Rickettsia parkeri in Argentina

Clinical reports of an eschar-associated rickettsiosis in the Paraná River Delta of Argentina prompted an evaluation of Amblyomma triste ticks in this region. When evaluated by PCR, 17 (7.6%) of 223 questing adult A. triste ticks, collected from 2 sites in the lower Paraná River Delta, contained DNA of Rickettsia parkeri.

Questing adult ticks were collected from vegetation on the levees and in the marshes by using cloth fl ags and preserved in 96% ethanol. All ticks were identifi ed by using standard taxonomic keys (12). A. triste ticks were the only ticks collected from vegetation. For molecular analyses, individual specimens were removed from the ethanol solution, air-dried, and minced with a sterile scalpel blade. DNA was extracted by using a QIAamp DNA Mini-Kit (QIAGEN, Valencia, CA, USA) and eluted in a fi nal volume of 100 μL. DNA extracts were evaluated by using a nested PCR designed to amplify a segment of the rickettsial outer membrane protein A gene (ompA) as described previously (13). In brief, 5 μL of each DNA extract was used as template with primers 190.70 and 190.701 in the primary reaction. Two microliters of each completed primary reaction was used as template with primers 190-FN1 and 190-RN1 in the nested reactions. Primers were used at a fi nal concentration of 300 nmol/L in a 50-μL reaction mixture. All amplicons were sequenced and compared to those in GenBank by using the BLAST 2.0 program (http://blast. ncbi.nlm.nih.gov/blast.cgi). Separate laboratory rooms were used for extracting tick DNA, performing primary and nested PCRs, and sequencing reactions. Water blanks were used for each primary and nested assay, and all extracts that provided amplicons of the expected size were retested to confi rm the result. Amplicons were obtained from DNA extracts of 4 (5.8%) of 69 A. triste ticks collected from Reserva Natural Otamendi and 13 (8.4%) of 154 ticks collected from Estación Experimental INTA Delta del Paraná (Table). All 17 DNA samples produced amplicons of the expected sizes in primary reaction and nested reactions of the assay. Each 590-bp product (excluding primers) from the primary reaction was sequenced, and all sequences showed 100% identity with each other (GenBank accession no. FJ172358) and with the corresponding ompA sequence of R. parkeri (U43802).

Conclusions
This study provides defi nitive evidence of R. parkeri in Argentina. Our fi ndings have relevance for public health because the infected ticks were collected from the lower Paraná River Delta near the origin of several recently identifi ed cases of eschar-associated rickettsiosis (7; Alfredo Seijo, pers. comm.). In Argentina, at least 15 species of hard ticks bite humans (1); however, the only Amblyomma tick reported to bite humans in the lower Paraná River Delta is A. triste (2). Our data suggest that A. triste ticks are vectors of R. parkeri in this region of Argentina. The prevalence of R. parkeri-infected A. triste ticks identifi ed at these 2 locations is within the range of the infection prevalence of this agent reported in questing adult ticks collected in the state of São Paulo, Brazil (9.7%) and in Canalones County in southern Uruguay (2.6%) (9,10).
In South America, R. parkeri has been detected only in A. triste ticks (9,10), and in the United States, R. parkeri is found almost exclusively in A. maculatum ticks (8,13). A. triste and A. maculatum ticks are phylogenetically and morphologically similar, and R. parkeri appears to be strongly associated with these closely related tick species. Another human-biting Neotropical tick, A. tigrinum, is closely related to A. triste and A. maculatum ticks (12). In this context, A. tigrinum ticks may also be involved in the transmission of R. parkeri in South America. The distribution of A. triste ticks extends from Argentina to Mexico, but this tick has been reported to bite humans only in a few regions of Argentina, Uruguay, and Venezuela (1). Because we are not aware of any records to indicate that immature stages of A. triste ticks will bite humans (1,2,14), our investigation focused on adult questing ticks for evidence of infection with R. parkeri. Preliminary studies indicate that peak adult A. triste abundance and activity in the lower Paraná River Delta occurs during August through November (S. Nava, unpub. data), similar to the seasonal distribution described for A. triste populations in southern Uruguay (14); most cases of eschar-associated disease in Argentina occur during this same interval (7; A. Seijo, pers. comm.).
No immature A. triste ticks were collected by fl agging during this investigation. However, larvae and nymphs were found at these study sites attached to the guinea pig (Cavia aperea) and several species of sigmodontine rodents, including Azara's grass mouse (Akodon azarae), the yellow pygmy rice rat (Oligoryzomys fl avescens), the black-footed pygmy rice rat (O. nigripes), the red hocicudo (Oxymycterus rufus), and the Argentine swamp rat (Scapteromys aquaticus) (S. Nava, unpub. data). These fi ndings suggest that one or more of these species may be involved in the natural transmission cycle of R. parkeri in this region.
Ecologic studies of A. triste ticks collected along the Paraná River in the states of São Paulo and Mato-Grosso do Sul in Brazil indicate that this tick is well-adapted to marsh habitats (15); the results of this investigation support this observation. The occurrence of an R. parkeri rickettsiosis-like disease in humans in the Paraná River Delta suggests that similar cases of human illness may occur in palustrine regions of other Central and South American countries where this tick is found. Additional studies are needed to better understand the natural history of R. parkeri in Argentina and in other countries of the Western Hemisphere. Emerging Infectious Diseases • www.cdc.gov/eid • Vol. 14, No. 12, December 2008 The opinions expressed by authors contributing to this journal do not necessarily refl ect the opinions of the Centers for Disease Control and Prevention or the institutions with which the authors are affi liated.