RT Journal Article SR Electronic T1 Ancient DNA of Rickettsia felis and Toxoplasma gondii implicated in the death of a hunter-gatherer boy from South Africa, 2,000 years ago JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.07.23.217141 DO 10.1101/2020.07.23.217141 A1 Riaan F. Rifkin A1 Surendra Vikram A1 Jean-Baptiste J. Ramond A1 Don A. Cowan A1 Mattias Jakobsson A1 Carina M. Schlebusch A1 Marlize Lombard YR 2020 UL http://biorxiv.org/content/early/2020/07/23/2020.07.23.217141.abstract AB The Stone Age record of South Africa provides some of the earliest evidence for the biological and cultural origins of Homo sapiens. While there is extensive genomic evidence for the selection of polymorphisms in response to pathogen-pressure in sub-Saharan Africa, there is insufficient evidence for ancient human-pathogen interactions in the region. Here, we analysed shotgun metagenome libraries derived from the sequencing of a Later Stone Age hunter-gatherer child who lived near Ballito Bay, South Africa, c. 2,000 years ago. This resulted in the identification of DNA sequence reads homologous to Rickettsia felis, and the reconstruction of an ancient R. felis genome, the causative agent of typhus-like flea-borne rickettsioses. The concurrent detection of DNA reads derived from Toxoplasma gondii, the causative agent of toxoplasmosis, confirms the pre-Neolithic incidence of these pathogens in southern Africa. We demonstrate that an R. felis and T. gondii co-infection, exacerbated by various additional bacterial and parasitic pathogens, contributed to the ill-health and subsequent demise of the boy from Ballito Bay.Competing Interest StatementThe authors have declared no competing interest.