Skip to main content
Journal of Clinical Microbiology logoLink to Journal of Clinical Microbiology
. 1996 Aug;34(8):1952–1956. doi: 10.1128/jcm.34.8.1952-1956.1996

Experimental transmission of Bartonella henselae by the cat flea.

B B Chomel 1, R W Kasten 1, K Floyd-Hawkins 1, B Chi 1, K Yamamoto 1, J Roberts-Wilson 1, A N Gurfield 1, R C Abbott 1, N C Pedersen 1, J E Koehler 1
PMCID: PMC229161  PMID: 8818889

Abstract

Bartonella henselae is an emerging bacterial pathogen, causing cat scratch disease and bacillary angiomatosis. Cats bacteremic with B. henselae constitute a large reservoir from which humans become infected. Prevention of human infection depends on elucidation of the natural history and means of feline infection. We studied 47 cattery cats in a private home for 12 months to determine the longitudinal prevalence of B. henselae bacteremia, the prevalence of B. henselae in the fleas infesting these cats, and whether B. henselae is transmitted experimentally to cats via fleas. Vector-mediated transmission of B.henselae isolates was evaluated by removing fleas from the naturally bacteremic, flea-infested cattery cats and transferring these fleas to specific-pathogen-free (SPF) kittens housed in a controlled, arthropod-free University Animal Facility. B. henselae bacteremia was detected in 89% of the 47 naturally infected cattery cats. A total of 132 fleas were removed from cats whose blood was simultaneously cultured during different seasons and were tested individually for the presence of B. henselae DNA by PCR. B. henselae DNA was detected in 34% of 132 fleas, with seasonal variation, but without an association between the presence or the level of bacteremia in the corresponding cat. Cat fleas removed from bacteremic cattery cats transmitted B. henselae to five SPF kittens in two separate experiments; however, control SPF kittens housed with highly bacteremic kittens in the absence of fleas did not become infected. These data demonstrate that the cat flea readily transmits B. henselae to cats. Control of feline infestation with this arthropod vector may provide an important strategy for the prevention of infection of both humans and cats.

Full Text

The Full Text of this article is available as a PDF (233.4 KB).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Birtles R. J., Harrison T. G., Saunders N. A., Molyneux D. H. Proposals to unify the genera Grahamella and Bartonella, with descriptions of Bartonella talpae comb. nov., Bartonella peromysci comb. nov., and three new species, Bartonella grahamii sp. nov., Bartonella taylorii sp. nov., and Bartonella doshiae sp. nov. Int J Syst Bacteriol. 1995 Jan;45(1):1–8. doi: 10.1099/00207713-45-1-1. [DOI] [PubMed] [Google Scholar]
  2. Breitschwerdt E. B., Kordick D. L. Bartonellosis. J Am Vet Med Assoc. 1995 Jun 15;206(12):1928–1931. [PubMed] [Google Scholar]
  3. Carithers H. A. Cat-scratch disease. An overview based on a study of 1,200 patients. Am J Dis Child. 1985 Nov;139(11):1124–1133. doi: 10.1001/archpedi.1985.02140130062031. [DOI] [PubMed] [Google Scholar]
  4. Childs J. E., Olson J. G., Wolf A., Cohen N., Fakile Y., Rooney J. A., Bacellar F., Regnery R. L. Prevalence of antibodies to Rochalimaea species (cat-scratch disease agent) in cats. Vet Rec. 1995 May 20;136(20):519–520. doi: 10.1136/vr.136.20.519. [DOI] [PubMed] [Google Scholar]
  5. Childs J. E., Rooney J. A., Cooper J. L., Olson J. G., Regnery R. L. Epidemiologic observations on infection with Rochalimaea species among cats living in Baltimore, Md. J Am Vet Med Assoc. 1994 Jun 1;204(11):1775–1778. [PubMed] [Google Scholar]
  6. Chomel B. B., Abbott R. C., Kasten R. W., Floyd-Hawkins K. A., Kass P. H., Glaser C. A., Pedersen N. C., Koehler J. E. Bartonella henselae prevalence in domestic cats in California: risk factors and association between bacteremia and antibody titers. J Clin Microbiol. 1995 Sep;33(9):2445–2450. doi: 10.1128/jcm.33.9.2445-2450.1995. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Dolan M. J., Wong M. T., Regnery R. L., Jorgensen J. H., Garcia M., Peters J., Drehner D. Syndrome of Rochalimaea henselae adenitis suggesting cat scratch disease. Ann Intern Med. 1993 Mar 1;118(5):331–336. doi: 10.7326/0003-4819-118-5-199303010-00002. [DOI] [PubMed] [Google Scholar]
  8. Dryden M. W., Gaafar S. M. Blood consumption by the cat flea, Ctenocephalides felis (Siphonaptera: Pulicidae). J Med Entomol. 1991 May;28(3):394–400. doi: 10.1093/jmedent/28.3.394. [DOI] [PubMed] [Google Scholar]
  9. Flexman J. P., Lavis N. J., Kay I. D., Watson M., Metcalf C., Pearman J. W. Bartonella henselae is a causative agent of cat scratch disease in Australia. J Infect. 1995 Nov;31(3):241–245. doi: 10.1016/s0163-4453(95)80035-2. [DOI] [PubMed] [Google Scholar]
  10. Higgins J. A., Radulovic S., Schriefer M. E., Azad A. F. Rickettsia felis: a new species of pathogenic rickettsia isolated from cat fleas. J Clin Microbiol. 1996 Mar;34(3):671–674. doi: 10.1128/jcm.34.3.671-674.1996. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Jackson L. A., Perkins B. A., Wenger J. D. Cat scratch disease in the United States: an analysis of three national databases. Am J Public Health. 1993 Dec;83(12):1707–1711. doi: 10.2105/ajph.83.12.1707. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Jameson P., Greene C., Regnery R., Dryden M., Marks A., Brown J., Cooper J., Glaus B., Greene R. Prevalence of Bartonella henselae antibodies in pet cats throughout regions of North America. J Infect Dis. 1995 Oct;172(4):1145–1149. doi: 10.1093/infdis/172.4.1145. [DOI] [PubMed] [Google Scholar]
  13. KRAMPITZ H. E. [Further studies on Grahamella Brumpt 1911]. Z Tropenmed Parasitol. 1962 Apr;13:34–53. [PubMed] [Google Scholar]
  14. Koehler J. E., Glaser C. A., Tappero J. W. Rochalimaea henselae infection. A new zoonosis with the domestic cat as reservoir. JAMA. 1994 Feb 16;271(7):531–535. doi: 10.1001/jama.271.7.531. [DOI] [PubMed] [Google Scholar]
  15. Koehler J. E., Quinn F. D., Berger T. G., LeBoit P. E., Tappero J. W. Isolation of Rochalimaea species from cutaneous and osseous lesions of bacillary angiomatosis. N Engl J Med. 1992 Dec 3;327(23):1625–1631. doi: 10.1056/NEJM199212033272303. [DOI] [PubMed] [Google Scholar]
  16. Kordick D. L., Wilson K. H., Sexton D. J., Hadfield T. L., Berkhoff H. A., Breitschwerdt E. B. Prolonged Bartonella bacteremia in cats associated with cat-scratch disease patients. J Clin Microbiol. 1995 Dec;33(12):3245–3251. doi: 10.1128/jcm.33.12.3245-3251.1995. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Margileth A. M. Cat scratch disease. Adv Pediatr Infect Dis. 1993;8:1–21. [PubMed] [Google Scholar]
  18. Regnery R. L., Anderson B. E., Clarridge J. E., 3rd, Rodriguez-Barradas M. C., Jones D. C., Carr J. H. Characterization of a novel Rochalimaea species, R. henselae sp. nov., isolated from blood of a febrile, human immunodeficiency virus-positive patient. J Clin Microbiol. 1992 Feb;30(2):265–274. doi: 10.1128/jcm.30.2.265-274.1992. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Regnery R. L., Olson J. G., Perkins B. A., Bibb W. Serological response to "Rochalimaea henselae" antigen in suspected cat-scratch disease. Lancet. 1992 Jun 13;339(8807):1443–1445. doi: 10.1016/0140-6736(92)92032-b. [DOI] [PubMed] [Google Scholar]
  20. Regnery R., Martin M., Olson J. Naturally occurring "Rochalimaea henselae" infection in domestic cat. Lancet. 1992 Aug 29;340(8818):557–558. doi: 10.1016/0140-6736(92)91760-6. [DOI] [PubMed] [Google Scholar]
  21. Relman D. A., Loutit J. S., Schmidt T. M., Falkow S., Tompkins L. S. The agent of bacillary angiomatosis. An approach to the identification of uncultured pathogens. N Engl J Med. 1990 Dec 6;323(23):1573–1580. doi: 10.1056/NEJM199012063232301. [DOI] [PubMed] [Google Scholar]
  22. Schwartzman W. A., Nesbit C. A., Baron E. J. Development and evaluation of a blood-free medium for determining growth curves and optimizing growth of Rochalimaea henselae. J Clin Microbiol. 1993 Jul;31(7):1882–1885. doi: 10.1128/jcm.31.7.1882-1885.1993. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Slater L. N., Welch D. F., Hensel D., Coody D. W. A newly recognized fastidious gram-negative pathogen as a cause of fever and bacteremia. N Engl J Med. 1990 Dec 6;323(23):1587–1593. doi: 10.1056/NEJM199012063232303. [DOI] [PubMed] [Google Scholar]
  24. Tappero J. W., Mohle-Boetani J., Koehler J. E., Swaminathan B., Berger T. G., LeBoit P. E., Smith L. L., Wenger J. D., Pinner R. W., Kemper C. A. The epidemiology of bacillary angiomatosis and bacillary peliosis. JAMA. 1993 Feb 10;269(6):770–775. [PubMed] [Google Scholar]
  25. Welch D. F., Pickett D. A., Slater L. N., Steigerwalt A. G., Brenner D. J. Rochalimaea henselae sp. nov., a cause of septicemia, bacillary angiomatosis, and parenchymal bacillary peliosis. J Clin Microbiol. 1992 Feb;30(2):275–280. doi: 10.1128/jcm.30.2.275-280.1992. [DOI] [PMC free article] [PubMed] [Google Scholar]
  26. Wise J. K., Yang J. J. Dog and cat ownership, 1991-1998. J Am Vet Med Assoc. 1994 Apr 15;204(8):1166–1167. [PubMed] [Google Scholar]
  27. Zangwill K. M., Hamilton D. H., Perkins B. A., Regnery R. L., Plikaytis B. D., Hadler J. L., Cartter M. L., Wenger J. D. Cat scratch disease in Connecticut. Epidemiology, risk factors, and evaluation of a new diagnostic test. N Engl J Med. 1993 Jul 1;329(1):8–13. doi: 10.1056/NEJM199307013290102. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Clinical Microbiology are provided here courtesy of American Society for Microbiology (ASM)

RESOURCES