prevalence of Bartonella among cats has been found to range from 1.6%-97%99. Staggemeier R, Venker CA, Klein DH, Petry M, Spilki FR, Cantarelli VV. Prevalence of Bartonella henselae and Bartonella clarridgeiae in cats in the south of Brazil: a molecular study. Mem Inst Oswaldo Cruz. 2010;105:873-78.
10. Souza AM, Almeida DN, Gutierres A, Gomes R, Favacho AR, Moreira NS, et al. Bartonelose: análise molecular e sorológica em gatos do Rio de Janeiro - Brasil. Rev Bras Cienc Vet. 2010;17:7-11.
11. Braga MD, Diniz PP, André MR, Bortoli CP, Machado RZ. Molecular characterisation of Bartonella species in cats from São Luís, state of Maranhão, north-eastern Brazil. Mem Inst Oswaldo Cruz. 2012;107:772-7.-1212. Braga IA, Dias IS, Chitarra CS, Amude AM, Aguiar DM. Molecular detection of Bartonella clarridgeiae in domestic cats from Midwest Brazil. Braz J Infect Dis. 2015;19:451-2., however, only in the present study the occurrence of this bacterium was demonstrated in one preservation and ecotourism area.
We found this case to be noteworthy because we observed a high frequency of Bartonella-infected cats in the study area. We emphasize the possibility that cats living illegally in PESET are an important source of infection both for other cats and for humans, since the park has a visitor area where humans can interact with these cats. Immunosuppressed people should avoid contact with any unknown cat since they can acquire bartonellosis and the pathologic response varies according to the host immune status. Further studies are needed, including sequencing of positive samples, in order to identify the species involved in study area.
REFERENCES
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1Hegarty BC, Bradley JM, Lappin MR, Balakrishnan N. Mascarelli PE, Breitschwerdt EB. Analysis of seroreactivity against cell culture-derived Bartonella spp. antigens in dogs. J Vet Intern Med. 2014;28:38-41.
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2Harms A, Dehio C. Intruders below the radar: molecular pathogenesis of Bartonella spp. Clin Microbiol Rev. 2012;25:42-78.
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3Foil L, Andress E, Freeland RL, Roy AF, Rutledge R, Triche PC, et al. Experimental infection of domestic cats with Bartonella henselae by inoculation of Ctenocephalides fells (Siphonaptera: Pulicidae) feces. J Med Entomol. 1998;35:625-8.
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4Stützer B, Hartmann K. Chronic Bartonellosis in cats: what are the potential implications? J Feline Med Surg. 2012;14:612-21.
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5Guptill L. Bartonella infections in cats: what is the significance? In Pract. 2012;34:434-45.
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6Tsai YL, Lin CC, Chomel BB, Chuang ST, Tsai KH, Wu WJ, et al. Bartonella infection in shelter cats and dogs and their ectoparasites. VectorBorne Zoonotic Dis. 2011;11:1023-30.
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7Rio de Janeiro. Instituto Estadual do Ambiente. Resumo executivo: plano de manejo: Parque Estadual da Serra da Tiririca – PESET. Rio de Janeiro: INEA; 2012.
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8Norman AF, Regnery R, Jameson P, Greene C, Krause DC. Differentiation of Bartonella-like isolates at the species level by PCR-restriction fragment length polymorphism in the citrate synthase gene. J Clin Microbiol. 1995;33:1797-803.
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9Staggemeier R, Venker CA, Klein DH, Petry M, Spilki FR, Cantarelli VV. Prevalence of Bartonella henselae and Bartonella clarridgeiae in cats in the south of Brazil: a molecular study. Mem Inst Oswaldo Cruz. 2010;105:873-78.
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10Souza AM, Almeida DN, Gutierres A, Gomes R, Favacho AR, Moreira NS, et al. Bartonelose: análise molecular e sorológica em gatos do Rio de Janeiro - Brasil. Rev Bras Cienc Vet. 2010;17:7-11.
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11Braga MD, Diniz PP, André MR, Bortoli CP, Machado RZ. Molecular characterisation of Bartonella species in cats from São Luís, state of Maranhão, north-eastern Brazil. Mem Inst Oswaldo Cruz. 2012;107:772-7.
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12Braga IA, Dias IS, Chitarra CS, Amude AM, Aguiar DM. Molecular detection of Bartonella clarridgeiae in domestic cats from Midwest Brazil. Braz J Infect Dis. 2015;19:451-2.
Publication Dates
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Publication in this collection
2018
History
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Received
30 Nov 2017 -
Accepted
20 Dec 2017