Isolation of Bartonella species from rodents in Taiwan including a strain closely related to 'Bartonella rochalimae' from Rattus norvegicus.
ABSTRACT An increasing number of Bartonella species originally isolated from small mammals have been identified as emerging human pathogens. During an investigation of Bartonella infection in rodent populations carried out in Taiwan in 2006, a total of 58 rodents were tested. It was determined that 10.3 % (6/58) of the animals were Bartonella bacteraemic. After PCR/RFLP analysis, four isolates were identified as Bartonella elizabethae and one isolate as Bartonella tribocorum. However, there was one specific isolate with an unrecognized PCR/RFLP pattern. After further sequence and phylogenetic analyses of the gltA, ftsZ and rpoB genes, and the 16S-23S rRNA intergenic spacer region, the results indicated that this specific isolate from Rattus norvegicus was closely related to human pathogenic 'Bartonella rochalimae'. Further studies need to be conducted to evaluate whether this rodent species could be a reservoir for 'B. rochalimae'.
- SourceAvailable from: Jean-Philippe Buffet[Show abstract] [Hide abstract]
ABSTRACT: Among the 33 confirmed Bartonella species to date, more than half are hosted by rodent species, and at least five of them have been involved in human illness causing diverse symptoms including fever, myocarditis, endocarditis, lymphadenitis and hepatitis. In almost all countries, wild rodents are infected by extremely diverse Bartonella strains with a high prevalence. In the present paper, in light of new knowledge on rodent-adapted Bartonella species genomics, we bring together knowledge gained in recent years to have an overview of the impact of rodent-adapted Bartonella infection on humans and to determine how diversity of Bartonella helps to understand their mechanisms of adaptation to rodents and the consequences on human health.Future Microbiology 09/2013; 8:1117-28. · 4.02 Impact Factor
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ABSTRACT: We investigated the prevalence of Bartonella species in 10 rodent and one shrew species in Thailand. From February 2008 to May 2010, a total of 375 small animals were captured in 9 provinces in Thailand. Bartonella strains were isolated from 57 rodents (54 from Rattus species and 3 from Bandicota indica) and one shrew (Suncus murinus) in 7 of the 9 provinces, and identified to the species level. Sequence analysis of the citrate synthase and RNA polymerase β subunit genes identified the 58 isolates from each Bartonella-positive animal as B. tribocorum in 27 (46.6%) animals, B. rattimassiliensis in 17 (29.3%) animals, B. elizabethae in 10 (17.2%) animals and B. queenslandensis in 4 (6.9%) animals. R. norvegicus, R. rattus, and Suncus murinus carried B. elizabethae, which causes endocarditis in humans. The prevalence of Bartonella bacteremic animals by province was 42.9% of the animals collected in Phang Nga, 26.8% in Chiang Rai, 20.4% in Sa Kaeo, 16.7% in Nakhon Si Thammarat, 12.0% in Surat Thani, 9.1% in Mae Hong Son and Loei Provinces. These results indicate that Bartonella organisms are widely distributed in small mammals in Thailand and some animal species may serve as important reservoirs of zoonotic Bartonella species in the country.Comparative immunology, microbiology and infectious diseases 01/2013; · 2.99 Impact Factor
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ABSTRACT: Bartonella species are emerging infectious organisms transmitted by arthropods capable of causing long-lasting infection in mammalian hosts. Among over 30 species described from four continents to date, 15 are known to infect humans, with eight of these capable of infecting dogs as well. B. bacilliformis is the only species described infecting humans in Peru; however, several other Bartonella species were detected in small mammals, bats, ticks, and fleas in that country. The objective of this study was to determine the serological and/or molecular prevalence of Bartonella species in asymptomatic dogs in Peru in order to indirectly evaluate the potential for human exposure to zoonotic Bartonella species. A convenient sample of 219 healthy dogs was obtained from five cities and three villages in Peru. EDTA-blood samples were collected from 205 dogs, whereas serum samples were available from 108 dogs. The EDTA-blood samples were screened by PCR followed by nucleotide sequencing for species identification. Antibodies against B. vinsonii berkhoffii and B. rochalimae were detected by IFA (cut-off of 1∶64). Bartonella DNA was detected in 21 of the 205 dogs (10%). Fifteen dogs were infected with B. rochalimae, while six dogs were infected with B. v. berkhoffii genotype III. Seropositivity for B. rochalimae was detected in 67 dogs (62%), and for B. v. berkhoffii in 43 (40%) of the 108 dogs. Reciprocal titers ≥1∶256 for B. rochalimae were detected in 19% of dogs, and for B. v. berkhoffii in 6.5% of dogs. This study identifies for the first time a population of dogs exposed to or infected with zoonotic Bartonella species, suggesting that domestic dogs may be the natural reservoir of these zoonotic organisms. Since dogs are epidemiological sentinels, Peruvian humans may be exposed to infections with B. rochalimae or B. v. berkhoffii.PLoS Neglected Tropical Diseases 09/2013; 7(9):e2393. · 4.49 Impact Factor
Isolation of Bartonella species from rodents in
Taiwan including a strain closely related to
‘Bartonella rochalimae’ from Rattus norvegicus
Jen-Wei Lin,1Chun-Yu Chen,2Wan-Ching Chen,3Bruno B. Chomel4
and Chao-Chin Chang2
1Department of Veterinary Medicine, College of Veterinary Medicine, National Chung Hsing
University, Taichung 402, Taiwan
2Graduate Institute of Veterinary Public Health, National Chung Hsing University, Taichung 402,
3Department of Safety Health and Environmental Engineering, Central Taiwan University of Science
and Technology, Taichung 406, Taiwan
4Department of Population Health and Reproduction, School of Veterinary Medicine, University of
California, Davis, CA, USA
Received 2 July 2008
Accepted 20 August 2008
An increasing number of Bartonella species originally isolated from small mammals have been
identified as emerging human pathogens. During an investigation of Bartonella infection in rodent
populations carried out in Taiwan in 2006, a total of 58 rodents were tested. It was determined
that 10.3% (6/58) of the animals were Bartonella bacteraemic. After PCR/RFLP analysis, four
isolates were identified as Bartonella elizabethae and one isolate as Bartonella tribocorum.
However, there was one specific isolate with an unrecognized PCR/RFLP pattern. After further
sequence and phylogenetic analyses of the gltA, ftsZ and rpoB genes, and the 16S–23S rRNA
intergenic spacer region, the results indicated that this specific isolate from Rattus norvegicus
was closely related to human pathogenic ‘Bartonella rochalimae’. Further studies need to be
conducted to evaluate whether this rodent species could be a reservoir for ‘B. rochalimae’.
Bartonella species are short rod, fastidious, Gram-negative
and oxidase-negative bacteria (Boulouis et al., 2005;
Breitschwerdt & Kordick, 2000). Since the early 1990s, more
than 20 species within the genus Bartonella have been
recognized (Eremeeva et al., 2007; Zeaiter et al., 2002). These
intracellular bacteria are regarded as emerging zoonotic
pathogens, which can cause serious diseases in humans
worldwide (Boulouis et al., 2005). A new species, ‘Bartonella
rochalimae’, was recently isolated from a case of splenomeg-
aly in a patient who had travelled to South America
(Eremeeva et al., 2007). This event raised the concern that
it could be a newly emerged zoonotic pathogen. However, to
date, little is known regarding to the reservoirs and vectors
for the transmission of ‘B. rochalimae’.
Small mammals are natural hosts for several Bartonella
species, some of which can cause human diseases (Boulouis
et al., 2005; Zeaiter et al., 2002). The order Rodentia has
been reported as the reservoir for several Bartonella species
(Ellis et al., 1999) that are pathogens for humans, such as
Bartonella elizabethae reported in a case of endocarditis
(Daly et al., 1993). Bartonella grahamii, isolated primarily
from bank voles (Clethrionomys glareolus), was identified to
be the causative agent of neuroretinitis in humans (Baker,
1946; Kerkhoff et al., 1999). Although the main route of
transmission for rodent Bartonella species is still unclear,
these infections are likely to be vector-borne, mainly by fleas.
For instance, Ctenophthalmus nobilis, collected on bank voles
in the UK, was shown to be a competent vector for B.
al., 1993). In Kabul, Afghanistan, B. taylorii was also detected
by molecular methods in fleas collected from gerbils
(Meriones libycus), and B. elizabethae and Bartonella doshiae
were identified in rat fleas (Marie ´ et al., 2006). More recently,
Bartonella clarridgeiae-like bacteria were detected in rat fleas
(Xenopsylla cheopis) collected from brown rats (Rattus
norvegicus) from Egypt (Loftis et al., 2006). Similarly, when
studying Bartonella infection in flea vectors (Polygenis gwyni)
parasitizing cotton rats (Sigmodon hispidus), some samples
were co-infected with a strain phylogenetically related to B.
clarridgeiae (Abbot et al., 2007).
Abbreviation: ITS, intergenic spacer region.
The GenBank/EMBL/DDBJ accession numbers for the gltA, ftsZ and
rpoB genes and the 16S–23S rRNA ITS sequence of Bartonella 1-1C
strain are EU551154, EU551155, EU551156 and EU551157.
Journal of Medical Microbiology (2008), 57, 1496–1501
1496 2008/004671G2008 SGMPrinted in Great Britain
Our laboratory has been collaborating with the Center for
Disease Control, Taiwan, to conduct an epidemiological
survey of Bartonella species in small mammals in central
Taiwan. In this study, using molecular methods and
sequencing various genes for the obtained isolates, our
aim was to determine if a ‘B. rochalimae’-like organism
could be isolated from rodents and the prevalence of
Bartonella infection in rodents in Taiwan.
Sample collection. Between March and October 2006, a total of 58
rodents (53 R. norvegicus, 2 Mus musculus and 3 Rattus rattus) were
captured in Taichung, a city located in central Taiwan. After being
humanely anaesthetized with zoletil 50 (Virbac Laboratories), the
animals were bled to death via cardiac puncture by using 3 ml
syringes fitted with 22 gauge, 3.8 cm needles. The blood was then
collected in a tube containing 10 ml (1.5 mg ml21) EDTA, and was
stored at 280 uC for isolation and molecular identification of
Blood culture for Bartonella species. For bacterial culture, 200 ml
thawed whole blood sample was plated onto both fresh 10% sheep
blood-enriched Columbia agar and chocolate agar. The plates were
incubated at 35 uC in 5% CO2for at least 1 month and checked for
growth of Bartonella species on a weekly basis (Boulouis et al., 2005).
The suspected colonies were subcultured onto a fresh agar plate for
further molecular identification of Bartonella species by PCR/RFLP
and sequence analyses.
DNA extraction and PCR/RFLP procedures for Bartonella
species. After culturing a single colony pick from the original plate,
DNA of the cultured isolates was extracted using a Viogene DNA/
RNA extraction kit (Viogene Biotek) following the manufacturer’s
instructions. The primers used for DNA amplification and sequencing
in this study are shown in Table 1. The primers BhCS.781p and
BhCS.1137n were used first for amplifying a partial fragment, ranging
from 380 to 400 bp, of the gltA gene of Bartonella species. PCR
mixtures were set up as follows: 5 ml DNA template, 0.5 ml 100 mM
each primer, 4 ml 2.5 mM dNTPs, 5 ml 106 PCR buffer, 3 ml 25 mM
MgCl2, 31.75 ml sterile distilled H2O and 0.25 ml DNA polymerase
(AmpliTaq Gold; Applied Biosystems). The PCR amplification was
executed as follows: 1 cycle of 10 min at 95 uC, followed by 45 cycles
of 30 s at 95 uC, 1 min at 57 uC and 2 min at 72 uC, and then 1 cycle
of 5 min at 72 uC for final extension (Norman et al., 1995). Primers
bartsppA and bartsppB amplified a fragment of the 16S–23S rRNA
intergenic spacer region (ITS) by single-step PCR (Jensen et al., 2000);
the different molecular size of the PCR products allowed for quick
differentiation of various Bartonella species. The PCR program for the
ITS was as follows: 1 cycle of 2 min at 95 uC, followed by 45 cycles of
1 min at 95 uC, 1 min at 52 uC and 30 s at 72 uC, and 1 cycle of
10 min at 72 uC for complete extension (Jensen et al., 2000). The
primers for the amplification of the ftsZ gene were Bfp1 and Bfp2. A
900 bp fragment was expected from the amplification. The PCR
program consisted of: 1 cycle of 4 min at 94 uC, followed by 44 cycles
of 30 s at 94 uC, 30 s at 55 uC and 1 min at 68 uC, and then 1 cycle of
10 min at 68 uC for complete extension (Zeaiter et al., 2002). For
PCR amplification of the rpoB gene, a set of primers 1400F and 2300R
was used to amplify an expected 900 bp DNA fragment. The PCR was
performed as follows: 1 cycle of 2 min at 94 uC, 35 cycles of 30 s at
94 uC, 30 s at 53 uC and 1 min at 72 uC, and then 1 cycle of 2 min at
72 uC for complete extension (Renesto et al., 2001). RFLP of the gltA
gene was also used for quick identification of Bartonella organisms at
the species level with restriction enzyme digestion with TaqI (New
England BioLabs), HhaI (New England BioLabs) and MseI (New
England BioLabs) following the manufacturer’s instructions. The
RFLP banding patterns were then compared to the patterns of
Bartonella type strains, including Bartonella alsatica (IBS382T) CIP
105477, Bartonella birtlesii (IBS 325T) CIP 106294, Bartonella bovis
(91-4T) CIP 106692, B. clarridgeiae (Houston-2T) ATCC 51734, B.
doshiae (R18T) NCTC 12862, B. elizabethae (F9251T) ATCC 49927,
B. grahamii (V2T) NCTC 12860 b, Bartonella henselae (Houston-1T)
ATCC 49882, Bartonella koehlerae (C-29T) ATCC 700693, Bartonella
quintana (FullerT) ATCC VR-358, B. taylorii (M6T) NCTC 12861,
Bartonella tribocorum (IBS 506T) CIP 104576, Bartonella. vinsonii
subsp. arupensis (OK 94-513T) ATCC 700727, B. vinsonii subsp.
berkhoffii (93-CO1T) ATCC 51672, B. vinsonii subsp. vinsonii
(BakerT) ATCC VR-152.
Sequencing and phylogenetic analyses for Bartonella species.
The confirmed PCR products were sent for automated sequencing
using the primers listed in Table 1 (Mission Biotech). Sequences of
several Bartonella species were downloaded for comparison from
GenBank. The sequences of the gltA, ftsZ and rpoB genes, and the
16S–23S rRNA ITS, of the Bartonella strain (1-1C) isolated in this
study have been submitted to the GenBank. The accession numbers
are EU551154 for the gltA gene, EU551155 for the ftsZ gene,
EU551156 for the rpoB gene and EU551157 for the 16S–23S rRNA
ITS. Sequences were first aligned by the CLUSTAL W method of the
BioEdit program (Tom Hall, Ibis Biosciences, Isis Pharmaceuticals).
Phylogenetic analysis was performed on the aligned DNA sequences
using maximum-parsimony as implemented in PHYLIP version 3.6
(Joseph Felsenstein, Department
Department of Biology, University of Washington, Seattle, WA,
Table 1. Primers used for PCR amplification and sequencing
Primer setTarget genePrimer sequenceSize of PCR product (bp) Reference
380–400 Norman et al. (1995)
16S–23S rRNA ITS Molecular size dependent on
Jensen et al. (2000)
ftsZ900 Zeaiter et al. (2002)
rpoB900Renesto et al. (2001)
‘Bartonella rochalimae’ and Rattus norvegicus
Fig. 1. Phylogenetic analysis of different Bartonella species on the
basis of partial DNA sequences of: (a) the gltA gene, (b) the ftsZ
gene and (c) the rpoB gene. The phylogenetic relationship was
constructed by using the maximum-parsimony method of the PHYLIP
version 3.6 program, and bootstrap analysis was performed with
1000 trials of bootstrap data (bootstrap values not shown if lower
J.-W. Lin and others
1498 Journal of Medical Microbiology 57
USA). Bootstrap support was calculated by using 1000 bootstrap data
replicates as implemented by SEQBOOT of the PHYLIP program.
Using whole blood culture, 6 (10.3%) of the 58 animals
were Bartonella bacteraemic. Among the six bacteraemic
animals, five were R. norvegicus and one was R. rattus. After
PCR/RFLP analysis and pattern comparisons of Bartonella
type strains, it was determined that four of the five isolates
from R. norvegicus were B. elizabethae and the isolate from
R. rattus was B. tribocorum. However, there was one
specific isolate with an unrecognized PCR/RFLP pattern,
which was one undigested band (380 bp) by TaqI, two
bands (285 and 94 bp) by HhaI and two bands (199 and
132 bp) by MseI digestion. Therefore, this isolate was
further characterized by direct DNA sequencing for species
For this specific isolate, three randomly picked colonies
from the original plate were subcultured and harvested for
DNA extraction after 1 week. There was no gltA sequence
variation between the isolates, thus a single isolate
(designated 1-1C) was used for subsequent sequencing of
the other genes. The accession numbers of the Bartonella
reference strains used for comparison are shown in Table 2.
In comparison with partial sequences of the gltA gene of
Bartonella species in GenBank, the DNA similarity value of
this specific isolate was highest, 95.6% with ‘B. rochalimae’,
followed by B. clarridgeiae (95%), Bartonella schoenbu-
chensis (90.8%) and ‘Bartonella washoensis subsp. cynomy-
Table 2. Accession numbers of the reference Bartonella species sequences used for phylogenetic
analysis in this study
Bartonella strain Sequence accession no.
B. bovis isolate 23MI
B. bovis isolate N 05-1406N05
B. elizabethae strain F9251
B. grahamii strain V2
‘B. phoceensis’ strain 16120
B. quintana strain Fuller
‘B. rattimassiliensis’ strain 15908
‘B. rattimassiliensis’ strain16115
‘B. rochalimae’ isolate BMGH
‘B. rochalimae’ SM318006
B. schoenbuchii strain R6
B. tribocorum isolate IBS 506
B. vinsonii strain Baker
B. vinsonii subsp. arupensis
B. vinsonii subsp. berkhoffii
B. vinsonii subsp. vinsonii
B. washoensis subsp. cynomysii strain
‘Bartonella rochalimae’ and Rattus norvegicus
sii’ strain CL8606co (90.2%). DNA similarity was less than
90% to all other Bartonella species tested.
After sequence analysis of the ftsZ and rpoB genes, as well as
the 16S–23S rRNA ITS, the isolate 1-1C sequences were still
closest to ‘B. rochalimae’ (similarity values: 97.1, 97.1 and
96%, respectively). Similarly, phylogenetic analysis of the
gltA, ftsZ and rpoB genes strongly supported that isolate 1-
1C and ‘B. rochalimae’ belonged to the same clade, as
indicated by the high bootstrap value (.90%) on the basis
of 1000 replicates (Fig. 1). This clade also includes B.
clarridgeiae and is clearly separated from other Bartonella
species. When we further compared sequence relatedness
between the 1-1C strain and B. clarridgeiae, we found that
the similarity values were 94.3% for the ftsZ gene and
93.2% for the rpoB gene, and the similarity value for the
16S–23S rRNA ITS was only 69.1%.
‘B. rochalimae’ has recently been isolated from a human
infection (Eremeeva et al., 2007); however, the reservoir of
this new human pathogen remains unknown. We report
what is believed to be the first isolation of a Bartonella
strain closely related to ‘B. rochalimae’ from a brown rat
captured in central Taiwan. As the data are limited by the
small sample size of rats tested and the lack of a further
inoculation test in laboratory animals in this study, this
unique isolate does not allow confirmation of rats as a
possible reservoir of ‘B. rochalimae’. However, several
Bartonella species have been shown to use various species
of small mammals as their natural reservoirs (Baker, 1946;
Birtles et al., 1995; Brenner et al., 1993; Heller et al., 1998;
Kordick et al., 1996). Of major importance, several rodent
Bartonella species have been shown to be emerging
zoonotic pathogens. The first rodent-associated zoonotic
Bartonella species was B. elizabethae (Daly et al., 1993), and
R. norvegicus was considered to be its main reservoir (Ellis
et al., 1999). ‘B. washoensis’ and B. vinsonii subsp.
arupensis, which cause human myocarditis and neuro-
logical disorders, respectively, were also suggested to be
rodent associated (Kosoy et al., 2003; Welch et al., 1999).
The present study clearly showed that rodents in Taiwan
can harbour Bartonella species, including B. elizabethae, B.
tribocorum and a strain closely related to ‘B. rochalimae’.
B. clarridgeiae is considered to be an agent possibly causing
human cat-scratch disease, with cats being the natural
reservoir (Boulouis et al., 2005), and recently ‘B. rochalimae’,
the closest Bartonella species to B. clarridgeiae, was isolated
from a human patient (Eremeeva et al., 2007). In a study
conducted in northern California, researchers identified a
novel B. clarridgeiae-like bacterium from 3 dogs and 22 grey
foxes (Henn et al., 2007). These data raise concerns about the
existence of other reservoirs and vectors for this emerging
infection. For instance, a novel Bartonella species close but
distinct from B. clarridgeiae was identified in a striped field
mouse (Apodemus agrarius) and a yellow-necked field mouse
(Apodemus flavicollis) from Slovenia (Knap et al., 2007). B.
clarridgeiae-like bacteria were also detected in rat fleas (X.
cheopis) collected on brown rats (R. norvegicus) from Egypt
(Loftis et al., 2006) and from P. gwyni fleas parasitizing
cotton rats (S. hispidus) in the United States (Abbot et al.,
2007). Furthermore, according to a phylogenetic analysis of
Bartonella species detected in rodent fleas, a genotype
designated F15YN, most closely related to B. clarridgeiae,
was identified in a Ctenophthalmus lushuiensis flea in China
(Li et al., 2007). Because Taiwan is geographically located
close to mainland China, the sequence of the gltA gene of the
F15YN strain was further compared to the one of our 1-1C
strain. After sequence comparison, it showed that a 5%
divergence existed between these two strains. Unfortunately,
no sequences for other genes of the F15YN were available for
comparison. In this study, we determined that the 1-1C
strain was most closely related to ‘B. rochalimae’, on the basis
of more than 95% similarity values for the sequences of gltA,
ftsZ and rpoB genes, and the 16S–23S rRNA ITS region.
Although 95% similarity for the gltA gene was also observed
between the 1-1C strain and B. clarridgeiae, more divergence
was observed by the sequence comparisons of the ftsZ and
rpoB genes, as well as the 16S–23S rRNA ITS (similarity
values: 94.3, 93.2 and 69.1%, respectively). The partial
sequence of the 16S–23S rRNA ITS region was shown to be
useful to differentiate ‘B. rochalimae’ and B. clarridgeiae. As
the phylogenetic analysis showed a specific clade including
‘B. rochalimae’, B. clarridgeiae and the 1-1C strain, it will be
important to further determine the relationship and
biological differences of these B. clarridgeiae-like isolates in
the future. Although the mode of infection of humans from
vectors. Unfortunately, no ectoparasites were collected for
detection of Bartonella infection on the bacteraemic rats in
In conclusion, the most significant finding of this study is
the identification of a ‘B. rochalimae’-like organism from R.
norvegicus, on the basis of sequence and phylogenetic
analyses of gltA, ftsZ and rpoB genes. Due to the small
sample size of animals tested, this study cannot conclude
that R. norvegicus is the reservoir for ‘B. rochalimae’, but it
certainly warrants further investigation.
This project was supported by grants DOH 95-DC1035 from the
Department of Health, Taiwan, and NSC 95-2313-B-005-028-MY2
from the National Science Council, Taiwan.
Abbot, P., Aviles, A. E., Eller, L. & Durden, L. A. (2007). Mixed
infections, cryptic diversity, and vector-borne pathogens: evidence
from Polygenis fleas and Bartonella species. Appl Environ Microbiol 73,
Baker, J. A. (1946). A rickettsial infection in Canadian voles. J Exp
Med 84, 37–50.
J.-W. Lin and others
1500Journal of Medical Microbiology 57
Birtles, R. J., Harrison, T. G., Saunders, N. A. & Molyneux, D. H. (1995).
Proposals to unify the genera Grahamella and Bartonella, with
descriptions of Bartonella talpae comb. nov., Bartonella peromysci comb.
nov., and three new species, Bartonella grahamii sp. nov., Bartonella
Boulouis, H.-J., Chang, C. C., Henn, J. B., Kasten, R. W. & Chomel,
B. B. (2005). Factors associated with the rapid emergence of zoonotic
Bartonella infections. Vet Res 36, 383–410.
Bown, K. J., Bennett, M. & Begon, M. (2004). Flea-borne Bartonella
grahamii and Bartonella taylorii in bank voles. Emerg Infect Dis 10,
Breitschwerdt, E. B. & Kordick, D. L. (2000). Bartonella infection in
animals: carriership, reservoir potential, pathogenicity, and zoonotic
potential for human infection. Clin Microbiol Rev 13, 428–438.
Brenner, D. J., O’Connor, S. P., Winkler, H. H. & Steigerwalt, A. G.
(1993). Proposals to unify the genera Bartonella and Rochalimaea,
with descriptions of Bartonella quintana comb. nov., Bartonella
vinsonii comb. nov., Bartonella henselae comb. nov., and Bartonella
elizabethae comb. nov., and to remove the family Bartonellaceae from
the order Rickettsiales. Int J Syst Bacteriol 43, 777–786.
Daly, J. S., Worthington, M. G., Brenner, D. J., Moss, C. W., Hollis,
D. G., Weyant, R. S., Steigerwalt, A. G., Weaver, R. E., Daneshvar, M. I.
& O’Connor, S. P. (1993). Rochalimaea elizabethae sp. nov. isolated
from a patient with endocarditis. J Clin Microbiol 31, 872–881.
Ellis, B. A., Regnery, R. L., Beati, L., Bacellar, F., Rood, M., Glass, G. G.,
Marston, E., Ksiazek, T. G., Jones, D. & Childs, J. E. (1999). Rats of the
genus Rattus are reservoir hosts for pathogenic Bartonella species: an
Old World origin for a New World disease? J Infect Dis 180, 220–224.
Eremeeva, M. E., Gerns, H. L., Lydy, S. L., Goo, J. S., Ryan, E. T.,
Mathew, S. S., Ferraro, M. J., Holden, J. M., Nicholson, W. L. & other
authors (2007). Bacteremia, fever, and splenomegaly caused by a
newly recognized Bartonella species. N Engl J Med 356, 2381–2387.
Heller, R., Riegel, P., Hansmann, Y., Delacour, G., Bermond, D.,
Dehio, C., Lamarque, F., Monteil, H., Chomel, B. & Pie ´mont, Y.
(1998). Bartonella tribocorum sp. nov., a new Bartonella species
isolated from the blood of wild rats. Int J Syst Bacteriol 48, 1333–1339.
Henn, J. B., Gabriel, M. W., Kasten, R. W., Brown, R. N., Theis, J. H.,
Foley, J. E. & Chomel, B. B. (2007). Gray foxes (Urocyon
cinereoargenteus) as a potential reservoir of a Bartonella clarridgeiae-
like bacterium and domestic dogs as part of a sentinel system for
surveillance of zoonotic arthropod-borne pathogens in northern
California. J Clin Microbiol 45, 2411–2418.
Jensen, W. A., Fall, M. Z., Rooney, J., Kordick, D. L. & Breitschwerdt,
E. B. (2000). Rapid identification and differentiation of Bartonella
species using a single-step PCR assay. J Clin Microbiol 38, 1717–1722.
Kerkhoff, F. T., Bergmans, A. M., van der Zee, A. & Rothova, A.
(1999). Demonstration of Bartonella grahamii DNA in ocular fluids of
a patient with neuroretinitis. J Clin Microbiol 37, 4034–4038.
Knap, N., Duh, D., Birtles, R., Trilar, T., Petrovec, M. & Avs ˇic ˇ-Zˇupanc,
T. (2007). Molecular detection of Bartonella species infecting rodents
in Slovenia. FEMS Immunol Med Microbiol 50, 45–50.
Kordick, D. L., Swaminathan, B., Greene, C. E., Wilson, K. H.,
Whitney, A. M., O’Connor, S., Hollis, D. G., Matar, G. M., Steigerwalt,
A. G. & other authors (1996). Bartonella vinsonii subsp. berkhoffii
subsp. nov., isolated from dogs; Bartonella vinsonii subsp. vinsonii;
and emended description of Bartonella vinsonii. Int J Syst Bacteriol 46,
Kosoy, M., Murray, M., Gilmore, R. D., Jr, Bai, Y. & Gage, K. L. (2003).
Bartonella strains from ground squirrels are identical to Bartonella
washoensis isolated from a human patient. J Clin Microbiol 41, 645–650.
Li, D. M., Liu, Q. Y., Yu, D. Z., Zhang, J. Z., Gong, Z. D. & Song, X. P.
(2007). Phylogenetic analysis of Bartonella detected in rodent fleas in
Yunnan, China. J Wildl Dis 43, 609–617.
Loftis, A. D., Reeves, W. K., Szumlas, D. E., Abbassy, M. M., Helmy,
I. M., Moriarity, J. R. & Dasch, G. A. (2006). Surveillance of Egyptian
fleas for agents of public health significance: Anaplasma, Bartonella,
Coxiella, Ehrlichia, Rickettsia, and Yersinia pestis. Am J Trop Med Hyg
Marie ´, J. L., Fournier, P. E., Rolain, J. M., Briolant, S., Davoust, B. &
Raoult, D. (2006). Molecular detection of Bartonella quintana, B.
elizabethae, B. koehlerae, B. doshiae, B. taylorii, and Rickettsia felis in
rodent fleas collected in Kabul, Afghanistan. Am J Trop Med Hyg 74,
Norman, A. F., Regnery, R., Jameson, P., Greene, C. & Krause, D. C.
(1995). Differentiation of Bartonella-like isolates at the species level by
PCR-restriction fragment length polymorphism in the citrate synthase
gene. J Clin Microbiol 33, 1797–1803.
Renesto, P., Gouvernet, J., Drancourt, M., Roux, V. & Raoult, D.
(2001). Use of rpoB gene analysis for detection and identification of
Bartonella species. J Clin Microbiol 39, 430–437.
Welch, D. F., Carroll, K. C., Hofmeister, E. K., Persing, D. H., Robison,
D. A., Steigerwalt, A. G. & Brenner, D. J. (1999). Isolation of a new
subspecies, Bartonella vinsonii subsp. arupensis, from a cattle rancher:
identity with isolates found in conjunction with Borrelia burgdorferi
and Babesia microti among naturally infected mice. J Clin Microbiol
Zeaiter, Z., Liang, Z. & Raoult, D. (2002). Genetic classification and
differentiation of Bartonella species based on comparison of partial
ftsZ gene sequences. J Clin Microbiol 40, 3641–3647.
‘Bartonella rochalimae’ and Rattus norvegicus