Rickettsial Infections
Rickettsia is a genus of motile, Gram-negative, non-sporeforming, highly pleomorphic bacteria that can present as cocci (0.1 μm in diameter), rods (1–4 μm long) or thread-like (10 μm long). Obligate intracellular parasites, the Rickettsia survival depends on entry, growth, and replication within the cytoplasm of eukaryotic host cells (typically endothelial cells).[1] Because of this, Rickettsia cannot live in artificial nutrient environments and are grown either in tissue or embryo cultures (typically, chicken embryos are used). In the past they were regarded as microorganisms positioned somewhere between viruses and true bacteria. The majority of Rickettsia bacteria are susceptible to antibiotics of the tetracycline group.
Rickettsia species are carried as parasites by many ticks, fleas, and lice, and cause diseases such as typhus, rickettsialpox, Boutonneuse fever, African Tick Bite Fever, Rocky Mountain spotted fever, Australian Tick Typhus, Flinders Island Spotted Fever and Queensland Tick Typhus [2] in human beings. They have also been associated with a range of plant diseases. Like viruses, they only grow inside living cells. The name rickettsia is often used for any member of the Rickettsiales. They are thought to be the closest living relatives to bacteria that were the origin of the mitochondria organelle that exists inside most eukaryotic cells.
The method of growing Rickettsia in chicken embryos was invented by Ernest William Goodpasture and his colleagues at Vanderbilt University in the early 1930s.
Classification
The classification of Rickettsia into three groups (spotted fever, typhus and scrub typhus) was based on serology. This grouping has since been confirmed by DNA sequencing. All three of these contain human pathogens. The scrub typhus group has been reclassified as a new genus – Orientia – but many medical textbooks still list this group under the ricketsial diseases.
However more recently it has become apparent that rickettsia are more widespread than previously believed and are known known to be associated with arthropods, leeches and protists. Divisions have also been identified in the spotted fever group and it has been suggested that this should be divided into two clades.[3] The arthropod species appear to be ancestral to the vertebrate species and the species infecting leeches and protists are unrelated.[4]