Autochthonous Dirofilaria repens in Austria
© Silbermayr et al.; licensee BioMed Central Ltd. 2014
Received: 21 January 2014
Accepted: 7 May 2014
Published: 14 May 2014
In Europe animal and human infections due to Dirofilaria repens are increasing.
In a nationwide screening for filarioid parasites in Austria, 7,632 mosquitoes were collected from June till October 2012 and divided into 437 pools according to same trapping date and sight and mosquito species. For the molecular detection, a real-time PCR approach was followed by conventional PCR. D. repens was detected in the villages Moerbisch and Rust, Burgenland in one Anopheles maculipennis group and one Anopheles algeriensis species pool, respectively.
The geographical distribution of the two positive pools points to the invasion of D. repens from Eastern neighboring countries. The finding of D. repens in mosquito vectors suggests the occurrence of the causative agent for cutaneous dirofilariosis in Austria.
In the past few years a new emergence of filarioid diseases like dirofilariosis has been noted, particularly in Europe where the human infections due to Dirofilaria (D.) repens are increasing . Although several Dirofilaria species are considered zoonotic, D. repens is the most common species causing human dirofilariosis in temperate areas [1, 2]. Therefore, infections with D. repens are of growing concern for veterinary and public health. In Germany, D. repens and more recently D. immitis has been detected inside their mosquito vectors. The higher the parasite prevalence in the mosquito host, the greater the risk of transmission to mammalian hosts . High frequencies are reported in humans from regions with high prevalence of D. repens in animal hosts which are inhabited by zooanthropophilic (so-called bridge) vectors . Of the 1,410 subcutaneous/ocular human dirofilariosis cases so far reported worldwide, 16 were described in Austria from 2000 – 2011 . The first suspected autochthonous case of dirofilariosis in an Austrian patient without recent travel history was reported in 2008 . In the following year D. repens positive blood samples were detected in dogs from the Eastern Austrian province Burgenland and the district of Gaenserndorf (Lower Austria). Simultaneous screening of mosquito pools from the same species and the same trapping area with real-time PCR (qPCR), however, did not detect D. repens in the vector . Since humans are at risk of infection wherever canine dirofilariosis is present  a nationwide screening for mosquito-borne filarioid parasites was initiated. Until the year 2012, the autochthonous presence of this emerging filarioid disease in Austria was not confirmed since no D. repens was detected in their mosquito vectors. Here, the first autochthonous case of D. repens detected in Austrian mosquitoes is described, emphasizing the possible transmission to humans in areas by infected vectors.
Two pools tested positive in the qPCR assay and were subjected to conventional PCR for the amplification and subsequent sequencing of a 667-bp long fragment spanning the cytochrome oxidase subunit I (COI) gene. The first positive pool collected on September 13th, 2012 originated from the village of Moerbisch, Burgenland. All 18 individuals of the pool belonged to the Anopheles maculipennis (Meigen, 1880) group. The mosquitoes of the second positive pool were caught in the village of Rust, Burgenland on September 14th, 2012 and consisted of 14 individuals, all belonging to the Anopheles algeriensis (Theobald, 1903) species. Both samples revealed a 100% similarity to a D. repens entry in GenBank® (D. repens COI gene: JF461458.1).
The geographical distribution of the two positive pools points to the possible invasion of D. repens from Eastern neighboring countries (Figure 1). The locations of recent cases in humans  and dogs  overlap in districts close to Hungary . The first Austrian patient – supposedly without any travel history – even worked as border patrol at the Austrian-Hungarian border, approximately 50 km from the positive trapping site at Rust. However, the presence of the nematode DNA does not provide full evidence of the autochthonous biological cycle in Austria and further investigations on the vectorial role of indigenous mosquitoes and their vector competence are needed. Up until now autochthonous occurrence of D. repens has never been shown for Austria. The finding of D. repens in mosquito vectors suggests the occurrence of the causative agent for cutaneous dirofilariosis in the Eastern region of Austria.
Katja Silbermayr holds a PhD in veterinary medicine and currently works as postdoc at the Institute of Parasitology, Vetmeduni Vienna, Austria. She is a 3rd-year resident of the European Veterinary Parasitology College with a strong research focus on vector-borne- and parasitic-skin-diseases.
We wish to thank Mrs Walpurga Wille-Piazzai for technical support. This work was partly funded by a grant from Bayer Animal Health Austria and the Austrian Academia Jubilee Fund research grant (H-2611/2011).
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