Culture and identification of Borrelia spirochetes in human vaginal and seminal secretions

Middelveen, Marianne J; Burke, Jennie; Sapi, Eva; Bandoski, Cheryl; Filush, Katherine R.; Wang, Yean; Franco, A.; Timmaraju, Arun; Schlinger, Hilary A.; Mayne, Peter; Stricker, Raphael B.

doi:10.12688/f1000research.5778.2

Cited by 5 publications

(5 citation statements)

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“…Unless the populace is aware of the wide distribution of songbird-transported ticks vectoring Lyme disease, unsuspecting residents may be taken off guard when B. burgdorferi-infected ticks are dropped in their locality and, subsequently, bite them or their companion animals. In the absence of a tick vector, B. burgdorferi may be sexually transmitted to another person (Middelveen et al 2015).…”

Section: Borrelia Burgdorferi-infected I Scapularis On Songbirds In mentioning

confidence: 99%

New records of the Lyme disease bacterium in ticks collected from songbirds in central and eastern Canada

Scott¹,

Durden

2015

International Journal of Acarology

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This study highlights the collection of ticks from wild-caught birds in central and eastern Canada. Using polymerase chain reaction (PCR), 32 (33%) of 98 Ixodes species ticks tested were positive for the Lyme disease bacterium, Borrelia burgdorferi sensu lato (s.l.) Johnson, Schmid, Hyde, Steigerwalt, and Brenner (hereafter B. burgdorferi). Immature blacklegged ticks, Ixodes scapularis Say, which are competent vectors of B. burgdorferi, constituted the predominant Ixodes species tick collected from parasitized songbirds; specifically, 31(35%) of 89 I. scapularis nymphs were positive for B. burgdorferi. Notably, we report the first B. burgdorferi-positive I. scapularis (nymph) on a migratory passerine in Prince Edward Island; this is the first record of a tick on a bird in this maritime province. First-time records of B. burgdorferi-infected, I. scapularis nymphs on passerines in northwestern Ontario include rose-breasted grosbeak, Pheucticus ludovicianus (Linnaeus), eastern bluebird, Sialia sialis (L.), and indigo bunting, Passerina cyanea (L.). Similarly, we furnish a new host record in Canada for an I. scapularis (nymph) on a worm-eating warbler, Helmitheras vermivorus (Gmelin); this engorged nymph tested positive for B. burgdorferi. We document the first recorded collection of a B. burgdorferi-infected Ixodes muris Bishopp and Smith (female) on a songbird in Ontario. We provide the first account of a live culture of B. burgdorferi from an I. scapularis (nymph) collected from a brown-headed cowbird Molothrus ater (Boddaert) in Manitoba. We make available new host records for I. scapularis on a clay-coloured sparrow Spizella pallida (Swainson) and a Gambel's white-crowned sparrow Zonotrichia leucophrys gambelii (Nuttall). An I. scapularis on a songbird during southward autumn migration in northwestern Ontario is a first record reported. As well, we document the first-ever account of a reptile-associated tick, a nymph of Amblyomma sabanerae Stoll, on a veery Catharus fuscescens (Stephens) in northwestern Ontario. Migratory songbirds play an integral role in the wide dispersal of B. burgdorferi-infected ticks, especially during northward spring migration. Clinicians need to be aware that people can be bitten by B. burgdorferi-infected ticks released by songbirds across Canada.

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Section: Borrelia Burgdorferi-infected I Scapularis On Songbirds In mentioning

confidence: 99%

New records of the Lyme disease bacterium in ticks collected from songbirds in central and eastern Canada

Scott¹,

Durden

2015

International Journal of Acarology

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“…Lyme disease, which often manifests as a chronic infection, can sometimes be fatal 71, 81, 94. Since spirochetes lodge in human testicles, semen, and vaginal secretions, B. burgdorferi s.s. can be sexually transmitted 95, 96. Early treatment is very important; delayed treatment of Lyme disease may be long and difficult 97, 98.…”

Section: Discussionmentioning

confidence: 99%

Established Population of Blacklegged Ticks with High Infection Prevalence for the Lyme Disease Bacterium, Borrelia burgdorferi Sensu Lato, on Corkscrew Island, Kenora District, Ontario

Scott¹,

Foley²,

Clark³

et al. 2016

Int. J. Med. Sci.

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We document an established population of blacklegged ticks, Ixodes scapularis, on Corkscrew Island, Kenora District, Ontario, Canada. Primers of the outer surface protein A (OspA) gene, the flagellin (fla) gene, and the flagellin B (flaB) gene were used in the PCR assays to detect Borrelia burgdorferi sensu lato (s.l.), the Lyme disease bacterium. In all, 60 (73%) of 82 adult I. scapularis, were infected with B. burgdorferi s.l. As well, 6 (43%) of 14 unfed I. scapularis nymphs were positive for B. burgdorferi s.l. An I. scapularis larva was also collected from a deer mouse, and several unfed larvae were gathered by flagging leaf litter. Based on DNA sequencing of randomly selected Borrelia amplicons from six nymphal and adult I. scapularis ticks, primers for the flagellin (fla) and flagellin B (flaB) genes reveal the presence of B. burgdorferi sensu stricto (s.s.), a genospecies pathogenic to humans and certain domestic animals. We collected all 3 host-feeding life stages of I. scapularis in a single year, and report the northernmost established population of I. scapularis in Ontario. Corkscrew Island is hyperendemic for Lyme disease and has the highest prevalence of B. burgdorferi s.l. for any established population in Canada. Because of this very high infection prevalence, this population of I. scapularis has likely been established for decades. Of epidemiological significance, cottage owners, island visitors, outdoors enthusiasts, and medical professionals must be vigilant that B. burgdorferi s.l.-infected I. scapularis on Corkscrew Island pose a serious public health risk.

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“…Updated data of Borrelia spirochetes in human vaginal and seminal secretions., 10.5256/f1000research.5778.d46058 ( Middelveen et al , 2015). …”

Section: Data Availabilitymentioning

confidence: 99%

Culture and identification of Borrelia spirochetes in human vaginal and seminal secretions

Middelveen¹,

Burke

Sapi

et al. 2015

F1000Res

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Background: Recent reports indicate that more than 300,000 cases of Lyme disease are diagnosed yearly in the USA. Preliminary clinical, epidemiological and immunological studies suggest that infection with the Lyme disease spirochete Borrelia burgdorferi (Bb) could be transferred from person to person via intimate human contact without a tick vector. Failure to detect viable Borrelia spirochetes in vaginal and seminal secretions would argue against this hypothesis. Methods: Patients with and without a history of Lyme disease were selected for the study after informed consent was obtained. Serological testing for Bb was performed on all subjects. Semen or vaginal secretions were inoculated into BSK-H medium and cultured for four weeks. Examination of genital cultures and culture concentrates for the presence of spirochetes was performed using light and darkfield microscopy, and spirochete concentrates were subjected to Dieterle silver staining, anti-Bb immunohistochemical staining, molecular hybridization and PCR analysis for further characterization. Immunohistochemical and molecular testing was performed in three independent laboratories in a blinded fashion. Positive and negative controls were included in all experiments. Results: Control subjects who were asymptomatic and seronegative for Bb had no detectable spirochetes in genital secretions by PCR analysis. In contrast, spirochetes were observed in cultures of genital secretions from 11 of 13 subjects diagnosed with Lyme disease, and motile spirochetes were detected in genital culture concentrates from 12 of 13 Lyme disease patients using light and darkfield microscopy. Morphological features of spirochetes were confirmed by Dieterle silver staining and immunohistochemical staining of culture concentrates. Molecular hybridization and PCR testing confirmed that the spirochetes isolated from semen and vaginal secretions were strains of Borrelia, and all cultures were negative for treponemal spirochetes. PCR sequencing of cultured spirochetes from three couples having unprotected sex indicated that two couples had identical strains of Bb sensu stricto in their semen and vaginal secretions, while the third couple had identical strains of B. hermsii detected in their genital secretions. Conclusions: The culture of viable Borrelia spirochetes in genital secretions suggests that Lyme disease could be transmitted by intimate contact from person to person. Further studies are needed to evaluate this hypothesis.

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Culture and identification of Borrelia spirochetes in human vaginal and seminal secretions

Cited by 5 publications

References 56 publications

New records of the Lyme disease bacterium in ticks collected from songbirds in central and eastern Canada

New records of the Lyme disease bacterium in ticks collected from songbirds in central and eastern Canada

Established Population of Blacklegged Ticks with High Infection Prevalence for the Lyme Disease Bacterium, Borrelia burgdorferi Sensu Lato, on Corkscrew Island, Kenora District, Ontario

Culture and identification of Borrelia spirochetes in human vaginal and seminal secretions

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