Prevalence and Diversity of the Streptobacillus Rat-bite Fever Agent, in Three Invasive, Commensal Rattus Species from South Africa.

Rat-bite fever is an over-looked, global zoonotic disease that has a mortality rate of up to 13%, if untreated. Historically, this rat-borne disease has been attributed to one of two causative agents, Streptobacillus moniliformis or Spirillum minus. Given the confirmed presence of multiple invasive Rattus host species, high rat densities in urban, informal human settlements and increasing reports of rat bites in South Africa, we undertook a retrospective assessment of Streptobacillus in rats sampled from 16 urban sites, in Gauteng, the smallest but most populous Province in South Africa. Using a multi-gene PCR-sequencing approach, we confirmed Streptobacillus presence in 50.9% of oral swabs from three rat species and the presence of two Streptobacillus species, viz.S. moniliformis and S. notomytis. The two members of the cryptic Rattus rattus species complex (R. rattus and R. tanezumi), which are morphologically indistinguishable from each other, had markedly different colonization rates. Whereas 48.6% of rats from this species complex were Streptobacillus-positive, only 32.3% of Rattus tanezumi were positive compared to 61.5% R. rattus. Rattus norvegicus had an intermediate prevalence of 55.6%. Phylogenetic analysis of four gene regions (16S rRNA, gyrB, groEL, recA) identified two discrete lineages; S. moniliformis occurred exclusively in R.norvegicus, and S. notomytis was restricted to the two members of the R. rattus species complex; this represents the first report of Streptobacillus in R. tanezumi. These results highlight a largely overlooked zoonotic threat posed by invasive rats and confirm the presence of two discrete and potentially host-specific Streptobacillus lineages in South Africa.

Geospatial Modelling and Univariate Analysis of Commensal Rodent-Borne Cestodoses: The Case of Invasive spp. of Rattus and Indigenous Mastomys coucha From South Africa.

Poor socio-economic and unsanitary conditions are conducive to commensal rodent infestations, and these conditions are widespread in South Africa. Cestode species of zoonotic interest are highly prevalent in commensal rodents, such as invasive Rattus norvegicus, Rattus rattus, Rattus tanezumi, and indigenous Mastomys coucha, and have been frequently recovered from human stool samples. These cestode species have similar transmission dynamics to traditional soil-transmitted helminths (STHs), which ties them to infections associated with poverty and poor sanitation. Univariate analysis was used in the present study to determine the association between rodent-related factors and cestode prevalence, while ecological niche modelling was used to infer the potential distribution of the cestode species in South Africa. Cestode prevalence was found to be associated with older rodents, but it was not significantly associated with sex, and ectoparasite presence. The predicted occurrence for rodent-borne cestodes predominantly coincided with large human settlements, typically associated with significant anthropogenic changes. In addition, cestode parasite occurrence was predicted to include areas both inland and along the coast. This is possibly related to the commensal behaviour of the rodent hosts. The study highlights the rodent-related factors associated with the prevalence of parasites in the host community, as well as the environmental variables associated with parasite infective stages that influence host exposure. The application of geospatial modelling together with univariate analysis to predict and explain rodent-borne parasite prevalence may be useful to inform management strategies for targeted interventions.