2018
DOI: 10.3201/eid2411.172033
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Detection of Tickborne Relapsing Fever Spirochete, Austin, Texas, USA

Abstract: In March 2017, a patient became febrile within 4 days after visiting a rustic conference center in Austin, Texas, USA, where Austin Public Health suspected an outbreak of tickborne relapsing fever a month earlier. Evaluation of a patient blood smear and molecular diagnostic assays identified Borrelia turicatae as the causative agent. We could not gain access to the property to collect ticks. Thus, we focused efforts at a nearby public park, <1 mile from the suspected exposure site. We trapped Ornithodoros turi… Show more

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Cited by 22 publications
(36 citation statements)
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“…Post Oak Savannah, Blackland Prairies, Cross Timbers, Edwards Plateau). Two additional case reports of five dogs (Piccione et al., ) and one human (Bissett et al., ) also coincide with our findings by indicating infections with B. turicatae centred in the same aforementioned ecoregions. The preliminary observation of geographical grouping, or clustering, of samples from case reports and surveillance sample sets may be explained by the ecology of its primary soft tick vector, Ornithodoros turicata , which has traditionally been associated with the cave system of central Texas, therefore corroborating the central cluster observed in this current study and prior case studies (Dworkin, Schwan, Anderson, & Borchardt, ).…”
Section: Discussionsupporting
confidence: 90%
“…Post Oak Savannah, Blackland Prairies, Cross Timbers, Edwards Plateau). Two additional case reports of five dogs (Piccione et al., ) and one human (Bissett et al., ) also coincide with our findings by indicating infections with B. turicatae centred in the same aforementioned ecoregions. The preliminary observation of geographical grouping, or clustering, of samples from case reports and surveillance sample sets may be explained by the ecology of its primary soft tick vector, Ornithodoros turicata , which has traditionally been associated with the cave system of central Texas, therefore corroborating the central cluster observed in this current study and prior case studies (Dworkin, Schwan, Anderson, & Borchardt, ).…”
Section: Discussionsupporting
confidence: 90%
“…turicatae may be emerging in these areas. In 2017 there was an outbreak of TBRF among conference attendees in Austin, Texas [ 34 ], which is located in Travis County. This outbreak was in a densely populated area of the city and B .…”
Section: Discussionmentioning
confidence: 99%
“…The primary species in the United States that transmit pathogens include Ornithodoros turicata, Ornithodoros hermsi, Ornithodoros parkeri, Ornithodoros talaje, and Ornithodoros coriaceus (Davis, 1939;Cooley and Kohls, 1944;Hess et al, 1987;Donaldson et al, 2016;Lopez et al, 2016;Sage et al, 2017). These species have been implicated in the transmission of tick-borne relapsing fever spirochetes (Lane et al, 1985;Dworkin et al, 2002;Nieto et al, 2012;Lopez et al, 2016;Christensen et al, 2017;Bissett et al, 2018). Moreover, O. turicata and O. coriaceus were experimentally shown to be competent vectors of African swine fever virus (ASFV) (Hess et al, 1987), an emerging pathogen in Europe and Asia.…”
Section: Introductionmentioning
confidence: 99%