In utero transmission of Pneumocystis carinii sp. f. oryctolagi

Abstract

Although vertical transmission of Pneumocystis in human or animal hosts has often been suspected, no evidence demonstrating this infection route has been furnished until now. This widespread parasite is constantly found in the lungs of rabbits, which spontaneously develop a benign pneumocystosis at weaning. However, the infection source, the method of entry of Pneumocystis organisms into the rabbit and when this mammal is infected, remain to be known. As a few parasites have been microscopically observed and detected by PCR in the lungs of rabbits at birth, in utero Pneumocystis infection has been hypothesized. The presence of Pneumocystis was therefore carefully assessed in 16 pregnant does, their embryos and fetuses by using several detection methods. Pneumocystis was detected by PCR in maternal blood, embryos, amniotic fluid and fetuses. The parasite was also revealed histologically and by immunofluorescence in fetal and maternal lungs and in placentas. The results suggest that vertical transmission of P. carinii sp. f. oryctolagi occurs as early as at the 10th day of pregnancy.