Introduction
Ixodes ricinus is the most abundant tick species in Austria and is commonly associated with the transmission of a large number of (potentially) pathogenic microorganisms [
1‐
3]. Out of the large number of tick-borne pathogens, spirochetes of the
Borrelia burgdorferi sensu lato (s. l.) complex, the causative agent for Lyme borreliosis, are the most frequently found pathogens in
Ixodes ticks collected in Austria [
4,
5]. While the genospecies
B. afzelii, B. burgdorferi sensu stricto (s.s.),
B. garinii, B. bavariensis and
B. spielmanii are known to cause disease in humans, the genospecies
B. bissettii, B. lusitaniae, and
B. valaisiana are believed to be of lower importance for human disease [
6,
7]. The different possible manifestations of the disease have been linked to different genospecies:
B. afzelii is known to cause primarily skin manifestations,
B. garinii and
B. bavariensis are more frequently linked to neuroborreliosis and
B. burgdorferi s.s. seems to affect the joints more than other genospecies [
8].
Aside from
B. burgdorferi s. l.,
Anaplasma phagocytophilum, Candidatus Neoehrlichia mikurensis and several
Babesia and
Rickettsia species have been detected in
Ixodes ticks collected in Austria in the past [
5,
9,
10].
The intracellular bacterium
A. phagocytophilum is known to infest the granulocytes and can lead to flu-like illness, so-called human granulocytic anaplasmosis (HGA), a self-limiting infection in most cases but leading to severe and fatal disease in immunocompromised patients [
11‐
13].
An infection with
Candidatus N. mikurensis can cause symptoms, such as fever, malaise, weight loss and septicemia by affecting the vascular endothelium [
14‐
17]; however, recently we showed that this pathogen can persist multiple weeks in human blood without causing any symptoms [
18].
The intraerythrocytic parasites of the genus
Babesia belong to the phylum of Apicomplexa and can lead to babesiosis, a flu-like to malaria-like illness including symptoms like malaise, chills, myalgia, anemia, fatigue and fever [
19]. In immunocompromised, especially in splenectomised, individuals
Babesia infections can lead to life-threatening complications like severe hemolysis [
19].
B. venatorum infection of an immunocompromised 56-year-old male, most likely caused by a tick bite, was reported in Austria in 2003 [
20]. Also, human infections with the species
Babesia divergens and
Theileria (
Babesia)
microti have already been reported in Europe [
21‐
23].
Within the genus
Rickettsia the spotted-fever group (SFG) species
R. helvetica, R. monacensis, R. raoultii and
R. slovaca have been detected in ticks collected in Austria [
5,
10]. The species
R. slovaca and
R. raoultii are known to cause scalp eschar, facial edema and cervical lymphadenopathy, the so-called tick-borne lymphadenopathy (TIBOLA) or Dermacentor-borne necrosis erythema and lymphadenopathy (DEBONEL) [
24]. The infection with
R. helvetica has been occasionally associated with perimyocarditis and eruptive fever in the literature but other studies showed that despite a high prevalence in ticks,
R. helvetica poses no risk to humans [
18,
25,
26].
R. monacensis infections present with symptoms like fever, headache, general discomfort, joint pain and erythematous rash [
27]. Non-SFG
Rickettsiae, specifically
Candidatus R. mendelii and
Candidatus R. thierseensis, have been found in ticks in Austria as well [
18,
28].
The relapsing fever spirochete
Borrelia miyamotoi has been detected in
I. ricinus ticks collected in Austria during the year 2005 [
29] but not in Vienna. The disease caused by
B. miyamotoi infection is described as a nonspecific febrile illness which can also occur asymptomatically and human cases have sporadically been reported in Austria [
18,
30,
31].
Due to this large variety of pathogens known to be present in I. ricinus in Austria and the fact that urban recreational areas in Vienna are regularly visited by the citizens, the infection rate of ticks in these areas is of particular medical interest. To assess this, we collected questing I. ricinus ticks at seven popular green spaces in Vienna and screened them for a large panel of potentially pathogenic microorganisms by using the reverse line blot hybridization assay (RLB) and real-time PCR.
Discussion
In this study, we determined the tick infection rates for numerous tick-borne pathogens in urban city parks and suburban forests of Vienna. A total of 450 ticks (426 nymphs, 24 adults) were collected during the summer months at 7 (sub)urban locations and screened by RLB, a DNA-hybridization method which is feasible for a reliable detection of various tick-borne pathogens on genus and species levels at once. Moreover, we also investigated the ticks of Vienna for the presence of the relapsing fever spirochete
B. miyamotoi by real-time PCR. The focus of this study was laid on nymphs, as this life stage of
I. ricinus is the medically most relevant stage when it comes to transmitting a pathogen that could cause disease in humans. Next to their small size and thus easily overlooked while feeding, nymphs already underwent one previous bloodmeal during the larval stage and therefore might have taken up microorganisms from the host blood which could now be transmitted during their second blood meal. A recent study conducted in Austria showed that 72.1% of the reported human tick bites are ticks of the nymphal life stage [
18].
With 28.6% positive ticks (60/210) in 2019 and 21.3% (51/240) in 2020,
B. burgdorferi s. l. was the most common pathogen detected. The percentages calculated lie within the range shown in studies carried out previously in Austria and surrounding countries [
5,
36,
37]. Within the
B. burgdorferi s. l. complex, the most abundant genospecies was
B. afzelii. As mentioned in the introduction,
B. afzelii is the main cause of skin manifestations such as erythema migrans; however, in rare cases,
B. afzelii can mimic a rickettsial infection by causing a scalp eschar [
38]. Furthermore, in a recent case report, it was noted that
B. afzelii DNA was detected in ocular tissue [
39] making
B. afzelii one of the most medically significant borrelial species.
The second most common genus detected over our 2‑year survey was
Rickettsia. In 2019, 14.3% out of all ticks tested positive for
Rickettsia spp. Strikingly, in 2020 only 4.6% of the ticks tested positive for
Rickettsia spp. Next to the
Rickettsia species
R. helvetica and
R. monacensis, which were detected in both years at several of our locations, no other species were detected even though species like
R. raoultii, R. slovaca and the novel
Candidatus R. thierseensis are known to be present in Austrian
I. ricinus ticks [
5,
28]. The finding that only
R. helvetica and
R. monacensis were found in this study might be due to their higher prevalence and distribution compared to the other genospecies.
The tick infection rates for
B. miyamotoi, Babesia spp.,
A. phagocytophilum and
Candidatus N. mikurensis were beneath 6.0% in both years and lie within the range previously described [
5,
29,
40‐
42]. An astonishing finding was the significant co-occurrence of
Babesia spp. and
Candidatus N. mikurensis which was also already seen in a previous investigation of Austrian ticks [
5]. It might be of great interest to further study the interaction of different microorganisms within the tick vector and whether this might have an influence on uptake of pathogens or transmission dynamics.
For both years, the location Lainzer Tiergarten was identified as a ‘hotspot’ for B. afzelii. In 2019 at Lainzer Tiergarten, 33.3% of the collected ticks were positive for B. afzelii and no other B. burgdorferi s. l. genospecies were detected. In 2020, 22.5% of the ticks were positive for B. afzelii (81.8% of the Borrelia burgdorferi sl positive ticks). Aside from B. afzelii, Lainzer Tiergarten was also identified as a ‘hotspot’ for the relapsing fever spirochete B. miyamotoi in 2019 with a tick infection rate of 13.3%, compared to the overall infection rate of 3.3% in 2019. In 2020, only 2.5% of the ticks collected at Lainzer Tiergarten were infected with this relapsing fever spirochete, but this is also above the 1.7% calculated among all locations in 2019. Furthermore, 58.3% of the Babesia spp. detected in 2019 and 50.0% of the Babesia spp. detected in 2020 were collected at Lainzer Tiergarten. Identifying hotspots is not just of epidemiological interest but also aids further studies of certain tick-borne pathogens when it comes to cultivation attempts and where to best collect ticks for certain experiments.
The Lainzer Tiergarten, a 2450 hectar Natura 2000 area (the largest coordinated network of protected areas in the world), was originally a fenced off hunting ground used by the Austrian imperial family. In 1919, the region was opened to the public and since 1941 has been classified as a nature reserve. The area supports a large diversity of wildlife, and as currently announced on the website (
https://www.lainzer-tiergarten.at/ visited on the 19 January 2022), the Lainzer Tiergarten estimates to host, among other animals, 800–1000 wild boars, 80–100 red deer, 200–250 fallow deer, countless roe deer and around 700 mouflons. We suspect that the large density and diversity of wildlife present plays a large role in creating an unintended hotspot for tick-borne pathogens.
In conclusion, our study emphasizes the need to keep track of ticks and tick-borne pathogens within urban recreational areas to early identify potential health risks.
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