RESEARCH PAPER
Incidence and prevalence of infection with Anaplasma phagocytophilum. Prospective study in healthy individuals exposed to ticks.
			
	
 
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				Department of Infectious Diseases, Medical University of Bialystok, Bialystok, Poland
				 
			 
										
				
				
		
		 
			
			
		
		
		
		
		
		
	
							
					    		
    			 
    			
    				    					Corresponding author
    					    				    				
    					Anna  Grzeszczuk   
    					Department of Infectious Diseases, Medical University of Bialystok, ul. Zurawia 14, 15-540 Bialystok, Poland
    				
 
    			
				 
    			 
    		 		
			
																						 
		
	 
		
 
 
Ann Agric Environ Med. 2004;11(1):155-157
 
 
KEYWORDS
ABSTRACT
The seroprevalence of human granulocytic anaplasmosis (former human granulocytic ehrlichiosis, HGE) has been documented in several studies, but little data exists on incidence ratesin healthy individuals. In a prospective study, we tested 125 healthy adults (mean age 43 years) - workers of the Bialowieza Primeval Forest National Park, north-eastern Poland-for Anaplasma phagocytophilum IgG antibodies using an indirect immunofluorescence antibody assay, and for Borrelia burgdorferi IgG with ELISA in a 12-month interval. The data concerning clinical symptoms consistent with human granulocytic anaplasmosis were collected using a standardized questionnaire. Of these 125 subjects, 9 were anti-A.phagocytophilum positive at the study entry. Four participants (3.2 %) seroconverted from IgG negative to positive during the observation period. Three subjects (2.4 %) converted from initially anti-A. phagocytophilum positive to negative. Specific IgG antibodies against Borrelia burgdorferi were detected in 27 (21.6%) individuals. Concurrence of Borrelia burgdorferi and Anaplasma phagocytophilum was observed in 3.2%, whereas 4 % were Anaplasma phagocytophilum IgG positive and Borrelia burgdorferi IgG negative (notsignificant). Clinical symptoms associated with human granulocytic anaplasmosis were not present in seroconverting individuals. The obtained results confirm the occurrence of Anaplasma phagocytophilum infection in north-eastern Poland with asymptomatic clinical course.