Rickettsia sennetsu in human blood monocyte cultures: similarities to the growth cycle of Ehrlichia canis.

Microscopic examination of cultured human monocytes infected with Rickettsia sennetsu and stained by the Giemsa method revealed the presence of various organismal growth forms in the cytoplasm of the infected cells. The growth forms were loosely scattered individual organisms, clusters of organisms, various sizes of dense inclusion bodies in intact and vacuolated cytoplasm, and organisms in close proximity to disintegrated monocytes. The appearance and the morphology of these R. sennetsu growth forms were similar to those of Ehrlichia canis propagated in canine monocytes. Specific identification of R. sennetsu was made by staining cultured monocytes with fluorescein-conjugated globulins extracted from the pooled sera of patients recovering from sennetsu rickettsiosis. Mice infected with cultured R. sennetsu developed gross pathological changes indicative of infection, and the organism was demonstrated in their spleens, peritoneal macrophages, and mononuclear blood cells. Human monocyte culture appeared to be more sensitive than the previously used African green monkey kidney cell line (BSC-1) for the isolation of R. sennetsu from samples containing minute infectious quantities of this organism.