Abstract
Background
Spain has two of the most singular ecosystems of Europe with exclusive habitats and unique biodiversity, Doñana and Los Alcornocales, that are key nodes along the East Atlantic flyway between Europe and Africa. The high biodiversity supports a relevant wildlife richness in continuous dispersion that may favor the emergence of tick-borne pathogens, but data from these environments remain scarce.
Methods
From April 2018 to March 2019, questing ticks and associated microorganisms (Borrelia spp., spotted fever group Rickettsia spp., Anaplasma spp., Ehrlichia spp., Neoehrlichia spp., and Crimean-Congo hemorrhagic fever virus) were monitored.
Results
Questing ticks were found in all the sampling campaigns, and 4726 specimens belonging to 10 species, dominated by Hyalomma lusitanicum, were collected. Candidatus Rickettsia rioja, R. slovaca, R. raoultii, R. aeschlimannii, R. monacensis, R. barbariae, R. massiliae, Borrelia lusitaniae, and Ehrlichia species were detected. Viruses were not amplified.
Conclusions
These results highlight the protected areas as natural foci of tick-borne pathogens and underscore the need for integrated surveillance.
Graphical Abstract

Supplementary Information
The online version contains supplementary material available at https://doi.org/10.1186/s13071-026-07580-1.
Keywords: Ticks, Tick-borne bacteria, Tick-borne viruses, Natural protected areas, Doñana, Los Alcornocales, Spain
Background
Natural protected areas (NPAs) are geographical spaces managed for the conservation of their ecosystems due to their exceptional value. Their management often focuses on vertebrate species that may act as reservoirs or amplifiers of tick-borne human pathogens and/or dispersers of ticks responsible for zoonosis [1]. NPAs harbor enzootic cycles of tick-borne microorganisms and could be potential hotspots for the occurrence of spillover events into human populations due to the increasing tourism and climatic extreme events joint to the warming weather. Linking tick-borne disease (TBD) emergence and protected areas is complex because it largely depends on the landscape structure, the dynamics of the wildlife communities, and other interconnected factors [2]. Nevertheless, ecotourism is increasing in developed countries, and these areas with recreational services become significant exposure sites for tick-bites among inhabitants, workers, naturalists and visitors. The distribution and abundance of vector species and their associated microorganisms are key factors involved in the occurrence of TBDs [3]. Therefore, monitoring ticks and tick-borne microorganisms is necessary to establish efficient management plans of conservation and to prevent outbreaks of TBDs.
Twenty-three percent of the Spanish territory is included in its NPA network, under different categories (https://www.miteco.gob.es/es/biodiversidad/temas/espacios-protegidos/red-natura-2000/lic.aspx). The NPA of Doñana (hereinafter Doñana), among the most important ones in Europe, and the NPA of Los Alcornocales (hereinafter Alcornocales) are located in the South of the Iberian Peninsula (Andalusia). Both of these NPAs not only support endangered species but also serve as critical corridors and stopovers on the East Atlantic flyway between Europe and Africa. Migratory songbirds are responsible for the spread of ticks and their associated microorganisms, and these migratory routes significantly affect tick-borne pathogen epidemiology [4,5]. Given the singularity of these NPAs, the role of ticks as vectors of pathogens, and the scarce information from the South of Spain, the Agencia de Medio Ambiente y Agua de Andalucía (AMAYA) (Seville, Spain; https://www.juntadeandalucia.es/organismos/amaya.html) and the Centro de Rickettsiosis y Enfermedades Transmitidas por Artrópodos Vectores (CRETAV) (Logroño, Spain; https://www.cibir.es/es/grupos-de-investigacion/enfermedades-infecciosas/artropodos-vectores), with the support of Fundación la Caixa (https://fundacionlacaixa.org/), performed a study of ticks and tick-borne microorganisms from Doñana and Alcornocales. The aim of this work was to investigate the hard tick diversity and abundance, and the presence of Borrelia spp., Spotted Fever Group (SFG) Rickettsia spp., Anaplasma spp., Ehrlichia spp. and Neoehrlichia spp. in these arthropods. Additionally, a second aim was to investigate the presence of Crimean–Congo hemorrhagic fever virus (CCHFV) in selected samples.
Methods
Study areas and tick sampling
Tick sampling was performed in Doñana and Alcornocales (Fig. 1). Both areas have a sub-humid Mediterranean climate with Atlantic influence characterized by hot, dry summers and mild wet winters. Average annual temperatures range from 12 to 25 ºC, and annual variable rainfalls are around 500–600 mm in Doñana and 600–2100 mm in Alcornocales.
Fig. 1.

Maps of the study areas showing the transects for tick samplings (Andalusia, southern Spain). Left: Natural Protected Area of Doñana (Huelva), right: Natural Protected Area of Los Alcornocales (Cádiz and Málaga)
Doñana, protected since 1968, is a World Heritage Site and Biosphere Reserve recognized by UNESCO that belongs to the Natura 2000 network (EU). It is the largest wetland in Western Europe (537 km2, from the sea level to 47 m.a.s.l.), where marshlands, phreatic lagoons, dunes and Mediterranean terrestrial plant communities are represented and host a significant faunal richness.
Alcornocales, protected since 1989, is the first Intercontinental Biosphere Reserve declared by UNESCO and belongs to the Natura 2000 network. It is one of the largest NPA of Spain (1736 km2) dominated by Mediterranean forests with the most southerly cork oak forests (Quercus suber) in Europe.
The diversity of ecosystems and conservation efforts rise in an extraordinary ecological richness, making Doñana a critical area for waterfowl and migratory bird species between Africa and Europe, including threatened species such as the marbled teal (Marmaronetta angustirostris), the white-headed duck (Oxyura leucocephala), the ferruginous duck (Aythya nyroca), the bittern (Botaurus stellaris) and the black tern (Chlidonias niger). Furthermore, Doñana is relevant for supporting other endangered species such as the Iberian lynx (Lynx pardinus) and the Imperial eagle (Aquila adalberti) (https://whc.unesco.org/en/list/685/). These ecosystems, which promote high faunal density, ensure the maintenance of tick populations.
Sampling areas were selected to cover the main biotopes (pine forest, cork oak forest, Mediterranean shrubs, river valley forests, grassland and marshes), according to the park rangers’ awareness of the tick presence. Questing ticks were searched over 100 m2 at 15 sites in Doñana (Huelva) and 16 in Alcornocales (14 sites in Cádiz and two in Málaga) (Fig. 1) by dragging/flagging [6]. Ticks were removed with forceps and kept in tubes according to the area, transect and date.
Seven sampling campaigns were carried out by two collectors about every 2 months from April 2018 to March 2019. In each campaign, 14–15 transects were sampled in Doñana, and 11–14 in Alcornocales. In addition, supplementary sampling was conducted in 100 m2 adjacent buffer areas to enhance the sample size (Supplementary Tables 1–2). These buffer areas corresponded to new transects located less than 0.5 km from an ordinary sampling site that shared the same ecological conditions. These areas were punctually sampled following the methodology described above, and the data obtained were considered for the analysis of the tick abundance and associated microorganisms. The air temperature and relative air humidity were measured during fieldwork.
Ticks from campaigns 1–4 were preserved in ethanol 70%; in subsequent campaigns, the specimens were kept alive until their identification and hereafter frozen at − 80º C without any preservation solution.
Tick abundance was standardized and expressed as the number of individuals collected per 100 m2 of sampled area.
Tick identification, processing and screening of microorganisms
Ticks were identified using morphological keys or descriptions of species [7–10]. Morphological assignments were corroborated and/or complemented by molecular characterization using the 16S rRNA mitochondrial gene (Supplementary Table 3). While Ixodes inopinatus is currently considered a synonym of I. ricinus [11], we used a previously described multiplex PCR (Supplementary Table 3) to investigate the genotypes present among ticks morphologically identified as I. ricinus.
Microbial analysis was performed on all specimens, with the exception of highly abundant species, for which only a selected subsample was processed. The subsample was selected according to the available resources and ensuring that all the species and stages collected during each survey were properly represented. Ticks were individually washed in ethanol 70%, rinsed twice in sterile water and dried (by placing the ventral and dorsal surfaces in contact on a sterile paper tissue and allowing them to air-dry for 2 min) before pooling. Adult ticks were bisected with sterile scalpels for processing. Prior to pooling, a single leg from each Dermacentor spp. specimen was dissected for subsequent individual DNA analysis of certain microorganisms. Ticks were grouped according to transect, collection date, tick species, stage and sex. Pools consisted of one to nine adult tick halves or groups of whole immature specimens, containing up to 28 nymphs or 101 larvae per pool. Remaining tick halves and non-tested whole specimens were stored at − 80ºC without adding any preservation solution.
DNA from Dermacentor spp. legs was extracted using ammonium hydroxide 0.7 M [12] and analyzed for SFG Rickettsia spp. due to the high known prevalence of this bacterial group associated to this tick genus. Its presence in the hemolymph makes legs suitable samples for the Rickettsia spp. screening [13].
DNA from pools was extracted using DNeasy Blood & Tissue Kit (Qiagen, Hilden, Germany) and bacteria belonging to species of Borrelia, SFG Rickettsia, Anaplasma, Ehrlichia and Neoehrlichia were screened using PCR assays (Supplementary Table 3).
RNA extracts from Hyalomma ticks (only from those ones preserved at − 80ºC) and reverse-transcribed cDNAs were obtained using RNeasy Mini Kit and Omniscript Reverse transcription kit (Qiagen, Hilden, Germany), respectively, and tested for the presence of CCHFV by PCR (Supplementary Table 3).
Negative controls of extraction, negative controls of PCR (water instead of nucleic acid extracts) and positive controls [DNA or cDNA of Borrelia spielmanii, Borrelia miyamotoi, Rickettsia amblyommatis, Anaplasma phagocytophilum, Ehrlichia sp. and CCHFV from our ‘Zoonosis collection’, registered in the National Registry of Biobanks from Carlos III Health Institute (Reference: C.0006409) or kindly provided by colleagues, as indicated in the acknowledgments section] were included in all PCR assays.
Sequence analysis and phylogeny
PCR amplicons of the expected size were sequenced in both senses using the BigDye® Terminator v3.1 Cycle Sequencing Kit (Applied Biosystems, Forest City, CA, USA). Sequencing products were resolved on an ABI PRISM 3130 Genetic Analyzer (Applied Biosystems) at the Molecular Diagnosis Department from CIBIR (Centro de Investigación Biomédica de La Rioja, Logroño, Spain). Nucleotide sequences were analyzed and compared with those available on the NCBI database using the BLAST search tool (http://blast.ncbi.nlm.nih.gov/Blast.cgi). The obtained sequences that differed from those available were submitted through GenBank submission portal (https://submit.ncbi.nlm.nih.gov/).
Phylogenetic analyses were conducted using MEGA 12 (www.megasoftware.net) using the maximum likelihood method and general time reversible model, with a Gamma distribution and invariant sites, including all sites. The nucleotide substitution model was selected according to the Akaike information criterion implemented in MEGA 12. Confidence values for the individual branches were determined by bootstrap analysis with 500 replicates.
Infectious rates and statistical analysis
Descriptive statistical analyses were presented as frequencies and percentages.
The minimum infection rate (MIR) was calculated, as described elsewhere [14], as the ratio:
A positive PCR result from a pool was due to the presence of at least one positive specimen, and the MIR assumes that exactly one specimen is infected in each positive pool.
Confidence intervals (95% CI) were calculated using Epitools Epidemiological Calculators (http://epitools.ausvet.com.au) and the Wilson scoring method.
Results
Tick species, distribution and abundance
A total of 4726 questing tick specimens (1044 in Doñana and 3682 in Alcornocales) were collected. They belonged to these species: Dermacentor marginatus, Haemaphysalis punctata, Hyalomma lusitanicum, Hyalomma marginatum, Ixodes acuminatus, I. ricinus, Rhipicephalus annulatus, Rhipicephalus bursa, Rhipicephalus pusillus and Rhipicephalus sanguineus sensu lato (Table 1). All species were common to both study areas, excluding Hy. marginatum and I. acuminatus, which were restricted to the Doñana and Alcornocales, respectively. The most prevalent tick species was Hy. lusitanicum (n = 3438; 72.8%) followed by H. punctata (n = 434; 9.2%) and Rh. bursa (n = 385; 8.2%). Within these species, most specimens were immature (79.3%, 88.2% and 77.1% respectively). The highest number of adult ticks in Alcornocales corresponded to Hy. lusitanicum (n = 647; 80.2%), whereas the most prevalent adult species in the Doñana was D. marginatus (n = 67; 34.9%) followed by Hy. lusitanicum (33.9%). In addition, Hy. lusitanicum was the most prevalent tick species in both NPA separately (Doñana = 59.2% and Alcornocales = 76.6%) followed by Rh. annulatus in Doñana (n = 185, 17.7%, all larvae except one nymph) or by H. punctata in Alcornocales (n = 423, 11.5%) (Supplementary Figs. 1–2).
Table 1.
Ticks collected in the Natural Protected Areas of Doñana and Los Alcornocales and studied from April 2018 to March 2019
| Origin | Tick species | No. of ticks collected/no. of ticks processed for the screening of microorganisms (no. of pools) | ||||
|---|---|---|---|---|---|---|
| Females | Males | Nymphs | Larvae | Total | ||
| Natural Protected Area of Doñana | Dermacentor marginatus | 37/37 (9) | 30/30(9) | 67/67 (18) | ||
| Haemaphysalis punctata | 2/2 (1) | 9/9 (1) | 11/11 (2) | |||
| Hyalomma lusitanicum | 32/32 (7) | 33/33(6) | 182/93 (6) | 371/200 (2) | 618/358 (21) | |
| Hyalomma marginatum | 1/1 (1) | 35/35 (1) | 36/36 (2) | |||
| Ixodes ricinus | 2/2 (1) | 2/2 (1) | ||||
| Rhipicephalus annulatus | 1/1 (1) | 184/184 (4) | 185/185 (5) | |||
| Rhipicephalus bursa | 8/8 (2) | 21/16(3) | 70/70 (1) | 99/94 (6) | ||
| Rhipicephalus pusillus | 1/1 (1) | 1/1(1) | 2/2 (2) | |||
| Rhipicephalus sanguineus sensu lato | 12/12 (4) | 12/12(4) | 24/24 (8) | |||
| Natural Protected Area of Los Alcornocales | D. marginatus | 3/3 (3) | 1/1 (1) | 4/4 (4) | ||
| H. punctata | 18/18 (4) | 31/31 (6) | 55/55 (5) | 319/319 (5) | 423/423 (20) | |
| Hy. lusitanicum | 304/212(29) | 343/243 (34) | 181/166 (8) | 1992/791 (9) | 2820/1412 (80) | |
| Ixodes acuminatus | 1/1 (1) | 1/1 (1) | ||||
| I. ricinus | 2/2 (2) | 3/3 (3) | 1/1 (1) | 6/6 (6) | ||
| Rh. annulatus | 101/101 (1) | 101/101 (1) | ||||
| Rh. bursa | 30/20 (4) | 29/19 (3) | 227/227 (5) | 286/266 (12) | ||
| Rh. pusillus | 7/7 (3) | 2/2 (2) | 9/9 (5) | |||
| Rh. sanguineus s.l. | 18/18 (5) | 14/14 (3) | 32/32 (8) | |||
Tick abundance ranged from 0.6 to 36.2 and from 0.6 to 137.8 tick specimens per 100 m2 in Doñana and Alcornocales, respectively (Table 2, Supplementary Fig. 3). The highest density was found in August 2018 in both areas, corresponding with the largest captures of immature individuals (Supplementary Figs. 3–5). Tick abundance was higher in Alcornocales than in Doñana for all sampling campaigns.
Table 2.
Tick abundance, calculated as tick number per 100 m2 sampled, in the study areas of Doñana and Alcornocales from April 2018 to March 2019
| Sampling campaign (date) | Doñana | Alcornocales |
|---|---|---|
| S-1 (Apr-18) | 1.8 | 2.6 |
| S-2 (May-18/Jun-18) | 5.5 | 33.9 |
| S-3 (Aug-18) | 36.2 | 137.8 |
| S-4 (Oct-18) | 7.5 | 42.7 |
| S-5 (Nov-18/Dec-18) | 5.9 | 16.5 |
| S-6 (Feb-19) | 1.6 | 9.8 |
| S-7 (Mar-19) | 0.6 | 0.6 |
The number of ticks, species and stage per transect and per sampling campaign are detailed in Supplementary Tables 4–11. The tick densities reached up to 51.5 specimens per 100 m2, in the FD8 buffer area from Doñana and 378.2 specimens per 100 m2 in transect A16 from Alcornocales (Supplementary Table 12). All developmental stages of Hy. lusitanicum were recovered from these transects. For the transects sampled across all campaigns, the highest densities reached 31.6 (transect D8) and 37.1 (transect A13) ticks per 100 m2 in Doñana and Alcornocales, respectively.
According to the seasonality, different patterns of abundance were obtained depending on the tick species. Hy. lusitanicum, reached its peak abundance in summer, with the presence of all life stages. Densities in spring and autumn remained notable (Supplementary Fig. 6). The tick distribution of other prevalent tick species is represented in Supplementary Figs. 7–10. H. punctata larvae were mainly found in spring, while adults and nymphs of this species were collected at the end of winter. As expected, D. marginatus occurred mainly in cold months (November to February). Adults of Rh. bursa were mainly found in summer and larvae, in winter. Immature of Rh. annulatus were abundant in autumn. The temperatures and relative humidity reached during surveys was recorded in Supplementary Tables 13 and 14.
The morphological classification was corroborated by genetic identification in four H. punctata, 29 Hy. lusitanicum (mainly immature specimens), three Hy. marginatum, one I. acuminatus, two I. ricinus, four Rh. annulatus, two Rh. bursa, one Rh. pusillus and four Rh. sanguineus s.l. Percentages of identity with available sequences are shown in Supplementary Table 15. Moreover, multiplex PCR for ticks morphologically identified as I. ricinus yielded a single band corresponding to I. inopinatus in all (n = 6) but one sample, which showed two bands, suggesting a potential hybrid. Nevertheless, and given that further investigation is needed on the taxonomic status I. inopinatus, currently considered a synonym of I. ricinus [11]; herein, we will refer to these specimens as I. ricinus.
Tick-borne microorganisms
A total of 3033 ticks grouped in 202 pools were selected for microorganisms screening (Table 3). CCHFV screening was performed in 16 pools of Hy. lusitanicum, three of them (five specimens) from Doñana and 13 pools (74 specimens) from Alcornocales.
Table 3.
Microorganisms detected in ticks from the Natural Protected Areas of Doñana and Los Alcornocales from April 2018 to March 2019
| Origin | Tick species | No. of ticks analyzed/no. of pools | Microorganisms; no. of positive pools (no. of each stage)/MIR % (CI) | ||
|---|---|---|---|---|---|
| Borrelia spp. | Rickettsia spp. | Anaplasmataceae | |||
| Natural Protected Area of Doñana | Dermacentor marginatus | 67/18 |
Candidatus Rickettsia rioja*; 40 (24 F, 16 M)/59.7 (47.7–70.6) Rickettsia slovaca*; 21 (12 F, 9 M)/31.3 (21.5–43.2) |
||
| Haemaphysalis punctata | 11/2 | ||||
| Hyalomma lusitanicum | 358/21 | ||||
| Hyalomma marginatum | 36/2 |
Rickettsia aeschlimannii; 2 (1 F, 1 L)/5.6 (1.5–18.1) |
|||
| Ixodes ricinus | 2/1 |
Borrelia lusitaniae; 1(1 M)/50 (9.5–90.6) |
Rickettsia monacensis; 1 (1 M)/50 (9.5–90.6) |
||
| Rhipicephalus annulatus | 185/5 | ||||
| Rhipicephalus bursa | 94/6 |
Rickettsia barbariae; 1 (1 M)/1.1 (0.2–5.8) |
|||
| Rhipicephalus pusillus | 2/2 | ||||
| Rhipicephalus sanguineus s.l | 24/8 |
Rickettsia massiliae; 8 (4 F, 4 M)/33.3 (18.0–53.3) |
|||
| Natural Protected Area of Los Alcornocales | D. marginatus | 4/4 |
Ca. R. rioja*; 3 (3 F)/75 (30.1–95.4) Rickettsia raoultii*; 1 (1 M)/25 (4.6–70.0) |
||
| H. punctata | 423/20 | ||||
| Hy. lusitanicum | 1412/80 |
Ehrlichia spp.; 7 (2 F, 1 M, 4 N)/0.5 (0.2–1.0) |
|||
| Ixodes acuminatus | 1/1 | ||||
| I. ricinus | 6/6 |
B. lusitaniae*; 5 (2 F, 3 M)/83.3 (43.7–97.0) |
R. monacensis*; 4 (2 F, 1 M, 1 N)/66.7 (30.0–90.3) |
||
| Rh. annulatus | 101/1 | ||||
| Rh. bursa | 266/12 |
R. massiliae; 1(1 M)/0.4 (0.001–2.1) R. barbariae; 3 (1 F, 1 M, 1 L)/1.1 (0.4–3.3) |
|||
| Rh. pusillus | 9/5 | ||||
| Rh. sanguineus s.l | 32/8 |
R. massiliae; 7 (5 F, 2 M)/21.9 (11.2–38.8) |
|||
| Total | 3033/202 | ||||
s.l. sensu lato, MIR Minimum infectious rate, CI 95% Confidence Interval, F Female, M Male, N Nymph, L Larvae
*Detected in individual tick specimens, MIR should be considered as prevalence
The microorganisms detected are summarized in Table 3, according to the sequence analysis (Supplementary Table 15).
Borrelia lusitaniae was amplified in the single pool with two I. ricinus specimens from Doñana (MIR = 50%; CI 9.5–90.6%), and in 5/6 specimens of I. ricinus from Alcornocales (prevalence of 83.3%; CI 43.7–97%).
Pools of I. ricinus were also infected with Rickettsia monacensis (MIR = 62.5%), specifically, the pool of Doñana (MIR = 50%; CI 9.5–90.6%), and 4/6 specimens collected in Alcornocales (66.7% of prevalence; CI 30.0–90.3%). Other Rickettsia spp. amplified were Rickettsia aeschlimannii, in the two Hy. marginatum pools from Doñana (MIR = 5.6%; CI 1.5–18.1%); Rickettsia massiliae, in all but one Rh. sanguineus s.l. pools (MIR = 26.8%; CI 18.0–39.6%), eight from Doñana and seven from Alcornocales, and in a single pool of Rh. bursa (MIR = 0.3%; CI 0.001–1.6%) from Alcornocales; Rickettsia barbariae, 1/6 pools and 3/12 Rh. bursa pools (MIR = 1.1%; CI 0.4–2.8%) from Doñana and Alcornocales, respectively; and Candidatus Rickettsia rioja, R. slovaca or R. raoultii in 61 and four of the D. marginatus specimens studied from Doñana (91% of prevalence; CI 81.8–95.8%) and Alcornocales (100% of prevalence; CI 51.1–100%), respectively. Specifically, 43 of these amplicons corresponded to Ca. R. rioja (60.6%; CI 48.9–71.1%), 21 to R. slovaca (29.6%; CI 20.2–41.0%) and one to R. raoultii (1.4%; CI 0.3–7.6%).
In seven out of 101 Hy. lusitanicum pools (MIR = 0.4%; CI 0.2–0.8%) from Alcornocales, Ehrlichia spp. were detected with partial groESL, 16S rRNA and gltA PCR assays. Two different genotypes showed < 94% identity with groESL of Ehrlichia ewingii as the nearest validated species (GenBank accession No. AF195273). The highest identities (99.9–100%) were reached with unclassified Ehrlichia spp. found in Hyalomma spp. or Rhipicephalus microplus from Asia (e.g., OQ185227 or KJ930193) (Fig. 2).
Fig. 2.

Phylogeny of Ehrlichia spp. inferred with groELS sequences using the maximum likelihood method and general time reversible model (500 replicates) with a discrete gamma distribution and sites deemed evolutionarily invariant, showing the position of the Ehrlichia spp. amplified in the present study (◆). This analysis involved 36 nucleotide sequences with 1066 positions in the final dataset with Neoehrlichia mikurensis as outgroup. Replicate numbers are shown in the nodes
GenBank accession numbers of sequences obtained in this study are shown in Supplementary Table 15.
Relapsing fever group Borrelia spp., Anaplasma spp., Neoehrlichia spp., or CCHFV were not detected with the PCR targets used.
Discussion
In this study, the diversity and abundance of questing tick species and their associated microorganisms were investigated in Doñana and Alcornocales (southern Spain). Ten different tick species and bacteria belonging to three genera, some of them associated with human diseases, were found.
Sampling sites were selected to ensure the tick monitoring in the different habitats of both study areas, but in some cases, priority was given to areas where ticks were known to be present, based on prior knowledge of their presence. Therefore, it is likely that data from these few areas slightly overestimated tick abundance, but did not affect the composition of tick species, which is primarily biased by the sampling method, and may have improved the screening of microorganisms, which is often biased mainly due to the small sample size.
The occurrence of all sampled tick species in this study was expected since they had been previously recorded in Andalusia, southern Spain [10, 15,16]. Nevertheless, it is important to recognize that species, stages and abundance may be biased by the selected sampling method [17]. Thus, our sampling technique is optimal for collecting questing species or stages, such as I. ricinus, but maybe less effective for those ticks with active host-seeking, nidicolous or with on-host molting. This fact could explain the absence of certain tick species such as I. hexagonus, immature D. marginatus specimens, adult Rh. annulatus individuals, or the low density of I. acuminatus, Hy. marginatum or Rh. pusillus.
Given that the risk of human exposure to tick-bites is strongly associated with questing tick abundance [18], our data demonstrate a year-round risk of being bitten in both NPAs, and particularly during the summer in both areas, despite the fact that overall tick densities were higher in Alcornocales than in Doñana. According to our data, we are not able to relate the tick density with type of habitats because the abundance of ticks in transects with similar habitats were highly variable (i.e., D8 and D3 or A7 and A8) and close densities were found in transects with different habitats (i.e. D8 and D13 or A6 and A14). Further studies considering aspects such as hosts, habitats of neighboring areas, etc. should be performed.
Regarding the detected microorganisms, it is worth mentioning that pooled samples were screened and the prevalence rates were calculated assuming that only one specimen per pool was positive (MIR). This is a downward estimation. It is therefore likely that the prevalence rates showed herein are underestimated, particularly in large pools.
Borrelia sp. was amplified in I. ricinus specimens, and B. lusitaniae was the unique species detected. Despite the low number of analyzed ticks, the MIR reached 75% (CI 40.9–92.9%), a percentage similar to those found in areas of Portugal [19]. Lower infectious rates of B. lusitaniae have been reported in the vector not only in the Mediterranean basin but also in other regions (e.g., northern Spain and Central Europe) where other Borrelia spp. occur, including recognized human pathogenic species of B. burgdorferi sensu lato complex and/or B. miyamotoi [12, 20,21]. The pathogenicity of B. lusitaniae is controversial. It has been detected or isolated from human samples but there are scarce cases, with absence of serological evidence and non-specific clinical symptoms [20, 22–25]. Our findings, particularly the absence of B. burgdorferi s.l. genospecies clearly associated with human disease, may explain the limited reporting or absence of Lyme borreliosis in the southern Spain. This is also reinforced by a very low abundance of I. ricinus, a very limited circulation of B. burgdorferi s.l. genospecies recognized as relevant cause of human disease and very infrequent clinical cases of Lyme borreliosis clearly documented, according to studies from the South of Spain [26].
Herein, seven SFG Rickettsia species were detected in questing ticks. Among the human pathogens identified, Ca. R. rioja, R. slovaca and R. raoultii were those with the greatest impact on human health since they are the etiological agents of Dermacentor-borne-necrosis-erythema-lymphadenopathy/tick-borne-lymphadenophathy (DEBONEL/TIBOLA) [13]. High prevalence of these rickettsiae was observed in D. marginatus, the competent vector, in agreement with previous reports from the study area [27]. Specifically, Ca. R. rioja emerged as the most prevalent species, as previously observed in ticks from patients included in the largest reported series of DEBONEL [13]. Moreover, three additional Rickettsia species (R. monacensis, R. aeschlimannii and R. massiliae) associated with human zoonotic diseases were found. The presence of R. monacensis, previously known as “agent Cádiz”, had already been reported in the area [15]. This species is distributed across North Africa, Europe and Asia and Ixodes spp. (I. ricinus in Europe) are suspected vectors. In this study, the infection rate in I. ricinus was higher than those previously found in ticks from animals in Andalusia [16, 28]; however, our results could be biased by the few analyzed specimens. Despite its high prevalence and wide distribution, only a few human cases caused by R. monacensis have been described in Europe and Asia [29–31]. R. aeschlimannii was amplified in the two Hy. marginatum pools analyzed, which is the suspected vector in Europe. The pathogenic role of R. aeschlimannii seems to be low, despite its high prevalence rate in the vector [32,33]. Nevertheless, human cases from Asia have been recently added to those reported from North Africa and Europe [30, 34–36]. The presence of R. massiliae in the study area had been previously demonstrated [28], and prevalence rates ranging from 2 to 92% have been documented in European ticks [37]. R. massiliae human infections have been punctually reported from different continents, including one case from Spain acquired in Argentina [30, 38–40]. Lastly, this study corroborates the circulation of R. barbariae in the Iberian Peninsula, since it was initially detected in Rh. bursa ticks in Portugal and provisionally named Rickettsia sp. PoTiRb169 [41]. To date, R. barbariae has not been involved in human health, but molecular evidence of its presence in anthropophilic ticks (mainly Rhipicephalus spp.) has been reported from Europe, Africa and Asia [41–43].
Two putative novel Ehrlichia genotypes not previously reported in Spain have been amplified in Hy. lusitanicum from Alcornocales. According to the fragment genes analyzed, they belong to unclassified Ehrlichia spp., mainly found in Asia [44–46]. Potential novel Ehrlichia species have been partially characterized worldwide, including those from Spain [14, 47,48]. A more comprehensive characterization of these genotypes, including isolation, spatial distribution, and identification of their vectors and reservoirs, is urgently required to better understand and prevent emerging TBDs. Thus, unclassified Ehrlichia species such as Candidatus Ehrlichia erythraense has been recently involved as causative agents of a febrile illness outbreak in China [49].
In our study, CCHFV was not detected, although these results should be interpreted with caution due to the limited number of specimens analyzed. Moreover, the absence of viral detection does not exclude local circulation because the circulation of the virus in Spain and the emergence of endemic cases of the disease is known for at least 2 decades, and the virus has been recently described in the study area [50–52]. Furthermore, new tick-borne viruses are being described in Spain [14]. These facts make necessary to carry out new tick-borne virus surveillance programs in this area.
Conclusions
The presence of ticks that are recognized vectors of human diseases and the circulation of tick-borne zoonotic agents in Doñana and Alcornocales (South of Spain) highlight the potential public health relevance of tick exposure in these areas, which in turn could favor zoonotic spillover events. Our results emphasize the need for continuous molecular surveillance of tick populations in these strategic areas, promotion of preventive measures to reduce human-tick contacts and mitigate infection risks, and enhanced clinical awareness to improve the diagnosis of tick-borne infections.
Supplementary Information
Acknowledgements
The authors thank Agents of Environment and naturalists of the Espacio Natural Doñana and the Parque Natural Los Alcornocales for helping in the tick collection. Preliminary results from this study were presented at the XXIII SEIMC National Congress held in Madrid (Spain) in 2019, and in the Revista de Estudios Campogibraltareños No.56, 2022. We thank Volker Fingerle (German National Reference Centre for Borrelia) and Matthias Niedrig (Centre for Biosafety, Robert Koch Institute, Germany) for providing positive controls.
Author contributions
A.M.P., A.P., C.S.J. and J.A.O. conceived and designed the study. C.S.J., E.R., V.T., E.M. and E.Mi. performed the field work. A.M.P. carried out the tick identification. A.M.P., A.P. and S.S. performed the molecular analysis. A.M.P., A.P. and J.A.O. coordinated and supervised the research. A.M.P., A.P., C.S.J. and J.A.O. obtained funding and resources. A.M.P., A.P. and J.A.O. wrote the original draft. All the authors reviewed and edited the manuscript.
Funding
This project was funded by Fundación Bancaria La Caixa (CAIXA2018/09; Distribución y prevalencia de agentes patógenos transmitidos por garrapatas en Espacios Naturales de Huelva y Cádiz) and by European Regional Development Funds (Programa FEDER de La Rioja 2021-2027; No. 32, 00860-2024/116698) at 60% in the Specific Objective 1.1 and 1.2 of Health-Advanced (HEALTH-A).
Data availability
All the data are available in the main text or in the supplementary material. The obtained sequences were deposited in the GenBank database under the accession numbers shown in the fifth column of Supplementary Table 15.
Declarations
Ethics approval and consent to participate
Not applicable.
Consent for publication
Not applicable.
Competing interests
The authors declare no competing interests.
Footnotes
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Ana M. Palomar and Aránzazu Portillo have contributed equally as the first authors.
Contributor Information
Ana M. Palomar, Email: ampalomar@riojasalud.es
Aránzazu Portillo, Email: aportillo@riojasalud.es.
References
- 1.Oteo JA, Santibáñez S, Portillo A. Tick-borne diseases in Spain. Med Clin. 2025;164:106989. 10.1016/j.medcli.2025.106989. [DOI] [PubMed] [Google Scholar]
- 2.Köhler CF, Holding ML, Sprong H, Jansen PA, Esser HJ. Biodiversity in the Lyme-light: ecological restoration and tick-borne diseases in Europe. Trends Parasitol. 2023;39:373–85. 10.1016/j.pt.2023.02.005. [DOI] [PubMed] [Google Scholar]
- 3.Braks M, van der Giessen J, Kretzschmar M, van Pelt W, Scholte EJ, Reusken C, et al. Towards an integrated approach in surveillance of vector-borne diseases in Europe. Parasit Vectors. 2011;4:192. 10.1186/1756-3305-4-192. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 4.Palomar AM, Santibáñez P, Mazuelas D, Roncero L, Santibáñez S, Portillo A, et al. Role of birds in dispersal of etiologic agents of tick-borne zoonoses, Spain, 2009. Emerg Infect Dis. 2012;18:1188–91. 10.3201/eid1807.111777. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 5.Palomar AM, Portillo A, Santibáñez P, Mazuelas D, Arizaga J, Crespo A, et al. Crimean-Congo hemorrhagic fever virus in ticks from migratory birds. Morocco Emerg Infect Dis. 2013;19:260–3. 10.3201/eid1902.121193. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 6.Estrada-Peña A, Gray JS, Kahl O, Lane RS, Nijhof AM. Research on the ecology of ticks and tick-borne pathogens--methodological principles and caveats. Front Cell Infect Microbiol. 2013;3:29. 10.3389/fcimb.2013.00029. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 7.Manilla G. Acari, Ixodida. In: Fauna D’Italia. Bologna: Calderini; 1998. p. 1–280. [Google Scholar]
- 8.Apanaskevich DA, Horak IG. The genus Hyalomma koch, 1844: V. re-evaluation of the taxonomic rank of taxa comprising the H. (Euhyalomma) marginatum koch complex of species (acari: Ixodidae) with redescription of all parasitic stages and notes on biology. Int J Acarol. 2008;34(1):13–42. 10.1080/01647950808683704. [DOI] [Google Scholar]
- 9.Apanaskevich DA, Santos-Silva MM, Horak IG. The genus Hyalomma Koch, 1844. IV. Redescription of all parasitic stages of H. (Euhyalomma) lusitanicum Koch, 1844 and the adults of H. (E.) franchinii Tonelli Rondelli, 1932 (Acari: Ixodidae) with a first description of its immature stages. Folia Parasitol. 2008;55:61–74. 10.14411/fp.2008.009. [DOI] [PubMed] [Google Scholar]
- 10.Estrada-Peña A, Mihalca AD, Petney T. Ticks of Europe and North Africa. A guide to species identification. Switzerland: Springer International Publishing AG; 2017. p. 1–408. [Google Scholar]
- 11.Dantas-Torres F, Mans BJ. Ticks (Ixodida: Argasidae, Ixodidae, Khimairidae, and Nuttalliellidae) of the world. Parasit Vectors. 2026;19:256. 10.1186/s13071-026-07493-z. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 12.Palomar AM, Portillo A, Santibáñez P, Santibáñez S, Oteo JA. Borrelia miyamotoi: Should this pathogen be considered for the diagnosis of tick-borne infectious diseases in Spain? Enferm Infecc Microbiol Clin. 2018;36:568–71. 10.1016/j.eimc.2017.10.020. [DOI] [PubMed] [Google Scholar]
- 13.Santibáñez S, Portillo A, Ibarra V, Santibáñez P, Metola L, García-García C, et al. Epidemiological, clinical, and microbiological characteristics in a large series of patients affected by Dermacentor-borne-necrosis-erythema-lymphadenopathy from a unique centre from Spain. Pathogens. 2022;11:528. 10.3390/pathogens11050528. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 14.Palomar AM, Portillo A, Gómez A, Põdra M, Santibáñez P, Cervera-Acedo C, et al. Ticks From Mink and Their Associated Microorganisms in Spain. Transbound Emerg Dis. 2025;2025:9995586. 10.1155/tbed/9995586. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 15.Márquez FJ. Spotted fever group Rickettsia in ticks from southeastern Spain natural parks. Exp Appl Acarol. 2008;45:185–94. 10.1007/s10493-008-9181-7. [DOI] [PubMed] [Google Scholar]
- 16.Márquez FJ. Rickettsiae in ticks from wild ungulates of Sierra Nevada and Doñana national parks (Spain). Clin Microbiol Infect. 2009;15:227–9. 10.1111/j.1469-0691.2008.02148.x. [DOI] [PubMed] [Google Scholar]
- 17.Ginsberg HS, Ewing CP. Comparison of flagging, walking, trapping, and collecting from hosts as sampling methods for northern deer ticks, Ixodes dammini, and lone-star ticks, Amblyomma americanum (Acari:Ixodidae). Exp Appl Acarol. 1989;7:313–22. 10.1007/BF01197925. [DOI] [PubMed] [Google Scholar]
- 18.Ribeiro R, Eze JI, Gilbert L, Macrae A, Duncan A, Baughan J, et al. Linking human tick bite risk with tick abundance in the environment: a novel approach to quantify tick bite risk using orienteers in Scotland. Ticks Tick Borne Dis. 2023;14:102109. 10.1016/j.ttbdis.2022.102109. [DOI] [PubMed] [Google Scholar]
- 19.De Michelis S, Sewell HS, Collares-Pereira M, Santos-Reis M, Schouls LM, Benes V, et al. Genetic diversity of Borrelia burgdorferi sensu lato in ticks from mainland Portugal. J Clin Microbiol. 2000;38:2128–33. 10.1128/JCM.38.6.2128-2133.2000. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 20.Oteo JA, Corominas H, Escudero R, Fariñas-Guerrero F, García-Moncó JC, Goenaga MA, et al. Executive summary of the consensus statement of the Spanish Society of Infectious Diseases and Clinical Microbiology (SEIMC), Spanish Society of Neurology (SEN), Spanish Society of Immunology (SEI), Spanish Society of Pediatric Infectology (SEIP), Spanish Society of Rheumatology (SER), and Spanish Academy of Dermatology and Venereology (AEDV), on the diagnosis, treatment and prevention of Lyme borreliosis. Enferm Infecc Microbiol Clin (Engl Ed). 2023;41:40–5. 10.1016/j.eimce.2022.11.011. [DOI] [PubMed] [Google Scholar]
- 21.Cirkovic V, Veinovic G, Stankovic D, Mihaljica D, Sukara R, Tomanovic S. Evolutionary dynamics and geographical dispersal of Borrelia lusitaniae. Front Microbiol. 2024;15:1330914. 10.3389/fmicb.2024.1330914. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 22.Collares-Pereira M, Couceiro S, Franca I, Kurtenbach K, Schäfer SM, Vitorino L, et al. First isolation of Borrelia lusitaniae from a human patient. J Clin Microbiol. 2004;42:1316–8. 10.1128/JCM.42.3.1316-1318.2004. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 23.de Carvalho IL, Fonseca JE, Marques JG, Ullmann A, Hojgaard A, Zeidner N, et al. Vasculitis-like syndrome associated with Borrelia lusitaniae infection. Clin Rheumatol. 2008;27:1587–91. 10.1007/s10067-008-1012-z. [DOI] [PubMed] [Google Scholar]
- 24.Vieira JP, Brito MJ, de Carvalho IL. Borrelia lusitaniae infection mimicking headache, neurologic deficits, and cerebrospinal fluid lymphocytosis. J Child Neurol. 2019;34:748–50. 10.1177/0883073819858263. [DOI] [PubMed] [Google Scholar]
- 25.Veinović G, Malinić J, Sukara R, Mihaljica D, Katanić N, Poluga J, et al. Isolation and cultivation of Borrelia lusitaniae from the blood of a patient with multiple erythema migrans. J Infect Dev Ctries. 2025;19:630–5. 10.3855/jidc.20497. [DOI] [PubMed] [Google Scholar]
- 26.Gutierrez J, Maroto MC, De la Higuera A, Guerrero M, Padilla E, Piédrola G. Three-year study of antibody to Borrelia burgdorferi in southern Spain. Eur J Clin Microbiol Infect Dis. 1995;14:542–6. 10.1007/BF02113437. [DOI] [PubMed] [Google Scholar]
- 27.Márquez FJ, Rojas A, Ibarra V, Cantero A, Rojas J, Oteo JA, et al. Prevalence data of Rickettsia slovaca and other SFG Rickettsiae species in Dermacentor marginatus in the southeastern Iberian peninsula. Ann N Y Acad Sci. 2006;1078:328–30. [DOI] [PubMed] [Google Scholar]
- 28.Márquez FJ, Millán J. Rickettsiae in ticks from wild and domestic carnivores of Doñana National Park (Spain) and surrounding area. Clin Microbiol Infect. 2009;15:224–6. 10.1111/j.1469-0691.2008.02147.x. [DOI] [PubMed] [Google Scholar]
- 29.Jado I, Oteo JA, Aldámiz M, Gil H, Escudero R, Ibarra V, et al. Rickettsia monacensis and human disease, Spain. Emerg Infect Dis. 2007;13:1405–7. 10.3201/eid1309.060186. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 30.Portillo A, Santibáñez S, García-Álvarez L, Palomar AM, Oteo JA. Rickettsioses in Europe. Microbes Infect. 2015;17:834–8. 10.1016/j.micinf.2015.09.009. [DOI] [PubMed] [Google Scholar]
- 31.Kim YS, Choi YJ, Lee KM, Ahn KJ, Kim HC, Klein T, et al. First isolation of Rickettsia monacensis from a patient in South Korea. Microbiol Immunol. 2017;61:258–63. 10.1111/1348-0421.12496. [DOI] [PubMed] [Google Scholar]
- 32.Oteo JA, Portillo A, Blanco JR, Ibarra V, Pérez-Martínez L, Izco C, et al. Low risk of developing human Rickettsia aeschlimannii infection in the North of Spain. Ann N Y Acad Sci. 2005;1063:349–51. [DOI] [PubMed] [Google Scholar]
- 33.Palomar AM, Portillo A, Mazuelas D, Roncero L, Arizaga J, Crespo A, et al. Molecular analysis of Crimean-Congo hemorrhagic fever virus and Rickettsia in Hyalomma marginatum ticks removed from patients (Spain) and birds (Spain and Morocco), 2009-2015. Ticks Tick Borne Dis. 2016;7:983–7. 10.1016/j.ttbdis.2016.05.004. [DOI] [PubMed] [Google Scholar]
- 34.Raoult D, Fournier PE, Abboud P, Caron F. First documented human Rickettsia aeschlimannii infection. Emerg Infect Dis. 2002;8:748–9. 10.3201/eid0807.010480. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 35.Igolkina Y, Rar V, Krasnova E, Filimonova E, Tikunov A, Epikhina T, et al. Occurrence and clinical manifestations of tick-borne rickettsioses in Western Siberia: first Russian cases of Rickettsia aeschlimannii and Rickettsia slovaca infections. Ticks Tick Borne Dis. 2022;13:101927. 10.1016/j.ttbdis.2022.101927. [DOI] [PubMed] [Google Scholar]
- 36.Yang M, Jia Y, Dong Z, Zhang Y, Xie S, Liu Q, et al. Rickettsia aeschlimannii Infection in a Woman from Xingjiang. Northwestern China Vector Borne Zoonotic Dis. 2022;22:55–7. 10.1089/vbz.2021.0071. [DOI] [PubMed] [Google Scholar]
- 37.Parola P, Paddock CD, Socolovschi C, Labruna MB, Mediannikov O, Kernif T, et al. Update on tick-borne rickettsioses around the world: a geographic approach. Clin Microbiol Rev. 2013;26:657–702. 10.1128/CMR.00032-13. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 38.Vitale G, Mansuelo S, Rolain JM, Raoult D. Rickettsia massiliae human isolation. Emerg Infect Dis. 2006;12:174–5. 10.3201/eid1201.050850. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 39.García-García JC, Portillo A, Núñez MJ, Santibáñez S, Castro B, Oteo JA. A patient from Argentina infected with Rickettsia massiliae. Am J Trop Med Hyg. 2010;82:691–2. 10.4269/ajtmh.2010.09-0662. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 40.Eldin C, Virgili G, Attard L, Edouard S, Viale P, Raoult D, et al. Rickettsia massiliae infection after a tick bite on the eyelid. Travel Med Infect Dis. 2018;26:66–8. 10.1016/j.tmaid.2018.08.002. [DOI] [PubMed] [Google Scholar]
- 41.de Sousa R, Barata C, Vitorino L, Santos-Silva M, Carrapato C, Torgal J, et al. Rickettsia sibirica isolation from a patient and detection in ticks, Portugal. Emerg Infect Dis. 2006;12:1103–8. 10.3201/eid1207.051494. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 42.Guo LP, Jiang SH, Liu D, Wang SW, Chen CF, Wang YZ. Emerging spotted fever group rickettsiae in ticks, northwestern China. Ticks Tick Borne Dis. 2016;7:1146–50. 10.1016/j.ttbdis.2016.08.006. [DOI] [PubMed] [Google Scholar]
- 43.Abdelkadir K, Palomar AM, Portillo A, Oteo JA, Ait-Oudhia K, Khelef D. Presence of Rickettsia aeschlimannii, ‘Candidatus Rickettsia barbariae’ and Coxiella burnetii in ticks from livestock in Northwestern Algeria. Ticks Tick Borne Dis. 2019;10:924–8. 10.1016/j.ttbdis.2019.04.018. [DOI] [PubMed] [Google Scholar]
- 44.Rehman A, Conraths FJ, Sauter-Louis C, Krücken J, Nijhof AM. Epidemiology of tick-borne pathogens in the semi-arid and the arid agro-ecological zones of Punjab province, Pakistan. Transbound Emerg Dis. 2019;66:526–36. 10.1111/tbed.13059. [DOI] [PubMed] [Google Scholar]
- 45.Kang YJ, Diao XN, Zhao GY, Chen MH, Xiong Y, Shi M, et al. Extensive diversity of rickettsiales bacteria in two species of ticks from China and the evolution of the rickettsiales. BMC Evol Biol. 2014;14:167. 10.1186/s12862-014-0167-2. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 46.Lu M, Tian JH, Yu B, Guo WP, Holmes EC, Zhang YZ. Extensive diversity of rickettsiales bacteria in ticks from Wuhan, China. Ticks Tick Borne Dis. 2017;8:574–80. 10.1016/j.ttbdis.2017.03.006. [DOI] [PubMed] [Google Scholar]
- 47.Remesar S, Castro-Scholten S, Morrondo P, Díaz P, Jiménez-Martín D, Rouco C, et al. Molecular detection of Ehrlichia spp. in ticks parasitizing wild lagomorphs from Spain: characterization of a novel Ehrlichia species. Parasit Vectors. 2022;15:467. 10.1186/s13071-022-05600-4. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 48.Silito IS, Martins MP, Jayme Vieira TSW, Serpa MCA, Pesenato IP, Estrada-Peña A, Labruna MB 2025 Seach for tick-borne agents and detection of a novel Ehrlichia sp. in ticks from wild rabbits in Northern Spain. Exp Appl Acarol. 95 2 15 10.1007/s10493-025-01046-2 [DOI] [PubMed]
- 49.Lu M, Qin XC, Jiang YZ, Guo Q, Jin XJ, Teng ZQ, et al. Emergence of ehrlichiosis by a new tick-borne Ehrlichia species in China. Int J Infect Dis. 2023;131:32–9. 10.1016/j.ijid.2023.03.038. [DOI] [PubMed] [Google Scholar]
- 50.Portillo A, Palomar AM, Santibáñez P, Oteo JA. Epidemiological aspects of Crimean-Congo hemorrhagic fever in Western Europe: what about the future? Microorganisms. 2021;9:649. 10.3390/microorganisms9030649. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 51.Estrada-Peña A, Palomar AM, Santibáñez P, Sánchez N, Habela MA, Portillo A, et al. Crimean-Congo hemorrhagic fever virus in ticks, Southwestern Europe, 2010. Emerg Infect Dis. 2012;18:179–80. 10.3201/eid1801.111040. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 52.Sánchez-Seco MP, Sierra MJ, Estrada-Peña A, Valcárcel F, Molina R, de Arellano ER, et al. Widespread detection of multiple strains of Crimean-Congo hemorrhagic fever virus in ticks, Spain. Emerg Infect Dis. 2021;28:394–402. 10.3201/eid2802.211308. [DOI] [PMC free article] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Supplementary Materials
Data Availability Statement
All the data are available in the main text or in the supplementary material. The obtained sequences were deposited in the GenBank database under the accession numbers shown in the fifth column of Supplementary Table 15.
