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110<br />

cumstances of isolation of Bahig and Matruh viruses in<br />

Italy seemed to confirm this hypothesis.<br />

Sandfly-borne virus<br />

During World War Il, an outbreak of febrile illness<br />

occurred among USA military troops in Southern ltaly.<br />

From the blood of some patients, Sabin isolated two<br />

strains of viruses, the Sandfly Fever Naples virus and<br />

the Sandfly Fever Sicilian virus (Sabin et al., 1944).<br />

Since then, the two agents have been isolated from the<br />

sand fly Phlebotomus papatasi in several<br />

Me<strong>di</strong>terranean countries. Their circulation in Italy was<br />

probably terminated after the antimalaric campaign<br />

conducted in the late forties.<br />

In 1973, a new virus (Toscana virus), serologically<br />

related to the Sandfly Fever Naples virus, was isolated<br />

from a pool of P. perniciosus sandflies collected in the<br />

Tuscany region (Verani et al., 1980). The Toscana virus<br />

has been associated with human acute CNS <strong>di</strong>sease<br />

occurring during the period June-October with a peak<br />

in August (in the same month its vector sandflies have<br />

their peak of activity).<br />

The virus is present in at least eight <strong>di</strong>fferent regions of<br />

Central and Northern Italy (Tuscany, Marche, Abruzzo,<br />

Emilia Romagna, Umbria, Piedmont, Campania and<br />

Sar<strong>di</strong>nia). The virus is largely <strong>di</strong>ffuse: high levels of<br />

antibo<strong>di</strong>es against Toscana virus have been found in<br />

healthy populations of endemic areas, suggesting that<br />

the virus can also be the cause of an infection with only<br />

minor symptoms of <strong>di</strong>sease.<br />

More than 100 <strong>di</strong>fferent strains have been isolated<br />

from wild-caught sand flies of the P. perniciosus and P.<br />

perfiliewi species, and several strains have also been<br />

isolated from the cerebrospinal fluid of patients.<br />

(Nicoletti et al, 1991)<br />

Two more viruses have been isolated from the same<br />

sand flies in the same areas: the Phlebovirus Arbia and<br />

the Vesiculovirus Ra<strong>di</strong>. The Arbia virus is largely <strong>di</strong>ffuse<br />

in the sand fly populations but only low levels of<br />

antibo<strong>di</strong>es have been found in humans and no <strong>di</strong>sease<br />

could be associated with its infection (Verani et al.,<br />

1988).<br />

Little work has been done with the Ra<strong>di</strong> virus. The<br />

virus has been isolated several times from sand flies but<br />

no antibo<strong>di</strong>es have been found in humans and no<br />

human <strong>di</strong>sease has been associated with it (Ciufolini et<br />

al., 1990).<br />

Tick-borne viruses<br />

TBE-virus. The first evidence of the presence of the<br />

TBE virus in Italy was obtained in 1967 on the basis of<br />

serologic surveys in Northern (Gorizia province) and<br />

Central Italy (Latina province) (Balducci et al., 1967;<br />

Verani et al., 1967). Subsequently, extensive stu<strong>di</strong>es<br />

were performed in Central and Northern Italy. Acute<br />

infection of central nervous system (CNS) <strong>di</strong>sease were<br />

<strong>di</strong>agnosed in the Florence province of Toscana Region<br />

and in Trentino-Alto A<strong>di</strong>ge, Friuli and Veneto where<br />

L. Nicoletti et al. - Arbovirus in Italy<br />

the most active focus is present. Field stu<strong>di</strong>es in these<br />

areas allowed for isolation of strains of TBE virus from<br />

pools of Ixodes ricinus ticks and from Apodemus sylvaticus<br />

mouse (Verani et al, 1991).<br />

Bhanja virus. Bhanja virus (an ungrouped tick-borne<br />

virus) was repeatedly isolated from pools of<br />

Haemaphysalis punctata collected collected in Central<br />

Italy (in 1967 and 1973 in the Latina province, in 1977<br />

in the Florence province). Serologic evidence of the circulation<br />

of this virus has been obtained in many areas<br />

of Northern, Central and Southern Italy. The highest<br />

prevalence was found in goats and sheep, but low levels<br />

of antibo<strong>di</strong>es were also found in cattle, humans,<br />

wild rodents and birds. No human <strong>di</strong>sease has been<br />

associated with this virus in our country. (Verani et al,<br />

1970)<br />

Tribec virus. The Orbivirus Tribec was isolated from<br />

Rhipicephalus bursa ticks collected in 1972 in<br />

Northern Italy (Gorizia province) and in 1977 in<br />

CentraI Italy (Siena province). No serologic survey on<br />

its <strong>di</strong>stribution has been performed (Verani et al.,<br />

1978).<br />

Thogoto virus. The Orthomyxovirus Thogoto was isolated<br />

from R. bursa ticks collected in 1969 in Sicily.<br />

The occurrence of antibo<strong>di</strong>es to this virus in sera of cattle<br />

and sheep from <strong>di</strong>fferent zones of Western Sicily has<br />

been reported (Albanese et al., 1971; 1972).<br />

References<br />

Albanese M, Bruno Smiraglia C, Di Cuonzo G, Lavagnino A and<br />

Srihongse S (1972). Isolation of Thogoto virus from<br />

Rhipicephalus bursa ticks in Western Sicily. Acta Virol 16: 267.<br />

Albanese M, Di Cuonzo G, Randazzo G, Srihongse S and Tringali<br />

G (1971). Survey for arbovirus antibo<strong>di</strong>es in domestic animals of<br />

Western Sicily. Ann Sclavo 13: 641-647.<br />

Autorino GL, Battisti A, Deubel V, Ferrari G, Forletta R, Giovannini A,<br />

Lelli R, Murri S, Scicluna MT. West Nile virus epidemic in horses,<br />

Tuscany region, Italy. Emerg Infect Dis. (2002) 12:1372-1378.<br />

Balducci M, Verani P, Lopes MC and Gregorig B (1967). Survey for<br />

antibo<strong>di</strong>es against arthropod-borne viruses in man and animals<br />

in Italy. II. Serologic status of human beings in a Northern Italian<br />

region (Gorizia province). Am J Trop Med Hyg 16: 2111-2115.<br />

Balducci M, Verani P, Lopes MC and Gregorig B. (1973): Isolation<br />

in Italy of Bahig and Matruh viruses (Tete group) from migratory<br />

birds. Ann. Microbiol. (Inst. Pasteur) 124 B, 231-237.<br />

Balducci M, Verani P, Lopes MC, Saccà G and Gregorig B (1968).<br />

Isolation of Tahyna virus from Aedes mosquitoes in Northern<br />

Italy (Gorizia province). Acta Virol 12: 457-459.<br />

Ciufolini MG, Maroli M, Miceli N, Nicoletti L, Cecchetti S, Amore R,<br />

Percopo S, Verani P (1990). Monitoring of Phlebotominae sandflies-transmitted<br />

viruses activity in Marche region (Italy). Arbo<br />

Info Exch December 1990 (Newsletter): 58-59.<br />

Nicoletti L., Verani P., Caciolli S., Ciufolini M.G., Renzi A.,<br />

Bartolozzi D., Paci P., Leoncini F., Padovani P., Traini E.,<br />

Baldereschi M. and Balducci M. Central nervous system<br />

involvement during infection by Phlebovirus Toscana of residents<br />

in natural foci in Central Italy (1977-1988). Am. J. Trop.<br />

Med. Hyg. 45: 429-434, 1991<br />

Rezza G , Nicoletti L , Angelini R, Romi R, Finarelli AC, Panning M,

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