Ht. Dupont et al., PREVALENCE OF ANTIBODIES TO COXIELLA-BURNETII, RICKETTSIA-CONORII, AND RICKETTSIA-TYPHI IN 7 AFRICAN COUNTRIES, Clinical infectious diseases, 21(5), 1995, pp. 1126-1133
The prevalences of antibodies reactive with Coxiella burnetii, Rickett
sia conorii, and Rickettsia typhi were determined by indirect fluoresc
ent antibody testing of sera from seven African countries. The seropre
valences of antibodies reactive with C. burnetii and R. conorii in cou
ntries from North Africa were similar to those reported from southern
Europe. In countries of sub-Saharan Africa, the seroprevalence of anti
bodies reactive with C. burnetii varied greatly; the generally higher
figures for West Africa, where stock breeding is prominent, suggested
that domestic animals might be the main reservoirs of infection. The p
revalence of antibodies to the recently described species Rickettsia a
fricae was higher than that reported for spotted fever-group rickettsi
ae from elsewhere in the world and paralleled the distribution of Ambl
yomma species. Western blot results suggested that the antibodies dete
cted were more likely to be reactive with R. africae than with R. cono
rii, the main vector of which (Rhipicephalus species) rarely feeds on
humans. The seroprevalences of antibodies reactive with R. typhi were
higher in coastal regions, where Rattus norvegicus-the natural host of
the vector Xenopsylla-is more prevalent, than in inland areas.