Ixodes Scapularis) Affected Species: Humans PATHOBIOLOGY and VETERINARY SCIENCE • CONNECTICUT VETERINARY MEDICAL DIAGNOSTIC LABORATORY

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Ixodes Scapularis) Affected Species: Humans PATHOBIOLOGY and VETERINARY SCIENCE • CONNECTICUT VETERINARY MEDICAL DIAGNOSTIC LABORATORY

Tick Borne Diseases In New England Bullseye rash- common symptom of Lyme disease and STARI Skin lesions- common symptom of Tularemia Tularemia Rocky Mountain Spotted Fever Agent: Rickettsia rickettsii Agent: Francisella tularensis Brown Dog Tick Symptoms: fever, “spotted” rash, headache, nausea, Symptoms: fever, skin lesions in people, vomiting, abdominal pain, muscle pain, lack of appetite, face and eyes redden and become (Rhipicephalus sanguineus) red eyes inflamed, chills, headache, exhaustion Affected Species: humans, dogs Affected Species: humans, rabbits, rodents, cats, dogs, sheep, many Dog Tick mammalian species (Dermacentor variabilis) Ehrlichiosis Agent: Ehrlichia chaffeensis and Ehrlichia ewingii Symptoms: fever, headache, chills, muscle pain, nausea, vomiting, diarrhea, confusion, red eyes Affected Species: humans, dogs, cats Babesiosis Anaplasmosis Agent: Babesia microti Agent: Anaplasma phagocytophilum Symptoms: (many show none), fever, chills, sweats, Lone star tick Symptoms: fever, severe headache, muscle aches, headache, body aches, loss of appetite, nausea chills and shaking, nausea, vomiting, abdominal pain Affected Species: humans (Amblyomma americanum) Affected Species: humans, dogs, horses, cows Borrelia miyamotoi Disease Agent: Borrelia miyamotoi Southern Tick-Associated Lyme Disease Symptoms: fever, chills, headache, body and joint Agent: Borrelia burgdorferi pain, fatigue Rash Illness (STARI) Symptoms: “bullseye” rash Affected Species: humans Agent: Borrelia lonestari (humans only), fever, aching joints, Symptoms: “bullseye” rash, fatigue, muscle pains, headache, fatigue, neurological headache involvement Affected Species: humans Affected Species: humans, Powassan Virus horses, dogs, many others Agent: Powassan Virus Symptoms: (many show none), fever, headache, vomiting, weakness, confusion, loss of coordination, Deer Tick speech difficulties, seizures (Ixodes scapularis) Affected Species: humans PATHOBIOLOGY AND VETERINARY SCIENCE • CONNECTICUT VETERINARY MEDICAL DIAGNOSTIC LABORATORY.

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Tick-Borne Diseases Primary Tick-Borne Diseases in the Southeastern U.S
Entomology Insect Information Series Providing Leadership in Environmental Entomology Department of Entomology, Soils, and Plant Sciences • 114 Long Hall • Clemson, SC 29634-0315 • Phone: 864-656-3111 email:[email protected] Tick-borne Diseases Primary tick-borne diseases in the southeastern U.S. Affecting Humans in the Southeastern United Disease (causal organism) Tick vector (Scientific name) States Lyme disease Black-legged or “deer” tick (Borrelia burgdorferi species (Ixodes scapularis) Ticks are external parasites that attach themselves complex) to an animal host to take a blood meal at each of Rocky Mountain spotted fever American dog tick their active life stages. Blood feeding by ticks may (Rickettsia rickettsii) (Dermacentor variabilis) lead to the spread of disease. Several common Southern Tick-Associated Rash Lone star tick species of ticks may vector (transmit) disease. Many Illness or STARI (Borrelia (Amblyomma americanum) tick-borne diseases are successfully treated if lonestari (suspected, not symptoms are recognized early. When the disease is confirmed)) Tick-borne Ehrlichiosis not diagnosed during the early stages of infection, HGA-Human granulocytic Black-legged or “deer” tick treatment can be difficult and chronic symptoms anaplasmosis (Anaplasma (Ixodes scapularis) may develop. The most commonly encountered formerly Ehrlichia ticks in the southeastern U.S. are the American dog phagocytophilum) tick, lone star tick, blacklegged or “deer” tick and HME-Human monocytic Lone star tick brown dog tick. While the brown dog tick is notable Ehrlichiosis (Amblyomma americanum) because of large numbers that may be found indoors (Ehrlichia chafeensis ) American dog tick when dogs are present, it only rarely feeds on (Dermacentor variabilis) humans.
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Tick Borne Diseases Nebraska 2018 HAN FINAL DRAFT APRIL 19 2018
TO: Primary care providers, infectious disease, laboratories, infection control, and public health FROM Thomas J. Safranek, M.D. Jeff Hamik State Epidemiologist Vector-borne Disease Epidemiologist 402-471-2937 PHONE 402-471-1374 PHONE 402-471-3601 FAX 402-471-3601 FAX Thomas Williams, M.D. Chief Medical Officer Director, Division of Public Health Department of Health and Human Services RE: TICK-BORNE DISEASES IN NEBRASKA DATE: April 20, 2018 The arrival of spring marks the beginning of another tick season. In the interest of public health and prevention, our office seeks to inform Nebraska health care providers about the known tick- borne diseases in our state. Key messages for Nebraska clinicians: Spotted fever rickettsia including Rocky Mountain spotted fever (RMSF) Our office receives reports of from 6 to 31 patients with spotted fever rickettsia every year. Health care providers risk overlooking this diagnosis because of its rarity. RMSF NEEDS TO BE A DIAGNOSTIC CONSIDERATION IN ANY PERSON WITH A FEVER AND A HISTORY OF EXPOSURE TO ENVIRONMENTS WHERE TICKS MIGHT BE PRESENT. The skin rash is not always present when the patient first presents to a physician. This disease is frequently overlooked or misdiagnosed, with numerous reports of serious and sometimes fatal consequences. Nebraska experienced a fatal case of RMSF in 2015 where the diagnosis was missed and treatment was delayed until the disease was well advanced. Laboratory diagnosis is made by detecting a rise in antibody titer to Rickettsia rickettsii between acute and convalescent sera. Treatment requires tetracycline-class of antibiotics or chloramphenicol. Tetracycline-class treatment is recommended for persons of all ages, including children.
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Anaplasmosis: an Emerging Tick-Borne Disease of Importance in Canada
IDCases 14 (2018) xxx–xxx Contents lists available at ScienceDirect IDCases journal homepage: www.elsevier.com/locate/idcr Case report Anaplasmosis: An emerging tick-borne disease of importance in Canada a, b,c d,e e,f Kelsey Uminski *, Kamran Kadkhoda , Brett L. Houston , Alison Lopez , g,h i c c Lauren J. MacKenzie , Robbin Lindsay , Andrew Walkty , John Embil , d,e Ryan Zarychanski a Rady Faculty of Health Sciences, Max Rady College of Medicine, Department of Internal Medicine, University of Manitoba, Winnipeg, MB, Canada b Cadham Provincial Laboratory, Government of Manitoba, Winnipeg, MB, Canada c Rady Faculty of Health Sciences, Max Rady College of Medicine, Department of Medical Microbiology and Infectious Diseases, University of Manitoba, Winnipeg, MB, Canada d Rady Faculty of Health Sciences, Max Rady College of Medicine, Department of Internal Medicine, Section of Medical Oncology and Hematology, University of Manitoba, Winnipeg, MB, Canada e CancerCare Manitoba, Department of Medical Oncology and Hematology, Winnipeg, MB, Canada f Rady Faculty of Health Sciences, Max Rady College of Medicine, Department of Pediatrics and Child Health, Section of Infectious Diseases, Winnipeg, MB, Canada g Rady Faculty of Health Sciences, Max Rady College of Medicine, Department of Internal Medicine, Section of Infectious Diseases, University of Manitoba, Winnipeg, MB, Canada h Rady Faculty of Health Sciences, Max Rady College of Medicine, Department of Community Health Sciences, University of Manitoba, Winnipeg, MB, Canada i Public Health Agency of Canada, National Microbiology Laboratory, Zoonotic Diseases and Special Pathogens, Winnipeg, MB, Canada A R T I C L E I N F O A B S T R A C T Article history: Human Granulocytic Anaplasmosis (HGA) is an infection caused by the intracellular bacterium Received 11 September 2018 Anaplasma phagocytophilum.
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Ehrlichiosis and Anaplasmosis Are Tick-Borne Diseases Caused by Obligate Anaplasmosis: Intracellular Bacteria in the Genera Ehrlichia and Anaplasma
Ehrlichiosis and Importance Ehrlichiosis and anaplasmosis are tick-borne diseases caused by obligate Anaplasmosis: intracellular bacteria in the genera Ehrlichia and Anaplasma. These organisms are widespread in nature; the reservoir hosts include numerous wild animals, as well as Zoonotic Species some domesticated species. For many years, Ehrlichia and Anaplasma species have been known to cause illness in pets and livestock. The consequences of exposure vary Canine Monocytic Ehrlichiosis, from asymptomatic infections to severe, potentially fatal illness. Some organisms Canine Hemorrhagic Fever, have also been recognized as human pathogens since the 1980s and 1990s. Tropical Canine Pancytopenia, Etiology Tracker Dog Disease, Ehrlichiosis and anaplasmosis are caused by members of the genera Ehrlichia Canine Tick Typhus, and Anaplasma, respectively. Both genera contain small, pleomorphic, Gram negative, Nairobi Bleeding Disorder, obligate intracellular organisms, and belong to the family Anaplasmataceae, order Canine Granulocytic Ehrlichiosis, Rickettsiales. They are classified as α-proteobacteria. A number of Ehrlichia and Canine Granulocytic Anaplasmosis, Anaplasma species affect animals. A limited number of these organisms have also Equine Granulocytic Ehrlichiosis, been identified in people. Equine Granulocytic Anaplasmosis, Recent changes in taxonomy can make the nomenclature of the Anaplasmataceae Tick-borne Fever, and their diseases somewhat confusing. At one time, ehrlichiosis was a group of Pasture Fever, diseases caused by organisms that mostly replicated in membrane-bound cytoplasmic Human Monocytic Ehrlichiosis, vacuoles of leukocytes, and belonged to the genus Ehrlichia, tribe Ehrlichieae and Human Granulocytic Anaplasmosis, family Rickettsiaceae. The names of the diseases were often based on the host Human Granulocytic Ehrlichiosis, species, together with type of leukocyte most often infected.
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Anaplasmosis
Anaplasmosis Definition: Anaplasmosis is an infection caused by the bacterium Anaplasma phagocytophilum. It is most commonly transmitted by the bite of an infected deer tick (Ixodes scapularis). Signs and symptoms: Symptoms of anaplasmosis can range from mild to very severe and may include: fever, headache, muscle pain, malaise, chills, nausea, abdominal pain, cough, and confusion. Severe symptoms may include: difficulty breathing, hemorrhage, renal failure, or neurological problems. It can be fatal if not treated correctly. People who are immunocompromised or elderly are at higher risk for severe disease. Transmission: Anaplasmosis is primarily transmitted to a person through the bite of an infected deer tick; this tick is endemic throughout Maine. Rarely, it can also be transmitted by receiving blood transfusions from an infected donor. Diagnosis: Anaplasmosis is diagnosed by clinical symptoms and laboratory tests. A blood test is necessary for confirmation. Co-infections with other tick-borne diseases may occur and should be considered. Role of the School Nurse: Prevention • Provide education on prevention efforts including: wearing protective clothing, using an EPA- approved repellent, using caution in tick infested areas, and performing daily tick checks. • Encourage the use of EPA approved repellents when outside (following local policy guidelines), and always performing a tick check when returning indoors. o School nurses can apply repellent with parental permission • If a tick is found, the school nurse should remove the tick using tweezers or a tick spoon. o Tick identification cards are available at: http://www.maine.gov/dhhs/mecdc/infectious- disease/epi/vector-borne/posters/index.shtml. o Testing of the tick is not recommended.
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Tick-Borne Diseases in Maine a Physician’S Reference Manual Deer Tick Dog Tick Lonestar Tick (CDC Photo)
tick-borne diseases in Maine A Physician’s Reference Manual Deer Tick Dog Tick Lonestar Tick (CDC PHOTO) Nymph Nymph Nymph Adult Male Adult Male Adult Male Adult Female Adult Female Adult Female images not to scale know your ticks Ticks are generally found in brushy or wooded areas, near the DEER TICK DOG TICK LONESTAR TICK Ixodes scapularis Dermacentor variabilis Amblyomma americanum ground; they cannot jump or fly. Ticks are attracted to a variety (also called blacklegged tick) (also called wood tick) of host factors including body heat and carbon dioxide. They will Diseases Diseases Diseases transfer to a potential host when one brushes directly against Lyme disease, Rocky Mountain spotted Ehrlichiosis anaplasmosis, babesiosis fever and tularemia them and then seek a site for attachment. What bites What bites What bites Nymph and adult females Nymph and adult females Adult females When When When April through September in Anytime temperatures are April through August New England, year-round in above freezing, greatest Southern U.S. Coloring risk is spring through fall Adult females have a dark Coloring Coloring brown body with whitish Adult females have a brown Adult females have a markings on its hood body with a white spot on reddish-brown tear shaped the hood Size: body with dark brown hood Unfed Adults: Size: Size: Watermelon seed Nymphs: Poppy seed Nymphs: Poppy seed Unfed Adults: Sesame seed Unfed Adults: Sesame seed suMMer fever algorithM ALGORITHM FOR DIFFERENTIATING TICK-BORNE DISEASES IN MAINE Patient resides, works, or recreates in an area likely to have ticks and is exhibiting fever, This algorithm is intended for use as a general guide when pursuing a diagnosis.
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Brown Dog Tick, Rhipicephalus Sanguineus Latreille (Arachnida: Acari: Ixodidae)1 Yuexun Tian, Cynthia C
EENY-221 Brown Dog Tick, Rhipicephalus sanguineus Latreille (Arachnida: Acari: Ixodidae)1 Yuexun Tian, Cynthia C. Lord, and Phillip E. Kaufman2 Introduction and already-infested residences. The infestation can reach high levels, seemingly very quickly. However, the early The brown dog tick, Rhipicephalus sanguineus Latreille, has stages of the infestation, when only a few individuals are been found around the world. Many tick species can be present, are often missed completely. The first indication carried indoors on animals, but most cannot complete their the dog owner has that there is a problem is when they start entire life cycle indoors. The brown dog tick is unusual noticing ticks crawling up the walls or on curtains. among ticks, in that it can complete its entire life cycle both indoors and outdoors. Because of this, brown dog tick infestations can develop in dog kennels and residences, as well as establish populations in colder climates (Dantas- Torres 2008). Although brown dog ticks will feed on a wide variety of mammals, dogs are the preferred host in the United States and appear to be a necessary condition for maintaining a large tick populations (Dantas-Torres 2008). Brown dog tick management is important as they are a vector of several pathogens that cause canine and human diseases. Brown dog tick populations can be managed with habitat modification and pesticide applications. The taxonomy of the brown dog tick is currently under review Figure 1. Life stages of the brown dog tick, Rhipicephalus sanguineus and ultimately it may be determined that there are more Latreille. Clockwise from bottom right: engorged larva, engorged than one species causing residential infestations world-wide nymph, female, and male.
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CONTAGIOUS COMMENTS Department of Epidemiology
VOLUME XXXIV NUMBER 4 May 2019 CONTAGIOUS COMMENTS Department of Epidemiology Top Ten Tick Topics! Donna Curtis, MD, MPH 1. Tell me about ticks…. an oral antibiotic just like any other infected cut/scrape. A culture of the area is probably Every spring and summer, we receive many calls worthwhile to be sure it’s not MRSA. about children with tick bites. This month’s Contagious Comments contains a brief review of The most common tick-transmitted disease in tick-borne diseases in Colorado to help clinicians Colorado is Colorado Tick Fever (CTF). This manage patients’ tick exposures. illness is caused by a virus transmitted by the Rocky Mountain wood tick. The incubation period Ticks have been around for more than 200 million is usually short (2-3 days) but can be anywhere years and there are more than 800 species. They from 1 to 14 days. Common symptoms include: are members of the arachnid family and they can fever, headache, body aches, and malaise. Some transmit bacteria including rickettsiae and may also have a rash, abdominal pain, nausea or spirochetes, viruses, parasites, and toxins. a stiff neck. Leukopenia and thrombocytopenia are Humans are incidental, dead-end hosts for these commonly seen and rash is seen in 20% of cases. infections. Ticks normally feed on small The disease is self-limited and about half of all vertebrates and tick “season” is generally April people have a biphasic illness. Diagnosis is through September. After feeding on a blood meal, primarily clinical based on symptoms and an engorged tick can increase its body weight by epidemiological exposure, but testing can be 100 times.
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Detection of Babesia Odocoilei in Ixodes Scapularis Ticks Collected from Songbirds in Ontario and Quebec, Canada
pathogens Article Detection of Babesia odocoilei in Ixodes scapularis Ticks Collected from Songbirds in Ontario and Quebec, Canada John D. Scott *, Emily L. Pascoe , Muhammad S. Sajid and Janet E. Foley Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California Davis, Davis, CA 95616, USA; [email protected] (E.L.P.); [email protected] (M.S.S.); [email protected] (J.E.F.) * Correspondence: [email protected] Received: 19 August 2020; Accepted: 16 September 2020; Published: 24 September 2020 Abstract: Songbirds widely disperse ticks that carry a diversity of pathogens, some of which are pathogenic to humans. Among ticks commonly removed from songbirds, the blacklegged tick, Ixodes scapularis, can harbor any combination of nine zoonotic pathogens, including Babesia species. From May through September 2019, a total 157 ticks were collected from 93 songbirds of 29 species in the Canadian provinces of Ontario and Québec. PCR testing for the 18S gene of Babesia species detected Babesia odocoilei in 12.63% of I. scapularis nymphs parasitizing songbirds in Ontario and Québec; none of the relatively small numbers of Ixodes muris, Ixodes brunneus, or Haemaphysalis leporispalustris were PCR-positive. For ticks at each site, the prevalence of B. odocoilei was 16.67% in Ontario and 8.89% and 5.26% in Québec. Of 31 live, engorged I. scapularis larvae and nymphs held to molt, 25 ticks completed the molt; ﬁve of these molted ticks were positive for B. odocoilei. PCR-positive ticks were collected from six bird species—namely, Common Yellowthroat, Swainson’s Thrush, Veery, House Wren, Baltimore Oriole, and American Robin.
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Dog Ticks Have Been Introduced and Are Establishing in Alaska: Protect Yourself and Your Dogs from Disease
1300 College Road Fairbanks, Alaska 99701-1551 Main: 907.328.8354 Fax: 907.459.7332 American Dog tick, Dermacentor variablis Dog ticks have been introduced and are establishing in Alaska: Protect yourself and your dogs from disease Most Alaskans, including dog owners, are under the mistaken impression that there are no ticks in Alaska. This is has always been incorrect as ticks on small mammals and birds are endemic to Alaska (meaning part of our native fauna), it was just that the typical ‘dog’ ticks found in the Lower 48 were not surviving, reproducing and spread here. The squirrel tick, Ixodes angustus, for example, although normally feasting on lemmings, hares and squirrels is the most common tick found incidentally on dogs and cats in Alaska. However, recently the Alaska Dept. of Fish & Game along with the Office of the State Veterinarian have detected an increasing incidence of dog ticks that are exotic to Alaska (that is Alaska is not part of the reported geographic range). These alarming trends lead to an article on the ADFG webpage several years ago http://www.adfg.alaska.gov/index.cfm?adfg=wildlifenews.main&issue_id=111. We’ve coauthored a research paper documenting eight species of ticks collected on dogs in Alaska and six found on people. Of additional concern is that many of these ticks are potential vectors of serious zoonotic (diseases transmitted from animals to humans) as well as animal diseases and are being found on dogs that have never let the state. Wildlife disease specialists expect there to be profound impacts of climate change on animal and parasite distributions, and with the introduction of ticks to Alaska, we should expect some of these species will become established.
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Ehrlichiosis and Anaplasmosis
Ehrlichiosis and Anaplasmosis The Diseases and Transmission Ehrlichia and Anaplasma are related bacteria that are transmitted by ticks. These bacteria infect white blood cells in humans. There are three different bacteria that cause disease in humans: Anaplasma phagocytophilum Ehrlichia chaffeensis Ehrlichia ewingii Pathogen (formerly Ehrlichia phagocytophila) Human monocytic Human granulocytic Disease Ehrlichiosis ewingii ehrlichiosis (HME) anaplasmosis (HGA, formerly HGE) Tick Vector Amblyomma americanum (lone star tick) Ixodes scapularis (black-legged tick) Animal reservoirs for E. chaffeensis and E. ewingii are white-tailed deer and dogs. The reservoirs for A. phagocytophilum include cattle, deer, and rodents. You cannot get the diseases directly from animals. The diseases are not spread between humans other than through blood transfusions. Maryland is home to both the lone star tick and the black-legged tick. Symptoms and Treatment Disease Clinical Features . Symptoms appear 7 to 10 days after a tick bite. Symptoms include fever, headache, muscle aches, nausea, vomiting, HME, and loss of appetite. Ehrlichiosis ewingii . Meningoencephalitis occurs in approximately 20% of cases. Development of a rash is possible. This may be confused with Rocky Mountain spotted fever. Symptoms appear 7 to 14 days after a tick bite. HGA . Symptoms include fever, headache, and muscle aches. Meningoencephalitis is rare. Most infections occur when tick activity is highest, in late spring and summer. If left untreated, HME and HGA may be severe. Co-infection with more than one tick borne disease is possible. The immune system is directly infected. Secondary infection and other complications can arise quickly. The elderly and sick are more likely to develop severe illness.
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First Report of Ixodes Scapularis Ticks Parasitizing a North American Porcupine in Canada
Communication First Report of Ixodes scapularis Ticks Parasitizing a North American Porcupine in Canada John D. Scott Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California, Davis, CA 95616, USA; [email protected] Abstract: Adult females of the blacklegged tick, Ixodes scapularis (Acari: Ixodidae), were collected from a North American porcupine, Erethizon dorsatum, in eastern Ontario, Canada. This porcupine parasitism indicates that an established population of I. scapularis is present in the local vicinity. This tick species is known to parasitize more than 150 different vertebrate hosts, including the North American porcupine. The presence of I. scapularis ticks parasitizing a North American porcupine constitutes a new tick-host record in Canada. Keywords: tick-host record; north American porcupine; Erethizon dorsatum; ectoparasite; herbivore; blacklegged ticks; Ixodes scapularis; parasitism; Canada 1. Introduction The North American porcupine, Erethizon dorsatum (Rodentia: Erethizontidae), also known as the Canadian porcupine, is a herbivore rodent. This meso-mammal is one of the largest members in the rodent family, and has wide distribution across continental Citation: Scott, J.D. First Report of North America. This woodland denizen is native to coniferous and mixed forests across Ixodes scapularis Ticks Parasitizing a southern Canada, and its distribution extends southward into northeastern, north-central, North American Porcupine in and western United States as far south as the northern fringe of Mexico. Ecologically, Canada. Parasitologia 2021, 1, 45–49. free-ranging porcupines have a home range of up to 28 ha. This arboreal herbivore is https://doi.org/10.3390/ covered with a coat of quills that arm it from predators.
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