Buruli Ulcer Disease in Republic of the Congo

1070 Emerging Infectious Diseases • www.cdc.gov/eid • Vol. 20, No. 6, June 2014 rural southwestern United States (10) and a strain of pathogenic B. elizabethae, a bacteria that can cause human endocarditis, in the Huayllacallán Valley in Peru (3). Because most identified Bartonella spp. have been reported as infectious agents for humans, our results should prompt public health concern. However, our findings require further investigation about the pathogenicity of these Bartonella genotypes. The detection of both pathogens in intradomestic and peridomestic areas where humans are in close contact with rodents could indicate that the incidence of both diseases in humans from Echarate District might be underestimated.