Invasive Cryptococcosis and Adalimumab Treatment

Emerging Infectious Diseases • www.cdc.gov/eid • Vol. 13, No. 6, June 2007 953 showed 100% similarity with B. spielmanii. B. garinii was detected in the heart of 2 animals (from Berlin and Karlsruhe); B. afzelii in 3 animals (in the kidney of 2 from Hamburg and Karlsruhe and in the bladder of 1 from Rhineland-Palatinate). A single animal (from Karlsruhe) had B. afzelii in the kidney and bladder and B. garinii in the heart. Preliminary results have also shown that ticks collected from hedgehogs from the Karlsruhe site were infected with B. afzelii (an I. hexagonus nymph and an I. ricinus female) and with B. spielmanii (an I. ricinus female, a nymph, and a larva) (Skuballa et al., unpub. data). These results show, that hedgehogs harbor at least 3 of the 5 recognized Borrelia genospecies found in Germany, all of which are known (B. afzelii, B. garinii) or are strongly suspected (B. spielmanii) of being pathogens for humans (9,10). To our knowledge, ours is the fi rst report of B. spielmanii from hedgehogs, a Borrelia sp. that is usually associated with rodents, especially with garden and hazel dormice (10). That Borrelia spp. infections commonly occur in European hedgehogs is likely. However, questions remain about the role of these pathogens in regulating the populations of European hedgehogs and about the status of these common synanthropic mammals as a reservoir host of B. burgdorferi s. l. in periurban and rural environments.