Detection of Rickettsia spp. in Animals and Ticks in Midwestern Brazil, Where Human Cases of Rickettsiosis Were Reported

SIMPLE SUMMARY: Human cases of Brazilian spotted fever (BSF), diagnosed serologically by immunofluorescence assay, have recently been reported in the Goiás state, midwestern Brazil. Because serological cross-reactions among different rickettsial species that belong to the spotted fever group (SFG) are common, the agent responsible for the BSF cases in Goiás remains unknown. We evaluated the presence of anti-Rickettsia spp. antibodies in dogs, horses and capybaras (Hydrochoerus hydrochaeris), as well as rickettsial DNA in ticks collected from these animals and from the environment, in an area where BSF cases have been reported and two areas under surveillance in Goiás. The DNA of Rickettsia that did not belong to the SFG was detected in Amblyomma dubitatum, which was identified by DNA sequencing as Rickettsia bellii. Seroreactivity to SFG and R. bellii antigens was detected in dogs, horses and capybaras, with higher titers for R. bellii in dogs and capybaras. These data demonstrate the circulation of SFG rickettsiae in the region and the need for further research to definitively determine the agent responsible for rickettsiosis cases in this area. ABSTRACT: Brazilian spotted fever (BSF) is the most important tick-borne diseases affecting humans in Brazil. Cases of BSF have recently been reported in the Goiás state, midwestern Brazil. All cases have been confirmed by reference laboratories by seroconversion to Rickettsia rickettsii antigens. Because serological cross-reactions among different rickettsial species that belong to the spotted fever group (SFG) are common, the agent responsible for BSF cases in Goiás remains unknown. From March 2020 to April 2022, ticks and plasma were collected from dogs, horses and capybaras (Hydrochoerus hydrochaeris), and from the vegetation in an area where BSF cases have been reported and two areas under epidemiological surveillance in Goiás. Horses were infested by Amblyomma sculptum, Dermacentor nitens and Rhipicephalus microplus; dogs by Rhipicephalus sanguineus sensu lato (s.l.), Amblyomma ovale and A. sculptum, and capybaras by A. sculptum and Amblyomma dubitatum. Adults of A. sculptum, A. dubitatum, Amblyomma rotundatum and immature stages of A. sculptum and A. dubitatum, and Amblyomma spp. were collected from the vegetation. DNA of Rickettsia that did not belong to the SFG was detected in A. dubitatum, which was identified by DNA sequencing as Rickettsia bellii. Seroreactivity to SFG and Rickettsia bellii antigens was detected in 25.4% (42/165) of dogs, 22.7% (10/44) of horses and 41.2% (7/17) of capybaras, with higher titers for R. bellii in dogs and capybaras. The seropositivity of animals to SFG Rickettsia spp. antigens demonstrates the circulation of SFG rickettsiae in the region. Further research is needed to fully determine the agent responsible for rickettsiosis cases in this area.