<i>Rickettsia felis</i> and Other <i>Rickettsia</i> Species in Chigger Mites Collected from Wild Rodents in North Carolina, USA

Chiggers are vectors of rickettsial pathogenic bacteria, <i>Orientia</i> spp., that cause the human disease, scrub typhus, in the Asian–Pacific area and northern Australia (known as the Tsutsugamushi Triangle). More recently, reports of scrub typhus in Africa, southern Chile, and the Middle East have reshaped our understanding of the epidemiology of this disease, indicating it has a broad geographical distribution. Despite the growing number of studies and discoveries of chigger-borne human disease outside of the Tsutsugamushi Triangle, rickettsial pathogens in chigger mites in the US are still undetermined. The aim of our study was to investigate possible <i>Rickettsia</i> DNA in chiggers collected from rodents in North Carolina, USA. Of 46 chiggers tested, 47.8% tested positive for amplicons of the 23S-5S gene, 36.9% tested positive for 17 kDa, and 15.2% tested positive for <i>gltA</i>. Nucleotide sequence analyses of the <i>Rickettsia</i>-specific 23S-5S intergenic spacer (IGS), 17 kDa, and <i>gltA</i> gene fragments indicated that the amplicons from these chiggers were closely related to those in <i>R. felis</i>, <i>R. conorii</i>, <i>R. typhi</i>, and unidentified <i>Rickettsia</i> species. In this study, we provide the first evidence of <i>Rickettsia</i> infection in chiggers collected from rodents within the continental USA. In North Carolina, a US state with the highest annual cases of spotted fever rickettsioses, these results suggest chigger bites could pose a risk to public health, warranting further study.