Bartonella spp. infection in HIV positive individuals, their pets and ectoparasites in Rio de Janeiro, Brazil: serological and molecular study.

BACKGROUND: Bartonella is the agent of cat-scratch disease, but is also responsible for more severe conditions such as retinitis, meningoencephalitis, endocarditis and bacillary angiomatosis. Its seroprevalence is unknown in Brazil. METHODS: Patients in an AIDS clinic, asymptomatic at the time of the study, were enrolled prospectively. They answered a structured questionnaire and had blood taken for serological and molecular assays. Cat breeder's pets were tested serologically and collected ectoparasites were tested by molecular biology techniques. Blood donors, paired by age and sex, were tested for Bartonella IgG antibodies. RESULTS: 125 HIV positive patients with a median age of 34 were studied; 61 were male and 75% were on HAART. Mean most recent CD4 count was 351-500 cells/mm(3). A high rate of contact with ticks, fleas and lice was observed. Bartonella IgG seroreactivity rate was 38.4% in HIV positive individuals and breeding cats was closely associated with infection (OR 3.6, CI 1.1-11.9, p<0.05). No difference was found between the sexes. Titers were 1:32 in 39 patients, 1:64 in seven, 1:128 in one and 1:256 in one. In the control group, IgG seroreactivity to Bartonella spp. was 34%, and female sex was correlated to seropositivity. Fourteen of 61 (23%) males vs 29/64 (45.3%) females were seroreactive to Bartonella (OR 2.8, CI 1.2-6.5, p<0.01). Titers were 1:32 in 29 patients, 1:64 in ten and 1:128 in four. CONCLUSIONS: Bartonella spp. seroprevalence is high in HIV positive and in blood donors in Rio de Janeiro. This may be of public health relevance.

Bartonelose: análise molecular e sorológica em gatos do Rio de Janeiro Brasil / Bartonellosis: molecular and serological analysis in cats from Rio de Janeiro – Brazil

Bartonella henselae e mais recentemente B. quintana têm sido apontados como agentes causais de diversas moléstias emhumanos, entre as quais a doença da arranhadura do gato, endocardite, meningoencefalite e neuroretinite, podendo levarao óbito, principalmente os imunocomprometidos. O gato doméstico é considerado o principal animal envolvido na transmissãodestes patógenos. Constituiu-se objetivo deste estudo a avaliação da frequência de Bartonella spp. em gatos domésticosdomiciliados do município de Vassouras (RJ) comparando-se os achados na reação em cadeia pela polimerase (PCR) e nasorologia por imunofluorescência indireta (IFA). Amostras sanguíneas de 37 (100%) gatos de um abrigo da cidade deVassouras (RJ) foram analisadas, sendo 36 (97,3%) positivas na PCR para Bartonella spp. Das amostras PCR positivas,nove (25%) e 27 (75%) apresentaram, respectivamente, reatividade e ausência de reatividade ao IFA. Apenas uma (2,7%)amostra de sangue foi concomitantemente negativa na PCR e IFA para Bartonella spp. Este é o primeiro registro de infecçãopor Bartonella spp. em felinos domésticos no estado do Rio de Janeiro (Brasil) identificada por análise molecular e sorológica,o que nos permite concluir que este agente zoonótico está presente em alta frequência em gatos domésticos do municípiode Vassouras (RJ).

Bartonella henselae and B. quintana have been pointed as causal agents of many diseases in humans, and can lead to death, mainly immunodefficient people. Domestic cat is considered the unique animal in transmission of these pathogens. The purpose of this study was to evaluate the frequency of Bartonella spp. in domestic cats from Vassouras city (RJ) by polimerase chain reaction (PCR) and indirect immunofluorescence test assay (IFA) and compare the results. Blood samples from 37 (100%) domestic cats from a shelter of Vassouras city (RJ) were analyzed and 36 (97.3%) were considered positive by polymerase chain reaction (PCR). The indirect immunofluorescence test assay (IFA) revealed 9 (25.0%) and 27 (75.0%) of that PCR positive samples showed, respectively, reaction and absence of reaction to IFA. Only one sample (2.7%) was negative in PCR and IFA. This is the first communication of Bartonella spp. infection in domestic cats in Rio de Janeiro State (Brazil) identified by molecular and serological assays, thus it can be concluded that this zoonotic agent is present in high frequencies in domestic cats from Vassouras city (RJ).