{"id":26968,"date":"2025-01-23T10:37:18","date_gmt":"2025-01-23T02:37:18","guid":{"rendered":"https:\/\/tbenews.com\/tbe\/?p=26968"},"modified":"2025-01-23T10:39:36","modified_gmt":"2025-01-23T02:39:36","slug":"snapshot-week-5-2025-pathogenic-potential-of-the-tick-associated-symbiotic-bacterium-candidatus-midichloria-mitochondrii","status":"publish","type":"post","link":"https:\/\/tbenews.com\/tbe\/snapshot-week-5-2025-pathogenic-potential-of-the-tick-associated-symbiotic-bacterium-candidatus-midichloria-mitochondrii\/","title":{"rendered":"Snapshot week 5\/2025<br>Pathogenic potential of the tick-associated symbiotic bacterium <em>Candidatus Midichloria mitochondrii<\/em>"},"content":{"rendered":"<span class=\"cb-itemprop\" itemprop=\"reviewBody\">\n<p class=\"wp-block-paragraph\">Newman et al.<br>Infection by tickborne bacterium <em>Candidatus<\/em> Midichloria associated with first trimester pregnancy loss, Tennessee, USA <em>Emerg. Infect Dis<\/em>. 2025, in press, doi:10.3201\/eid3102.240870<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Candidatus Midichloria<\/em> is a symbiotic bacterium commonly found in ticks, with a preference for female ticks. It was first identified in the ovaries of <em>Ixodes ricinus<\/em> ticks. The pathogenic potential of this genus remains unknown. Individuals bitten by ticks often develop antibodies against <em>Candidatus Midichloria mitochondrii<\/em>, but no pathogenic effects have been definitively established (see, e.g., Snapshot Week 36\/2018).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Recently, a 26-year-old pregnant woman presented with a painful and pruritic rash on her torso, which appeared two weeks after she had been bitten by four ticks. Serologic testing was negative for several known tick-borne pathogens. However, two weeks and five days after her urgent care visit, the patient reported vaginal bleeding. A subsequent prenatal ultrasound confirmed intrauterine fetal demise.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Electron microscopy of the trophoblastic villi revealed intracellular bacterial organisms within cytoplasmic vacuoles, with morphology resembling <em>Candidatus Midichloria mitochondrii<\/em>. PCR analysis, followed by Sanger sequencing, identified the bacterium with over 95% nucleotide identity to two <em>Ixodes ricinus<\/em>-associated <em>Candidatus Midichloria mitochondrii<\/em> strains.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">These findings suggest a tropism for human trophoblastic tissue and potential deleterious effects on the fetus. The authors propose that treatment with doxycycline should be considered for pregnant patients with tick bites, as the potential benefits may outweigh the risks.<\/p>\n<\/span>","protected":false},"excerpt":{"rendered":"<p>Newman et al.Infection by tickborne bacterium Candidatus Midichloria associated with first trimester pregnancy loss, Tennessee, USA Emerg. Infect Dis. 2025, in press, doi:10.3201\/eid3102.240870 Candidatus Midichloria is a symbiotic bacterium commonly found in ticks, with a preference for female ticks. It was first identified in the ovaries of Ixodes ricinus ticks. The pathogenic potential of this genus remains unknown. Individuals bitten by ticks often develop antibodies against Candidatus Midichloria mitochondrii, but no pathogenic effects have been definitively established (see, e.g., Snapshot Week 36\/2018). Recently, a 26-year-old pregnant woman presented with a painful and pruritic rash on her torso, which appeared two weeks after she had been bitten by four ticks. Serologic testing was negative for several known tick-borne pathogens. However, two weeks and five days after her urgent care visit, the patient reported vaginal bleeding. A subsequent prenatal ultrasound confirmed intrauterine fetal demise. Electron microscopy of the trophoblastic villi revealed intracellular bacterial organisms within cytoplasmic vacuoles, with morphology resembling Candidatus Midichloria mitochondrii. PCR analysis, followed by Sanger sequencing, identified the bacterium with over 95% nucleotide identity to two Ixodes ricinus-associated Candidatus Midichloria mitochondrii strains. These findings suggest a tropism for human trophoblastic tissue and potential deleterious effects on the fetus. The authors propose that treatment with doxycycline should be considered for pregnant patients with tick bites, as the potential benefits may outweigh the risks.<\/p>\n","protected":false},"author":94681,"featured_media":20968,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"footnotes":""},"categories":[18],"tags":[1210,357,516,1211],"coauthors":[1108],"class_list":["post-26968","post","type-post","status-publish","format-standard","has-post-thumbnail","category-snapshot","tag-candidatus-midichloria-mitochondrii","tag-ixodes-ricinus","tag-pregnancy","tag-trophoblasts"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Snapshot week 5\/2025Pathogenic potential of the tick-associated symbiotic bacterium Candidatus Midichloria mitochondrii - TBE Book<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/tbenews.com\/tbe\/snapshot-week-5-2025-pathogenic-potential-of-the-tick-associated-symbiotic-bacterium-candidatus-midichloria-mitochondrii\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Snapshot week 5\/2025Pathogenic potential of the tick-associated symbiotic bacterium Candidatus Midichloria mitochondrii - TBE Book\" \/>\n<meta property=\"og:description\" content=\"Newman et al.Infection by tickborne bacterium Candidatus Midichloria associated with first trimester pregnancy loss, Tennessee, USA Emerg. Infect Dis. 2025, in press, doi:10.3201\/eid3102.240870 Candidatus Midichloria is a symbiotic bacterium commonly found in ticks, with a preference for female ticks. It was first identified in the ovaries of Ixodes ricinus ticks. The pathogenic potential of this genus remains unknown. Individuals bitten by ticks often develop antibodies against Candidatus Midichloria mitochondrii, but no pathogenic effects have been definitively established (see, e.g., Snapshot Week 36\/2018). Recently, a 26-year-old pregnant woman presented with a painful and pruritic rash on her torso, which appeared two weeks after she had been bitten by four ticks. Serologic testing was negative for several known tick-borne pathogens. However, two weeks and five days after her urgent care visit, the patient reported vaginal bleeding. A subsequent prenatal ultrasound confirmed intrauterine fetal demise. Electron microscopy of the trophoblastic villi revealed intracellular bacterial organisms within cytoplasmic vacuoles, with morphology resembling Candidatus Midichloria mitochondrii. PCR analysis, followed by Sanger sequencing, identified the bacterium with over 95% nucleotide identity to two Ixodes ricinus-associated Candidatus Midichloria mitochondrii strains. These findings suggest a tropism for human trophoblastic tissue and potential deleterious effects on the fetus. The authors propose that treatment with doxycycline should be considered for pregnant patients with tick bites, as the potential benefits may outweigh the risks.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/tbenews.com\/tbe\/snapshot-week-5-2025-pathogenic-potential-of-the-tick-associated-symbiotic-bacterium-candidatus-midichloria-mitochondrii\/\" \/>\n<meta property=\"og:site_name\" content=\"TBE Book\" \/>\n<meta property=\"article:published_time\" content=\"2025-01-23T02:37:18+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-01-23T02:39:36+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/tbenews.com\/tbe\/wp-content\/uploads\/2023\/12\/TBE-Snapshots.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1180\" \/>\n\t<meta property=\"og:image:height\" content=\"250\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"logesan\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"logesan\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/tbenews.com\\\/tbe\\\/snapshot-week-5-2025-pathogenic-potential-of-the-tick-associated-symbiotic-bacterium-candidatus-midichloria-mitochondrii\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/tbenews.com\\\/tbe\\\/snapshot-week-5-2025-pathogenic-potential-of-the-tick-associated-symbiotic-bacterium-candidatus-midichloria-mitochondrii\\\/\"},\"author\":{\"name\":\"logesan\",\"@id\":\"https:\\\/\\\/tbenews.com\\\/tbe\\\/#\\\/schema\\\/person\\\/eea00490409f8d848a28485d0f68fac3\"},\"headline\":\"Snapshot week 5\\\/2025 Pathogenic potential of the tick-associated symbiotic bacterium Candidatus Midichloria mitochondrii\",\"datePublished\":\"2025-01-23T02:37:18+00:00\",\"dateModified\":\"2025-01-23T02:39:36+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/tbenews.com\\\/tbe\\\/snapshot-week-5-2025-pathogenic-potential-of-the-tick-associated-symbiotic-bacterium-candidatus-midichloria-mitochondrii\\\/\"},\"wordCount\":235,\"publisher\":{\"@id\":\"https:\\\/\\\/tbenews.com\\\/tbe\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/tbenews.com\\\/tbe\\\/snapshot-week-5-2025-pathogenic-potential-of-the-tick-associated-symbiotic-bacterium-candidatus-midichloria-mitochondrii\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/tbenews.com\\\/tbe\\\/wp-content\\\/uploads\\\/2023\\\/12\\\/TBE-Snapshots.jpg\",\"keywords\":[\"Candidatus Midichloria mitochondrii\",\"Ixodes ricinus\",\"Pregnancy\",\"trophoblasts\"],\"articleSection\":[\"Snapshot\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/tbenews.com\\\/tbe\\\/snapshot-week-5-2025-pathogenic-potential-of-the-tick-associated-symbiotic-bacterium-candidatus-midichloria-mitochondrii\\\/\",\"url\":\"https:\\\/\\\/tbenews.com\\\/tbe\\\/snapshot-week-5-2025-pathogenic-potential-of-the-tick-associated-symbiotic-bacterium-candidatus-midichloria-mitochondrii\\\/\",\"name\":\"Snapshot week 5\\\/2025 Pathogenic potential of the tick-associated symbiotic bacterium Candidatus Midichloria mitochondrii - 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Infect Dis. 2025, in press, doi:10.3201\/eid3102.240870 Candidatus Midichloria is a symbiotic bacterium commonly found in ticks, with a preference for female ticks. It was first identified in the ovaries of Ixodes ricinus ticks. The pathogenic potential of this genus remains unknown. Individuals bitten by ticks often develop antibodies against Candidatus Midichloria mitochondrii, but no pathogenic effects have been definitively established (see, e.g., Snapshot Week 36\/2018). Recently, a 26-year-old pregnant woman presented with a painful and pruritic rash on her torso, which appeared two weeks after she had been bitten by four ticks. Serologic testing was negative for several known tick-borne pathogens. However, two weeks and five days after her urgent care visit, the patient reported vaginal bleeding. A subsequent prenatal ultrasound confirmed intrauterine fetal demise. Electron microscopy of the trophoblastic villi revealed intracellular bacterial organisms within cytoplasmic vacuoles, with morphology resembling Candidatus Midichloria mitochondrii. PCR analysis, followed by Sanger sequencing, identified the bacterium with over 95% nucleotide identity to two Ixodes ricinus-associated Candidatus Midichloria mitochondrii strains. These findings suggest a tropism for human trophoblastic tissue and potential deleterious effects on the fetus. 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