Abstract. To determine whether the presence of nonpathogenic piroplasms may confound field estimates of risk of Babesia microti infection, we identified sporozoites infecting the salivary glands of deer ticks (Ixodes dammini) by parallel microscopy and polymerase chain reaction assays. Piroplasms were evident in 14.4% of adult ticks from sites in the northcentral and northeastern United States. Of these, 83.3% contained DNA characteristic of Ba. odocoilei. This cervid piroplasm was detected in all of the sites examined and generally was more prevalent than was Ba. microti. Because deer ticks transmit both Ba. odocoilei and Ba. microti, estimates of pathogen prevalence based solely on microscopy may overestimate the risk of human babesiosis.The agents of human babesiosis (Babesia microti) and Lyme disease (Borrelia burgdorferi) co-occur in particular sites in the northeastern and northcentral regions of the United States, where they perpetuate in a cycle involving deer tick (Ixodes dammini) vectors and white-footed mouse (Peromyscus leucopus) reservoir hosts. 1 Where both kinds of pathogens infect these hosts, human babesiosis is less frequently diagnosed than is Lyme disease. On Nantucket Island, for example, the annual incidence of symptomatic human babesiosis averages about one-tenth that of Lyme disease. 2 Moreover, sera of local residents react to antigens of Ba. microti about one-third as often as to those of B. burgdorferi. Although they are acquired similarly, human babesial infection occurs less frequently than does borrelial infection.In spite of this apparent difference in the relative frequency of symptomatic infection, the agent of human babesiosis seems to infect vector ticks in nature about as often as does the agent of Lyme disease. 3, 4 These estimates, however, assume that any sporozoites seen microscopically in the salivary glands of deer ticks would be Ba. microti. Yet, Ixodes ticks transmit a diverse array of piroplasms, including a parasite of white-tailed deer (Ba. odocoilei) that is distributed widely throughout the southern United States. 5,6 The closely related black-legged tick (I. scapularis) transmits Ba. odocoilei in Oklahoma, Texas, and Florida. 7 We do not know, however, whether diverse Babesia parasites infect deer ticks in the northeastern and upper midwestern United States.It may be that where Ba. microti is zoonotic, other piroplasms may also infect the salivary glands of deer ticks. To evaluate this suggestion, we identified the sporozoites infecting the salivary glands of deer ticks in the northeastern and northcentral United States. In particular, we examined a salivary gland microscopically from each of a series of ticks, screened the other by amplifying its DNA with genus-specific primers and identified the amplification products by restriction enzyme analysis and sequencing.
METHODSDeer ticks were sampled from intensely infested sites in the northeastern (Maine and Massachusetts) and the upper midwestern (Wisconsin) United States. Host-seeking ticks were collected by drag...