Proliferation and excretion of Bartonella quintana in body and head lice following oral challenge

The body and head lice (Pediculus humanus humanus and Pediculus humanus capitis, respectively) are hematophagous ectoparasites of humans and only the body louse between two is known to transmit three bacterial diseases through its feces. The proliferation profiles of Bartonella quintana, the causative agent of trench fever, inside the louse body and its excretion patterns were investigated in the two louse subspecies following oral challenge with B. quintana-infected blood meal. The initial density of B. quintana was sustained inside head lice without any noticeable  proliferation for the entire period after infection. In contrast, B. quintana proliferated rapidly inside body lice and the maximum density reached at 10 days post-infection. The numbers of bacteria detected in feces from infected lice were almost the same and steadily decreased over time in both body and head lice. Nevertheless, the viability of  the bacteria, as determined by fluorescence, was significantly higher in body louse feces, especially at 1 day post-infection and this tendency lasted for 11 days. These findings suggest that excretion of feces containing more viable B. quintana that is proliferated inside body lice following ingestion of infected blood meal is responsible for the higher vector competence of body lice.