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Neotrombicula autumnalis is an arthropod usually living in the soil, except for the short period of the larval stage when it becomes a real parasite of warm-blooded hosts. We present a case of human trombiculiasis, which is unusual because of the parasite transmission from animals to humans, as in a typical synanthropic dermatosis.
The diagnosis of trombiculiasis in a cat was based on the presence of an orange, crusting dermatosis, and identification of 6-legged larvae in skin scrapings. The prevalence of the disease may be higher than suggested by the number of reports in the literature, and due to the lack of pruritus, often may be overlooked.
We found trombiculid mite (Trombiculidae) infestations in 32 of 101 (32%) freeranging Florida black bears (Ursus americanus floridanus) live-captured or necropsied in Florida from January 1999 to April 2000. Prevalence of chigger infestation was greatest in June with no infestations seen October to March. Chigger infestations were recognized as accumulations of bright orange granular material usually associated with hair shafts. Mites were found in clusters of one to 102 (mean +/- SD = 8.5+/-19.5) and were distributed primarily over the ventral abdomen and thorax, inguinal and axillary regions, and proximal medial aspect of the extremities. Mites were identified as larval Eutrombicula splendens. Cutaneous lesions were seen in two of 32 (6%) infested bears.
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In four villagers parasitic prurigo caused by the autumnal chigger (Neotrombicula autumnalis) was diagnosed. The clinical picture consisted of intensely itchy, erythematous papules, at sites where clothes fitted tightly or in body folds. Further investigation in the village revealed that in 16 of the 48 homes at least one person in the preceding two months had suffered from prurigo possibly caused by the autumnal chigger. The characteristics of the parasite, the clinical picture, treatment and prevention are discussed.
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The harvest mite Neotrombicula autumnalis (Trombiculidae) has become a great nuisance in various vegetated areas in Germany over the last 15 years. According to reports of dermatologists, this species appears to have propagated and spread significantly. Moreover, cases of severe trombidiosis or trombidiosis-like skin reactions have been noticed at unusually early times of the year. Due to the lack of scientific studies, little is known about the ecology of N. autumnalis and its distribution, and preferred habitats cannot be predicted. A four-year study was conducted to identify trombiculid foci in different areas of Bonn in order (1) to determine the timing of larvae appearance in different years, (2) to identify the factors that lead to high larvae abundances at the mite foci ('multiple factor analysis'), and (3) to develop an ecological control strategy. By means of the 'tile catch method' (TCM) which turned out to be most appropriate to collect data on the distribution and abundances of trombiculid mites, larvae of N. autumnalis were caught from mid July until the end of October/beginning of November. The distribution of the mites was patchy, supporting the hypothesis that certain factors cause a concentration in foci. Most of the mite foci had a fixed location for at least three years. Efforts to isolate nymphs and adults in larger quantities to gain knowledge about their preferred soil areas and soil depths failed. Only some nymphs of N. autumnalis could be found living 10-40 cm deep in the soil. Due to the restriction that the nymphs and adults can only rarely be isolated in the ground, the analysis of environmental factors was executed based on abundances of questing larvae on the soil surface. The detailed analysis of soil-physical, soil-chemical and meso-faunistic factors could not finally explain the unequal distribution of the mites, although the porosity of the soil had a statistically significant slight influence on the abundance of larvae, and soil pH bordered significance, also suggesting a slight influence. Furthermore, soil temperatures during the winter seasons in three subsequent years appeared too high to affect the harvest mite. The field experiments suggest that N. autumnalis and particularly its larval stages are extremely euryoecious (meaning tolerating very different environmental conditions). Further studies are necessary: additional investigations on the influence of certain abiotic environmental factors on N. autumnalis, the search for factors underlying the rhythmicity of its life cycle ('zeitgeber'), and the reasons and mechanisms for heterogeneous distribution of soil fauna in general. Ecological control of the mite is, in principle, possible but only after identifying the foci and ascertaining their approximate dimensions with the TCM. This control strategy is the most promising one, albeit very laborious, emphasising the need of further research on the ecology of the harvest mite.
Larval Leptotrombidium deliense were recovered from live-trapped Suncus murinus, Rattus rattus and R. norvegicus captured in the Pescadores Islands of Taiwan during 1976 and 1977. Weekly and monthly indices of chigger infestation expressed as a percentage of hosts infested and the number of chiggers per host for S. murinus and Rattus spp. were calculated. Close correlations were observed between monthly indices of L. deliense measured for S. murinus and Rattus spp. and the number of laboratory-confirmed cases of scrub typhus per month. Weekly indices from S. murinus correlated more closely with number of cases than did weekly indices from Rattus spp. The critical level of chigger infestation necessary for a single case of scrub typhus in a month was estimated at 0.69 chigger per S. murinus and 0.68 chigger per Rattus spp. The weekly index of chigger infestation necessary for a single case of scrub typhus during a week was calculated at 0.47 chiggers per shrew. Critical levels of chigger infestations expressed as percentages of hosts infested were not calculated.
A total of 10 strains of Orientia tsutsugamushi were isolated from field rodents and chiggers in Taiwan, and characterized by immunofluorescence analysis with monoclonal antibodies and by restriction fragment length polymorphism analysis of the 56-kilodalton (kDa) protein gene. The isolates were divided into two groups consisting of 1 and 9 strains which showed some relation to Gilliam and Karp type strains, respectively. However, all these isolates possessed characteristics distinct not only from those of known prototype strains including Gilliam and Karp but also from all isolates from Japan. These findings suggest the existence of a large number of immunotypic and genotypic variants among the strains of O. tsutsugamushi, and the distribution of distinguishable strains in each area to which this species is endemic.
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Chigger infestation is often associated with severe cutaneous reactions. Mice were given four infestations with the pest chigger Eutrombicula cinnabaris, and each exposure was separated by a 14-day mite-free period. Mean duration of engorgement was nine to ten days for a first exposure and four to five days for a fourth exposure. An initial exposure did not elicit macroscopic changes at chigger attachment sites, while all third and fourth exposure animals had marked reactions consisting of erythema, epidermal thickening and serous exudation. Approximately 20% of second exposure animals had macroscopic changes at chigger feeding sites, but these reactions were much less intense than the responses of third and fourth infestation hosts. Third and fourth exposure animals had infiltrates of lymphocytes, eosinophils, basophils and neutrophils at attachment sites, with eosinophil influx the most intense. Cutaneous reactivity to chigger feeding was adoptively transferred with lymphocytes from fourth exposure animals. Passive transfer of serum from fourth infestation donors resulted in heightened reactivity to a challenge infestation. Skin testing, after a fourth infestation, with an extract of whole E. cinnabaris larvae provided evidence for Arthus and delayed type hypersensitivity responses to chigger antigens. Chigger-reactive homocytotropic antibody was not detected by skin testing and active cutaneous anaphylaxis.
Colicus spinosus Goff & Gettinger, n. sp., is described from Marmosa agilis. Quadraseta brasiliensis Goff & Gettinger, n. sp., is described from Marmosa agilis, Monodelphis americana, and Oryzomys capito. All specimens were collected in central Brazil. The diagnosis of the genus Arisocerus Brennan, 1970, is corrected to describe the setation of the palpal tarsus as 7BS rather than 6BS as listed in the original description.
In the Philippine Islands, the genus Leptotrombidium currently consists of members of the subgenera Leptotrombidium and Trombiculindus. The following species are described as new: L. (L.) macacaphilus, L. (L.) longimedian, L. (L.) mindanensis, L. (L.) urogale, L. (L.) oculascutum, L. (T.) roseannleilaniae. The distribution of, and comments on, the known vectors of Rickettsia tsutsugamushi, L. (L.) deliense and L. (L.) fletcheri and the previously reported L. (L.) sandfordi, are given. Information on species of the potential scrub itch genera Blankaartia, Eutrombicula, and Schoengastia and a key to the genera and species of medically important trombiculids is provided.
The ecology of Orientia tsutsugamushi (Hayashi) was studied in chiggers and small animals in an orchard near Bangkok, Thailand. Small animals were trapped monthly between July and November 1992 and examined for the presence of O. tsutsugamushi and ectoparasitic chiggers. A total of 40 Rattus rattus (L.) and 16 Tupaia glis (Diard) was trapped. O. tsutsugamushi was isolated from liver and spleen samples of 30.8% of R. rattus and 18.6% of T. glis. Antibodies to O. tsutsugamushi were detected in 95% of R rattus, and IgG antibodies persisted for up to 10 mo after removing rats from potential reinfection in the field. A total of 1,133 chiggers was identified and examined for the presence of O. tsutsugamushi using a direct fluorescent antibody test, and 2.6% Leptotrombidium deliense Walch, 5.1% Aschoshoengastia indica Hirst, 2.6% A. (Laurentella) sp. #2 and 0.9% A. (Laurentella) sp. #4 were infected. Forty-four pools of chiggers from these animals were triturated and injected into mice. Seven pools were obtained from T. glis and 1 was positive for O. tsutsugamushi, and 3 of 37 pools from R. rattus were positive. A proportion of the engorged chiggers collected was reared to the adult stage, and the progeny of these adults tested for the presence of O. tsutsugamushi. The progeny of 186 females was tested, and the progeny of 2 L. deliense was found to be naturally infected with O. tsutsugamushi.
A case of harvest-mite infestation acquired in the South Lakeland area is described in a 7-year-old boy and his immediate family. The characteristic papular urticarial lesions produced are extremely florid and may cause diagnostic problems when patients present in areas where the mite is uncommon. The life cycle of the harvest mite is discussed and recommendations for treatment given.