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Detection of rabies virus in Callithrix penicillata (Geoffroy, 1812) in Montes Claros, Minas Gerais State, Brazil

ABSTRACT

This report describes the occurrence of the rabies virus in two species of wild animals in the urban area of Montes Claros (MOC), Minas Gerais State, Brazil, in May 2023. The virus has been detected in frugivorous chiropterans (Artibeus sp) and marmosets (Callithrix penicillata). This is the first notified case of the rabies virus in the species C. penicillata in the urban area of MOC. Our findings show that the rabies virus is circulating in the urban area of MOC; therefore, permanent preventive measures must be adopted to avoid infection of other animals and humans.

Keywords:
Rabies virus; Chiropteran (Artibeus sp); Marmoset (Callithrix penicillata)

INTRODUCTION

Rabies is a zoonotic disease caused by infection with a virus belonging to the Lyssavirus genus. It affects the central nervous system of mammals and has a mortality rate of ~100%11. Benavides JA, Valderrama W, Recuenco S, Uieda W, Suzán G, Avila-Flores R, et al. Defining New Pathways to Manage the Ongoing Emergence of Bat Rabies in Latin America. Viruses. 2020;12(9):1002-14.. Approximately 60,000 human deaths are recorded per year worldwide22. Organização Pan-Americana da Saúde. Dia mundial contra a raiva 2023. 2023. Acesso em 18 jan 2024, available from: Acesso em 18 jan 2024, available from: https://www.paho.org/pt/campanhas/dia-mundial-contra-raiva-2023 .
https://www.paho.org/pt/campanhas/dia-mu...
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Seven genotypes of the rabies virus are known: the classic rabies virus (RABV type 1), Lagos Bat virus (LBV - type 2), Mokola virus (MKV - type 3), Duvenhage virus (DV - type 4), European Bat virus 1 (EBLV1 - type 5), European Bat virus 2 (EBLV-2 - type 6), and Australian Bat virus (ABLV - type 7)33. Conseles CA, Bolzan VL. Rabies review: Immunopathology, clinical, aspect and treatment. J Venom Anim Toxins Incl Trop Dis. 2007;13(1):5-38.. RABV type 1 is the most common RABV genotype in Brazil. The variants were identified among these genotypes. The variants AgV1 and AgV2 are predominantly isolated from dogs, AgV3 is associated with the hematophagous bat Desmodus rotundus; AgV4 and AgV6 are isolated from insectivorous bats, such as Tadarida brasiliensis44. Ministério da Saúde. Perfil da Raiva no Brasil. Boletim Epidemiológico - Secretaria de Vigilância em Saúde, Ministério da Saúde. (2022)..

The most effective strategies for preventing and controlling rabies involve a combination of measures, including annual mass vaccination campaigns for dogs and cats, health education of the population, and post-exposure treatment with vaccines and/or human anti-rabies serum for people who have suffered aggression from suspected animals. Currently, the most significant records of rabies cases in wildlife animals in Brazil are caused by bats, both hematophagous and non-hematophagous, as well as wild canids and marmosets55. Ministério da Saúde. “Casos de Raiva Humana por Região Administrativa e Unidades Federadas. Brasil, 2010 a 2022.” ” https://www.gov.br/saude/pt-br/assuntos/saude-de-a-a-z/r/raiva . Secretaria de Vigilância em Saúde. 05 de agosto de 2022. https://www.gov.br/saude/pt-br/assuntos/saude-de-a-a-z/r/raiva/imagens/atualizacoes-das-tabelas-de-casos-29-11-2022/tabela-4_2022.pdf (acesso em 21 de fevereiro de 2023).
https://www.gov.br/saude/pt-br/assuntos/...
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The rabies virus has four transmission cycles: wild, air, urban, and rural. Since 2004, the air and the wild cycles have been signaling a growing increase in the proximity of wild species to humans as a result of various factors, such as deforestation, the option of keeping them as pets in the houses, among others66. Prestes FF. Patrimônio nacional socioambiental: reflexões sobre a proteção do bioma cerrado e seus impactos na floresta Amazônica. Braz J Anim Env Res. 2021;4(3): 3848-89..

In Brazil, there are important wild reservoirs of the rabies virus, including the wild canid C. thous, marmoset Callithrix jaccus, hematophagous bats (Desmodus rotundus), and a diversity of non-hematophagous bats adapted to urban environments, representing a potential risk of rabies transmission77. Favoretto SR, Mattos CC, Morais NB, Alves Araújo FA, de Mattos CA. Rabies in marmosets (Callithrix jacchus), Ceará, Brazil. Emerg Infect Dis. 2001;7(6):1062-65..

In the Brazilian Cerrado biome (tropical savanna ecoregion), it is possible to observe several species of non-human primates (NHP), particularly the marmoset (Callithrix penicillata), a species classified in 1812 (Geoffroy, 1812). C. penicillata is native to the Brazilian Cerrado (tropical savanna ecoregion), has black tufts on the ears, and is present in the following Brazilian regions: south of the Amazon, Bahia, Goiás, Minas Gerais, and North of São Paulo and Rio de Janeiro states88. Coimbra-Filho AF. Situação Atual dos Calitriquídeos que ocorrem no Brasil (Callitrichidae, Primates). In: a Primatologia no Brasil, M. T. de Mello (ed), Sociedade Brasileira de Primatologia, Brasília 1984, p.15-33.. It is a species that, in general, lives in groups of two to 15 animals99. Vilella SL, de Faria DS. Seasonality of the activity pattern of Callithrix penicillata (Primates Callitrichidae) in the Cerrado (scrub savanna vegetation). Braz J Biol. 2004;64(2):363-70.. Their habitats are at the top of trees, and they feed on fruits, seeds, invertebrates, small vertebrates, eggs and tree gums1010. Faria DSO. Estudo de campo do “Mico-Estrela” Callithrix penicillata do Planalto Central Brasileiro. In: Etologia de Animais e de Homens. César Ades(ed.), Edicon/EDUSP - São Paulo,1986. p.109-121..

Therefore, we report the first case of rabies in an NHP from C. penicillata in the urban area of Montes Claros, Minas Gerais State, Brazil. A review of specialized literature was performed using the Cochrane Library, LILACS, SciELO, MEDLINE, PubMed, and PubMed Central (PMC) databases.

CASE REPORT

This case was reported in May 2023 in an urban area of Montes Claros City (MOC), Minas Gerais, Brazil. MOC (latitude: -16, longitude: -43, altitude: 661 m) is the largest city in northern Minas State, with over 400,000 inhabitants, and is located in the Brazilian Cerrado biome (tropical savanna ecoregion) (Figure 1).

FIGURE 1:
Map of Brazil showing the index case of rabies in a marmoset (Callithrix penicillata) in Montes Claros city, Minas Gerais State, Brazil.

A female adult black-tufted marmoset (C. penicillata) weighing 200 g, with a body length of 24 cm and tail length of 30 cm, was found dead in an urban area of the city in the São Geraldo II neighborhood by a team from the Zoonosis Control Center of the MOC (CCZ-MOC). After performing a full necropsy, the central nervous system (CNS) was sent to the Zoonosis Laboratory of the City Hall of Belo Horizonte-MG-Brazil (Lzoon-PMBH), under refrigeration (2-8 °C), according to the conservation and shipping guidelines recommended by the Institution1111. Fundação Ezequiel Dias. Manual de coleta da FUNED, acondicionamento e transporte de material biológico para exames laboratoriais, Belo Horizonte, Brasil, 2020. http://www.funed.mg.gov.br/wp-content/uploads/2020/05/Manual-de-Coleta-MAIO-2020-1.pdf
http://www.funed.mg.gov.br/wp-content/up...
. Furthermore, in the same week, C. penicillata was found dead (Figure 2), and a frugivorous bat (Artibeus sp) was also found dead in another neighborhood of the MOC (João Botelho) (Figure 3) and was sent to Lzoon-PMBH under the same conditions described for C. penicillata.

FIGURE 2:
Callithrix penicillata that was found dead in Montes Claros city.

FIGURE 3:
Map showing the distance between the rabies case in a marmoset (Callithrix penicillata) (São Geraldo II neighborhood) and the bat case (João Botelho neighborhood) in the urban area of Montes Claros city, Minas Gerais State, Brazil.

Using CNS sections from both animals, a direct fluorescent antibody technique (DFAT) and a mouse inoculation test (MIT) were performed at Lzoon-PMBH to diagnose rabies. Both assays yielded positive results. Fragments from the CNS of each animal were sent separately under refrigeration to the Pasteur Institute, São Paulo State, Brazil, to undergo molecular tests for rabies, including reverse transcription, Real-Time Polymerase Chain Reaction (RT-PCR), and sequencing. Two animals tested positive for the rabies virus.

After these results, CCZ-MOC promoted rabies prevention in animals and humans, including dog vaccination boosters and health education.

DISCUSSION

C. penicillata is one of the most commonly identified wildlife species in the MOC region. It is present in both peri-urban and urban areas and is frequently observed in the early morning and late afternoon. There are few reports on the occurrence of rabies virus in NHP in Brazil. Cases were reported in the states of Ceará and Pernambuco up to 201277. Favoretto SR, Mattos CC, Morais NB, Alves Araújo FA, de Mattos CA. Rabies in marmosets (Callithrix jacchus), Ceará, Brazil. Emerg Infect Dis. 2001;7(6):1062-65.,1212. Kotait I, Oliveira RN, Carrieri ML, Castilho JG, Pereira PMC, et al. Non-human primates as a reservoir for rabies vírus in Brazil. Zoonoses Public Health. 2019;66(1):47-59.,1313. Benavides JA, Raghavan RK, Boere V, Rocha S, Wada MY, Vargas A, et al. Spatio-temporal dynamics of rabies and habitat suitability of the common marmoset Callithrix jacchus in Brazil. PLos Negl Trop Dis. 2022;16(3):1-18., in Piauí since 20131313. Benavides JA, Raghavan RK, Boere V, Rocha S, Wada MY, Vargas A, et al. Spatio-temporal dynamics of rabies and habitat suitability of the common marmoset Callithrix jacchus in Brazil. PLos Negl Trop Dis. 2022;16(3):1-18., in Bahia since 2017 (D. rotundus antigenic variant, AgV3)1313. Benavides JA, Raghavan RK, Boere V, Rocha S, Wada MY, Vargas A, et al. Spatio-temporal dynamics of rabies and habitat suitability of the common marmoset Callithrix jacchus in Brazil. PLos Negl Trop Dis. 2022;16(3):1-18., in Rio Grande do Norte since the late 1980s1212. Kotait I, Oliveira RN, Carrieri ML, Castilho JG, Pereira PMC, et al. Non-human primates as a reservoir for rabies vírus in Brazil. Zoonoses Public Health. 2019;66(1):47-59. in C. jacchus, as well as, in Rio de Janeiro since 2019 (AgV3), in Callithrix sp1414. Moutinho FFB, Andrade MGA, Nunes VMA, Rubião ECN, Batista HBCR. et al. Rabies in Callithrix sp. in the urban area of Niterói, Rio de Janeiro, Brazil. Rev Soc Bras Med Trop. 2020;53:e20190402.; in Mato Grosso state, in Cebus apella1515. Kobayashi Y, Sugimoto K, Mochizuki N, Segawa T, Itou T, Carvalho AAB, et al. Isolation of a phylogenetically distinct rabies virus from a tufted capuchin monkey (Cebus apella) in Brazil. Virus Res. 2013;178(2):535-8. and Sergipe state, in Callithrix spp1616. Antunes KD, Matos JCC, Mol LP, Oliveira MA, Arcebispo TLM, Santos VG, et al. Descriptive analysis of rabies in wild animals in the state of Sergipe, Brazil. Arq Bras Med Vet Zootec. 2018;70(1):169-73.. Notably, in previous reports involving the Callithrix genus1414. Moutinho FFB, Andrade MGA, Nunes VMA, Rubião ECN, Batista HBCR. et al. Rabies in Callithrix sp. in the urban area of Niterói, Rio de Janeiro, Brazil. Rev Soc Bras Med Trop. 2020;53:e20190402.,1616. Antunes KD, Matos JCC, Mol LP, Oliveira MA, Arcebispo TLM, Santos VG, et al. Descriptive analysis of rabies in wild animals in the state of Sergipe, Brazil. Arq Bras Med Vet Zootec. 2018;70(1):169-73., the authors did not report the species of Callithrix affected, but only the genus. Favoretto et al77. Favoretto SR, Mattos CC, Morais NB, Alves Araújo FA, de Mattos CA. Rabies in marmosets (Callithrix jacchus), Ceará, Brazil. Emerg Infect Dis. 2001;7(6):1062-65. described rabies in C. jacchus. C. jacchus can be differentiated from C. penicillata based on the color of the tufts on the ears, which are white and black, respectively. Therefore, to the best of our knowledge, after a literature search of the Cochrane Library, LILACS, SciELO, MEDLINE, PubMed, and PubMed Central databases, we conclude that this is the first description of rabies virus in an NHP of the species C. penicillata in an urban area of MOC city, Minas Gerais State, Brazil. In relation to the presence of rabies virus in frugivorous Chiroptera of the Artibeus genus, the first detection in MOC was made in 20091717. Carneiro NFFC, Caldeira AP, Antunes LA, Carneiro VF, Carneiro GF. Raiva em morcegos Artibeus lituratus em Montes Claros, Estado de Minas Gerais. Rev Soc Bras Med Trop. 2009;42(4):449-51..

Although both materials were positive for rabies virus in the molecular tests, it was not possible to establish the variant involved in these cases. The molecular results sent by the Pasteur Institute reported that the diagnosis of rabies was compatible with D. rotundus hematophagous bat. According to literature44. Ministério da Saúde. Perfil da Raiva no Brasil. Boletim Epidemiológico - Secretaria de Vigilância em Saúde, Ministério da Saúde. (2022)., the most common variant of the rabies virus in D. rotundus, in Brazil is AgV3.

The relationship between humans and wild animals is becoming increasingly close, leading to synanthropism due to the expansion of cities towards areas of native vegetation. This causes environmental imbalances, forcing animals to adapt to urban environments and to search for food and shelter.

The confirmation of rabies in the animals in this study showed that the rabies virus is present and circulating in the urban area of MOC and serves as an alert about the importance of adopting permanent preventive measures to avoid rabies spillover to humans by C. penicillata, as previously reported for C. jacchus1212. Kotait I, Oliveira RN, Carrieri ML, Castilho JG, Pereira PMC, et al. Non-human primates as a reservoir for rabies vírus in Brazil. Zoonoses Public Health. 2019;66(1):47-59.,1313. Benavides JA, Raghavan RK, Boere V, Rocha S, Wada MY, Vargas A, et al. Spatio-temporal dynamics of rabies and habitat suitability of the common marmoset Callithrix jacchus in Brazil. PLos Negl Trop Dis. 2022;16(3):1-18.. Such measures include the annual antirabies vaccination of dogs and cats, avoiding physical contact with wild animals, and providing health education to prevent rabies infections in animals and humans.

Therefore, this case report reinforces that physical contact with C. penicillata by the population of MOC city represents a real risk for contamination by the rabies virus, as previously noticed in humans who had contact with C. jaccus in Brazil1212. Kotait I, Oliveira RN, Carrieri ML, Castilho JG, Pereira PMC, et al. Non-human primates as a reservoir for rabies vírus in Brazil. Zoonoses Public Health. 2019;66(1):47-59.,1313. Benavides JA, Raghavan RK, Boere V, Rocha S, Wada MY, Vargas A, et al. Spatio-temporal dynamics of rabies and habitat suitability of the common marmoset Callithrix jacchus in Brazil. PLos Negl Trop Dis. 2022;16(3):1-18..

ACKNOWLEDGMENTS

We thank the support from the teams of the CCZ-MOC and Lzoon-PMBH.

REFERENCES

  • 1
    Benavides JA, Valderrama W, Recuenco S, Uieda W, Suzán G, Avila-Flores R, et al. Defining New Pathways to Manage the Ongoing Emergence of Bat Rabies in Latin America. Viruses. 2020;12(9):1002-14.
  • 2
    Organização Pan-Americana da Saúde. Dia mundial contra a raiva 2023. 2023. Acesso em 18 jan 2024, available from: Acesso em 18 jan 2024, available from: https://www.paho.org/pt/campanhas/dia-mundial-contra-raiva-2023
    » https://www.paho.org/pt/campanhas/dia-mundial-contra-raiva-2023
  • 3
    Conseles CA, Bolzan VL. Rabies review: Immunopathology, clinical, aspect and treatment. J Venom Anim Toxins Incl Trop Dis. 2007;13(1):5-38.
  • 4
    Ministério da Saúde. Perfil da Raiva no Brasil. Boletim Epidemiológico - Secretaria de Vigilância em Saúde, Ministério da Saúde. (2022).
  • 5
    Ministério da Saúde. “Casos de Raiva Humana por Região Administrativa e Unidades Federadas. Brasil, 2010 a 2022.” ” https://www.gov.br/saude/pt-br/assuntos/saude-de-a-a-z/r/raiva Secretaria de Vigilância em Saúde. 05 de agosto de 2022. https://www.gov.br/saude/pt-br/assuntos/saude-de-a-a-z/r/raiva/imagens/atualizacoes-das-tabelas-de-casos-29-11-2022/tabela-4_2022.pdf (acesso em 21 de fevereiro de 2023).
    » https://www.gov.br/saude/pt-br/assuntos/saude-de-a-a-z/r/raiva
  • 6
    Prestes FF. Patrimônio nacional socioambiental: reflexões sobre a proteção do bioma cerrado e seus impactos na floresta Amazônica. Braz J Anim Env Res. 2021;4(3): 3848-89.
  • 7
    Favoretto SR, Mattos CC, Morais NB, Alves Araújo FA, de Mattos CA. Rabies in marmosets (Callithrix jacchus), Ceará, Brazil. Emerg Infect Dis. 2001;7(6):1062-65.
  • 8
    Coimbra-Filho AF. Situação Atual dos Calitriquídeos que ocorrem no Brasil (Callitrichidae, Primates). In: a Primatologia no Brasil, M. T. de Mello (ed), Sociedade Brasileira de Primatologia, Brasília 1984, p.15-33.
  • 9
    Vilella SL, de Faria DS. Seasonality of the activity pattern of Callithrix penicillata (Primates Callitrichidae) in the Cerrado (scrub savanna vegetation). Braz J Biol. 2004;64(2):363-70.
  • 10
    Faria DSO. Estudo de campo do “Mico-Estrela” Callithrix penicillata do Planalto Central Brasileiro. In: Etologia de Animais e de Homens. César Ades(ed.), Edicon/EDUSP - São Paulo,1986. p.109-121.
  • 11
    Fundação Ezequiel Dias. Manual de coleta da FUNED, acondicionamento e transporte de material biológico para exames laboratoriais, Belo Horizonte, Brasil, 2020. http://www.funed.mg.gov.br/wp-content/uploads/2020/05/Manual-de-Coleta-MAIO-2020-1.pdf
    » http://www.funed.mg.gov.br/wp-content/uploads/2020/05/Manual-de-Coleta-MAIO-2020-1.pdf
  • 12
    Kotait I, Oliveira RN, Carrieri ML, Castilho JG, Pereira PMC, et al. Non-human primates as a reservoir for rabies vírus in Brazil. Zoonoses Public Health. 2019;66(1):47-59.
  • 13
    Benavides JA, Raghavan RK, Boere V, Rocha S, Wada MY, Vargas A, et al. Spatio-temporal dynamics of rabies and habitat suitability of the common marmoset Callithrix jacchus in Brazil. PLos Negl Trop Dis. 2022;16(3):1-18.
  • 14
    Moutinho FFB, Andrade MGA, Nunes VMA, Rubião ECN, Batista HBCR. et al. Rabies in Callithrix sp. in the urban area of Niterói, Rio de Janeiro, Brazil. Rev Soc Bras Med Trop. 2020;53:e20190402.
  • 15
    Kobayashi Y, Sugimoto K, Mochizuki N, Segawa T, Itou T, Carvalho AAB, et al. Isolation of a phylogenetically distinct rabies virus from a tufted capuchin monkey (Cebus apella) in Brazil. Virus Res. 2013;178(2):535-8.
  • 16
    Antunes KD, Matos JCC, Mol LP, Oliveira MA, Arcebispo TLM, Santos VG, et al. Descriptive analysis of rabies in wild animals in the state of Sergipe, Brazil. Arq Bras Med Vet Zootec. 2018;70(1):169-73.
  • 17
    Carneiro NFFC, Caldeira AP, Antunes LA, Carneiro VF, Carneiro GF. Raiva em morcegos Artibeus lituratus em Montes Claros, Estado de Minas Gerais. Rev Soc Bras Med Trop. 2009;42(4):449-51.
  • Financial Support: No external funding was received for this report.

Publication Dates

  • Publication in this collection
    29 July 2024
  • Date of issue
    2024

History

  • Received
    08 Feb 2024
  • Accepted
    10 June 2024
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