LETTERSDiversity of Bartonella spp.in Bats, Southern VietnamPham Hong Anh, Nguyen Van Cuong,Nguyen Truong Son, Ngo Tri Tue, Michael Kosoy,Mark E.J. Woolhouse, Stephen Baker,Juliet E. Bryant, Guy Thwaites,Juan J. Carrique-Mas, Maia A. RabaaAuthor affiliations: Oxford University, Ho Chi Minh City, Vietnam(P.H. Anh, N. Van Cuong, N.T. Son, N.T. Tue, S. Baker,J.E. Bryant, G. Thwaites, J.J. Carrique-Mas, M.A. Rabaa);Vietnam Academy of Sciences and Technology, Hanoi, Vietnam(N.T. Son); Centers for Disease Control and PreventionFort Collins, Colorado, USA (M. Kosoy); University of Edinburgh,Edinburgh, Scotland, UK (M.E.J. Woolhouse, M.A. Rabaa);London School of Hygiene and Tropical Medicine, London, UK(S. Baker); Oxford University, Oxford, UK (S. Baker, J.E. Bryant,G. Thwaites, J.J. Carrique-Mas)DOI: http://dx.doi.org/10.3201/eid2107.141760To the Editor: To investigate bats as potential reservoirsfor Bartonella spp. in Vietnam, we screened a rangeof bat species to determine the prevalence and genetic diversityof Bartonella spp. in bat populations in southernVietnam. In a study of bat biodiversity in southern Vietnam,60 bats were trapped at 6 sites in Dong Nai Cultureand Nature Reserve and Cat Tien National Park, Vietnam,in May 2013. Bats were trapped by using mist nets andharp traps set at ground level, and were euthanized by usingisoflurane (http://www.avma.org/KB/Policies/Documents/euthanasia.<strong>pdf</strong>) for cataloguing at the Vietnam Academyof Sciences and Technology, Hanoi. Blood specimens werecollected by cardiac puncture, and external measurementswere recorded. Bats were speciated according to morphology(1,2); trapped bats represented 10 species belonging to5 genera. All species have been given a conservation statusof least concern (http://www.iucnredlist.org/).Total nucleic acid was extracted from blood samplesby using the MagNApure automated nucleic acid extractionsystem (Roche, Basel, Switzerland). Extracted nucleicacid was subjected to conventional PCR to detect Bartonellaspp. DNA by using primers specific for the citrate synthaseA gene (3). A positive PCR result was determined byamplification of a 729-bp fragment. Twenty-one (35.0%) of60 bat blood specimens had a result consistent with presenceof Bartonella spp. (Table). Among insectivorous orcarnivorous bats, Bartonella prevalence was 20 (45.5%) of44 compared with 1 (6.2%) of 16 fruit-eating bats (χ 2 = 6.3,p = 0.01). The prevalence of Bartonella spp. did not differbetween sampling locations (Table) or by estimated age ofthe bat (determined by deviation above or below the mediantibial length of each species); prevalence was 33.3% (9/27)in younger bats and 36.4% (12/33) in older bats.DNA sequences from the 21 PCR citrate synthaseA gene amplicons (GenBank accession nos. KP100340–KP100360) were subjected to BLAST analysis (http://blast.ncbi.nlm.nih.gov/Blast.cgi) to assess sequence similarity.Potentially novel Bartonella phylogroups were identifiedas having
LETTERSTable. Prevalence of Bartonella spp. in bats from 2 sites in Dong Nai, Vietnam, 2013No. Bartonella spp.–positive bats/no. bats trapped (%)Bat speciesCat Tien National Park Dong Nai Nature Reserve TotalCynopterus sphinx* 0/0 0/14 0/14 (0)Hipposideros armiger† 2/6 0/0 2/6 (33.3)Hipposideros larvatui† 3/5 0/0 3/5 (60)Megaerops niphanae* 0/0 ½ 1/2 (50)Megaderma spasma† 0/0 1/2 1/2 (50)Megaderma lyra‡ 1/1 0/0 1/1 (100)Rhinolophus acuminatus† 0/0 9/17 9/17 (52.9)Rhinolophus chaseli† 2/5 0/0 2/5 (40)Rhinolophus sinicus† 0/3 2/4 2/7 (28.6)Rhinolophus luctus† 0/1 0/0 0/1 (0)Total 8/21 (38.1) 13/39 (33.3) 21/60 (35)*Fruit-eating.†Insectivorous.‡Carnivorous.caused by crowded roosting areas and sharing of roosts bymultiple species. This behavior provides opportunities fortransmission of Bartonella bacteria or exchange of infectedectoparasites, such as Cyclopodia spp. (8), although theprecise roles of these 2 processes are unknown.Although no human cases of Bartonella spp. infectionhave been reported in Vietnam, Bartonella spp. have beenidentified in febrile humans elsewhere in Southeast Asia(9) and are also common in rats in southern Vietnam (10).Because close contact with bats (i.e., through manure farmingand consumption of bat meat) and potential arthropodvectors (i.e., through handling and consumption of fruit) iscommon in parts of Vietnam, targeted screening of bats andtheir human contacts might improve our understanding ofthe zoonotic potential of these bacteria and their potentialeffect on public health.This study was supported by a strategic award from theWellcome Trust of Great Britain (WT/093724).Ms. Pham is a research assistant at the Oxford UniversityClinical Research Unit in Ho Chi Minh City, Vietnam. Herprimary research interests focus on characterizing the diversityand spread of potential agents of zoonotic disease in domesticand wild animal populations across Vietnam.References1. Kruskop SV. Bats of Vietnam. Checklist and an identificationmanual. Moscow: KMK Scientific Press; 2013.2. Francis CM. A guide to the mammals of Southeast Asia. Princeton(NJ): Princeton University Press; 2008.3. Billeter SA, Hayman DT, Peel AJ, Baker K, Wood JL,Cunningham A, et al. Bartonella species in bat flies (Diptera:Nycteribiidae) from western Africa. Parasitology. 2012;139:324–9.http://dx.doi.org/10.1017/S00311820110021134. La Scola B, Zeaiter Z, Khamis A, Raoult D. Gene-sequencebasedcriteria for species definition in bacteriology: theBartonella paradigm. Trends Microbiol. 2003;11:318–21.http://dx.doi.org/10.1016/S0966-842X(03)00143-45. Kearse M, Moir R, Wilson A, Stones-Havas S, Cheung M,Sturrock S, et al. Geneious Basic: an integrated and extendabledesktop software platform for the organization and analysis ofsequence data. Bioinformatics. 2012;28:1647–9. http://dx.doi.org/10.1093/bioinformatics/bts1996. Kosoy M, Bai Y, Lynch T, Kuzmin IV, Niezgoda M,Franka R, et al. Bartonella spp. in bats, Kenya. Emerg Infect Dis.2010;16:1875–81. http://dx.doi.org/10.3201/eid1612.1006017. Bai Y, Kosoy M, Recuenco S, Alvarez D, Moran D, Turmelle A,et al. Bartonella spp. in bats, Guatemala. Emerg Infect Dis.2011;17:1269–72. http://dx.doi.org/10.3201/eid1707.1018678. Brook CE, Bai Y, Dobson AP, Osikowicz LM, Ranaivoson HC,Zhu Q, et al. Bartonella spp. in fruit bats and blood-feedingectoparasites in Madagascar. PLoS Negl Trop Dis. 2015;9:e0003532. http://dx.doi.org/10.1371/journal.pntd.00035329. Kosoy M, Morway C, Sheff KW, Bai Y, Colborn J, Chalcraft L,et al. Bartonella tamiae sp. nov., a newly recognized pathogen isolatedfrom three human patients from Thailand. J Clin Microbiol.2008;46:772–5. http://dx.doi.org/10.1128/JCM.02120-0710. Loan HK, Van Cuong N, Takhampunya R, Klangthong K,Osikowicz L, Kiet BT, et al. Bartonella species and trombiculidmites of rats from the Mekong Delta of Vietnam.Vector Borne Zoonotic Dis. 2015;15:40–7. http://dx.doi.org/10.1089/vbz.2014.1604Address for correspondence: Juan J. Carrique-Mas, Clinical ResearchUnit, Oxford University 764 Vo Van Kiet, Ward 1, District 5, TP, Ho ChiMinh City, Vietnam; email: jcarrique-mas@oucru.orgSeropositivity for AvianInfluenza H6 Virus amongHumans, ChinaLi Xin, Tian Bai, Jian Fang Zhou, Yong Kun Chen,Xiao Dan Li, Wen Fei Zhu, Yan Li, Jing Tang,Tao Chen, Kun Qin, Jing Hong Shi, Rong BaoGao, Da Yan Wang, Ji Ming Chen, Yue Long ShuAuthor affiliations: National Institute of Viral Disease Control andPrevention, Beijing, China (L. Xin, T. Bai, J.F. Zhou, Y.K. Chen,X.D. Li, W.F. Zhu, Y. Li, J. Tang, T. Chen, K. Qin, J.H. Shi, R.B.Gao, D.Y. Wang, Y.L. Shu); China Animal Health and EpidemiologyCenter, Qingdao, China (J.M. Chen)DOI: htpp://dx.doi.org/10.3201/eid2107.150135Emerging Infectious Diseases • www.cdc.gov/eid • Vol. 21, No. 7, July 2015 1267
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July 2015SynopsisOn the CoverMarian
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