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Ulsenheimer BC, Tonin AA, von Laer AE, Dos Santos HF, Sangioni LA, Fighera R, Dos Santos MY, Brayer DI, de Avila Botton S. Leptospira borgptersenii and Leptospira interrogans identified in wild mammals in Rio Grande do Sul, Brazil. Braz J Microbiol 2024; 55:1941-1948. [PMID: 38691328 PMCID: PMC11153429 DOI: 10.1007/s42770-024-01348-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2024] [Accepted: 04/15/2024] [Indexed: 05/03/2024] Open
Abstract
Leptospira spp. are bacteria responsible for leptospirosis, a zoonotic disease with considerable impacts on the economy, animal health, and public health. This disease has a global distribution and is particularly prevalent in Brazil. Both rural and urban environments are habitats for Leptospira spp., which are primarily transmitted through contact with the urine of infected animals. Consequently, domestic and wild species can harbor these prokaryotes and serve as infection sources for other hosts. In the context of wild animals, there is a dearth of molecular studies elucidating the roles of various animal and bacterial species in the epidemiology of leptospirosis. Therefore, this study aimed to evaluate the presence of Leptospira spp. DNA in different species of free-living and captive wild animals and to assess the phylogenetic relationships of the identified microorganisms in Rio Grande do Sul, Brazil. The samples were evaluated for the presence of the gene lipL32 by polymerase chain reaction (PCR) and sequencing of the amplified fragment after which phylogenetic analyzes were carried out. DNA from Leptospira spp. was extracted from kidney tissue from wild animals (Mammalia class). Pathogenic Leptospira spp. DNA was detected in 9.6% (11/114) of the samples, originating from nine species of wild animals, including the white-eared opossum (Didelphis albiventris), skunk (Conepatus chinga), geoffroy's cat (Leopardus geoffroyi), margay (Leopardus wiedii), pampas fox (Lycalopex gymnocercus), capybara (Hydrochoerus hydrochaeris), common marmoset (Callithrix jacchus), neotropical river otter (Lontra longicaudis), and european hare (Lepus europaeus). Phylogenetic analysis revealed the presence of Leptospira borgpetersenii and Leptospira interrogans in these animals. This research is the first study contributing to the epidemiology of leptospirosis by identifying L. borgpetersenii and L. interrogans in free-living and captive wild animals in Rio Grande do Sul, Brazil, potentially acting as bacterial reservoirs. Additionally, our findings can inform sanitary measures for controlling and preventing the disease, thereby safeguarding public health.
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Affiliation(s)
- Bruna Carolina Ulsenheimer
- Departamento de Medicina Veterinária Preventiva (DMVP), Programa de Pós-graduação em Medicina Veterinária (PPGMV), Universidade Federal de Santa Maria (UFSM), Centro de Ciências Rurais (CCR), Santa Maria, Rio Grande do Sul, CEP 97105-900, Brasil
- Departamento de Microbiologia e Parasitologia (DMIP), Laboratório de Diagnóstico e Pesquisa em Leptospirose (LabLepto), Universidade Federal de Santa Maria (UFSM), Centro de Ciências da Saúde (CCS), Santa Maria, CEP 97105-900, Brasil
| | - Alexandre Alberto Tonin
- Departamento de Microbiologia e Parasitologia (DMIP), Laboratório de Diagnóstico e Pesquisa em Leptospirose (LabLepto), Universidade Federal de Santa Maria (UFSM), Centro de Ciências da Saúde (CCS), Santa Maria, CEP 97105-900, Brasil
- Instituto Federal de Educação, Ciência e Tecnologia do Amazonas (IFAM), Campus Manaus, Manaus, Amazonas, CEP 69083-000, Brasil
| | - Ana Eucares von Laer
- Departamento de Microbiologia e Parasitologia (DMIP), Laboratório de Diagnóstico e Pesquisa em Leptospirose (LabLepto), Universidade Federal de Santa Maria (UFSM), Centro de Ciências da Saúde (CCS), Santa Maria, CEP 97105-900, Brasil
| | - Helton Fernandes Dos Santos
- Departamento de Medicina Veterinária Preventiva (DMVP), Programa de Pós-graduação em Medicina Veterinária (PPGMV), Universidade Federal de Santa Maria (UFSM), Centro de Ciências Rurais (CCR), Santa Maria, Rio Grande do Sul, CEP 97105-900, Brasil
| | - Luís Antônio Sangioni
- Departamento de Medicina Veterinária Preventiva (DMVP), Programa de Pós-graduação em Medicina Veterinária (PPGMV), Universidade Federal de Santa Maria (UFSM), Centro de Ciências Rurais (CCR), Santa Maria, Rio Grande do Sul, CEP 97105-900, Brasil
| | - Rafael Fighera
- Departamento de Patologia. Laboratório de Patologia Veterinária, Universidade Federal de Santa Maria (UFSM), Centro de Ciências da Saúde (CCS), Santa Maria, Rio Grande do Sul, CEP 97105-900, Brasil
| | - Matheus Yuri Dos Santos
- Departamento de Patologia. Laboratório de Patologia Veterinária, Universidade Federal de Santa Maria (UFSM), Centro de Ciências da Saúde (CCS), Santa Maria, Rio Grande do Sul, CEP 97105-900, Brasil
| | - Daniela Isabel Brayer
- Instituto de Biologia (IB), Departamento de Microbiologia e Parasitologia (DMIP), Universidade Federal de Pelotas (UFPel), Capão do Leão, Rio Grande do Sul, CEP 96010-900, Brasil
| | - Sônia de Avila Botton
- Departamento de Medicina Veterinária Preventiva (DMVP), Programa de Pós-graduação em Medicina Veterinária (PPGMV), Universidade Federal de Santa Maria (UFSM), Centro de Ciências Rurais (CCR), Santa Maria, Rio Grande do Sul, CEP 97105-900, Brasil.
- Departamento de Microbiologia e Parasitologia (DMIP), Laboratório de Diagnóstico e Pesquisa em Leptospirose (LabLepto), Universidade Federal de Santa Maria (UFSM), Centro de Ciências da Saúde (CCS), Santa Maria, CEP 97105-900, Brasil.
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Vyn CM, Libera KC, Jardine CM, Grant LE. Canine leptospirosis: A One Health approach for improved surveillance, prevention, and interdisciplinary collaboration. THE CANADIAN VETERINARY JOURNAL = LA REVUE VETERINAIRE CANADIENNE 2024; 65:609-612. [PMID: 38827602 PMCID: PMC11132167] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2024]
Affiliation(s)
- Carys M Vyn
- Department of Population Medicine (Vyn, Grant) and Department of Pathobiology (Libera, Jardine), Ontario Veterinary College, University of Guelph, 50 Stone Road East, Guelph, Ontario N1G 2W1
| | - Kellie C Libera
- Department of Population Medicine (Vyn, Grant) and Department of Pathobiology (Libera, Jardine), Ontario Veterinary College, University of Guelph, 50 Stone Road East, Guelph, Ontario N1G 2W1
| | - Claire M Jardine
- Department of Population Medicine (Vyn, Grant) and Department of Pathobiology (Libera, Jardine), Ontario Veterinary College, University of Guelph, 50 Stone Road East, Guelph, Ontario N1G 2W1
| | - Lauren E Grant
- Department of Population Medicine (Vyn, Grant) and Department of Pathobiology (Libera, Jardine), Ontario Veterinary College, University of Guelph, 50 Stone Road East, Guelph, Ontario N1G 2W1
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de Oliveira NR, Maia MAC, Santos FDS, Seixas Neto ACP, Oliveira Bohn TL, Dellagostin OA. Evaluation of protective efficacy, serological responses, and cytokine modulation induced by polyvalent Leptospira vaccines in hamsters. Comp Immunol Microbiol Infect Dis 2024; 108:102159. [PMID: 38490118 DOI: 10.1016/j.cimid.2024.102159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2023] [Revised: 03/10/2024] [Accepted: 03/10/2024] [Indexed: 03/17/2024]
Abstract
Whole-cell inactivated vaccines (bacterins) are the only licensed vaccines available for leptospirosis prevention and control, especially in domestic and farm animals. However, despite their widespread use, inconsistencies in their efficacy have been reported. Because immunity induced by bacterins is mainly mediated by antibodies against leptospiral lipopolysaccharides, the involvement of cellular responses is not well-known. The aim of this study was to investigate the efficacy and characterize the humoral and cellular immune responses induced by whole-cell inactivated leptospirosis bacterin formulations containing serovars Bratislava, Canicola, Copenhageni, Grippotyphosa, Hardjoprajitno, and Pomona. For the potency test, hamsters were immunized with one dose of polyvalent bacterins (either commercial or experimental) and then challenged with a virulent Pomona strain. Serological (MAT and IgM and IgG-ELISA) and cellular (cytokine transcription in blood evaluated by RT-qPCR) analyses were performed. The results revealed that vaccination with either bacterin formulation was able to protect 90-100% of the hamsters infected with the Pomona serovar, although most of the surviving animals remained as renal carriers. Specific agglutinating antibodies and significant levels of IgM, IgG, and IgG2 (P < 0.05) that were able to react with the six serovars present in the vaccine formulations were produced, indicating that the vaccines can potentially provide immunity against all strains. The protective immunity of these vaccines was mainly mediated by balanced a Th1/Th2 response, characterized by increased IFN-γ, IL-10 and IL-α transcription. These data support the importance of characterizing immunological responses involved in bacterin efficacy and investing in the improvement of these vaccine formulations.
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Affiliation(s)
- Natasha Rodrigues de Oliveira
- Centro de Desenvolvimento Tecnológico, Núcleo de Biotecnologia, Universidade Federal de Pelotas, Pelotas, RS, Brazil.
| | - Mara Andrade Colares Maia
- Centro de Desenvolvimento Tecnológico, Núcleo de Biotecnologia, Universidade Federal de Pelotas, Pelotas, RS, Brazil
| | - Francisco Denis Souza Santos
- Centro de Desenvolvimento Tecnológico, Núcleo de Biotecnologia, Universidade Federal de Pelotas, Pelotas, RS, Brazil
| | | | - Thaís Larré Oliveira Bohn
- Centro de Desenvolvimento Tecnológico, Núcleo de Biotecnologia, Universidade Federal de Pelotas, Pelotas, RS, Brazil
| | - Odir Antônio Dellagostin
- Centro de Desenvolvimento Tecnológico, Núcleo de Biotecnologia, Universidade Federal de Pelotas, Pelotas, RS, Brazil
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Guzmán DA, Diaz E, Sáenz C, Álvarez H, Cueva R, Zapata-Ríos G, Prado-Vivar B, Falconí M, Pearson T, Barragan V. Domestic dogs in indigenous Amazonian communities: Key players in Leptospira cycling and transmission? PLoS Negl Trop Dis 2024; 18:e0011671. [PMID: 38568912 PMCID: PMC10990217 DOI: 10.1371/journal.pntd.0011671] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2023] [Accepted: 03/01/2024] [Indexed: 04/05/2024] Open
Abstract
BACKGROUND Leptospirosis is the world's most common zoonotic disease. Mitigation and control rely on pathogen identification and understanding the roles of potential reservoirs in cycling and transmission. Underreporting and misdiagnosis obscure the magnitude of the problem and confound efforts to understand key epidemiological components. Difficulties in culturing hamper the use of serological diagnostics and delay the development of DNA detection methods. As a result, especially in complex ecosystems, we know very little about the importance of different mammalian host species in cycling and transmission to humans. METHODOLOGY/PRINCIPAL FINDINGS We sampled dogs from five indigenous Kichwa communities living in the Yasuní National Park in the Ecuadorian Amazon basin. Blood and urine samples from domestic dogs were collected to assess the exposure of these animals to Leptospira and to identify the circulating species. Microscopic Agglutination Tests with a panel of 22 different serovars showed anti-leptospira antibodies in 36 sampled dogs (75%), and 7 serogroups were detected. Two DNA-based detection assays revealed pathogenic Leptospira DNA in 18 of 19 dog urine samples (94.7%). Amplicon sequencing and phylogenetic analysis of 16S rRNA and SecY genes from 15 urine samples revealed genetic diversity within two of three different Leptospira species: noguchii (n = 7), santarosai (n = 7), and interrogans (n = 1). CONCLUSIONS/SIGNIFICANCE The high prevalence of antibodies and Leptospira DNA provides strong evidence for high rates of past and current infections. Such high prevalence has not been previously reported for dogs. These dogs live in the peridomestic environment in close contact with humans, yet they are free-ranging animals that interact with wildlife. This complex web of interactions may explain the diverse types of pathogenic Leptospira observed in this study. Our results suggest that domestic dogs are likely to play an important role in the cycling and transmission of Leptospira. Future studies in areas with complex ecoepidemiology will enable better parsing of the significance of genotypic, environmental, and host characteristics.
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Affiliation(s)
- Diego A. Guzmán
- Instituto de Microbiología, Colegio de Ciencias Biológicas y Ambientales, Universidad San Francisco de Quito, Quito, Ecuador
| | - Eduardo Diaz
- Escuela de Medicina Veterinaria, Colegio de Ciencias de la Salud, Universidad San Francisco de Quito USFQ, Quito, Ecuador
| | - Carolina Sáenz
- Hospital de Fauna Silvestre TUERI, Instituto de Biodiversidad Tropical IBIOTROP, Universidad San Francisco de Quito USFQ, Quito, Ecuador
| | - Hernán Álvarez
- Wildlife Conservation Society–Ecuador Program, Quito, Ecuador
| | - Rubén Cueva
- Wildlife Conservation Society–Ecuador Program, Quito, Ecuador
| | | | - Belén Prado-Vivar
- Instituto de Microbiología, Colegio de Ciencias Biológicas y Ambientales, Universidad San Francisco de Quito, Quito, Ecuador
| | - Mercy Falconí
- Agencia de Regulación y Control Fito y Zoosanitario-Agrocalidad, Quito, Ecuador
| | - Talima Pearson
- Pathogen and Microbiome Institute, Northern Arizona University, Flagstaff, Arizona, United States of America
| | - Veronica Barragan
- Instituto de Microbiología, Colegio de Ciencias Biológicas y Ambientales, Universidad San Francisco de Quito, Quito, Ecuador
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Guzmán DA, Diaz E, Sáenz C, Álvarez H, Cueva R, Zapata-Ríos G, Prado-Vivar B, Falconí M, Pearson T, Barragán V. Domestic dogs in indigenous Amazonian communities: key players in Leptospira cycling and transmission? BIORXIV : THE PREPRINT SERVER FOR BIOLOGY 2023:2023.09.19.558554. [PMID: 37786682 PMCID: PMC10541607 DOI: 10.1101/2023.09.19.558554] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/04/2023]
Abstract
Background Leptospirosis is the world's most common zoonotic disease. Mitigation and control rely on pathogen identification and understanding the roles of potential reservoirs in cycling and transmission. Underreporting and misdiagnosis obscure the magnitude of the problem and confound efforts to understand key epidemiological components. Difficulties in culturing hamper the use of serological diagnostics and delay the development of DNA detection methods. As a result, especially in complex ecosystems, we know very little about the importance of different mammalian host species in cycling and transmission to humans. Methodology/Principal Findings We sampled five indigenous Kichwa communities living in the Yasuní National Park in the Ecuadorian Amazon basin. Blood and urine samples from domestic dogs were collected to assess the exposure of these animals to Leptospira, and to identify the circulating species. Microscopic Agglutination Tests with a panel of 22 different serovars showed anti-leptospira antibodies in 36 sampled dogs (75%), and 10 serotypes were detected. Two DNA-based detection assays revealed pathogenic Leptospira DNA in 18 of 19 dog urine samples (94.7%). Amplicon sequencing and phylogenetic analysis of 16s rDNA and SecY genes from 15 urine samples revealed genetic diversity within two of three different Leptospira species: noguchii (n=7), santarosai (n=7), and interrogans (n=1). Conclusions/Significance The high prevalence of antibodies and Leptospira DNA provides strong evidence for high rates of past and current infections. Such high prevalence has not been previously reported for dogs. These dogs live in the peridomestic environment in close contact with humans, yet they are free-ranging animals that interact with wildlife. This complex web of interactions may explain the diverse types of pathogenic Leptospira observed in this study. Our results suggest that domestic dogs are likely to play an important role in the cycling and transmission of Leptospira. Future studies in areas with complex ecoepidemiology will enable better parsing of the significance of genotypic, environmental, and host characteristics.
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Affiliation(s)
- Diego A. Guzmán
- Instituto de Microbiología, Colegio de Ciencias Biológicas y Ambientales, Universidad San Francisco de Quito, Quito, Ecuador
| | - Eduardo Diaz
- Escuela de Medicina Veterinaria, Colegio de Ciencias de la Salud, Universidad San Francisco de Quito USFQ, Quito, Ecuador
| | - Carolina Sáenz
- Hospital de Fauna Silvestre TUERI, Instituto de Biodiversidad Tropical IBIOTROP, Universidad San Francisco de Quito USFQ, Quito, Ecuador
| | - Hernán Álvarez
- Wildlife Conservation Society – Ecuador Program, Quito, Ecuador
| | - Rubén Cueva
- Wildlife Conservation Society – Ecuador Program, Quito, Ecuador
| | | | - Belén Prado-Vivar
- Instituto de Microbiología, Colegio de Ciencias Biológicas y Ambientales, Universidad San Francisco de Quito, Quito, Ecuador
| | - Mercy Falconí
- Agencia de Regulación y Control Fito y Zoosanitario – Agrocalidad, Quito, Ecuador
| | - Talima Pearson
- Pathogen and Microbiome Institute, Northern Arizona University, Flagstaff, Arizona, United States of America
| | - Verónica Barragán
- Instituto de Microbiología, Colegio de Ciencias Biológicas y Ambientales, Universidad San Francisco de Quito, Quito, Ecuador
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Sohn-Hausner N, Kmetiuk LB, Biondo AW. One Health Approach to Leptospirosis: Human-Dog Seroprevalence Associated to Socioeconomic and Environmental Risk Factors in Brazil over a 20-Year Period (2001-2020). Trop Med Infect Dis 2023; 8:356. [PMID: 37505652 PMCID: PMC10383893 DOI: 10.3390/tropicalmed8070356] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2023] [Revised: 06/22/2023] [Accepted: 06/26/2023] [Indexed: 07/29/2023] Open
Abstract
Despite being considered a neglected, re-emerging and the most widespread zoonotic disease worldwide, human-dog leptospirosis has not been subjected to One Health approach, and neither were its socioeconomic and environmental risk factors, as well as concomitant spatial analysis over time. Accordingly, notified human leptospirosis cases, incidence rate and urban hotspot areas, in addition to a systematic review of dog leptospirosis cases, were performed nationwide from 2001 to 2020 in Brazil. Data on Gross Domestic Product (GDP), flooding and study areas were also assessed and tabulated. Human-dog leptospirosis cases were simultaneously mapped with overlapping flooding areas, along with the main circulant serovars. Comparative outcome has shown that dogs may be exposed similarly to humans, becoming important sentinels and/or reservoirs for human leptospirosis in larger geographic areas. Moreover, the study herein can help in the decision and implementation of public policies in Brazil and may serve as a model for other tropical countries worldwide.
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Affiliation(s)
- Natacha Sohn-Hausner
- Department of Cell and Molecular Biology, Federal University of Paraná, Curitiba 80035-050, PR, Brazil
| | - Louise Bach Kmetiuk
- Department of Cell and Molecular Biology, Federal University of Paraná, Curitiba 80035-050, PR, Brazil
| | - Alexander Welker Biondo
- Department of Cell and Molecular Biology, Federal University of Paraná, Curitiba 80035-050, PR, Brazil
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Esteves SB, Santos CM, Silva BCS, Salgado FF, Guilloux AGA, Cortez A, Lucco RC, Miotto BA. Time for change? A systematic review with meta-analysis of leptospires infecting dogs to assess vaccine compatibility in Brazil. Prev Vet Med 2023; 213:105869. [PMID: 36773375 DOI: 10.1016/j.prevetmed.2023.105869] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2022] [Revised: 01/27/2023] [Accepted: 02/01/2023] [Indexed: 02/05/2023]
Abstract
Dogs are thought to be highly exposed to environmental pathogenic leptospires, possibly acting as potential sources of infection for zoonotic transmission. Vaccination stands as the cornerstone strategy to prevent disease and urinary shedding in dogs, yet the success of vaccination is highly dependent on the correspondence of leptospires circulating locally with those used in vaccine compositions. To provide evidence for vaccine compatibility, and to assess whether there are regional differences on serogroup distribution, we conducted a systematic review with meta-analysis on serological data, characterization of leptospiral isolates and risk factors for seropositivity in dogs from Brazil. Studies reporting canine leptospirosis within the Brazilian territory were eligible for inclusion, and methodology was validated by PROSPERO under registration CRD42020204187. Six electronic databases were searched, and data regarding population, methods, and outcomes were extracted. Sixty-one studies were included to access serogroup distribution and risk factors, with a pooled positivity rate of 19.7% in dog population. Serological evidence indicates that Canicola, Icterohaemorrhagiae and Autumnalis are the most frequently found serogroups. Twenty-eight records were included to access leptospiral strains isolated in Brazil, with n = 56 strains characterized as serogroups Canicola, n = 37 as Icterohaemorrhagiae, n = 2 as Pomona, and n = 1 strain as Australis and Sejroe each. Risk factor analysis revealed that stray dogs, puppies or elderly dogs, male dogs and dogs kept by tutors with poor social and economic conditions are at high risk for infection. The present study revealed overall good compatibility of leptospiral strains circulating locally with those used in vaccines against canine leptospirosis in Brazil. The circulation of serovars Pomona and Grippotyphosa has not been consistently demonstrated, and the inclusion of these serovars in local vaccines cannot be supported by our results. The results also provided serological evidence for the circulation of Serogroup Autumnalis among the studied populations.
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Affiliation(s)
- Stephanie Bergmann Esteves
- Departamento de Medicina Veterinária Preventiva e Saúde Animal da Faculdade de Medicina Veterinária e Zootecnia, Universidade de São Paulo, São Paulo, Brazil.
| | - Cassia Moreira Santos
- Departamento de Medicina Veterinária Preventiva e Saúde Animal da Faculdade de Medicina Veterinária e Zootecnia, Universidade de São Paulo, São Paulo, Brazil
| | - Bianca Caroline Souza Silva
- Curso de Medicina Veterinária, Programa de Pós-graduação em Saúde Única, Universidade Santo Amaro, Sao Paulo, São Paulo, Brazil
| | - Fabiana Ferreira Salgado
- Curso de Medicina Veterinária, Programa de Pós-graduação em Saúde Única, Universidade Santo Amaro, Sao Paulo, São Paulo, Brazil
| | | | - Adriana Cortez
- Curso de Medicina Veterinária, Programa de Pós-graduação em Saúde Única, Universidade Santo Amaro, Sao Paulo, São Paulo, Brazil
| | - Rejane Cristina Lucco
- Curso de Medicina Veterinária, Programa de Pós-graduação em Saúde Única, Universidade Santo Amaro, Sao Paulo, São Paulo, Brazil
| | - Bruno Alonso Miotto
- Curso de Medicina Veterinária, Programa de Pós-graduação em Saúde Única, Universidade Santo Amaro, Sao Paulo, São Paulo, Brazil
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Azócar-Aedo L. Basic Aspects and Epidemiological Studies on Leptospirosis Carried Out in Animals in Chile: A Bibliographic Review. Trop Med Infect Dis 2023; 8:tropicalmed8020097. [PMID: 36828513 PMCID: PMC9964289 DOI: 10.3390/tropicalmed8020097] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2023] [Accepted: 01/30/2023] [Indexed: 02/04/2023] Open
Abstract
Leptospirosis is an important zoonosis worldwide. This disease affects numerous animal species, some of them are classified as "maintenance hosts", and others are categorized as "incidental hosts". Humans are at risk of becoming infected by having contact with domestic and wild animals. In this paper, general aspects of the etiology and transmission of leptospirosis are addressed, data regarding the clinical presentation of the pathology in humans and animals are also presented, and the results of some epidemiological studies on leptospirosis carried out in Chile in different animal species and humans are summarized through a bibliographic review of the literature. The research on domestic canines and horses stands out in terms of their number in the country, with prevalences between 12.0% and 59.1% in dogs and from 23.3% to 65.4% in equids. Studies have been performed on domestic felines in recent years with frequencies ranging from 3.0% to 25.2%, as well as on wild animals (mainly in mammals). In pigs, cattle, sheep, and goats, the information is scarce, with little updated research dating back several decades and variable prevalence rates, which are generally high, except for in sheep. Leptospirosis is a disease of varied etiology in terms of infecting species, serovars and serogroups, which influences its epidemiology, and its prevalence is variable in different animals. An increase in the awareness given to this pathology in human and veterinary public health is required, as well as more scientific studies in Chile, to update the existing knowledge.
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Affiliation(s)
- Lucía Azócar-Aedo
- Facultad de Ciencias de la Naturaleza, Escuela de Medicina Veterinaria, Universidad San Sebastián, Sede De La Patagonia, Puerto Montt 5480000, Chile
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Belsare AV, Gompper ME, Mason M, Munoz-Zanzi C. Investigating Leptospira dynamics in a multi-host community using an agent-based modelling approach. Transbound Emerg Dis 2022; 69:3780-3789. [PMID: 36315387 DOI: 10.1111/tbed.14750] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2022] [Revised: 10/24/2022] [Accepted: 10/26/2022] [Indexed: 11/05/2022]
Abstract
Leptospirosis, a neglected bacterial zoonosis, is a global public health issue disproportionately affecting impoverished communities such as urban slums in the developing world. A variety of animal species, including peridomestic rodents and dogs, can be infected with different strains of leptospirosis. Humans contract leptospirosis via exposure to water or soil contaminated with the urine of infected animals. Due to the unavailability of safe and effective vaccines, preventive strategies mainly focus on minimizing human exposure to contaminated environment. In marginalized communities, this approach is ineffective due to infrastructure deficiencies and the difficulties in implementing sanitation and hygiene practices. Moreover, continuing the expansion of urban slums worldwide will likely contribute to the increase in outbreaks of leptospirosis. Effective prevention of leptospirosis outbreaks will therefore require a thorough understanding of Leptospira transmission dynamics in impoverished, high-density settings. We developed the agent-based model MHMSLeptoDy to investigate Leptospira dynamics in a realistic, in silico high-density community of rodents, dogs and human hosts, and two host-adapted Leptospira strains. Virtual explorations using MHMSLeptoDy were undertaken to evaluate alternate interventions and to assess the zoonotic transmission risk of leptospirosis. A key finding from model explorations is that rodents are the main contributors of rodent-adapted as well as dog-adapted strains in the environment, whereas dogs play an important role in distributing the rodent-adapted strain. Alternate leptospirosis control strategies can be evaluated using the open-source, customizable agent-based model, MHMSLeptoDy. This modelling approach provides a sophisticated mechanism to quantitatively evaluate nuanced intervention strategies and inform the design of rational, locally relevant leptospirosis control programmes.
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Affiliation(s)
| | - Matthew E Gompper
- Department of Fish, Wildlife and Conservation Ecology, New Mexico State University, Las Cruces, New Mexico, USA
| | - Meghan Mason
- Department of Public Health, St. Catherine University, St. Paul, Minnesota, USA
| | - Claudia Munoz-Zanzi
- Division of Environmental Health Sciences, School of Public Health, University of Minnesota, Minneapolis, Minnesota, USA
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de Oliveira NR, Kremer FS, de Brito RSA, Zamboni R, Dellagostin OA, Jorge S. Pathogenesis and Genomic Analysis of a Virulent Leptospira Interrogans Serovar Copenhageni Isolated from a Dog with Lethal Infection. Trop Med Infect Dis 2022; 7:tropicalmed7110333. [PMID: 36355875 PMCID: PMC9698576 DOI: 10.3390/tropicalmed7110333] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2022] [Revised: 10/17/2022] [Accepted: 10/21/2022] [Indexed: 11/30/2022] Open
Abstract
Dogs are highly susceptible to leptospirosis and are a public health concern due to their important role as a source of spreading disease, particularly in urban settings. In this study, we present the pathogenesis, serological characterization, and complete genome sequencing of a virulent Brazilian strain (NEG7) of L. interrogans serovar Copenhageni isolated from the urine of a dog that died due to acute leptospirosis. Clinical investigation showed that the dog was presented with icteric mucous membranes, weakness, dehydration, anorexia, and kidney and liver failures. Necropsy followed by histopathological evaluation revealed lesions compatible with liver and kidney leptospirosis. The leptospires recovered from the urine were further characterized by genome analysis, which confirmed that the isolate belonged to L. interrogans serogroup icterohaemorrhagiae serovar Copenhageni. Multiple bioinformatics tools were used to characterize the genomic features, and comparisons with other available Copenhageni strains were performed. Characterization based on absence of an INDEL in the gene lic12008, associated with phylogenetic and ANI (99.99% identity) analyses, confirmed the genetic relatedness of the isolate with L. interrogans serovar Copenhageni. A better understanding of the diversity of the pathogenic Leptospira isolates could help in identifying genotypes responsible for severe infections. Moreover, it can be used to develop control and prevention strategies for Leptospira serovars associated with particular animal reservoirs.
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Affiliation(s)
- Natasha Rodrigues de Oliveira
- Centro de Desenvolvimento Tecnológico, Núcleo de Biotecnologia, Universidade Federal de Pelotas, Pelotas 96160-000, RS, Brazil
| | - Frederico Schmitt Kremer
- Centro de Desenvolvimento Tecnológico, Núcleo de Biotecnologia, Universidade Federal de Pelotas, Pelotas 96160-000, RS, Brazil
| | | | - Rosimeri Zamboni
- Faculdade de Veterinária, Universidade Federal de Pelotas, Pelotas 96160-000, RS, Brazil
| | - Odir Antônio Dellagostin
- Centro de Desenvolvimento Tecnológico, Núcleo de Biotecnologia, Universidade Federal de Pelotas, Pelotas 96160-000, RS, Brazil
- Correspondence:
| | - Sérgio Jorge
- Faculdade de Veterinária, Universidade Federal de Pelotas, Pelotas 96160-000, RS, Brazil
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11
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Ellis J, Marziani E, Aziz C, Brown CM, Cohn LA, Lea C, Moore GE, Taneja N. 2022 AAHA Canine Vaccination Guidelines. J Am Anim Hosp Assoc 2022; 58:213-230. [PMID: 36049241 DOI: 10.5326/jaaha-ms-canine-vaccination-guidelines] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
These guidelines are an update and extension of previous AAHA peer-reviewed canine vaccination guidelines published in 2017. Vaccination is a cornerstone of canine preventive healthcare and one of the most cost-effective ways of maintaining a dog's health, longevity, and quality of life. Canine vaccination also serves a public health function by forming a barrier against several zoonotic diseases affecting dogs and humans. Canine vaccines are broadly categorized as containing core and noncore immunizing antigens, with administration recommendations based on assessment of individual patient risk factors. The guidelines include a comprehensive table listing canine core and noncore vaccines and a recommended vaccination and revaccination schedule for each vaccine. The guidelines explain the relevance of different vaccine formulations, including those containing modified-live virus, inactivated, and recombinant immunizing agents. Factors that potentially affect vaccine efficacy are addressed, including the patient's prevaccination immune status and vaccine duration of immunity. Because animal shelters are one of the most challenging environments for prevention and control of infectious diseases, the guidelines also provide recommendations for vaccination of dogs presented at or housed in animal shelters, including the appropriate response to an infectious disease outbreak in the shelter setting. The guidelines explain how practitioners can interpret a patient's serological status, including maternally derived antibody titers, as indicators of immune status and suitability for vaccination. Other topics covered include factors associated with postvaccination adverse events, vaccine storage and handling to preserve product efficacy, interpreting product labeling to ensure proper vaccine use, and using client education and healthcare team training to raise awareness of the importance of vaccinations.
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Affiliation(s)
- John Ellis
- University of Saskatchewan, Department of Veterinary Microbiology, Saskatoon, Saskatchewan (J.E.)
| | | | - Chumkee Aziz
- Association of Shelter Veterinarians, Houston, Texas (C.A.)
| | - Catherine M Brown
- Massachusetts Department of Public Health, Boston, Massachusetts (C.M.B.)
| | - Leah A Cohn
- University of Missouri, Columbia, Missouri (L.A.C.)
| | | | - George E Moore
- Purdue University, College of Veterinary Medicine, West Lafayette, Indiana (G.E.M.)
| | - Neha Taneja
- A Paw Partnership, Veterinary Well-being Advocate, Centreville, Virginia (N.T.)
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12
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Richard E, Geslin J, Wurtzer S, Moulin L. Monitoring of Leptospira species diversity in freshwater bathing area and in rats in Paris, France. THE SCIENCE OF THE TOTAL ENVIRONMENT 2022; 833:155121. [PMID: 35398418 DOI: 10.1016/j.scitotenv.2022.155121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/12/2022] [Revised: 04/04/2022] [Accepted: 04/04/2022] [Indexed: 06/14/2023]
Abstract
Leptospirosis is a neglected zoonotic disease with a worldwide distribution caused by bacterial pathogenic Leptospira. Rodents are considered as the main reservoir of Leptospira and transmission usually occurs through exposure to urine-contaminated environment. However, interactions between environment, rodent reservoir and human leptospirosis remain poorly studied. Here, we evaluated the concentration of Leptospira in surface water and captured rats in the city of Paris (France) from 2018 to 2020 using an integrity qPCR (Quantitative Polymerase Chain Reaction). All environmental samples (n = 1031) were positive for saprophytic Leptospira but pathogenic Leptospira P1 group were only found in 40% (n = 363; 2018) to 0% (n = 264; 2020) of samples. In the same time, analysis of 200 brown rat corpses trapped in the city, showed about 15% of positivity for Leptospira but the different method used for rats conservation (based on presence or absence of conservative agent) showed important variations in the Leptospira prevalence. Metagenomic analysis, based on rrs gene sequencing, was also carried out to evaluate the distribution of Leptospira in samples. Results could indicate that some species of Leptospira are found in surface waters as well as rats, but further study is needed to accurately describe the nature of the link between these two reservoirs. Quantification of Leptospira and pathogenic species description circulating inside animal reservoir living in the vicinity of freshwater in urban areas, will be helpful to understand the eco-epidemiology of leptospirosis and to establish prevention and intervention strategies, especially in the context of organization of recreative activity events in these urban areas.
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Affiliation(s)
- Elise Richard
- Eau de Paris, DRDQE, 33 Avenue Jean Jaurès, 94200 Ivry-Sur-Seine, France; Institut Pasteur, Unité Biologie des Spirochètes, 28 rue du docteur Roux, 75724 Paris, France
| | - Jacques Geslin
- Eau de Paris, DRDQE, 33 Avenue Jean Jaurès, 94200 Ivry-Sur-Seine, France
| | - Sébastien Wurtzer
- Eau de Paris, DRDQE, 33 Avenue Jean Jaurès, 94200 Ivry-Sur-Seine, France
| | - Laurent Moulin
- Eau de Paris, DRDQE, 33 Avenue Jean Jaurès, 94200 Ivry-Sur-Seine, France.
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Soupé-Gilbert ME, Oedin M, Kainiu M, Girault D, Figuet O, Brescia F, Goarant C. Original Leptospira spp. in island native terrestrial mammals: a case study in Pteropus spp. bats of New Caledonia. Transbound Emerg Dis 2022; 69:e2852-e2862. [PMID: 35730517 DOI: 10.1111/tbed.14635] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2022] [Revised: 05/18/2022] [Accepted: 06/17/2022] [Indexed: 11/26/2022]
Abstract
Leptospirosis is a bacterial zoonosis that occurs in tropical and subtropical regions worldwide. Chiroptera are known to be a formidable reservoir of zoonotic pathogens, including leptospires. The epidemiology of leptospirosis in bats in the Pacific Islands is poorly known, both in terms of prevalence and in terms of the bacterial strains involved. A strong host specificity between leptospiral strains and their mammalian reservoir is recognized. This phenomenon has notably been studied recently in bat communities, providing strong evidence of coevolution. In New Caledonia, a biodiversity hotspot where leptospirosis is endemic and enzootic, Chiroptera are the only indigenous terrestrial mammals. In this study, we aimed to investigate leptospires associated with three flying fox species in New Caledonia. Kidneys and urine samples of Pteropus spp. from captures and seizures were analyzed. Among 254 flying foxes analyzed, 24 harboured pathogenic leptospires corresponding to an observed prevalence of 9.45% with 15.8% on the Main Island and 4.3% on Loyalty Islands. The analysis of the rrs gene, lfb1, MLST sequences evidenced 4 distinct clusters of undescribed strains, likely corresponding to undescribed species. All four strains belong to the Group I of pathogenic Leptospira spp., which includes Leptospira interrogans, Leptospira noguchii and Leptospira kirschneri. We detected pathogenic leptospires in all 3 Pteropus spp. studied (including 2 endemic species) with no evidence of host specificity in two co-roosting species. For a better understanding of Leptospira-host coevolution, notably to genetically characterize and evaluate the virulence of these original bat-associated leptospires, it is essential to improve isolation techniques. Flying foxes are traditionally hunted and eaten in New Caledonia, a massive cause of bat-human interactions. Our results should encourage vigilance during these contacts to limit the spillover risk of these pathogens to humans. This article is protected by copyright. All rights reserved.
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Affiliation(s)
| | - Malik Oedin
- Institut Agronomique Néo-Calédonien (IAC), Equipe ARBOREAL (AgricultuRe BiOdiveRsité Et vALorisation) BP
| | - Malia Kainiu
- Institut Pasteur in New Caledonia, Leptospirosis Research and Expertise Unit
| | - Dominique Girault
- Institut Pasteur in New Caledonia, Leptospirosis Research and Expertise Unit
| | - Orane Figuet
- Institut Pasteur in New Caledonia, Leptospirosis Research and Expertise Unit
| | - Fabrice Brescia
- Institut Agronomique Néo-Calédonien (IAC), Equipe ARBOREAL (AgricultuRe BiOdiveRsité Et vALorisation) BP
| | - Cyrille Goarant
- Institut Pasteur in New Caledonia, Leptospirosis Research and Expertise Unit
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Reagan KL, Deng S, Sheng J, Sebastian J, Wang Z, Huebner SN, Wenke LA, Michalak SR, Strohmer T, Sykes JE. Use of machine-learning algorithms to aid in the early detection of leptospirosis in dogs. J Vet Diagn Invest 2022; 34:612-621. [PMID: 35603565 PMCID: PMC9266510 DOI: 10.1177/10406387221096781] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Leptospirosis is a life-threatening, zoonotic disease with various clinical presentations, including renal injury, hepatic injury, pancreatitis, and pulmonary hemorrhage. With prompt recognition of the disease and treatment, 90% of infected dogs have a positive outcome. Therefore, rapid, early diagnosis of leptospirosis is crucial. Testing for Leptospira-specific serum antibodies using the microscopic agglutination test (MAT) lacks sensitivity early in the disease process, and diagnosis can take >2 wk because of the need to demonstrate a rise in titer. We applied machine-learning algorithms to clinical variables from the first day of hospitalization to create machine-learning prediction models (MLMs). The models incorporated patient signalment, clinicopathologic data (CBC, serum chemistry profile, and urinalysis = blood work [BW] model), with or without a MAT titer obtained at patient intake (=BW + MAT model). The models were trained with data from 91 dogs with confirmed leptospirosis and 322 dogs without leptospirosis. Once trained, the models were tested with a cohort of dogs not included in the model training (9 leptospirosis-positive and 44 leptospirosis-negative dogs), and performance was assessed. Both models predicted leptospirosis in the test set with 100% sensitivity (95% CI: 70.1–100%). Specificity was 90.9% (95% CI: 78.8–96.4%) and 93.2% (95% CI: 81.8–97.7%) for the BW and BW + MAT models, respectively. Our MLMs outperformed traditional acute serologic screening and can provide accurate early screening for the probable diagnosis of leptospirosis in dogs.
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Affiliation(s)
- Krystle L. Reagan
- Department of Medicine and Epidemiology, University of California–Davis, Davis, CA, USA
| | - Shaofeng Deng
- School of Veterinary Medicine, and Department of Mathematics, University of California–Davis, Davis, CA, USA
| | - Junda Sheng
- School of Veterinary Medicine, and Department of Mathematics, University of California–Davis, Davis, CA, USA
| | - Jamie Sebastian
- William R. Pritchard Veterinary Medical Teaching Hospital, University of California–Davis, Davis, CA, USA
| | - Zhe Wang
- William R. Pritchard Veterinary Medical Teaching Hospital, University of California–Davis, Davis, CA, USA
| | - Sara N. Huebner
- William R. Pritchard Veterinary Medical Teaching Hospital, University of California–Davis, Davis, CA, USA
| | - Louise A. Wenke
- William R. Pritchard Veterinary Medical Teaching Hospital, University of California–Davis, Davis, CA, USA
| | - Sarah R. Michalak
- William R. Pritchard Veterinary Medical Teaching Hospital, University of California–Davis, Davis, CA, USA
| | - Thomas Strohmer
- School of Veterinary Medicine, and Department of Mathematics, University of California–Davis, Davis, CA, USA
| | - Jane E. Sykes
- Department of Medicine and Epidemiology, University of California–Davis, Davis, CA, USA
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15
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Pilau NN, Lubar AA, Daneji AI, Mera UM, Magaji AA, Abiayi EA, Chaiboonma KL, Busayo EI, Vinetz JM, Matthias MA. Serological and molecular epidemiology of leptospirosis and the role of dogs as sentinel for human infection in Nigeria. Heliyon 2022; 8:e09484. [PMID: 35647333 PMCID: PMC9136256 DOI: 10.1016/j.heliyon.2022.e09484] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2021] [Revised: 12/01/2021] [Accepted: 05/13/2022] [Indexed: 11/28/2022] Open
Abstract
Objective Prospective cross-sectional study of dogs in Nigeria to study leptospirosis, inferred to be endemic in all regions of the country by researchers. Aim is to generate empirical updated evidence of leptospiral infection and delineate serovars involved. Methods Study determined the sero-prevalence and infection rate in 342 dogs using sero-assays, culture isolation and novel qPCR. In-house designed primers targeting conserved regions were used to amplify genes in quantitative Real-Time PCR (qRT-PCR) for leptospiral detection to serogroups. Molecular analysis of the leptospiral 16S rRNA and LipL32 genes were used for identification of pathogenic Leptospira species. Primers targeting the O-antigen (rfb) region of the Leptospira lipopolysaccharide (LPS) were used for differentiating serovars based on comparative melting temperature (Tm) analysis against reference serogroups. Results Overall serological and bacteriological prevalence of 56 (16.4%) and 40 (11.7%) respectively was recorded. Vaccination, ages and season(s) were the strongest determinants of infection. Unvaccinated animals, stray dogs and symptomatic dogs presented statistically significant (P < 0.05) higher risk of infection: OR 25.531 (6.108, 106.712; 95% CI). Discussion The evidence suggests 1 of every 10 dogs is infected and could be symptomatic for the disease or a carrier of leptospires in the studied region in Nigeria with attendant public health risks.
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Affiliation(s)
- Nicholas N Pilau
- Department of Medicine, Faculty of Veterinary Medicine, Usman Danfodiyo University Sokoto, Nigeria
| | - Aristea A Lubar
- School of Medicine, University of California San Diego, United States
| | - Aminu I Daneji
- Department of Medicine, Faculty of Veterinary Medicine, Usman Danfodiyo University Sokoto, Nigeria
| | - Usman M Mera
- Department of Medicine, Faculty of Veterinary Medicine, Usman Danfodiyo University Sokoto, Nigeria
| | - Abdullahi A Magaji
- Department of Medicine, Faculty of Veterinary Medicine, Usman Danfodiyo University Sokoto, Nigeria
| | - Elmina A Abiayi
- National Veterinary Research Institute, Vom, Plateau State, Nigeria
| | - Kira L Chaiboonma
- School of Medicine, University of California San Diego, United States
| | - Emmanuel I Busayo
- Department of Theriogenology and Animal Production, Usman Danfodiyo University Sokoto, Nigeria
| | - Joseph M Vinetz
- Department of Internal Medicine, Section of Infectious Diseases, Yale School of Medicine, United States
| | - Michael A Matthias
- Department of Internal Medicine, Section of Infectious Diseases, Yale School of Medicine, United States
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16
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Role of Diagnostics in Epidemiology, Management, Surveillance, and Control of Leptospirosis. Pathogens 2022; 11:pathogens11040395. [PMID: 35456070 PMCID: PMC9032781 DOI: 10.3390/pathogens11040395] [Citation(s) in RCA: 28] [Impact Index Per Article: 14.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2022] [Revised: 03/22/2022] [Accepted: 03/22/2022] [Indexed: 12/12/2022] Open
Abstract
A One Health approach to the epidemiology, management, surveillance, and control of leptospirosis relies on accessible and accurate diagnostics that can be applied to humans and companion animals and livestock. Diagnosis should be multifaceted and take into account exposure risk, clinical presentation, and multiple direct and/or indirect diagnostic approaches. Methods of direct detection of Leptospira spp. include culture, histopathology and immunostaining of tissues or clinical specimens, and nucleic acid amplification tests (NAATs). Indirect serologic methods to detect leptospiral antibodies include the microscopic agglutination test (MAT), the enzyme-linked immunosorbent assay (ELISA), and lateral flow methods. Rapid diagnostics that can be applied at the point-of-care; NAAT and lateral flow serologic tests are essential for management of acute infection and control of outbreaks. Culture is essential to an understanding of regional knowledge of circulating strains, and we discuss recent improvements in methods for cultivation, genomic sequencing, and serotyping. We review the limitations of NAATs, MAT, and other diagnostic approaches in the context of our expanding understanding of the diversity of pathogenic Leptospira spp. Novel approaches are needed, such as loop mediated isothermal amplification (LAMP) and clustered regularly interspaced short palindromic repeats (CRISPR)-based approaches to leptospiral nucleic acid detection.
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17
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Paz LN, Hamond C, Pinna MH. Detection of Leptospira interrogans in Wild Sambar Deer (Rusa unicolor), Brazil. ECOHEALTH 2022; 19:15-21. [PMID: 35182280 DOI: 10.1007/s10393-022-01577-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/21/2020] [Revised: 12/04/2021] [Accepted: 12/07/2021] [Indexed: 06/14/2023]
Abstract
Leptospirosis is an emerging zoonotic disease caused by bacteria of the genus Leptospira. Wild animals may present acute disease or become chronic hosts. The present study aimed to identify Leptospira spp. infection and determine circulating serogroups in free-ranging sambar deer (Rusa unicolor) in a fragment of peri-urban tropical forest in northeastern Brazil. Blood samples were collected and subjected to microscopic agglutination testing (MAT) and PCR analysis (genes lipL32 and secY). Anti-Leptospira antibodies were detected in 60% of the animals tested, with serogroups Cynopteri (33.4%), Hebdomadis (22.2%) and Grippotyphosa (22.2%) identified as most prevalent. DNA corresponding to the pathogenic species Leptospira interrogans was detected in 2/15 (13.3%) of the samples tested. Sambar deer experience a high level of exposure to Leptospira spp. in our epidemiological setting. It is important to emphasize the implementation of effective measures (i.e., maintaining habitats and reducing human contact) for the conservation of endangered species.
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Affiliation(s)
- Lucas Nogueira Paz
- Bacterial Disease Laboratory (LABAC), School of Veterinary Medicine and Zootechny, Federal University of Bahia, Adhemar de Barros - AV, 500, Ondina, Salvador, BA, 40170-11, Brazil
| | - Camila Hamond
- Bacterial Disease Laboratory (LABAC), School of Veterinary Medicine and Zootechny, Federal University of Bahia, Adhemar de Barros - AV, 500, Ondina, Salvador, BA, 40170-11, Brazil
| | - Melissa Hanzen Pinna
- Bacterial Disease Laboratory (LABAC), School of Veterinary Medicine and Zootechny, Federal University of Bahia, Adhemar de Barros - AV, 500, Ondina, Salvador, BA, 40170-11, Brazil.
- Department of Preventive Veterinary Medicine and Animal Production, Universidade Federal da Bahia, Av. Adhemar de Barros, 500, Ondina, Salvador, BA, 40170-110, Brazil.
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18
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Bergmann Esteves S, Moreira Santos C, Ferreira Salgado F, Paldês Gonçales A, Gil Alves Guilloux A, Marinelli Martins C, Kuribaiashi Hagiwara M, Alonso Miotto B. Efficacy of commercially available vaccines against canine leptospirosis: A systematic review and meta-analysis. Vaccine 2022; 40:1722-1740. [DOI: 10.1016/j.vaccine.2022.02.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2021] [Revised: 12/21/2021] [Accepted: 02/02/2022] [Indexed: 12/09/2022]
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19
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Athapattu T, Fernando R, Abayawansha R, Fernando P, Fuward M, Samarakoon N, Koizumi N, Gamage C. Carrier Status of Leptospira spp. in Healthy Companion Dogs in Sri Lanka. Vector Borne Zoonotic Dis 2022; 22:93-100. [DOI: 10.1089/vbz.2021.0065] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Tarindi Athapattu
- Department of Veterinary Public Health and Pharmacology, Faculty of Veterinary Medicine and Animal Science, University of Peradeniya, Peradeniya, Sri Lanka
| | - Ruchika Fernando
- Department of Veterinary Public Health and Pharmacology, Faculty of Veterinary Medicine and Animal Science, University of Peradeniya, Peradeniya, Sri Lanka
| | - Roshan Abayawansha
- Department of Veterinary Public Health and Pharmacology, Faculty of Veterinary Medicine and Animal Science, University of Peradeniya, Peradeniya, Sri Lanka
| | - Palika Fernando
- Division of Bacteriology, Veterinary Research Institute, Gannoruwa, Peradeniya, Sri Lanka
| | | | - Nishanthi Samarakoon
- Division of Bacteriology, Veterinary Research Institute, Gannoruwa, Peradeniya, Sri Lanka
| | - Nobuo Koizumi
- Department of Bacteriology I, National Institute of Infectious Diseases, Tokyo, Japan
| | - Chandika Gamage
- Department of Microbiology, Faculty of Medicine, University of Peradeniya, Peradeniya, Sri Lanka
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20
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Griebsch C, Kirkwood N, Ward MP, So W, Weerakoon L, Donahoe S, Norris JM. Emerging leptospirosis in urban Sydney dogs: a case series (2017-2020). Aust Vet J 2022; 100:190-200. [PMID: 35076093 PMCID: PMC9306944 DOI: 10.1111/avj.13148] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2021] [Revised: 07/18/2021] [Accepted: 01/02/2022] [Indexed: 11/29/2022]
Abstract
Canine leptospirosis has not been reported in the Sydney dog population since 1976. However, between 2017 and 2020, leptospirosis was confirmed in 17 dogs, five of which were known to hunt rodents. Dogs infected between 2017 and 2019 lived within a 3 km radius in the Inner City of Sydney (n = 11). In 2020, cases emerged across a broader area of Sydney; Inner City (n = 1), Inner West (n = 3), Lower North Shore (n = 1) and Upper North Shore (n = 1). The disease was characterised by severe hepatorenal involvement resulting in an unusually high case fatality rate (88%). In conjunction with supportive clinical signs, diagnosis was confirmed by real‐time PCR on whole blood (n = 1), kidney (n = 1), urine (n = 4), whole blood and urine (n = 9) or by seroconversion (n = 3). Antibody titres determined by Microscopic Agglutination Test (MAT) to Leptospira serovars were measured in 12 dogs: seven were positive for serovar Copenhageni, one was positive for serovar Hardjo, three were negative for all serovars, likely due to insufficient time for seroconversion before death and one had a low positive titre (1/50) for serovars Australis and Robinsoni. This sudden emergence of a highly fatal disease in pet dogs in Sydney has led to the introduction of Leptospira vaccination protocols for dogs living in inner Sydney using a monovalent vaccine containing serovar Copenhageni. The success of this vaccination program will require ongoing research to understand the emergence of leptospirosis in this region and the serovars involved.
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Affiliation(s)
- C Griebsch
- Sydney School of Veterinary Science, University of Sydney, Sydney, New South Wales, 2006, Australia
| | - N Kirkwood
- Sydney School of Veterinary Science, University of Sydney, Sydney, New South Wales, 2006, Australia
| | - M P Ward
- Sydney School of Veterinary Science, University of Sydney, Sydney, New South Wales, 2006, Australia
| | - W So
- Sydney School of Veterinary Science, University of Sydney, Sydney, New South Wales, 2006, Australia
| | - L Weerakoon
- Sydney School of Veterinary Science, University of Sydney, Sydney, New South Wales, 2006, Australia
| | - S Donahoe
- Sydney School of Veterinary Science, University of Sydney, Sydney, New South Wales, 2006, Australia
| | - J M Norris
- Sydney School of Veterinary Science, University of Sydney, Sydney, New South Wales, 2006, Australia
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21
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Goh SH, Khor KH, Radzi R, Lau SF, Khairani-Bejo S, Abdul Rahman MS, Roslan MA. Shedding and Genetic Diversity of Leptospira spp. From Urban Stray Dogs in Klang Valley, Malaysia. Top Companion Anim Med 2021; 45:100562. [PMID: 34271178 DOI: 10.1016/j.tcam.2021.100562] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2020] [Revised: 07/08/2021] [Accepted: 07/08/2021] [Indexed: 11/16/2022]
Abstract
Leptospirosis is an endemic zoonoses of global proportions. Stray dogs have been postulated to play a role in disease transmission; however, supporting information are still limited. Roaming behavior may not only predispose the dogs to infection, but could also contribute to disease spread. In this study, the susceptibility of urban stray dogs in shedding Leptospira spp. was determined. Blood, urine, and tissue samples of kidney and liver were collected from 100 dogs from 2 animal control facilities. Serological testing using microscopic agglutination test (MAT) were performed on blood against 20 leptospiral serovars with a cut-off titre of ≥ 1:100. Samples were cultured onto semi-solid Ellinghausen and McCullough modified by Johnson and Harris (EMJH) media. Isolates were identified using molecular polymerase chain reaction (PCR) using 2 primers (16s rRNA and LipL32) and hyperimmune serum (HIS) MAT. The seroprevalence for the dogs positive for leptospirosis was 32% (n=32/100) with the following detected serovars: Javanica (n=13), Bataviae (n=10), Icterohaemorrhagiae (n=3), Autumnalis (n=2), Canicola (n=1), Pyrogenes (n=1), Copenhageni (n=1), and Australis (n=1). Six Leptospira spp. isolated were procured from urine (n=2), kidney (n=2) and liver (n=2). All 6 isolates belonged to L. interrogans, a pathogenic variant of Leptospira spp. Serotyping and phylogenetic analysis suggested serovar Bataviae (n=5) and serovar Canicola (n=1). Presence of vaccinal serovars (Icterohaemorrhagiae and Canicola) suggested potential post-vaccination antibodies but the predominance of non-vaccinal serovars (Javanica and Bataviae) indicate the possibility of current infection or post-exposure. Isolation of Leptospira spp. directly from urine sample not only suggested an active infection but highlighted the potential shedding capability among these stray dogs. These findings further strengthen speculations that urban stray dogs could play a role in transmission and dissemination of leptospirosis through their constant movement. The urine of infected dogs may contaminate the environment, posing a major public health threat.
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Affiliation(s)
- Soon Heng Goh
- Department of Veterinary Clinical Studies, Universiti Putra Malaysia, Serdang, Selangor, Malaysia; Preclinical Department, Universiti Malaysia Kelantan, Kota Bharu, Kelantan, Malaysia
| | - Kuan Hua Khor
- Department of Veterinary Clinical Studies, Universiti Putra Malaysia, Serdang, Selangor, Malaysia.
| | - Rozanaliza Radzi
- Department of Veterinary Clinical Studies, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
| | - Seng Fong Lau
- Department of Veterinary Clinical Studies, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
| | - Siti Khairani-Bejo
- Department of Veterinary Pathology and Microbiology, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
| | - Mohammad Sabri Abdul Rahman
- Department of Veterinary Clinical Studies, Universiti Putra Malaysia, Serdang, Selangor, Malaysia; Paraclinical Department, Universiti Malaysia Kelantan, Kota Bharu, Kelantan, Malaysia
| | - Mohd Azri Roslan
- Department of Veterinary Pathology and Microbiology, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
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Leptospira spp. Antibody in Wild Boars (Sus scrofa), Hunting Dogs (Canis lupus familiaris), and Hunters of Brazil. J Wildl Dis 2021; 57:184-188. [PMID: 33635982 DOI: 10.7589/jwd-d-20-00002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2020] [Accepted: 06/07/2020] [Indexed: 11/20/2022]
Abstract
Hunting activities are a potential risk factor for human infection with Leptospira spp. and, although wild boar seroprevalence has been studied, there are no concurrent serosurveys of wild boars (Sus scrofa), hunting dogs (Canis lupus familiaris), and hunters. The aim of our study was to assess the seroprevalence of Leptospira spp. antibodies in free-ranging wild boars, hunting dogs, and hunters, and risk factors associated with exposure in southern and central-western Brazil. Leptospira spp. antibodies were serologically detected using the microscopic agglutination test, with a total 30 serovars. Overall, 12.2% (9/74) of wild boars and 10.6% (16/170) of hunting dogs were seropositive for at least one serovar and all hunters 0.0% (0/49) were seronegative for Leptospira spp. Seropositivity was statistically higher in 42.1% (8/19) wild boars from natural areas when compared to 2.4% (1/41) from anthropized areas (P<0.001), with prevalence ratio of 17.14 (95% confidence interval: 2.29-128.36). Despite the limited sample size, our findings showed that hunters may be less exposed to Leptospira spp. than are wild boars, particularly in natural areas where Leptospira spp. may be maintained by wild reservoirs. In addition to acting as sentinels, hunting dogs may play a role in disease transmission of sylvatic leptospiral serovars.
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Piredda I, Ponti MN, Piras A, Palmas B, Pintore P, Pedditzi A, Chisu V. New Insights on Leptospira Infections in a Canine Population from North Sardinia, Italy: A Sero-Epidemiological Study. BIOLOGY 2021; 10:biology10060507. [PMID: 34200298 PMCID: PMC8226461 DOI: 10.3390/biology10060507] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/19/2021] [Revised: 06/04/2021] [Accepted: 06/05/2021] [Indexed: 11/16/2022]
Abstract
Leptospirosis is a widespread zoonosis recognized as a re-emerging infectious disease in a wide variety of animal species, including humans and dogs. No data exist regarding the presence of Leptospira species in the canine population of Sardinia Island. This study reports the first sero-survey for leptospirosis in kennel and owned dogs from six areas of the north of Sardinia. Sera from 1296 dogs were tested by microscopic agglutination test (MAT) specific for nine different serovars that are known to be well widespread in the Mediterranean environment. Moreover, kidney homogenates from rodents collected from the study area were also analyzed by LipL32 real-time PCR and multi-locus sequence type (MLST) on the basis of the analysis of seven concatenated loci. A total of 13% of the examined sera (95%CI: 11-15) tested positive for one or more serovars of Leptospira MAT detected; antibodies for serogroup Icterohaemorrhagiae (57%; 95%CI: 49-65) were the most common, followed by serovars Bratislava (22%; 95%CI: 16-28), Canicola (14%; 95%CI: 9-19), and Grippotyphosa (7%; 95%CI: 3-11). MLST analyses on isolates from rodents identified L. interrogans and L. borgpetersenii genomospecies. Different serovars belonging to pathogenic Leptospira serogroups are circulating in dogs from the island. Moreover, data obtained from rodents, indicated that rodents likely act as reservoir of spirochetes. Further sero-epidemiological studies are needed in order to obtain data from other collection sites in Sardinia and to increase the information on Leptospira species circulating in this area.
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Affiliation(s)
- Ivana Piredda
- Istituto Zooprofilattico Sperimentale della Sardegna, Department of Animal Health, Laboratory of Seroimmunology, 07100 Sassari, Italy; (M.N.P.); (B.P.); (P.P.); (A.P.); (V.C.)
- Correspondence: ; Tel.: +39-079-289-2329
| | - Maria Nicoletta Ponti
- Istituto Zooprofilattico Sperimentale della Sardegna, Department of Animal Health, Laboratory of Seroimmunology, 07100 Sassari, Italy; (M.N.P.); (B.P.); (P.P.); (A.P.); (V.C.)
| | - Angela Piras
- Azienda Socio Sanitaria Locale, Azienda Tutela Salute, 09047 Cagliari, Italy;
| | - Bruna Palmas
- Istituto Zooprofilattico Sperimentale della Sardegna, Department of Animal Health, Laboratory of Seroimmunology, 07100 Sassari, Italy; (M.N.P.); (B.P.); (P.P.); (A.P.); (V.C.)
| | - Pierangela Pintore
- Istituto Zooprofilattico Sperimentale della Sardegna, Department of Animal Health, Laboratory of Seroimmunology, 07100 Sassari, Italy; (M.N.P.); (B.P.); (P.P.); (A.P.); (V.C.)
| | - Aureliana Pedditzi
- Istituto Zooprofilattico Sperimentale della Sardegna, Department of Animal Health, Laboratory of Seroimmunology, 07100 Sassari, Italy; (M.N.P.); (B.P.); (P.P.); (A.P.); (V.C.)
| | - Valentina Chisu
- Istituto Zooprofilattico Sperimentale della Sardegna, Department of Animal Health, Laboratory of Seroimmunology, 07100 Sassari, Italy; (M.N.P.); (B.P.); (P.P.); (A.P.); (V.C.)
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Manabella Salcedo I, Fraschina J, Busch M, Guidobono JS, Unzaga JM, Dellarupe A, Farace MI, Pini N, León VA. Role of Mus musculus in the transmission of several pathogens in poultry farms. Int J Parasitol Parasites Wildl 2021; 14:130-136. [PMID: 33659179 PMCID: PMC7890300 DOI: 10.1016/j.ijppaw.2021.01.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2020] [Revised: 01/19/2021] [Accepted: 01/20/2021] [Indexed: 01/11/2023]
Abstract
This study aimed to analyze the role of Mus musculus as a host of Leptospira spp., lymphocytic choriomeningitis virus (LCMV) and Toxoplasma gondii, in poultry farms of Buenos Aires province, Argentina, and to assess the potential risk of transmission to humans and domestic or breeding animals. Samplings were performed between 2009 and 2011 (S1) and during 2016 (S2). In S1, we studied the prevalence of infection for Leptospira spp. and LCMV, whereas, in S2, we studied the prevalence of infection for Leptospira spp. and T. gondii. In S1, we found an overall Leptospira spp. prevalence in M. musculus of 18% (14/79) and no positive serum samples for LCMV (0/166). In S2, we detected no positive individuals for Leptospira spp. (0/56) and an overall T. gondii seroprevalence of 3.6% (2/56). The probability of Leptospira spp. infection in M. musculus was higher in reproductively active individuals and in samplings subsequent to months with high accumulated precipitation. Our results suggest that, in the poultry farms studied, the presence of M. musculus may be a risk factor in the transmission of Leptospira spp. and T. gondii to humans and domestic animals. The management of farms should include biosecurity measures for farm workers and more effective rodent control.
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Affiliation(s)
- Iris Manabella Salcedo
- Laboratorio de Ecología de Poblaciones, Departamento de Ecología, Genética y Evolución, Instituto IEGEBA (CONICET-UBA), Facultad de Ciencias Exactas y Naturales, Universidad de Buenos Aires. Ciudad Autónoma de Buenos Aires, Argentina
| | - Jimena Fraschina
- Laboratorio de Ecología de Poblaciones, Departamento de Ecología, Genética y Evolución, Instituto IEGEBA (CONICET-UBA), Facultad de Ciencias Exactas y Naturales, Universidad de Buenos Aires. Ciudad Autónoma de Buenos Aires, Argentina
| | - María Busch
- Laboratorio de Ecología de Poblaciones, Departamento de Ecología, Genética y Evolución, Instituto IEGEBA (CONICET-UBA), Facultad de Ciencias Exactas y Naturales, Universidad de Buenos Aires. Ciudad Autónoma de Buenos Aires, Argentina
| | - Juan Santiago Guidobono
- Laboratorio de Ecología de Poblaciones, Departamento de Ecología, Genética y Evolución, Instituto IEGEBA (CONICET-UBA), Facultad de Ciencias Exactas y Naturales, Universidad de Buenos Aires. Ciudad Autónoma de Buenos Aires, Argentina
| | - Juan Manuel Unzaga
- Laboratorio de Inmunoparasitología LAINPA, Facultad de Ciencias Veterinarias, Universidad Nacional de La Plata, Argentina
| | - Andrea Dellarupe
- Laboratorio de Inmunoparasitología LAINPA, Facultad de Ciencias Veterinarias, Universidad Nacional de La Plata, Argentina
- Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Argentina
| | - María Isabel Farace
- Instituto Nacional de Enfermedades Infecciosas ANLIS Dr. Calos G Malbrán- Departamento Bacteriología. Ciudad Autónoma de Buenos Aires, Argentina
| | - Noemi Pini
- Instituto Nacional de Enfermedades Virales Humanas (INEVH-ANLIS), Pergamino, Argentina
| | - Vanina Andrea León
- Laboratorio de Ecología de Poblaciones, Departamento de Ecología, Genética y Evolución, Instituto IEGEBA (CONICET-UBA), Facultad de Ciencias Exactas y Naturales, Universidad de Buenos Aires. Ciudad Autónoma de Buenos Aires, Argentina
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Nguyen HM, Theppannga W, Vongphayloth K, Douangngeun B, Blacksell SD, Robinson MT. Screening of ectoparasites from domesticated dogs for bacterial pathogens in Vientiane, Lao PDR. Zoonoses Public Health 2020; 67:862-868. [PMID: 32649049 PMCID: PMC7983881 DOI: 10.1111/zph.12753] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2020] [Revised: 06/01/2020] [Accepted: 06/17/2020] [Indexed: 01/16/2023]
Abstract
Arthropod-borne diseases are widespread worldwide and are a complex interaction between animals, humans and ectoparasites. The understanding of the diversity and epidemiology of organisms transmitted by arthropod vectors, and the role of hosts and vectors in transmission of infections remain limited in Lao PDR. What knowledge does exist is primarily focused on more rural regions of the country. This study screened ectoparasites from domestic dogs in Vientiane city for the presence of bacterial pathogens of zoonotic importance. A total of 3,511 arthropod vectors were collected from 112 dogs. Vectors collected were Rhipicephalus sanguineus ticks, Ctenocephalides felis felis and Ctenocephalides felis orientis fleas and Heterodoxus spiniger lice. A sub-sample of vectors from each dog was analysed by PCR to identify the potential bacteria. From 129 vector pools, Rickettsia spp. was detected in 6.7% (7/105) pools of ticks, 86.4% (19/22) pools of fleas and both pools of lice. Sequencing analysis confirmed Rickettsia felis in 13 flea pools and one louse pool and Rickettsia asembonensis in six flea pools. Anaplasmataceae was identified in 14.3% (15/105) tick pools and 100% (22/22) flea pools. Sequencing revealed the presence of Anaplasma platys in ticks and Wolbachia pipientis in fleas. Leptospira spp. was detected in one tick and one louse pool, and Brucella spp. was detected in 12.4% (13/105) tick pools. All samples were negative for Bartonella spp., Coxiella burnetii and Borrelia burgdorferi. This is the first study providing evidence of R. asembonensis in fleas in Laos. Results from this study show arthropods are potential vectors to transmit zoonotic infection in Vientiane city, suggesting humans are at risk of zoonotic infections in the city.
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Affiliation(s)
- Hung Manh Nguyen
- Lao Tropical and Public Health InstituteVientianeLaos
- Present address:
Faculty of MedicineFaculty of Nursing SciencesUniversité LavalQuébecQCCanada
| | | | | | | | - Stuart D. Blacksell
- Mahidol‐Oxford Tropical Medicine Research UnitBangkokThailand
- Centre for Tropical Medicine, Nuffield Department of MedicineUniversity of OxfordOxfordUK
| | - Matthew T. Robinson
- Centre for Tropical Medicine, Nuffield Department of MedicineUniversity of OxfordOxfordUK
- Lao‐Oxford‐Mahosot Hospital‐Wellcome Trust Research Unit (LOMWRU), Microbiology LaboratoryMahosot HospitalVientianeLaos
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26
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Putz EJ, Nally JE. Investigating the Immunological and Biological Equilibrium of Reservoir Hosts and Pathogenic Leptospira: Balancing the Solution to an Acute Problem? Front Microbiol 2020; 11:2005. [PMID: 32922382 PMCID: PMC7456838 DOI: 10.3389/fmicb.2020.02005] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2020] [Accepted: 07/29/2020] [Indexed: 12/18/2022] Open
Abstract
Leptospirosis is a devastating zoonotic disease affecting people and animals across the globe. Pathogenic leptospires are excreted in urine of reservoir hosts which directly or indirectly leads to continued disease transmission, via contact with mucous membranes or a breach of the skin barrier of another host. Human fatalities approach 60,000 deaths per annum; though most vertebrates are susceptible to leptospirosis, complex interactions between host species and serovars of Leptospira can yield disease phenotypes that vary from asymptomatic shedding in reservoir hosts, to multi-organ failure in incidental hosts. Clinical symptoms of acute leptospirosis reflect the diverse range of pathogenic species and serovars that cause infection, the level of exposure, and the relationship of the pathogen with the given host. However, in all cases, pathogenic Leptospira are excreted into the environment via urine from reservoir hosts which are uniformly recognized as asymptomatic carriers. Therefore, the reservoir host serves as the cornerstone of persistent disease transmission. Although bacterin vaccines can be used to abate renal carriage and excretion in domestic animal species, there is an urgent need to advance our understanding of immune-mediated host–pathogen interactions that facilitate persistent asymptomatic carriage. This review summarizes the current understanding of host–pathogen interactions in the reservoir host and prioritizes research to unravel mechanisms that allow for colonization but not destruction of the host. This information is required to understand, and ultimately control, the transmission of pathogenic Leptospira.
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Affiliation(s)
- Ellie J Putz
- Infectious Bacterial Diseases Research Unit, National Animal Disease Center, United States Department of Agriculture, Agricultural Research Service, Ames, IA, United States
| | - Jarlath E Nally
- Infectious Bacterial Diseases Research Unit, National Animal Disease Center, United States Department of Agriculture, Agricultural Research Service, Ames, IA, United States
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Ricardo T, Previtali MA, Signorini M. Meta-analysis of risk factors for canine leptospirosis. Prev Vet Med 2020; 181:105037. [PMID: 32590226 DOI: 10.1016/j.prevetmed.2020.105037] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2020] [Revised: 05/12/2020] [Accepted: 05/20/2020] [Indexed: 12/31/2022]
Abstract
Leptospirosis is one of the most widespread zoonotic diseases, with more than one million human cases reported worldwide every year. Dogs could develop infections that range from asymptomatic to severe, and shed leptospires with their urine. Given their close contact with humans, dogs may act both as epidemiological links or as sentinels of pathogenic leptospires in the environment. The aims of our study were to quantitatively summarize the overall prevalence of leptospiral antibodies and to identify factors associated with the probabilities of infection. We searched the electronic databases Scopus, PubMed, PMC and ScienceDirect for observational studies on canine leptospirosis published between 1989 and December 2019 and written in English, Spanish or Portuguese. We fitted a series of multilevel random effects meta-analysis models to estimate the prevalence of antibodies against Leptospira for different types of dogs, health statuses, diagnostic tests, geographic regions and income categories of the countries. We also fitted a number of random effects meta-analysis models to estimate the pooled odds-ratio of factors associated with canine leptospirosis. After removing duplicates and articles not meeting selection criteria, a total of 130 studies in 91 articles were included in this work. We found lower seroprevalence estimates in North America countries (P<0.001) and other high income countries (P<0.001). We also found higher probabilities of leptospiral infection in adult (P=0.017), male dogs with access to the streets (P<0.001). Identifying the profile of dogs that are more exposed to leptospirosis could be useful in the design of public health strategies for the prevention and control of leptospirosis.
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Affiliation(s)
- Tamara Ricardo
- Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Buenos Aires, Argentina; Departamento de Ciencias Naturales, Facultad de Humanidades y Ciencias, Universidad Nacional del Litoral, Ciudad Universitaria, Paraje El Pozo S/N, Santa Fe, Argentina
| | - M Andrea Previtali
- Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Buenos Aires, Argentina; Departamento de Ciencias Naturales, Facultad de Humanidades y Ciencias, Universidad Nacional del Litoral, Ciudad Universitaria, Paraje El Pozo S/N, Santa Fe, Argentina
| | - Marcelo Signorini
- Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Buenos Aires, Argentina; Estación Experimental Agropecuaria Rafaela, Instituto Nacional de Tecnología Agropecuaria (INTA), Ruta 34 Km 227, Rafaela, Santa Fe, Argentina.
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28
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Spangler D, Kish D, Beigel B, Morgan J, Gruszynski K, Naikare H, Nahar VK, Coarsey MD, Verma A. Leptospiral shedding and seropositivity in shelter dogs in the Cumberland Gap Region of Southeastern Appalachia. PLoS One 2020; 15:e0228038. [PMID: 31999733 PMCID: PMC6992200 DOI: 10.1371/journal.pone.0228038] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2019] [Accepted: 01/06/2020] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND Leptospirosis, caused by pathogenic Leptospira spp., is a zoonotic infection that affects humans, dogs and many other mammalian species. Virtually any mammalian species can act as asymptomatic reservoir, characterized by chronic renal carriage and shedding of a host-adapted leptospiral serovar. Environmental contamination by chronic shedders results in acquisition of infection by humans and susceptible animals. METHODS In this study, we investigated if clinically normal shelter dogs and cats harbor leptospires in their kidneys by screening urine samples for the presence of leptospiral DNA by a TaqMan based-quantitative PCR (qPCR) that targets pathogen-associated lipl32 gene. To identify the infecting leptospiral species, a fragment of leptospiral rpoB gene was PCR amplified and sequenced. Additionally, we measured Leptospira-specific serum antibodies using the microscopic agglutination test (MAT), a gold standard in leptospiral serology. RESULTS A total of 269 shelter animals (219 dogs and 50 cats) from seven shelters located in the tri-state area of western Virginia, eastern Tennessee, and southeastern Kentucky were included in this study. All cats tested negative by both qPCR and MAT. Of the 219 dogs tested in the study, 26/198 (13.1%, 95% CI: 8.4-17.8%) were positive for leptospiral DNA in urine by qPCR and 38/211 (18.0%, 95% CI: 12.8-23.2%) were seropositive by MAT. Twelve dogs were positive for both qPCR and MAT. Fourteen dogs were positive by qPCR but not by MAT. Additionally, leptospiral rpoB gene sequencing from a sub-set of qPCR-positive urine samples (n = 21) revealed L. interrogans to be the leptospiral species shed by dogs. CONCLUSIONS These findings have significant implications regarding animal and public health in the Cumberland Gap Region and possibly outside where these animals may be adopted.
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Affiliation(s)
- Dawn Spangler
- College of Veterinary Medicine, Lincoln Memorial University, Harrogate, TN, United States of America
- Center for Infectious, Zoonotic and Vector-borne Diseases, Harrogate, TN, United States of America
| | - Daniel Kish
- College of Veterinary Medicine, Lincoln Memorial University, Harrogate, TN, United States of America
| | - Brittney Beigel
- College of Veterinary Medicine, Lincoln Memorial University, Harrogate, TN, United States of America
| | - Joey Morgan
- College of Veterinary Medicine, Lincoln Memorial University, Harrogate, TN, United States of America
| | - Karen Gruszynski
- Center for Human and Animal Health in Appalachia, Lincoln Memorial University, Harrogate, TN, United States of America
| | - Hemant Naikare
- Tifton Veterinary Diagnostic and Investigational Lab, College of Veterinary Medicine, University of Georgia, Tifton, GA, United States of America
| | - Vinayak K. Nahar
- Department of Dermatology, School of Medicine, The University of Mississippi Medical Center, Jackson, MS, United States of America
- Department of Preventive Medicine, School of Medicine/John D. Bower School of Population Health, The University of Mississippi Medical Center, Jackson, MS, United States of America
| | - Michele D. Coarsey
- Tifton Veterinary Diagnostic and Investigational Lab, College of Veterinary Medicine, University of Georgia, Tifton, GA, United States of America
| | - Ashutosh Verma
- College of Veterinary Medicine, Lincoln Memorial University, Harrogate, TN, United States of America
- Center for Infectious, Zoonotic and Vector-borne Diseases, Harrogate, TN, United States of America
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29
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Soo ZMP, Khan NA, Siddiqui R. Leptospirosis: Increasing importance in developing countries. Acta Trop 2020; 201:105183. [PMID: 31542372 DOI: 10.1016/j.actatropica.2019.105183] [Citation(s) in RCA: 42] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2019] [Revised: 08/30/2019] [Accepted: 09/18/2019] [Indexed: 12/18/2022]
Abstract
Leptospirosis is a zoonotic disease caused by the pathogenic helical spirochetes, Leptospira. Symptoms include sudden-onset fever, severe headaches, muscle pain, nausea and chills. Leptospirosis is endemic in developing countries such as Malaysia, India, Sri Lanka, and Brazil where thousands of cases are reported annually. The disease risk factors include the high population of reservoirs, environmental factors, recreational factors, and occupational factors. To end the endemicity of leptospirosis, these factors need to be tackled. The management of leptospirosis needs to be refined. Early diagnosis remains a challenge due to a lack of clinical suspicion among physicians, its non-specific symptoms and a limited availability of rapid point-of-care diagnostic tests. The purpose of this review is to provide insight into the status of leptospirosis in developing countries focusing on the risk factors and to propose methods for the improved management of the disease.
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Affiliation(s)
- Zoey May Pheng Soo
- Department of Biological Sciences, School of Science and Technology, Sunway University, Selangor, Malaysia
| | - Naveed Ahmed Khan
- Department of Biology, Chemistry and Environmental Sciences, College of Arts and Sciences, American University of Sharjah, University City, Sharjah, United Arab Emirates.
| | - Ruqaiyyah Siddiqui
- Department of Biology, Chemistry and Environmental Sciences, College of Arts and Sciences, American University of Sharjah, University City, Sharjah, United Arab Emirates
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Abstract
Several diagnostic tests are available to aid veterinarians in diagnosis of leptospirosis. Understanding the course of infection is imperative to determining which diagnostic test to order and sample to submit. Diagnostic tests for dogs suspected of having leptospirosis include antibody-based tests and polymerase chain reaction (PCR). Paired acute and convalescent microscopic agglutination test (MAT) are diagnostic for leptospirosis. PCR performed on blood and/or urine can be a valuable tool to aid in diagnosis of leptospirosis. Commercially available rapid point-of-care diagnostics have been validated in dogs and have value early in the course of illness before MAT and PCR results are available.
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Affiliation(s)
- Krystle L Reagan
- Veterinary Medical Teaching Hospital, University of California, 1 Shields Ave Davis, CA 95616, USA.
| | - Jane E Sykes
- Department of Medicine and Epidemiology, University of California, 1 Shields Ave Davis, CA 95616, USA
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Miotto BA, Guilloux AGA, Tozzi BF, Moreno LZ, da Hora AS, Dias RA, Heinemann MB, Moreno AM, Filho AFDS, Lilenbaum W, Hagiwara MK. Prospective study of canine leptospirosis in shelter and stray dog populations: Identification of chronic carriers and different Leptospira species infecting dogs. PLoS One 2018; 13:e0200384. [PMID: 29995963 PMCID: PMC6040711 DOI: 10.1371/journal.pone.0200384] [Citation(s) in RCA: 33] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2018] [Accepted: 06/24/2018] [Indexed: 01/09/2023] Open
Abstract
Dogs are highly susceptible to the leptospiral infection, notably stray and sheltered dogs. Unsanitary conditions often observed in dog shelters may predispose the introduction and spread of leptospires among sheltered populations, potentially increasing the chances for the inadvertent adoption of asymptomatically infected animals. The present work describes a longitudinal study using a multidisciplinary approach for the identification of chronically infected dogs and the characterization of potentially pathogenic strains circulating among stray and sheltered dog populations in São Paulo, Brazil. A total of 123 dogs from three populations were included. The initial evaluation consisted of blood and urine quantitative PCR testing (qPCR), the detection of specific antibodies by microscopic agglutination test (MAT), physical examination and hematological and serum biochemistry analyses. The qPCR-positive dogs were prospectively examined, and reevaluations also included culture from urine samples. Positive qPCR samples were subjected to 16S rRNA and secY gene phylogenetic analysis. The recovered strains were characterized by Multilocus Sequence Typing, polyclonal serogroup identification and virulence determination. Leptospiruria was detected in all populations studied (13/123), and phylogenetic analysis revealed that 10 dogs had L. interrogans infection. Three dogs (3/13) had L. santarosai infection. The secY phylogenetic analysis revealed that the L. santarosai sequences clustered separately from those obtained from other hosts. Ten leptospiruric dogs were reevaluated, and three dogs presented persistent leptospiruria, allowing culturing from two dogs. The strains were characterized as L. interrogans serogroup Canicola (virulent) and L. santarosai serogroup Sejroe (not virulent). Serum samples were retested by MAT using the DU92 and DU114 strains as antigens, and no increased seroreactivity was detected. Asymptomatic L. santarosai infection was observed in all populations studied, suggesting a possible role of dogs in the chain of transmission of this leptospiral species. The results suggest a genetic distinction between lineages of Brazilian L. santarosai maintained by dogs and other animal hosts. Our findings revealed that dogs could act as maintenance hosts for distinct pathogenic Leptospira, highlighting also that asymptomatically infected dogs can be inadvertently admitted and adopted in dog shelters, potentially increasing the risks of zoonotic transmission.
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Affiliation(s)
- Bruno Alonso Miotto
- Departamento de Clínica Médica, Faculdade de Medicina Veterinária e Zootecnia, Universidade de São Paulo, São Paulo, São Paulo, Brasil
- * E-mail:
| | - Aline Gil Alves Guilloux
- Departamento de Medicina Veterinária Preventiva e Saúde Animal, Faculdade de Medicina Veterinária e Zootecnia, Universidade de São Paulo, São Paulo, São Paulo, Brasil
| | - Barbara Furlan Tozzi
- Departamento de Clínica Médica, Faculdade de Medicina Veterinária e Zootecnia, Universidade de São Paulo, São Paulo, São Paulo, Brasil
| | - Luisa Zanolli Moreno
- Departamento de Medicina Veterinária Preventiva e Saúde Animal, Faculdade de Medicina Veterinária e Zootecnia, Universidade de São Paulo, São Paulo, São Paulo, Brasil
| | - Aline Santana da Hora
- Departamento de Medicina Veterinária Preventiva e Saúde Animal, Faculdade de Medicina Veterinária e Zootecnia, Universidade de São Paulo, São Paulo, São Paulo, Brasil
| | - Ricardo Augusto Dias
- Departamento de Medicina Veterinária Preventiva e Saúde Animal, Faculdade de Medicina Veterinária e Zootecnia, Universidade de São Paulo, São Paulo, São Paulo, Brasil
| | - Marcos Bryan Heinemann
- Departamento de Medicina Veterinária Preventiva e Saúde Animal, Faculdade de Medicina Veterinária e Zootecnia, Universidade de São Paulo, São Paulo, São Paulo, Brasil
| | - Andrea Micke Moreno
- Departamento de Medicina Veterinária Preventiva e Saúde Animal, Faculdade de Medicina Veterinária e Zootecnia, Universidade de São Paulo, São Paulo, São Paulo, Brasil
| | - Antônio Francisco de Souza Filho
- Departamento de Medicina Veterinária Preventiva e Saúde Animal, Faculdade de Medicina Veterinária e Zootecnia, Universidade de São Paulo, São Paulo, São Paulo, Brasil
| | - Walter Lilenbaum
- Departamento de Microbiologia e Parasitologia, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brasil
| | - Mitika Kuribayashi Hagiwara
- Departamento de Clínica Médica, Faculdade de Medicina Veterinária e Zootecnia, Universidade de São Paulo, São Paulo, São Paulo, Brasil
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Zaidi S, Bouam A, Bessas A, Hezil D, Ghaoui H, Ait-Oudhia K, Drancourt M, Bitam I. Urinary shedding of pathogenic Leptospira in stray dogs and cats, Algiers: A prospective study. PLoS One 2018; 13:e0197068. [PMID: 29768448 PMCID: PMC5955589 DOI: 10.1371/journal.pone.0197068] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2018] [Accepted: 04/25/2018] [Indexed: 01/15/2023] Open
Abstract
Background Leptospirosis is an important worldwide zoonosis. This disease is caused by pathogenic species of the genus Leptospira which are maintained in the environment via chronic renal infection of carrier animals which can be asymptomatic excretors of the organisms in their urines and become a source of infection for humans and other hosts. The prevalence of animal leptospirosis in Algiers, Algeria, is unknown. Methodology/principal findings Real-time PCR and standard PCR and sequencing were used to detect pathogenic Leptospira organisms in the urines of stray dogs and cats in Algiers. In the presence of appropriate controls, none of the 107 cat urine samples were positive while 5/104 (4.8%) canine urine samples (asymptomatic mixed-breed dogs, three females and two males) were positive in two real-time PCR assays targeting the rrs and hsp genes. The positivity of these samples was confirmed by partial PCR-sequencing of the rpoB gene which yielded 100% sequence similarity with Leptospira interrogans reference sequence. In this study, L. interrogans prevalence was significantly higher in dogs aged < one year (16.46% - 29.41%) than in adults (0%) (P value = 0.0001) and then in the overall dog population (2.68% - 4.8%) (P = 0.0007). Conclusions/significance These results suggest that dogs are maintenance hosts for zoonotic leptospirosis in Algiers, Algeria. To face this situation, effective canine vaccination strategies and raising public health awareness are mandatory. Further investigations incorporating a larger sample in more localities will be undertaken to document the epidemiology of urban animal leptospirosis in Algeria at large.
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Affiliation(s)
- Sara Zaidi
- Ecole Nationale Supérieure Vétérinaire, Alger, Algérie
| | - Amar Bouam
- Aix Marseille Univ, IRD, MEPHI, IHU Méditerranée Infection, Marseille, France
| | - Amina Bessas
- Ecole Nationale Supérieure Vétérinaire, Alger, Algérie
| | - Djamila Hezil
- Ecole Nationale Supérieure Vétérinaire, Alger, Algérie
| | - Hicham Ghaoui
- Ecole Nationale Supérieure Vétérinaire, Alger, Algérie
- Aix Marseille Univ, IRD, MEPHI, IHU Méditerranée Infection, Marseille, France
| | | | - Michel Drancourt
- Aix Marseille Univ, IRD, MEPHI, IHU Méditerranée Infection, Marseille, France
- * E-mail:
| | - Idir Bitam
- Ecole Supérieure en Sciences de l'Aliment et des Industries Agroalimentaires (ESSAIA), El Harrach, Alger, Algérie
- Aix Marseille Univ, IRD, VITROME, IHU Méditerranée Infection, Marseille, France
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Guernier V, Goarant C, Benschop J, Lau CL. A systematic review of human and animal leptospirosis in the Pacific Islands reveals pathogen and reservoir diversity. PLoS Negl Trop Dis 2018; 12:e0006503. [PMID: 29758037 PMCID: PMC5967813 DOI: 10.1371/journal.pntd.0006503] [Citation(s) in RCA: 43] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2018] [Revised: 05/24/2018] [Accepted: 05/07/2018] [Indexed: 12/26/2022] Open
Abstract
Background The Pacific Islands have environmental conditions highly favourable for transmission of leptospirosis, a neglected zoonosis with highest incidence in the tropics, and Oceania in particular. Recent reports confirm the emergence and outbreaks of leptospirosis in the Pacific Islands, but the epidemiology and drivers of transmission of human and animal leptospirosis are poorly documented, especially in the more isolated and less developed islands. Methodology/Principal findings We conducted a systematic review of human and animal leptospirosis within 25 Pacific Islands (PIs) in Polynesia, Melanesia, Micronesia, as well as Easter Island and Hawaii. We performed a literature search using four international databases for articles published between January 1947 and June 2017. We further included grey literature available on the internet. We identified 148 studies describing leptospirosis epidemiology, but the number of studies varied significantly between PIs. No data were available from four PIs. Human leptospirosis has been reported from 13 PIs, with 63% of all studies conducted in Hawaii, French Polynesia and New Caledonia. Animal leptospirosis has been investigated in 19 PIs and from 14 host species, mainly pigs (18% of studies), cattle (16%) and dogs (11%). Only 13 studies provided information on both human and animal leptospirosis from the same location. Serology results were highly diverse in the region, both in humans and animals. Conclusions/Significance Our study suggests that, as in other tropical regions, leptospirosis is widespread in the PIs while showing some epidemiological heterogeneity. Data are scarce or absent from many PIs. Rodents, cattle, pigs and dogs are all likely to be important carriers, but the relative importance of each animal species in human infection needs to be clarified. Epidemiological surveys with appropriate sampling design, pathogen typing and data analysis are needed to improve our understanding of transmission patterns and to develop effective intervention strategies. Leptospirosis is an important bacterial zoonosis that affects people and animals worldwide. It is common in tropical areas, especially in island ecosystems. Because islands are relatively small, isolated, and have limited health and diagnostic facilities, the disease burden is often underestimated. In this systematic review, we aimed to describe the extent of leptospirosis in the Pacific Islands, including the diversity of pathogens and animal reservoirs. We identified 148 studies from 21 Pacific islands that described Leptospira infection in humans or animals. In hospitalized febrile patients, leptospirosis was a common cause of the acute febrile illness, but accurate diagnosis was challenging and often delayed because symptoms overlapped with many other infectious diseases, and access to laboratory diagnosis was limited. A wide variety of animal hosts of Leptospira were identified, with rodents, cattle, pigs and dogs reported as important hosts; however, their relative importance in human infection remains unclear. Our review demonstrates that the epidemiology of leptospirosis varies across the Pacific Islands, but information about risk factors and transmission routes is currently limited. We recommend more integrated studies, using an eco-epidemiological approach that includes human, veterinary and environmental factors, and interactions between factors at different ecological scales.
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Affiliation(s)
- Vanina Guernier
- Australian Institute of Tropical Health and Medicine, James Cook University, Townsville, Australia
- Global Leptospirosis Environmental Action Network (GLEAN), World Health Organization, Geneva, Switzerland
- * E-mail:
| | - Cyrille Goarant
- Global Leptospirosis Environmental Action Network (GLEAN), World Health Organization, Geneva, Switzerland
- Institut Pasteur in New Caledonia, Institut Pasteur International Network, Nouméa, New Caledonia
| | - Jackie Benschop
- Global Leptospirosis Environmental Action Network (GLEAN), World Health Organization, Geneva, Switzerland
- School of Veterinary Science, Massey University, Palmerston North, New Zealand
| | - Colleen L. Lau
- Australian Institute of Tropical Health and Medicine, James Cook University, Townsville, Australia
- Global Leptospirosis Environmental Action Network (GLEAN), World Health Organization, Geneva, Switzerland
- Research School of Population Health, The Australian National University, Canberra, Australia
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Guernier V, Allan KJ, Goarant C. Advances and challenges in barcoding pathogenic and environmental Leptospira. Parasitology 2018; 145:595-607. [PMID: 28716157 PMCID: PMC6010154 DOI: 10.1017/s0031182017001147] [Citation(s) in RCA: 34] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
Leptospirosis is a zoonotic bacterial disease of global importance. A large spectrum of asymptomatic animal hosts can carry the infection and contribute to the burden of human disease. Environmental sources of human contamination also point to the importance of a hydrotelluric reservoir. Leptospirosis can be caused by as many as 15 different pathogenic or intermediate Leptospira species. However, classification of these bacteria remains complicated through the use of both serological and genetic classification systems that show poor correlation. With the advent of molecular techniques, DNA-based barcoding offers a conceptual framework that can be used for leptospirosis surveillance as well as source tracking. In this review, we summarize some of the current techniques, highlight significant successes and weaknesses and point to the future opportunities and challenges to successfully establish a widely applicable barcoding scheme for Leptospira.
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Affiliation(s)
- Vanina Guernier
- Australian Institute of Tropical Health and Medicine, James Cook University, 1 James Cook Drive, Townsville, QLD 4811, Australia
| | - Kathryn J. Allan
- Institute of Biodiversity Animal Health and Comparative Medicine, College of Medical Veterinary and Life Sciences, University of Glasgow, University Avenue, Glasgow, G12 8QQ, UK
| | - Cyrille Goarant
- Institut Pasteur in New Caledonia, Institut Pasteur International Network, Leptospirosis Research and Expertise Unit, Noumea, New Caledonia. 11 rue Paul Doumer, BP 61; 98845 Noumea cedex, New Caledonia
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Miotto BA, da Hora AS, Taniwaki SA, Brandão PE, Heinemann MB, Hagiwara MK. Development and validation of a modified TaqMan based real-time PCR assay targeting the lipl32 gene for detection of pathogenic Leptospira in canine urine samples. Braz J Microbiol 2017; 49:584-590. [PMID: 29233483 PMCID: PMC6066729 DOI: 10.1016/j.bjm.2017.09.004] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2017] [Revised: 08/06/2017] [Accepted: 09/12/2017] [Indexed: 11/18/2022] Open
Abstract
A modified TaqMan real-time polymerase chain reaction targeting a 138bp fragment within the lipl32 gene was developed to identify exclusively pathogenic Leptospira spp. in dog urine samples. Thirty-five samples from dogs with suspected clinical leptospirosis and 116 samples from apparently healthy dogs were tested for presence of leptospiral DNA using the TaqMan-based assay. The results were compared with those from a well-established conventional PCR targeting the 16S RNA encoding gene associated with nucleotide sequencing analysis. The overall agreement between the assays was 94.8% (confidence interval [CI] 95% 88-100%). The newly developed assay presented 91.6% (CI 95% 71.5-98.5%) relative sensitivity (22[+] lipl32 PCR/24[+] 16S RNA and sequencing), 100% (CI 95% 96.3-100%) relative specificity and 98.7% accuracy (CI 95% 94.8-100%). The lipl32 assay was able to detect and quantify at least 10 genome equivalents/reaction. DNA extracted from 17 pathogenic Leptospira spp., 8 intermediate/saprophytic strains and 21 different pathogenic microorganisms were also tested using the lipl32 assay, resulting in amplification exclusively for pathogenic leptospiral strains. The results also demonstrated high intra and inter-assay reproducibility (coefficient of variation 1.50 and 1.12, respectively), thereby qualifying the newly developed assay as a highly sensitive, specific and reliable diagnostic tool for leptospiral infection in dogs using urine specimens.
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Affiliation(s)
- Bruno Alonso Miotto
- Departamento de Clínica Médica, Faculdade de Medicina Veterinária e Zootecnia, Universidade de São Paulo, São Paulo, SP, Brasil.
| | - Aline Santana da Hora
- Departamento de Medicina Veterinária Preventiva e Saúde Animal, Faculdade de Medicina Veterinária e Zootecnia, Universidade de São Paulo, São Paulo, SP, Brasil
| | - Sueli Akemi Taniwaki
- Departamento de Medicina Veterinária Preventiva e Saúde Animal, Faculdade de Medicina Veterinária e Zootecnia, Universidade de São Paulo, São Paulo, SP, Brasil
| | - Paulo Eduardo Brandão
- Departamento de Medicina Veterinária Preventiva e Saúde Animal, Faculdade de Medicina Veterinária e Zootecnia, Universidade de São Paulo, São Paulo, SP, Brasil
| | - Marcos Bryan Heinemann
- Departamento de Medicina Veterinária Preventiva e Saúde Animal, Faculdade de Medicina Veterinária e Zootecnia, Universidade de São Paulo, São Paulo, SP, Brasil
| | - Mitika Kuribayashi Hagiwara
- Departamento de Clínica Médica, Faculdade de Medicina Veterinária e Zootecnia, Universidade de São Paulo, São Paulo, SP, Brasil
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Biscornet L, Dellagi K, Pagès F, Bibi J, de Comarmond J, Mélade J, Govinden G, Tirant M, Gomard Y, Guernier V, Lagadec E, Mélanie J, Rocamora G, Le Minter G, Jaubert J, Mavingui P, Tortosa P. Human leptospirosis in Seychelles: A prospective study confirms the heavy burden of the disease but suggests that rats are not the main reservoir. PLoS Negl Trop Dis 2017; 11:e0005831. [PMID: 28846678 PMCID: PMC5591009 DOI: 10.1371/journal.pntd.0005831] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2017] [Revised: 09/08/2017] [Accepted: 07/24/2017] [Indexed: 12/21/2022] Open
Abstract
Background Leptospirosis is a bacterial zoonosis caused by pathogenic Leptospira for which rats are considered as the main reservoir. Disease incidence is higher in tropical countries, especially in insular ecosystems. Our objectives were to determine the current burden of leptospirosis in Seychelles, a country ranking first worldwide according to historical data, to establish epidemiological links between animal reservoirs and human disease, and to identify drivers of transmission. Methods A total of 223 patients with acute febrile symptoms of unknown origin were enrolled in a 12-months prospective study and tested for leptospirosis through real-time PCR, IgM ELISA and MAT. In addition, 739 rats trapped throughout the main island were investigated for Leptospira renal carriage. All molecularly confirmed positive samples were further genotyped. Results A total of 51 patients fulfilled the biological criteria of acute leptospirosis, corresponding to an annual incidence of 54.6 (95% CI 40.7–71.8) per 100,000 inhabitants. Leptospira carriage in Rattus spp. was overall low (7.7%) but dramatically higher in Rattus norvegicus (52.9%) than in Rattus rattus (4.4%). Leptospira interrogans was the only detected species in both humans and rats, and was represented by three distinct Sequence Types (STs). Two were novel STs identified in two thirds of acute human cases while noteworthily absent from rats. Conclusions This study shows that human leptospirosis still represents a heavy disease burden in Seychelles. Genotype data suggests that rats are actually not the main reservoir for human disease. We highlight a rather limited efficacy of preventive measures so far implemented in Seychelles. This could result from ineffective control measures of excreting animal populations, possibly due to a misidentification of the main contaminating reservoir(s). Altogether, presented data stimulate the exploration of alternative reservoir animal hosts. Leptospirosis is an emerging environmental infectious disease caused by corkscrew shaped bacteria called Leptospira. Humans usually get infected during recreational or work-related outdoor activities through contact with urine excreted by animal reservoirs. As a zoonotic disease, leptospirosis is a good example of the One Health concept for it links humans, animals and ecosystems in a web of pathogen maintenance and transmission. This zoonosis is highly prevalent in the tropics and especially in tropical islands. Seychelles archipelago has been reported as the country with highest human incidence worldwide, although figures are based on dated studies and/or poorly specific tests. The presented investigation aimed at providing an updated information on human leptospirosis burden in Seychelles and exploring the transmission chains in their environmental aspects. Presented data confirms that the disease still heavily impacts the country. Genotyping of pathogenic Leptospira in human acute cases reveals that three distinct Sequence Types (STs) are involved in the disease. However, rats typically considered as the main reservoir in Seychelles, harbor only one of these STs, found only in a minority of human cases. Hence, it appears that rats are likely not the main reservoir of leptospirosis in Seychelles, which has important consequences in terms of preventive measures to be implemented for a better control of human leptospirosis.
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Affiliation(s)
- Leon Biscornet
- Université de La Réunion, UMR PIMIT (Processus Infectieux en Milieu Insulaire Tropical), CNRS 9192, INSERM U 1187, IRD 249. Plateforme de Recherche CYROI, Sainte Clotilde, La Réunion, France
- CRVOI, Centre de Recherche et de Veille sur les Maladies Emergentes dans l’Océan Indien, Ste Clotilde, Plateforme de Recherche CYROI, Sainte Clotilde, La Réunion, France
- Infectious Disease Surveillance Unit, Seychelles Public Health Laboratory, Public Health Authority, Ministry of Health, Mont Fleuri, Seychelles
| | - Koussay Dellagi
- Université de La Réunion, UMR PIMIT (Processus Infectieux en Milieu Insulaire Tropical), CNRS 9192, INSERM U 1187, IRD 249. Plateforme de Recherche CYROI, Sainte Clotilde, La Réunion, France
- CRVOI, Centre de Recherche et de Veille sur les Maladies Emergentes dans l’Océan Indien, Ste Clotilde, Plateforme de Recherche CYROI, Sainte Clotilde, La Réunion, France
| | - Frédéric Pagès
- Regional Office of the French Institute for Public Health Surveillance (Santé Publique France), Saint-Denis, La Réunion, France
| | - Jastin Bibi
- Disease Surveillance and Response Unit, Epidemiology and Statistics Section, Public Health Authority, Ministry of Health, Mont Fleuri, Seychelles
| | - Jeanine de Comarmond
- Disease Surveillance and Response Unit, Epidemiology and Statistics Section, Public Health Authority, Ministry of Health, Mont Fleuri, Seychelles
| | - Julien Mélade
- Université de La Réunion, UMR PIMIT (Processus Infectieux en Milieu Insulaire Tropical), CNRS 9192, INSERM U 1187, IRD 249. Plateforme de Recherche CYROI, Sainte Clotilde, La Réunion, France
- CRVOI, Centre de Recherche et de Veille sur les Maladies Emergentes dans l’Océan Indien, Ste Clotilde, Plateforme de Recherche CYROI, Sainte Clotilde, La Réunion, France
| | - Graham Govinden
- Infectious Disease Surveillance Unit, Seychelles Public Health Laboratory, Public Health Authority, Ministry of Health, Mont Fleuri, Seychelles
| | - Maria Tirant
- Regional Office of the French Institute for Public Health Surveillance (Santé Publique France), Saint-Denis, La Réunion, France
| | - Yann Gomard
- Université de La Réunion, UMR PIMIT (Processus Infectieux en Milieu Insulaire Tropical), CNRS 9192, INSERM U 1187, IRD 249. Plateforme de Recherche CYROI, Sainte Clotilde, La Réunion, France
- CRVOI, Centre de Recherche et de Veille sur les Maladies Emergentes dans l’Océan Indien, Ste Clotilde, Plateforme de Recherche CYROI, Sainte Clotilde, La Réunion, France
| | - Vanina Guernier
- Université de La Réunion, UMR PIMIT (Processus Infectieux en Milieu Insulaire Tropical), CNRS 9192, INSERM U 1187, IRD 249. Plateforme de Recherche CYROI, Sainte Clotilde, La Réunion, France
- CRVOI, Centre de Recherche et de Veille sur les Maladies Emergentes dans l’Océan Indien, Ste Clotilde, Plateforme de Recherche CYROI, Sainte Clotilde, La Réunion, France
| | - Erwan Lagadec
- Université de La Réunion, UMR PIMIT (Processus Infectieux en Milieu Insulaire Tropical), CNRS 9192, INSERM U 1187, IRD 249. Plateforme de Recherche CYROI, Sainte Clotilde, La Réunion, France
- CRVOI, Centre de Recherche et de Veille sur les Maladies Emergentes dans l’Océan Indien, Ste Clotilde, Plateforme de Recherche CYROI, Sainte Clotilde, La Réunion, France
| | - Jimmy Mélanie
- Veterinary Services Section, Seychelles Agricultural Agency, Ministry of Agriculture and Fisheries, Victoria, Seychelles
| | - Gérard Rocamora
- Island Biodiversity and Conservation Centre, University of Seychelles, Victoria, Seychelles
| | - Gildas Le Minter
- Université de La Réunion, UMR PIMIT (Processus Infectieux en Milieu Insulaire Tropical), CNRS 9192, INSERM U 1187, IRD 249. Plateforme de Recherche CYROI, Sainte Clotilde, La Réunion, France
| | - Julien Jaubert
- Service de Bactériologie, Parasitologie, Virologie et Hygiène, Groupe Hospitalier Sud Réunion-Centre Hospitalier Universitaire (GHSR-CHU), Saint Pierre, La Réunion, France
| | - Patrick Mavingui
- Université de La Réunion, UMR PIMIT (Processus Infectieux en Milieu Insulaire Tropical), CNRS 9192, INSERM U 1187, IRD 249. Plateforme de Recherche CYROI, Sainte Clotilde, La Réunion, France
| | - Pablo Tortosa
- Université de La Réunion, UMR PIMIT (Processus Infectieux en Milieu Insulaire Tropical), CNRS 9192, INSERM U 1187, IRD 249. Plateforme de Recherche CYROI, Sainte Clotilde, La Réunion, France
- * E-mail:
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Reid SA, Rodney A, Kama M, Hill PS. A process for developing multisectoral strategies for zoonoses: the case of leptospirosis in Fiji. BMC Public Health 2017; 17:671. [PMID: 28830472 PMCID: PMC5567884 DOI: 10.1186/s12889-017-4673-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2016] [Accepted: 08/08/2017] [Indexed: 01/07/2023] Open
Abstract
Background Zoonotic diseases such as leptospirosis occur as a result of the often complex interactions that exist at the human-animal-environment interface. The most obvious consequence of this complexity is the need for the health sector to partner with institutions in other sectors of society such as agriculture, labour and local government. This multisectoral engagement is complicated by the different agendas and cultures of the various institutions and their ability to “see” their role and ant benefits in a collaborative response. Methods The research used a realist review methodology combined with systems thinking frameworks to determine the optimal strategy and governance for the prevention and control of leptospirosis in Fiji. The process included facilitated workshops with multiple stakeholders to determine the needs, issues and potential interventions that was guided by a synthesis of locally available data and information on the impact of leptospirosis. This process was informed by interviews with bureaucrats from different government ministries. Results Stakeholders concurred that leptospirosis generally only received wide-spread attention in outbreaks, when there is media coverage of deaths or a large number of hospitalisations. In general, all ministries expressed support for a multisectoral strategy but saw the Ministry of Health and Medical Services as the lead agency with overall responsibility. The final consultation workshop yielded a clearly articulated goal to reduce the case fatality rate attributable to leptospirosis by 50% by 2020 and 4 overarching strategies: 1) improved clinical management of leptospirosis, 2) improved surveillance for leptospirosis, 3) enhanced communication to minimise risk and improve health seeking behaviours, and 4) strengthening coordination and governance structures. Conclusion Human mortality and morbidity remained the primary drive for government action, defining leptospirosis as a human health problem. The process of deliberative consultation, and the engagement of multidisciplinary partners has provided a platform for collaborative policy development, and a consensus for a National Action Plan from which further negotiated collaboration will be possible. Electronic supplementary material The online version of this article (doi:10.1186/s12889-017-4673-1) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Simon A Reid
- The University of Queensland, School of Public Health, Herston, QLD, 4006, Australia.
| | - Anna Rodney
- The University of Queensland, School of Public Health, Herston, QLD, 4006, Australia
| | - Mike Kama
- Fiji Centre for Communicable Disease Control, Ministry of Health and Medical Services, Suva, Fiji
| | - Peter S Hill
- The University of Queensland, School of Public Health, Herston, QLD, 4006, Australia
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Bergmann M, Llewellyn JR, Hartmann K. [Epidemiology and prevention of leptospirosis in dogs]. TIERARZTLICHE PRAXIS. AUSGABE K, KLEINTIERE/HEIMTIERE 2017; 45:163-168. [PMID: 28466955 DOI: 10.15654/tpk-160964] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/27/2016] [Accepted: 01/16/2017] [Indexed: 01/05/2023]
Abstract
Leptospirosis is a zoonotic disease with increasing prevalence in dogs and humans. The various Leptospira serovars display different pathogenicity. Even healthy infected dogs can shed leptospires with their urine and thus, represent a risk for humans and other animals. Vaccination is the most important measure for prevention; it not only prevents disease in dogs, but also reduces shedding of leptospires in urine. For comprehensive protection through vaccination, tetravalent vaccines containing serovars of the serogroups relevant in the corresponding region should be used. The spread of the pathogen can be reduced by a wide application of these vaccines. A detailed owner education about the zoonotic potential of the infection and appropriate hygiene measures when handling the infected dog and its urine are essential.
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Affiliation(s)
- Michèle Bergmann
- Michèle Bergmann, Medizinische Kleintierklinik, Ludwig-Maximilians-Universität München, Veterinärstraße 13, 80539 München, E-Mail:
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Delaude A, Rodriguez-Campos S, Dreyfus A, Counotte MJ, Francey T, Schweighauser A, Lettry S, Schuller S. Canine leptospirosis in Switzerland—A prospective cross-sectional study examining seroprevalence, risk factors and urinary shedding of pathogenic leptospires. Prev Vet Med 2017; 141:48-60. [DOI: 10.1016/j.prevetmed.2017.04.008] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2016] [Revised: 04/23/2017] [Accepted: 04/25/2017] [Indexed: 10/19/2022]
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Guernier V, Richard V, Nhan T, Rouault E, Tessier A, Musso D. Leptospira diversity in animals and humans in Tahiti, French Polynesia. PLoS Negl Trop Dis 2017; 11:e0005676. [PMID: 28658269 PMCID: PMC5507467 DOI: 10.1371/journal.pntd.0005676] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2016] [Revised: 07/11/2017] [Accepted: 06/02/2017] [Indexed: 01/07/2023] Open
Abstract
BACKGROUND Leptospirosis is a highly endemic bacterial zoonosis in French Polynesia (FP). Nevertheless, data on the epidemiology of leptospirosis in FP are scarce. We conducted molecular studies on Leptospira isolated from humans and the potential main animal reservoirs in order to identify the most likely sources for human infection. METHODOLOGY/PRINCIPAL FINDINGS Wild rats (n = 113), farm pigs (n = 181) and domestic dogs (n = 4) were screened for Leptospira infection in Tahiti, the most populated island in FP. Positive samples were genotyped and compared to Leptospira isolated from human cases throughout FP (n = 51), using secY, 16S and LipL32 sequencing, and MLST analysis. Leptospira DNA was detected in 20.4% of rats and 26.5% of pigs. We identified two Leptospira species and three sequence types (STs) in animals and humans: Leptospira interrogans ST140 in pigs only and L. interrogans ST17 and Leptospira borgpetersenii ST149 in humans and rats. Overall, L. interrogans was the dominant species and grouped into four clades: one clade including a human case only, two clades including human cases and dogs, and one clade including human cases and rats. All except one pig sample showed a unique L. interrogans (secY) genotype distinct from those isolated from humans, rats and dogs. Moreover, LipL32 sequencing allowed the detection of an additional Leptospira genotype in pigs, clearly distinct from the previous ones. CONCLUSIONS/SIGNIFICANCE Our data confirm rats as a major potential source for human leptospirosis in FP. By contrast to what was expected, farm pigs did not seem to be a major reservoir for the Leptospira genotypes identified in human patients. Thus, further investigations will be required to determine their significance in leptospirosis transmission in FP.
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Affiliation(s)
- Vanina Guernier
- Institut Louis Malardé, Papeete, Tahiti, French Polynesia
- Australian Institute for Tropical Health and Medicine (AITHM), JCU, Townsville, Australia
| | - Vaea Richard
- Institut Louis Malardé, Papeete, Tahiti, French Polynesia
| | - Tuxuan Nhan
- Institut Louis Malardé, Papeete, Tahiti, French Polynesia
| | - Eline Rouault
- Institut Louis Malardé, Papeete, Tahiti, French Polynesia
| | - Anita Tessier
- Institut Louis Malardé, Papeete, Tahiti, French Polynesia
| | - Didier Musso
- Institut Louis Malardé, Papeete, Tahiti, French Polynesia
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Weis S, Hartmann K. [Leptospira infections in cats]. TIERAERZTLICHE PRAXIS AUSGABE KLEINTIERE HEIMTIERE 2017; 45:103-108. [PMID: 28327780 DOI: 10.15654/tpk-160912] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/07/2016] [Accepted: 01/07/2017] [Indexed: 11/13/2022]
Abstract
Leptospirosis is a widespread zoonosis found in over 150 mammalian species. Subclinically infected rodents and farm animals serve as reservoir hosts. Cats are exposed to leptospires regularly, particularly through hunting infected rodents. However, clinical leptospirosis is rare in cats. Nevertheless, infected cats can shed the pathogen through urine and thus, cats could play an important role in the epidemiology of leptospires.
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Affiliation(s)
- Sonia Weis
- Sonia Weis, Medizinische Kleintierklinik, Ludwig-Maximilians-Universität München, Veterinärstraße 13, 80539 München, E-Mail:
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Miotto BA, Moreno LZ, Guilloux AGA, Sousa GOD, Loureiro AP, Moreno AM, Lilenbaum W, Vasconcellos SA, Heinemann MB, Hagiwara MK. Molecular and serological characterization of the first Leptospira santarosai strain isolated from a dog. Acta Trop 2016; 162:1-4. [PMID: 27282095 DOI: 10.1016/j.actatropica.2016.06.007] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2016] [Accepted: 06/05/2016] [Indexed: 01/23/2023]
Abstract
Leptospirosis is a zoonotic disease of global importance caused by pathogenic Leptospira species. Dogs can become asymptomatically infected, acting like reservoir hosts for pathogenic Leptospira, notably Leptospira interrogans serovar Canicola. Identification of such individuals and characterization of leptospires involved in chronic infections may unravel the role of dogs in the epidemiology of particular leptospiral strains. The aim of the present work was to describe the first Leptospira santarosai strain isolated from a dog. The dog was kept in a public shelter in São Paulo city, Brazil, and presented asymptomatic urinary shedding detected by PCR. Prospective evaluation was performed to fully characterize its chronic carrier state. The dog did not present anti-Leptospira titles or clinical/laboratorial abnormalities during the evaluations; nevertheless long-term urinary shedding was confirmed by PCR and leptospires were recovered from two occasions. The isolated strain was molecularly characterized by partial 16S rRNA and secY gene sequencing and MLST analysis. Serogroup identification was performed using polyclonal antibodies. The strain was identified as Leptospira santarosai, serogroup Sejroe. This is the first evidence in the literature of the isolation of L. santarosai in dogs. Our findings show that dogs can persistently harbor leptospires other than L. interrogans.
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Abstract
Leptospirosis is a widespread bacterial zoonosis with highest burden in low-income populations living in tropical and subtropical regions, both in urban and in rural environments. Rodents are known as the main reservoir animals, but other mammals may also significantly contribute to human infections in some settings. Clinical presentation of leptospirosis is nonspecific and variable, and most of the early signs and symptoms point to the so-called “acute fever of unknown origin”, a major diagnostic challenge in tropical and subtropical areas. However, leptospirosis can rapidly evolve to life-threatening complications, especially if left untreated. There is a need for good awareness of leptospirosis and rapid antibiotic treatment based on clinical and epidemiological suspicion. Severe leptospirosis cases include renal and/or respiratory failure and shock, necessitating intensive care, also seldom available or with limited capacity. Confirmation of leptospirosis relies on biological diagnosis, which unfortunately uses tricky methods seldom available. This biological confirmation, however, is essential for surveillance and public health purpose. A good knowledge of leptospirosis epidemiology (eg, the reservoir animals involved, the Leptospira strains circulating, the seasonal and geographical patterns, and specific populations at risk) can be achieved through adequate surveillance and diagnosis. This can pave the way to prevention and intervention strategies and in turn alleviate the toll leptospirosis takes on affected populations. Over the past few years, leptospirosis has been increasingly recognized, as the need for multidisciplinary approaches in a One-Health perspective has been acknowledged, raising hope to successfully tackle the challenges of this zoonosis.
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Affiliation(s)
- Cyrille Goarant
- Institut Pasteur International Network, Institut Pasteur in New Caledonia, Leptospirosis Research and Expertise Unit, Nouméa, New Caledonia
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Guernier V, Lagadec E, Cordonin C, Le Minter G, Gomard Y, Pagès F, Jaffar-Bandjee MC, Michault A, Tortosa P, Dellagi K. Human Leptospirosis on Reunion Island, Indian Ocean: Are Rodents the (Only) Ones to Blame? PLoS Negl Trop Dis 2016; 10:e0004733. [PMID: 27294677 PMCID: PMC4905629 DOI: 10.1371/journal.pntd.0004733] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2016] [Accepted: 05/03/2016] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND Although leptospirosis is a zoonosis of major concern on tropical islands, the molecular epidemiology of the disease aiming at linking human cases to specific animal reservoirs has been rarely explored within these peculiar ecosystems. METHODOLOGY/PRINCIPAL FINDINGS Five species of wild small mammals (n = 995) as well as domestic animals (n = 101) were screened for Leptospira infection on Reunion Island; positive samples were subsequently genotyped and compared to Leptospira from clinical cases diagnosed in 2012-2013 (n = 66), using MLST analysis. We identified two pathogenic species in human cases, namely Leptospira interrogans and Leptospira borgpetersenii. Leptospira interrogans was by far dominant both in clinical samples (96.6%) and in infected animal samples (95.8%), with Rattus spp and dogs being its exclusive carriers. The genetic diversity within L. interrogans was apparently limited to two sequence types (STs): ST02, identified among most clinical samples and in all rats with complete MLST, and ST34, identified in six humans, but not in rats. Noteworthy, L. interrogans detected in two stray dogs partially matched with ST02 and ST34. Leptospira borgpetersenii was identified in two clinical samples only (3.4%), as well as in cows and mice; four haplotypes were identified, of which two seemingly identical in clinical and animal samples. Leptospira borgpetersenii haplotypes detected in human cases were clearly distinct from the lineage detected so far in the endemic bat species Mormopterus francoismoutoui, thus excluding a role for this volant mammal in the local human epidemiology of the disease. CONCLUSIONS/SIGNIFICANCE Our data confirm rats as a major reservoir of Leptospira on Reunion Island, but also pinpoint a possible role of dogs, cows and mice in the local epidemiology of human leptospirosis. This study shows that a comprehensive molecular characterization of pathogenic Leptospira in both clinical and animal samples helps to gaining insight into leptospirosis epidemiology within a specific environmental setting.
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Affiliation(s)
- Vanina Guernier
- Centre de Recherche et de Veille sur les maladies émergentes dans l’Océan Indien (CRVOI), Plateforme de Recherche CYROI, Sainte Clotilde, Reunion Island, France
| | - Erwan Lagadec
- Centre de Recherche et de Veille sur les maladies émergentes dans l’Océan Indien (CRVOI), Plateforme de Recherche CYROI, Sainte Clotilde, Reunion Island, France
- Université de La Réunion, UMR PIMIT "Processus Infectieux en Milieu Insulaire Tropical", INSERM U1187, CNRS 9192, IRD 249. Plateforme de Recherche CYROI, Sainte Clotilde, Reunion Island, France
| | - Colette Cordonin
- Centre de Recherche et de Veille sur les maladies émergentes dans l’Océan Indien (CRVOI), Plateforme de Recherche CYROI, Sainte Clotilde, Reunion Island, France
- Université de La Réunion, UMR PIMIT "Processus Infectieux en Milieu Insulaire Tropical", INSERM U1187, CNRS 9192, IRD 249. Plateforme de Recherche CYROI, Sainte Clotilde, Reunion Island, France
| | - Gildas Le Minter
- Centre de Recherche et de Veille sur les maladies émergentes dans l’Océan Indien (CRVOI), Plateforme de Recherche CYROI, Sainte Clotilde, Reunion Island, France
- Université de La Réunion, UMR PIMIT "Processus Infectieux en Milieu Insulaire Tropical", INSERM U1187, CNRS 9192, IRD 249. Plateforme de Recherche CYROI, Sainte Clotilde, Reunion Island, France
| | - Yann Gomard
- Centre de Recherche et de Veille sur les maladies émergentes dans l’Océan Indien (CRVOI), Plateforme de Recherche CYROI, Sainte Clotilde, Reunion Island, France
- Université de La Réunion, UMR PIMIT "Processus Infectieux en Milieu Insulaire Tropical", INSERM U1187, CNRS 9192, IRD 249. Plateforme de Recherche CYROI, Sainte Clotilde, Reunion Island, France
| | - Frédéric Pagès
- Regional Office (Cire) of the French Institute for Public Health Surveillance (Institut de veille sanitaire), Reunion Island, France
| | | | - Alain Michault
- Laboratory of Biology, Centre Hospitalier Universitaire/GHSR, Saint-Pierre, Reunion Island, France
| | - Pablo Tortosa
- Centre de Recherche et de Veille sur les maladies émergentes dans l’Océan Indien (CRVOI), Plateforme de Recherche CYROI, Sainte Clotilde, Reunion Island, France
- Université de La Réunion, UMR PIMIT "Processus Infectieux en Milieu Insulaire Tropical", INSERM U1187, CNRS 9192, IRD 249. Plateforme de Recherche CYROI, Sainte Clotilde, Reunion Island, France
| | - Koussay Dellagi
- Centre de Recherche et de Veille sur les maladies émergentes dans l’Océan Indien (CRVOI), Plateforme de Recherche CYROI, Sainte Clotilde, Reunion Island, France
- Université de La Réunion, UMR PIMIT "Processus Infectieux en Milieu Insulaire Tropical", INSERM U1187, CNRS 9192, IRD 249. Plateforme de Recherche CYROI, Sainte Clotilde, Reunion Island, France
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Eric Klaasen HL, Adler B. Recent advances in canine leptospirosis: focus on vaccine development. VETERINARY MEDICINE-RESEARCH AND REPORTS 2015; 6:245-260. [PMID: 30101111 PMCID: PMC6067773 DOI: 10.2147/vmrr.s59521] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
Leptospirosis is a global infection of humans and animals caused by pathogenic Leptospira spp. Leptospirosis is a major zoonosis, with infection acquired from wild and domestic animals. It is also a significant cause of morbidity, mortality, and economic loss in production and companion animals. Leptospirosis in dogs is prevalent worldwide and as well as a cause of canine disease, it presents a zoonotic risk to human contacts. Canine leptospirosis does not differ greatly from the syndromes seen in other animal species, with hepatic, renal, and pulmonary involvement being the main manifestations. While the pathogenesis of disease is well documented at the whole animal level, the cellular and molecular basis remains obscure. Killed, whole-cell bacterin vaccines are licensed worldwide and have not changed greatly over the past several decades. Vaccine-induced immunity is restricted to serologically related serovars and is generally short-lived, necessitating annual revaccination. The appearance of new serovars as causes of canine leptospirosis requires constant epidemiological surveillance and tailoring of vaccines to cover emerging serovars. At the present time, there is no realistic prospect of alternative, non-bacterin vaccines in the foreseeable future.
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Affiliation(s)
- Henricus Lbm Eric Klaasen
- Global Companion Animals Research and Development, Merck Sharp and Dohme Animal Health, Boxmeer, the Netherlands,
| | - Ben Adler
- Department of Microbiology, Monash University, Clayton, VIC, Australia
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Increasing incidence of canine leptospirosis in Switzerland. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2014; 11:7242-60. [PMID: 25032740 PMCID: PMC4113873 DOI: 10.3390/ijerph110707242] [Citation(s) in RCA: 64] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/04/2014] [Revised: 06/10/2014] [Accepted: 07/08/2014] [Indexed: 12/26/2022]
Abstract
A marked increase in canine leptospirosis was observed in Switzerland over 10 years with a peak incidence of 28.1 diagnosed cases/100,000 dogs/year in the most affected canton. With 95% affected dogs living at altitudes <800 m, the disease presented a seasonal pattern associated with temperature (r2 0.73) and rainfall (r2 0.39), >90% cases being diagnosed between May and October. The increasing yearly incidence however was only weakly correlated with climatic data including number of summer (r2 0.25) or rainy days (r2 0.38). Serovars Australis and Bratislava showed the highest seropositivity rates with 70.5% and 69.1%, respectively. Main clinical manifestations included renal (99.6%), pulmonary (76.7%), hepatic (26.0%), and hemorrhagic syndromes (18.2%), leading to a high mortality rate (43.3%). Similar to the human disease, liver involvement had the strongest association with negative outcome (OR 16.3). Based on these data, canine leptospirosis presents similar features and severity as the human infection for which it therefore can be considered a model. Its re-emergence in a temperate country with very high incidence rates in canines should thus be viewed as a warning and emphasize the need for increased awareness in other species.
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