Widespread Bat White-Nose Syndrome Fungus, Northeastern China

To the Editor: Emerging infectious diseases have caused catastrophic declines in wildlife populations, and the introductions of many pathogen have been linked to increases in global trade and travel (1). Mapping the distribution of pathogens is necessary to identify species and populations at risk and identify sources of pathogen spillover and introduction. Once pathogen distributions are known, management actions can be taken to reduce the risk for future global spread (2). Bats with symptoms of white-nose syndrome (WNS) were first detected in the United States in 2006, and the disease has subsequently caused precipitous declines in temperate bat populations across eastern North America (3,4). Pseudogymnoascus destructans, the causative agent of WNS, is a cold-growing fungus that infects bats’ skin during hibernation, leading to more frequent arousals from torpor and death (3). P. destructans is widespread throughout Europe (5), but, to our knowledge, its presence in Asia has not been documented. We sampled bats and hibernacula surfaces (cave walls and ceilings) across northeastern China during 2 visits (June–July 2014 and March 2015) using a previously described swab-sampling technique (6). Bats were captured inside caves and at their entrances. DNA was extracted from samples by using a modified QIAGEN DNeasy blood and tissue kit (QIAGEN, Valencia, CA, USA) and tested in duplicate for the presence of P. destructans with a quantitative real-time PCR (qPCR) (6,7). In the summer of 2014 and winter of 2015, we collected 385 samples from hibernacula surfaces at 12 sites in 3 provinces and 1 municipality (Figure, panel A) and 215 samples from 9 species of bats at 10 sites (summer: Rhinolophus ferrumequinum, Rhinolophus pusillus, Myotis adversus, Myotis macrodactylus, Myotis pilosus, Myotis chinensis, Murina usseriensis; winter: R. ferrumequinum, Murina leucogaster, Myotis petax). During the summer, P. destructans was widely distributed across the study region with positive samples (determined on the basis of qPCR results) obtained from cave surfaces at 9 of 12 sites and from bats at 2 of the 9 sites where bats were sampled (Figure, panel A). Prevalence of P. destructans was low during summer in the environment (mean prevalence across sites 0.06 ± 0.03) and in bats. Bats of 3 species tested positive for P. destructans in the summer: M. macrodactylus (1/10), M. chinensis (1/1), and M. ussuriensis (1/1). P. destructans was not detected in bats of 4 other species, of which >20 individual animals of each species were sampled (R. ferrumequinum, R. pusillus, M. pilosus, and M. adversus). The low prevalence of P. destructans in bats and on hibernacula surfaces in China during the summer was similar to comparable results from studies in North America (6). In winter, prevalence at the 2 sites we revisited was much higher; 75% of 85 samples from 3 species tested positive, including samples from 16/17 M. petax bats. We also detected P. destructans in bats from 2 additional species (R. ferrumequinum [11/19 bats] and M. leucogaster [11/16 bats]). In addition, during March 2015, we observed visual evidence of P. destructans in bats (M. petax; Figure, panel C) and obtained 2 fungal cultures from swab specimens taken from these bats. To isolate P. destructans from these samples, we plated swab specimens from visibly infected bats on Sabouraud dextrose agar at 10°C. We identified potential P. destructans isolates on the basis of morphologic characteristics. DNA was then extracted from 2 suspected fungal cultures and tested for P. destructans by qPCR, as previously described. To further confirm the presence of P. destructans, we prepared the fungal isolates for Sanger sequencing (online Technical Appendix, http://wwwnc.cdc.gov/EID/ article/22/1/15-1314-Techapp1.pdf). The 600-nt amplification products from these 2 isolates were sequenced and found to be 100% identical to the P. destructans rRNA gene region targeted for amplification. In addition, using BLAST (http://www.ncbi.nlm.nih.gov/blast.cgi), we found that sequences were a 100% match with isolates from Europe (GenBank accession no. GQ489024) and North America (GenBank accession no. EU884924). This result confirms that the same species of fungus occurs on all 3 continents. We also obtained wing biopsy punches from these bats and found lesions characteristic of WNS by histopathologic examination (Figure, panel B; online Technical Appendix). The occurrence of P. destructans at most sites sampled indicates that this pathogen is widespread in eastern