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1.
Emerg Infect Dis ; 29(7): 1420-1424, 2023 07.
Article in English | MEDLINE | ID: mdl-37347809

ABSTRACT

We analyzed Puumala virus (PUUV) sequences collected from bank voles from different regions of Russia. Phylogenetic analysis revealed PUUV reassortments in areas with the highest hemorrhagic fever with renal syndrome incidence, indicating reassortment might contribute to pathogenic properties of PUUV. Continued surveillance is needed to assess PUUV pathogenicity in Russia.


Subject(s)
Hemorrhagic Fever with Renal Syndrome , Puumala virus , Animals , Humans , Puumala virus/genetics , Hemorrhagic Fever with Renal Syndrome/epidemiology , Phylogeny , Arvicolinae , Russia/epidemiology
2.
Arch Pharm (Weinheim) ; 356(7): e2300027, 2023 Jul.
Article in English | MEDLINE | ID: mdl-37138375

ABSTRACT

Tick-borne encephalitis virus (TBEV), yellow fever virus (YFV), and West Nile virus (WNV) are flaviviruses causing emerging arthropod-borne infections of a great public health concern. Clinically approved drugs are not available to complement or replace the existing vaccines, which do not provide sufficient coverage. Thus, the discovery and characterization of new antiflaviviral chemotypes would advance studies in this field. In this study, a series of tetrahydroquinazoline N-oxides was synthesized, and the antiviral activity of the compounds was assessed against TBEV, YFV, and WNV using the plaque reduction assay along with the cytotoxicity to the corresponding cell lines (porcine embryo kidney and Vero). Most of the studied compounds were active against TBEV (EC50 2 to 33 µM) and WNV (EC50 0.15 to 34 µM) and a few also demonstrated inhibitory activity against YFV (EC50 0.18 to 41 µM). To investigate the potential mechanism of action of the synthesized compounds, time-of-addition (TOA) experiments and virus yield reduction assays were performed for TBEV. The TOA studies suggested that the antiviral activity of the compounds should affect the early stages of the viral replication cycle after cell entry. Compounds with tetrahydroquinazoline N-oxide scaffold show a broad spectrum of activity against flaviviruses and represent a promising chemotype for antiviral drug discovery.


Subject(s)
Culicidae , Encephalitis Viruses, Tick-Borne , Ticks , West Nile virus , Animals , Swine , Antibodies, Viral , Structure-Activity Relationship , Antiviral Agents/pharmacology , Reproduction
3.
Parasitol Res ; 120(5): 1563-1570, 2021 May.
Article in English | MEDLINE | ID: mdl-33788020

ABSTRACT

Rhipicephalus microplus is an ixodid tick with a pantropical distribution that represents a serious threat to livestock. West Africa was free of this tick until 2007, when its introduction into Benin was reported. Shortly thereafter, further invasion of this tick species into other West African countries was identified. In this paper, we describe the first detection of R. microplus in Guinea and list the vector-borne haemoparasites that were detected in the invading and indigenous Boophilus species. In 2018, we conducted a small-scale survey of ticks infesting cattle in three administrative regions of Guinea: N`Zerekore, Faranah, and Kankan. The tick species were identified by examining their morphological characteristics and by sequencing their COI gene and ITS-2 gene fragments. R. microplus was found in each studied region. In the ticks, we found the DNA of Babesia bigemina, Anaplasma marginale, Anaplasma platys, and Ehrlichia sp. The results of this study indicate that R. microplus was introduced into Guinea in association with cows from Mali and/or the Ivory Coast.


Subject(s)
Anaplasma marginale/isolation & purification , Anaplasma/isolation & purification , Babesia/isolation & purification , Ehrlichia/isolation & purification , Rhipicephalus/microbiology , Rhipicephalus/parasitology , Anaplasma/genetics , Anaplasma marginale/genetics , Animals , Babesia/genetics , Benin , Cattle , Cattle Diseases/parasitology , Cote d'Ivoire , Ehrlichia/genetics , Female , Guinea , Livestock/parasitology , Tick Infestations/veterinary
5.
Emerg Infect Dis ; 24(5): 860-867, 2018 05.
Article in English | MEDLINE | ID: mdl-29664394

ABSTRACT

We investigated whether Borrelia miyamotoi disease can be detected in its early stage by using PCR for borrelial 16S rRNA, which molecule (DNA or RNA) is the best choice for this test, and whether spirochetes are present in blood during the acute phase of B. miyamotoi disease. A total of 473 patients with a suspected tickborne infection in Yekaterinburg, Russia, in 2009, 2010, and 2015 were enrolled in this study. Blood samples were analyzed by using quantitative PCR or ELISA, and a diagnosis of borreliosis was confirmed for 310 patients. For patients with erythema migrans, 5 (3%) of 167 were positive for B. miyamotoi by PCR; for patients without erythema migrans, 65 (45%) of 143 were positive for B. miyamotoi by PCR. The median concentration for RNA was 3.8 times that for DNA. Median time for detection of B. miyamotoi in blood was 4 days.


Subject(s)
Bacteremia/diagnosis , Borrelia Infections/blood , Borrelia Infections/microbiology , Borrelia/classification , Polymerase Chain Reaction/methods , Bacteremia/blood , DNA, Bacterial/blood , DNA, Bacterial/isolation & purification , Erythema Chronicum Migrans , False Negative Reactions , Humans , RNA, Bacterial/blood , RNA, Bacterial/isolation & purification , RNA, Ribosomal, 16S/genetics
6.
Parasitol Res ; 115(9): 3619-29, 2016 Sep.
Article in English | MEDLINE | ID: mdl-27212463

ABSTRACT

Babesia microti is a genetically diverse group of protozoan parasites whose life cycle is associated with both small mammals and Ixodes spp. ticks. In this study, the prevalence of different B. microti genetic groups in ticks and small rodents in an area with Ixodes persulcatus and Ixodes trianguliceps occurring in sympatry was examined. A total of 541 small mammals were captured during eight sampling periods between 2013 and 2015 at a site in the Omsk region of Russia and tested for the presence of B. microti using nested PCR with subsequent sequencing of positive samples. B. microti DNA was found in 31.6 % of examined samples, and prevalence rates ranged from 5.3 to 61.6 % in different sampling periods. The sequenced B. microti samples belonged to two genetic groups: enzootic B. microti 'Munich' type and zoonotic B. microti 'US' type. B. microti 'Munich' type was more common across all sampling periods, with greater than 80 % prevalence in infected animals. Despite the high B. microti 'Munich'-type prevalence in voles, B. microti was not found in any of 394 adult I. persulcatus ticks collected by flagging or in the 84 I. persulcatus or 20 I. trianguliceps ticks taken from voles and molted under laboratory conditions. It was demonstrated that B. microti 'Munich'-type DNA can be detected in the blood of naturally infected voles for at least 20 weeks after capture. Thus, the high prevalence of B. microti 'Munich' type in small mammals may be explained by the prolonged persistence of B. microti in the blood of wild voles.


Subject(s)
Babesia microti/isolation & purification , Babesiosis/epidemiology , Ixodes/parasitology , Animals , Animals, Wild/parasitology , Arvicolinae/parasitology , Babesiosis/parasitology , Female , Genetic Variation , Male , Prevalence , Rodentia/parasitology , Russia , Sympatry
7.
Acta Trop ; 257: 107298, 2024 Sep.
Article in English | MEDLINE | ID: mdl-38909726

ABSTRACT

Bats from three provinces in Vietnam (Lai Chau, Son La, and Dong Thap) were examined for the presence of pathogenic Leptospira or specific antibodies using polymerase chain reaction (PCR), enzyme-linked immunosorbent assay (ELISA), and microscopic agglutination test (MAT). Tissue specimens from 298 bats belonging to 11 species were analyzed using a real-time PCR assay specific for leptospires of pathogenic species. Leptospiral DNA was identified in 40 bats from following species: Rousettus amplexicaudatus (5/9; 55.5 %), Rousettus leschenaultii (17/42; 40.4 %), Myotis hasseltii (8/25; 32 %), Taphozous longimanus (3/12; 25 %), and Eonycteris spelaea (7/32; 21.9 %). Based on secY phylogeny, sequences from M. hasseltii bore a strong resemblance to L. borgpetersenii. Sequences from other species revealed unique lineages: one of them resembled Leptospira sp., previously identified in Rousettus madagascariensis (Madagascar) and Rousettus aegyptiacus (South Africa); the second lineage showed close relation to L. kirshneri; and the third held an intermediary position between L. noguchii and L. interrogans. Through ELISA, anti-Leptospira antibodies were found in 83 of 306 bats, with the highest seroprevalence observed in R. leschenaultii (44/48; 91.6 %), R. amplexicaudatus (6/8; 75 %), and E. spelaea (19/25; 76 %). 66 of these ELISA-positive samples were tested using MAT; 41 of them were confirmed in MAT as positive. The predominant serogroups in our study were Tarassovi and Mini.


Subject(s)
Antibodies, Bacterial , Chiroptera , Enzyme-Linked Immunosorbent Assay , Leptospira , Leptospirosis , Phylogeny , Animals , Chiroptera/microbiology , Vietnam/epidemiology , Leptospirosis/veterinary , Leptospirosis/epidemiology , Leptospirosis/microbiology , Leptospira/genetics , Leptospira/classification , Leptospira/isolation & purification , Leptospira/immunology , Antibodies, Bacterial/blood , DNA, Bacterial/genetics , Agglutination Tests , Real-Time Polymerase Chain Reaction , Sequence Analysis, DNA
8.
PLoS Negl Trop Dis ; 17(4): e0011279, 2023 04.
Article in English | MEDLINE | ID: mdl-37099617

ABSTRACT

In 2021, a patient died from Marburg virus (MARV) disease in Guinea and it was the first confirmed case in West Africa. The origin of the outbreak has not been identified. It was revealed that the patient didn't travel anywhere before the illness. Prior to outbreak, MARV had been found in bats in the neighboring Sierra Leone, but never in Guinea. Therefore, the origin of infection is unclear: was it an autochthonous case with spillover from a local population of bats or an imported case with spillover from fruit bats foraging/migrating from Sierra Leone? In this paper, we studied Rousettus aegyptiacus in Guinea as the possible source of MARV infection caused the patient death in 2021 in Guinea. We caught bats in 32 sites of Guéckédou prefecture, including seven caves and 25 locations of the flight path. A total of 501 fruit bats (Pteropodidae) were captured, including 66 R. aegyptiacus. The PCR screening showed three positive MARV R. aegyptiacus, roosting in two caves discovered in Guéckédou prefecture. After Sanger sequencing and phylogenetic analyses it was shown that found MARV belongs to the Angola-like lineage but it is not identical to the isolate obtained during the outbreak of 2021.


Subject(s)
Chiroptera , Marburg Virus Disease , Marburgvirus , Animals , Humans , Guinea/epidemiology , Marburgvirus/genetics , Phylogeny , Egypt , Marburg Virus Disease/epidemiology , Disease Outbreaks
9.
Viruses ; 15(8)2023 07 25.
Article in English | MEDLINE | ID: mdl-37631963

ABSTRACT

The Zika virus (ZIKV) is a widespread mosquito-borne pathogen. Phylogenetically, two lineages of ZIKV are distinguished: African and Asian-American. The latter became the cause of the 2015-2016 pandemic, with severe consequences for newborns. In West African countries, the African lineage was found, but there is evidence of the emergence of the Asian-American lineage in Cape Verde and Angola. This highlights the need to not only monitor ZIKV but also sequence the isolates. In this article, we present a case report of Zika fever in a pregnant woman from Guinea identified in 2018. Viral RNA was detected through qRT-PCR in a serum sample. In addition, the seroconversion of anti-Zika IgM and IgG antibodies was detected in repeated blood samples. Subsequently, the virus was isolated from the C6/36 cell line. The detected ZIKV belonged to the African lineage, the Nigerian sublineage. The strains with the closest sequences were isolated from mosquitoes in Senegal in 2011 and 2015. In addition, we conducted the serological screening of 116 blood samples collected from patients presenting to the hospital of Faranah with fevers during the period 2018-2021. As a result, it was found that IgM-positive patients were identified each year and that the seroprevalence varied between 5.6% and 17.1%.


Subject(s)
Culicidae , Zika Virus Infection , Zika Virus , Infant, Newborn , Animals , Female , Pregnancy , Humans , Zika Virus Infection/diagnosis , Zika Virus Infection/epidemiology , Zika Virus/genetics , Guinea/epidemiology , Seroepidemiologic Studies , Immunoglobulin M
10.
Viruses ; 15(9)2023 08 23.
Article in English | MEDLINE | ID: mdl-37766193

ABSTRACT

A new filovirus named Menglà virus was found in bats in southern China in 2015. This species has been assigned to the new genus Dianlovirus and has only been detected in China. In this article, we report the detection of filoviruses in bats captured in Vietnam. We studied 248 bats of 15 species caught in the provinces of Lai Chau and Son La in northern Vietnam and in the province of Dong Thap in the southern part of the country. Filovirus RNA was found in four Rousettus leschenaultii and one Rousettus amplexicaudatus from Lai Chau Province. Phylogenetic analysis of the polymerase gene fragment showed that three positive samples belong to Dianlovirus, and two samples form a separate clade closer to Orthomarburgvirus. An enzyme-linked immunosorbent assay showed that 9% of Rousettus, 13% of Eonycteris, and 10% of Cynopterus bats had antibodies to the glycoprotein of marburgviruses.


Subject(s)
Chiroptera , Filoviridae , Marburgvirus , Animals , Vietnam/epidemiology , Phylogeny
11.
Viruses ; 14(12)2022 12 01.
Article in English | MEDLINE | ID: mdl-36560703

ABSTRACT

In this work, we presented data from a two-year study of flavi-, flavi-like, and phenuiviruses circulation in the population of ixodid ticks in the Chelyabinsk region. We isolated three tick-borne encephalitis virus (TBEV) strains from I. persulcatus, which was not detected in the ticks of the genus Dermacentor. The virus prevalence ranged from 0.66% to 2.28%. The Yanggou tick virus (YGTV) is widespread in steppe and forest-steppe zones and is mainly associated with ticks of the genus Dermacentor. We isolated 26 strains from D. reticulatus, D. marginatus, and I. persulcatus ticks in the HAE/CTVM8 tick cell line. The virus prevalence ranged from 1.58% to 4.18% in D. reticulatus, ranged from 0.78% to 3.93% in D. marginatus, and was 0.66% in I. persulcatus. There was combined focus of TBEV and YGTV in the territory of the Chelyabinsk region. The Alongshan virus (ALSV) was found to be associated with I. persulcatus ticks and is spread in forest zone. We detected 12 amplicons and isolated 7 strains of ALSV in tick cells. The virus prevalence ranged from 1.13% to 6.00%. The phlebovirus Gomselga and unclassified phenuivirus Stavropol were associated with I. persulcatus and D. reticulatus ticks, respectively. Virus prevalence of the unclassified phenuivirus Stavropol in the Chelyabinsk region is lower than that in neighbouring regions.


Subject(s)
Dermacentor , Encephalitis Viruses, Tick-Borne , Encephalitis, Tick-Borne , Ixodes , Ixodidae , Animals , Russia/epidemiology , Forests , Encephalitis Viruses, Tick-Borne/genetics , Encephalitis, Tick-Borne/epidemiology
12.
Viruses ; 14(9)2022 08 29.
Article in English | MEDLINE | ID: mdl-36146715

ABSTRACT

Members of the jingmenviruses group have been found in arthropods and mammals on all continents except Australia and Antarctica. Two viruses of this group were isolated from patients with fever after a tick bite. Using a nested RT-PCR assay targeting a jingmenvirus polymerase gene fragment, we screened ticks collected in seven regions of Russia and found that the abundant jingmenvirus-positive were of Ixodes ricinus species, with the prevalence ranging from 19.8% to 34.3%. In all cases, DNase/RNase treatment suggested that the detected molecule was DNA and subsequent next generation sequencing (NGS) proved that the viral polymerase gene was integrated in the I. ricinus genome. The copy number of the integrated polymerase gene was quantified by qPCR relative to the ITS2 gene and estimated as 1.32 copies per cell. At least three different genetic variants of the integrated polymerase gene were found in the territory of Russia. Phylogenetic analysis of the integrated jingmenvirus polymerase gene showed the highest similarity with the sequence of the correspondent gene obtained in Serbia from I. ricinus.


Subject(s)
Ixodes , Animals , Deoxyribonucleases , Genome, Insect , Humans , Mammals , Phylogeny , Polymerase Chain Reaction , Ribonucleases
13.
Acta Trop ; 214: 105790, 2021 Feb.
Article in English | MEDLINE | ID: mdl-33309594

ABSTRACT

Ngari virus is a mosquito-borne virus belonging to the genus Orthobunyavirus (Peribunyaviridae family). This virus is pathogenic to humans and causes severe illness. Ngari virus is present in several African countries, including Madagascar. Here, we report the detection of Ngari virus in ixodid ticks collected from cows in Guinea. A tick survey was conducted in March-November of 2018 in six regions of Guinea. The sample comprised 710 pools, with a total of 2067 ticks belonging to five species collected from 197 cows. At the initial stage, we screened a subsample of tick pools of vector-borne viruses with a multiplex genus-specific primer panel. In the second stage of the study, we narrowed the search and screened all the samples by qPCR for the detection of Ngari virus. All positive samples were sequenced with primers flanking Ngari virus-specific fragments on the S and M segments. We found Ngari virus in 12 pools that were formed from engorged ticks collected from livestock in three villages of the Kindia and Kankan regions. Sequencing of the S and M segments confirmed that the detected viruses belong to Ngari virus, and the viruses were most similar to the strain Adrar, which was isolated in Mauritania. We detected viral RNA in ticks of the following species: Amblyomma variegatum, Rhipicephalus geigyi, and Rh. (Boophilus) spp. There is no evidence that ixodid ticks are competent vectors of the Ngari virus. Most likely, the ticks obtained the virus through blood from an infected host. The study of engorged ticks can be recommended as a simpler approach for the wide screening of the Ngari virus and subsequent testing of cattle and mosquitos in those locations where the PCR-positive ticks were collected.


Subject(s)
Bunyaviridae Infections/veterinary , Cattle Diseases/epidemiology , Ixodidae/virology , Orthobunyavirus/isolation & purification , Tick Infestations/veterinary , Animals , Bunyaviridae Infections/epidemiology , Bunyaviridae Infections/transmission , Cattle , Cattle Diseases/parasitology , Cattle Diseases/transmission , Cattle Diseases/virology , Female , Guinea/epidemiology , Humans , Orthobunyavirus/genetics , Tick Infestations/epidemiology , Tick Infestations/parasitology
14.
Viruses ; 13(3)2021 03 11.
Article in English | MEDLINE | ID: mdl-33799742

ABSTRACT

The genus Flavivirus includes related, unclassified segmented flavi-like viruses, two segments of which have homology with flavivirus RNA-dependent RNA polymerase NS5 and RNA helicase-protease NS3. This group includes such viruses as Jingmen tick virus, Alongshan virus, Yanggou tick virus and others. We detected the Yanggou tick virus in Dermacentor nuttalli and Dermacentor marginatus ticks in two neighbouring regions of Russia. The virus prevalence ranged from 0.5% to 8.0%. We detected RNA of the Alongshan virus in 44 individuals or pools of various tick species in eight regions of Russia. The virus prevalence ranged from 0.6% to 7.8%. We demonstrated the successful replication of the Yanggou tick virus and Alongshan virus in IRE/CTVM19 and HAE/CTVM8 tick cell lines without a cytopathic effect. According to the phylogenetic analysis, we divided the Alongshan virus into two groups: an Ixodes persulcatus group and an Ixodes ricinus group. In addition, the I. persulcatus group can be divided into European and Asian subgroups. We found amino acid signatures specific to the I. ricinus and I. persulcatus groups and also distinguished between the European and Asian subgroups of the I. persulcatus group.


Subject(s)
Dermacentor/virology , Flaviviridae Infections/epidemiology , Flaviviridae/genetics , Ixodes/virology , Viral Nonstructural Proteins/genetics , Amino Acid Substitution/genetics , Animals , Arachnid Vectors/virology , Cell Line , Culicidae/virology , Flaviviridae/isolation & purification , Phylogeny , RNA Helicases/genetics , RNA, Viral/genetics , Russia/epidemiology , Serine Endopeptidases/genetics
15.
Ticks Tick Borne Dis ; 11(5): 101499, 2020 09.
Article in English | MEDLINE | ID: mdl-32631790

ABSTRACT

A total of 705 rodents from Myodes, Microtus, and Apodemus genera, 396 adult questing Ixodes persulcatus, and 115 Ixodes larvae and nymphs taken from rodents (and then molted under laboratory conditions to nymphs and adults) were collected in 2013-2018 in Omsk province, Russian Siberia, and examined for the presence of Anaplasmataceae. DNA of Anaplasma phagocytophilum was detected in 29.5 % rodents, 3.8 % questing I. persulcatus, two molted adult I. persulcatus, and one molted adult Ixodes trianguliceps. Ehrlichia muris DNA was found in specimens from 12.1 % rodents, 3.0 % questing I. persulcatus, 14 % molted adult I. persulcatus, and one molted adult I. trianguliceps. Neoehrlichia mikurensis DNA was found in 0.6 % blood samples. It was suggested that in the studied area A. phagocytophilum and E. muris are mainly transmitted to small rodents by I. trianguliceps and I. persulcatus, respectively. Based on groEL gene sequence analysis, three phylogenetic clusters of A. phagocytophilum (clusters 4, 5, 6, according to Jaarsma et al., 2019) were identified. Most of genotyped A. phagocytophilum isolates obtained from rodents (87.6 %) and a single isolate found in a molted adult I. trianguliceps belonged to cluster 5. Cluster 6 contained 11.8 % genotyped specimens from rodents, and one questing and two molted adult I. persulcatus, while cluster 4 included specimens from 93 % genotyped questing I. persulcatus and one vole. The finding of A. phagocytophilum from clusters 5 and 6 in voles from the same sampling area indicated that clusters 5 and 6 segregate according to the tick-carriers, but not the geography. Most of the genotyped specimens of E. muris and N. mikurensis corresponded to typical genotypes detected in Asian Russia previously. In addition, new genetic variants of E. muris and N. mikurensis, which significantly differed from other known isolates and formed separate branches on phylogenetic trees, were identified in several voles.


Subject(s)
Anaplasmataceae Infections/veterinary , Anaplasmataceae/physiology , Arvicolinae , Ixodidae/physiology , Murinae , Rodent Diseases/epidemiology , Anaplasmataceae/genetics , Anaplasmataceae Infections/epidemiology , Animals , Female , Genetic Variation , Ixodidae/growth & development , Ixodidae/microbiology , Larva/growth & development , Larva/microbiology , Larva/physiology , Male , Nymph/growth & development , Nymph/microbiology , Nymph/physiology , Rodent Diseases/microbiology , Siberia/epidemiology
16.
Ticks Tick Borne Dis ; 10(6): 101265, 2019 10.
Article in English | MEDLINE | ID: mdl-31447316

ABSTRACT

Here, we report the first confirmed autochthonous tick-borne encephalitis case diagnosed in Moscow in 2016 and describe the detection of tick-borne encephalitis virus (TBEV) in ticks and small mammals in a Moscow park. The paper includes data from two patients who were bitten by TBEV-infected ticks in Moscow city; one of these cases led to the development of the meningeal form of TBE. Both TBEV-infected ticks attacked patients in the same area. We collected ticks and trapped small mammals in this area in 2017. All samples were screened for the presence of pathogens causing tick-borne diseases by PCR. The TBEV-positive ticks and small mammals' tissue samples were subjected to virus isolation. The sequencing of the complete polyprotein gene of the positive samples was performed. A total of 227 questing ticks were collected. TBEV was detected in five specimens of Ixodes ricinus. We trapped 44 small mammals, mainly bank voles (Myodes glareolus) and pygmy field mice (Apodemus uralensis). Two samples of brain tissue from bank voles yielded a positive signal in RT-PCR for TBEV. We obtained six virus isolates from the ticks and brain tissue of a bank vole. Complete genome sequencing showed that the obtained isolates belong to the European subtype and have low diversity with sequence identities as high as 99.9%. GPS tracking showed that the maximum distance between the exact locations where the TBEV-positive ticks were collected was 185 m. We assume that the forest park had been free of TBEV and that the virus was recently introduced.


Subject(s)
Arachnid Vectors/virology , Arvicolinae , Encephalitis Viruses, Tick-Borne/isolation & purification , Encephalitis, Tick-Borne/veterinary , Ixodes/virology , Murinae , Rodent Diseases/epidemiology , Adult , Animals , Arachnid Vectors/growth & development , Encephalitis, Tick-Borne/epidemiology , Encephalitis, Tick-Borne/virology , Female , Humans , Ixodes/growth & development , Larva/growth & development , Larva/virology , Male , Moscow/epidemiology , Nymph/growth & development , Nymph/virology , Rodent Diseases/virology , Treatment Outcome
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