Evidence map›Paper›PMID 42421136›Full record

ArticleParasites & vectors2026

Rickettsia typhi, Bartonella henselae, and related zoonotic agents in fleas from domestic cats (Felis catus) from the Rio Grande Valley, Texas.

Sujata Balasubramanian, Italo B Zecca, Allyson Koger, Sarah A Hamer

Abstract read
In one paragraph

Article in Parasites & vectors, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Phylogenetic, genomic and morphological characterization ofInternational journal of systematic and evolutionary microbiology · 2026
    Article
4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Sujata BalasubramanianDepartment of Veterinary Integrative Biosciences, School of Veterinary Medicine, Texas A&M University, Texas, USA.
Italo B ZeccaDepartment of Veterinary Integrative Biosciences, School of Veterinary Medicine, Texas A&M University, Texas, USA.
Allyson KogerDepartment of Veterinary Integrative Biosciences, School of Veterinary Medicine, Texas A&M University, Texas, USA.
Sarah A HamerDepartment of Veterinary Integrative Biosciences, School of Veterinary Medicine, Texas A&M University, Texas, USA. shamer@cvm.tamu.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFlea-borne rickettsiosis and bartonellosis are emerging diseases in humans and animals. There is increasing concern for the emergence of Rickettsia typhi (agent of murine typhus or flea-borne typhus) in humans of southern USA, for which cats are key reservoirs and cat fleas (Ctenocephalides felis) serve as the vector. Similarly, multiple species of Bartonella have cats as natural hosts and fleas as vectors, leading to varied disease outcomes in humans, including cat scratch disease and neurobartonellosis.

methodsTo investigate the ecology of Rickettsia and Bartonella pathogens, we studied 167 predominantly stray cats (Felis catus) from the Rio Grande Valley in south Texas. Fleas were collected, identified morphologically, and confirmed molecularly. DNA from fleas was tested for Rickettsia and Bartonella using polymerase chain reaction (PCR) and Sanger sequencing of multiple gene targets. Additionally, DNA from blood of all cats and tissues from a subset of cats were assayed for infections.

resultsFlea infestation prevalence of cats was 83.23% (95% CI 76.69-88.56)-higher in male versus female cats-yielding 721 fleas, predominantly C. felis with two Echidnophaga gallinacea and one Pulex sp. Flea burden was a significant predictor of Rickettsia infection in fleas. Candidatus Rickettsia senegalensis was identified in 28 flea pools (20% of all pools; 95% CI 13.72-27.59) and Rickettsia typhi in 6 flea pools (4.29%; 95% CI 1.59-9.09). Bartonella henselae was identified in 59 flea pools (42.14% of all pools; 95% CI 33.85-50.77) and blood from 37 cats (22.16%; 95% CI 16.11-29.22); Bartonella clarridgeiae was detected in 3 flea pools (2.14% of all pools; 95% CI 0.44-6.13) and blood from 1 cat (0.6%; 95% CI 0.01-3.29). A total of 30 cats had simultaneously Bartonella-positive fleas and blood. Rickettsia infection was positively associated with flea burden. Coinfections of Rickettsia and Bartonella in fleas occurred more commonly than expected by chance.

conclusionsThe infection of fleas from cats in south Texas with R. typhi and multiple Bartonella species, in addition to Bartonella infections in the host cats, suggest that public health surveillance for these emergent zoonoses should include a focus on vectors and potential feline reservoirs.

Indexed as

Bartonella henselaeBartonella InfectionsCat DiseasesCtenocephalidesFlea InfestationsRickettsia typhiSiphonapteraAnimalsCatsFemaleInsect VectorsMaleTexasTyphus, Endemic Flea-BorneZoonosesBartonella henselaeCat scratch diseaseCtenocephalides felisMurine typhusRickettsia typhiRio Grande ValleyTexas

Identifiers

PMID42421136
PMCPMC13343561

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.