Tularemia re-emerged in Germany starting in 2004 (with 39 human cases from 2004 to 2007) after over 40 years of only sporadic human infections. The reasons for this rise in case numbers are unknown as is the possible reservoir of the etiologic agent Francisella (F.) tularensis. No systematic study on the reservoir situation of F. tularensis has been published for Germany so far.

A micro-epidemic of hantavirus infections occurred in Lower Bavaria, South-East Germany, starting in April 2004. While only three cases were registered from 2001 to 2003, a dramatically increased number of clinically apparent human hantavirus infections (n=38) was observed in 2004, plus seven additional cases by June 2005. To determine the reservoir responsible for the infections, a total of 43 rodents were trapped in Lower Bavaria. Serological and genetic investigations revealed that Puumala virus (PUUV) is dominant in the local population of bank voles. Partial PUUV S segment nucleotide sequences originating from bank voles at four different trapping sites in Lower Bavaria showed a low divergence (up to 3·1%). This is contrasted by a nucleotide sequence divergence of 14–16% to PUUV strains detected in Belgium, France, Slovakia or North-Western Germany. PUUV sequences from bank voles in Lower Bavaria represent a new PUUV subtype which seems to be responsible for the observed increase of human hantavirus infections in 2004–2005.

So far, data on the natural cycle of rickettsiae of the tick-borne spotted fever group (SFG) in Central Europe are barely available. Some studies showed the occurrence of different Rickettsia species in their arthropod vectors, but it is unclear which animals might have any kind of reservoir function. This survey was therefore set up to provide information on the occurrence of SFG rickettsiae in small mammals in Germany. A total of 124 rodents and insectivores were collected over a period of 3 years in Lower Bavaria, South-Eastern Germany. Screening for Rickettsia antibodies was performed using immunofluorescence with Rickettsia conorii and R. helvetica slides, and the comparability of sera and body fluids (transudates) was investigated in these assays. Further, real-time polymerase chain reaction (PCR) was used for screening of Rickettsial DNA in rodents and insectivores. Ear versus liver tissue was compared to evaluate the more suitable tissue for detection of specific DNA. Further, a new PCR targeting the 18S ribosomal nucleic acid was established as internal control. The results indicated that transudates are a sufficient alternative to proof infection in cases where no sera are available. Rickettsial DNA, that is, Rickettsia felis and R. helvetica, was found in seven animals with the ears proving to be a proper choice for PCR. Statistical analyses revealed that the presence of ectoparasites and the body size positively correlated with the occurrence of rickettsial DNA. Overall, our study suggests that rodents and other small mammals may act as reservoir hosts for Rickettsia. However, with the course of infection and its transmission in wild animals still unknown, further investigations are needed to better understand the natural cycle of SFG rickettsiae.

Over 60 years ago clinical patterns resembling tick-borne rickettsioses have been described for the first time in Kazakhstan. Since 1995 the incidence of clinical cases of tick-borne rickettsioses in humans seems to be rising but studies on epidemiological data regarding the occurring etiological agents, tick vector species, prevalence and distribution throughout Kazakhstan are still scarce to date. The aim of the study was molecular investigation of ticks for spotted-fever group rickettsiae in the endemic Kyzylorda region and the so far considered as non-endemic Almaty region. A total of 2341 ticks was collected in the two regions in Kazakhstan and sorted in 501 pools: Ixodes persulcatus (243); Dermacentor marginatus (129); Haemaphysalis punctata (104); Hyalomma asiaticum (17); Dermacentor reticulatus (3); and Rhipicephalus turanicus (5). Pools were tested for Rickettsia spp. using real-time PCR. For positive samples multilocus sequence typing (MLST) was performed. The calculated minimum infection rate (MIR) for rickettsiae in the investigated ticks in Almaty region varied between 0.4–15.1% and 12.6–22.7% in the Kyzylorda region. At least four different Rickettsia species were identified in the two selected regions of Kazakhstan. Two of these are already known to science: Rickettsia raoultii and R. slovaca, the latter being reported for the first time in Almaty region One new form, “Candidatus R. yenbekshikazakhensis”, was described by MLST of six gene fragments in Almaty region and one new genotype, “genotype R. talgarensis” was detected using three gene fragments. Kazakh physicians should be aware of rickettsioses after tick bites in both regions studied. Both, R. raoultii and R. slovaca should be included in the diagnostics. The role for human diseases has further to be investigated for the newly described rickettsiae, “Candidatus R. yenbekshikazakhensis” and “Genotype R. talgarensis”.