Widespread Treponema pallidum Infection in Nonhuman Primates, Tanzania

• Main Authors: Idrissa S. Chuma, Emmanuel K. Batamuzi, D. Anthony Collins, Robert D. Fyumagwa, Luisa K. Hallmaier-Wacker, Rudovick R. Kazwala, Julius D. Keyyu, Inyasi A. Lejora, Iddi F. Lipende, Simone Lüert, Filipa M.D. Paciência, Alexander Piel, Fiona A. Stewart, Dietmar Zinner, Christian Roos, Sascha Knauf
• Format: Article
• Language: English
• Published: Centers for Disease Control and Prevention 2018-06-01
• Series: Emerging Infectious Diseases
• Subjects: spirochetes; nonhuman primates; Africa; yaws; eradication; Treponema
• Online Access: https://wwwnc.cdc.gov/eid/article/24/6/18-0037_article

We investigated Treponema pallidum infection in 8 nonhuman primate species (289 animals) in Tanzania during 2015–2017. We used a serologic treponemal test to detect antibodies against the bacterium. Infection was further confirmed from tissue samples of skin-ulcerated animals by 3 independent PCRs (polA, tp47, and TP_0619). Our findings indicate that T. pallidum infection is geographically widespread in Tanzania and occurs in several species (olive baboons, yellow baboons, vervet monkeys, and blue monkeys). We found the bacterium at 11 of 14 investigated geographic locations. Anogenital ulceration was the most common clinical manifestation; orofacial lesions also were observed. Molecular data show that nonhuman primates in Tanzania are most likely infected with T. pallidum subsp. pertenue–like strains, which could have implications for human yaws eradication.