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Sohm C, Willixhofer D, Fasching E, Waldner K, Deitzer N, Steiner J, Jöbstl J, Schleicher C, Schwarz M, Fuchs R, Bourhy P, Käsbohrer A, Wittek T, Firth C, Steinparzer R, Desvars-Larrive A. First isolation and genotyping of pathogenic Leptospira spp. from Austria. Sci Rep 2024; 14:4467. [PMID: 38409294 PMCID: PMC10897423 DOI: 10.1038/s41598-024-53775-w] [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: 12/11/2023] [Accepted: 02/05/2024] [Indexed: 02/28/2024] Open
Abstract
Leptospirosis is a globally distributed zoonotic disease. The standard serological test, known as Microscopic Agglutination Test (MAT), requires the use of live Leptospira strains. To enhance its sensitivity and specificity, the usage of locally circulating strains is recommended. However, to date, no local strain is available from Austria. This study aimed to isolate circulating Leptospira strains from cattle in Austria to enhance the performances of the routine serological test for both humans and animals. We used a statistical approach combined with a comprehensive literature search to profile cattle with greater risk of leptospirosis infection and implemented a targeted sampling between November 2021 and October 2022. Urine and/or kidney tissue were sampled from 410 cattle considered at higher risk of infection. Samples were inoculated into EMJH-STAFF culture media within 2-6 h and a real-time PCR targeting the lipL32 gene was used to confirm the presence/absence of pathogenic Leptospira in each sample. Isolates were further characterised by core genome multilocus sequence typing (cgMLST). Nine out of 429 samples tested positive by PCR, from which three isolates were successfully cultured and identified as Leptospira borgpetersenii serogroup Sejroe serovar Hardjobovis, cgMLST cluster 40. This is the first report on the isolation and genotyping of local zoonotic Leptospira in Austria, which holds the potential for a significant improvement in diagnostic performance in the country. Although the local strain was identified as a cattle-adapted serovar, it possesses significant zoonotic implications. Furthermore, this study contributes to a better understanding of the epidemiology of leptospirosis in Europe.
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Affiliation(s)
- Cynthia Sohm
- VetFarm, Department of Farm Animals and Veterinary Public Health, University of Veterinary Medicine Vienna, Kremesberg 13, 2563, Pottenstein, Austria.
- Unit of Veterinary Public Health and Epidemiology, Department of Farm Animals and Veterinary Public Health, University of Veterinary Medicine Vienna, Veterinärplatz 1, 1210, Vienna, Austria.
- University Clinic for Ruminants, Department of Farm Animals and Veterinary Public Health, University of Veterinary Medicine Vienna, Veterinärplatz 1, 1210, Vienna, Austria.
| | - Denise Willixhofer
- Institute for Veterinary Disease Control, Austrian Agency for Health and Food Safety (AGES), Robert Koch-Gasse 17, 2340, Mödling, Austria
| | - Eva Fasching
- Institute for Veterinary Disease Control, Austrian Agency for Health and Food Safety (AGES), Robert Koch-Gasse 17, 2340, Mödling, Austria
| | - Karoline Waldner
- Institute for Veterinary Disease Control, Austrian Agency for Health and Food Safety (AGES), Robert Koch-Gasse 17, 2340, Mödling, Austria
| | - Nicole Deitzer
- Unit of Veterinary Public Health and Epidemiology, Department of Farm Animals and Veterinary Public Health, University of Veterinary Medicine Vienna, Veterinärplatz 1, 1210, Vienna, Austria
| | - Janina Steiner
- Unit of Veterinary Public Health and Epidemiology, Department of Farm Animals and Veterinary Public Health, University of Veterinary Medicine Vienna, Veterinärplatz 1, 1210, Vienna, Austria
| | - Julia Jöbstl
- Unit of Veterinary Public Health and Epidemiology, Department of Farm Animals and Veterinary Public Health, University of Veterinary Medicine Vienna, Veterinärplatz 1, 1210, Vienna, Austria
| | - Corina Schleicher
- Department for Data, Statistics and Risk Assessment, Austrian Agency for Health and Food Safety (AGES), Zinzendorfgasse 27/1, 8010, Graz, Austria
| | - Marcel Schwarz
- Department for Data, Statistics and Risk Assessment, Austrian Agency for Health and Food Safety (AGES), Zinzendorfgasse 27/1, 8010, Graz, Austria
| | - Reinhard Fuchs
- Department for Data, Statistics and Risk Assessment, Austrian Agency for Health and Food Safety (AGES), Zinzendorfgasse 27/1, 8010, Graz, Austria
| | - Pascale Bourhy
- Unit Biology of Spirochetes, Department of Microbiology, Institut Pasteur, 25-28 Rue du Docteur Roux, 75015, Paris, France
| | - Annemarie Käsbohrer
- Unit of Veterinary Public Health and Epidemiology, Department of Farm Animals and Veterinary Public Health, University of Veterinary Medicine Vienna, Veterinärplatz 1, 1210, Vienna, Austria
| | - Thomas Wittek
- University Clinic for Ruminants, Department of Farm Animals and Veterinary Public Health, University of Veterinary Medicine Vienna, Veterinärplatz 1, 1210, Vienna, Austria
| | - Clair Firth
- Unit of Veterinary Public Health and Epidemiology, Department of Farm Animals and Veterinary Public Health, University of Veterinary Medicine Vienna, Veterinärplatz 1, 1210, Vienna, Austria
| | - Romana Steinparzer
- Institute for Veterinary Disease Control, Austrian Agency for Health and Food Safety (AGES), Robert Koch-Gasse 17, 2340, Mödling, Austria
| | - Amélie Desvars-Larrive
- VetFarm, Department of Farm Animals and Veterinary Public Health, University of Veterinary Medicine Vienna, Kremesberg 13, 2563, Pottenstein, Austria
- Unit of Veterinary Public Health and Epidemiology, Department of Farm Animals and Veterinary Public Health, University of Veterinary Medicine Vienna, Veterinärplatz 1, 1210, Vienna, Austria
- Complexity Science Hub Vienna, Josefstädter Straße 39, 1080, Vienna, Austria
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Ochoa-Valencia JL, Cruz-Romero A, Sánchez-Montes S, Esparza-González SC, Romero-Salas D, Domínguez-Mancera B, Ramos-Vázquez JR, Becker I, Torres-Castro M. Serological and Molecular evidence of pathogenic Leptospira species in cattle from slaughterhouses in Veracruz State, Mexico. REVISTA CIENTÍFICA DE LA FACULTAD DE CIENCIAS VETERINARIAS 2022. [DOI: 10.52973/rcfcv-e33201] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Cattle raising is the most important livestock activity in Mexico, highlighting the fact that the Country is eight place worldwide in the production of bovine meat. However, cattle can be affected by leptospirosis (a bacterial disease caused by 17 species of spirochetes of the genus Leptospira), which cause reproductive problems that translate into great economic losses. Additionally, these zoonotic agents can cause a rapidly evolving febrile condition in humans, which can be solved after the first week of symptoms or could progress to develop a severe late-phase manifestations. Despite the great impact of these agents on the economy and Public Health, epidemiological surveillance against the infectious disease that cause is not present in municipal slaughterhouses (MS). Therefore, the aim of this study was to identify, using serological and molecular methods, the circulating Leptospira species in three MS in Veracruz State. The frequency of anti-Leptospira antibodies was 67.5%. Additionally, five sequences were recovered that were 99% similar to L. interrogans. This work represents the first national effort for the evaluation of MS as sentinel units, that allow establishing the diversity of species of the genus Leptospira that circulate in cattle and establishing intervention measures for workers risk mitigation, who come into contact with the fluids and organs of infected animals.
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Affiliation(s)
- Jose Luis Ochoa-Valencia
- Universidad Veracruzana, Facultad de Medicina Veterinaria y Zootecnia, región Veracruz. Veracruz, México
| | - Anabel Cruz-Romero
- Universidad Veracruzana, Facultad de Medicina Veterinaria y Zootecnia, región Veracruz. Veracruz, México
| | - Sokani Sánchez-Montes
- Universidad Veracruzana, Facultad de Ciencias Biológicas y Agropecuarias, región Tuxpan. Veracruz, México -Universidad Nacional Autónoma de México, Facultad de Medicina, Centro de Medicina Tropical, Unidad de Investigación en Medicina Experimental. Ciudad de México, México
| | - Sandra Cecilia Esparza-González
- Universidad Autónoma de Coahuila, Facultad de Odontología, Laboratorio de Cultivo Celular, Unidad Saltillo. Saltillo, México
| | - Dora Romero-Salas
- Universidad Veracruzana, Facultad de Medicina Veterinaria y Zootecnia, región Veracruz. Veracruz, México
| | | | - Jose Rodrigo Ramos-Vázquez
- Universidad Veracruzana, Facultad de Medicina Veterinaria y Zootecnia, región Veracruz. Veracruz, México
| | - Ingeborg Becker
- Universidad Nacional Autónoma de México, Facultad de Medicina, Centro de Medicina Tropical, Unidad de Investigación en Medicina Experimental. Ciudad de México, México
| | - Marco Torres-Castro
- Universidad Autónoma de Yucatán, Centro de Investigaciones Regionales “Dr. Hideyo Noguchi”, Laboratorio de Enfermedades Emergentes y Reemergentes.Yucatán, México
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Mathesh K, Thankappan S, Deneke Y, Vamadevan B, Siddappa CM, Sharma AK, Selvaraj I, Sha A, Kumar A. A multipronged approach for the detection of leptospirosis in captive sloth bears (Melursus ursinus) in Agra and Bannerghatta sloth bear rescue centers in India. J Vet Med Sci 2021; 83:1059-1067. [PMID: 33994428 PMCID: PMC8349803 DOI: 10.1292/jvms.21-0082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Leptospirosis is an exacerbating factor responsible for the drastic decline of sloth bear population in India. In this study, a multipronged approach based on
antigen detection using Polymerase Chain Reaction (PCR) employing G1/G2 and LigBF/LigBR primers, antibody detection using Microscopic Agglutination Test (MAT)
and recombinant LigBCon1-5 antigen based Latex Agglutination Test (rLigBCon1-5 LAT), serum biochemistry using hepatic (serum glutamate oxalo acetic transaminase
(SGOT) and serum glutamate pyruvic transaminase (SGPT) and renal biomarkers (blood urea nitrogen (BUN) and Creatinine) and gross/histopathological evidence in
liver and kidneys were employed to investigate leptospirosis in captive sloth bears. A total of 133 serum samples collected from Agra (n=113) and Bannerghatta
(n=20) sloth bear rescue centers were screened using MAT and rLigBCon1-5 LAT. A total of 87 and 78 sera tested positive by MAT and LAT respectively. Pyrogenes
was the leading serovar obtained using MAT followed by Icterohaemorrhagiae, Javanica, Grippotyphosa, Canicola and Tarassovi. The relative sensitivity,
specificity and accuracy of rLigBCon1-5 LAT in comparison to MAT were 89.66%, 100% and 93.23% respectively. PCR performed on hepatic and renal tissues showed
amplicon of 285 and 219 base pairs for G1/G2 and LigBF/LigBR primers respectively. Gross evidence (icteric liver, severely engorged hepatic sinusoids, congested
kidneys with necrotic white spots on sub capsular surface), histopathology (severe hepatic degeneration and tubulointerstitial nephritis) and elevated
hepatic/renal biomarkers were suggestive of leptospirosis. This study suggests that rLigBCon1-5 LAT can be employed as a pen-side test for detecting
leptospirosis in sloth bears.
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Affiliation(s)
- Karikalan Mathesh
- Center for Wildlife, ICAR-IVRI, Izzatnagar, Uttar Pradesh 243122, India
| | - Sabarinath Thankappan
- Clinical Bacteriological Laboratory, ICAR-IVRI, Mukteshwar, Uttarakhand 263138, India
| | - Yosef Deneke
- School of Veterinary Medicine, Jimma University, P.O. Box 378, Ethiopia
| | - Beena Vamadevan
- Veterinary Pathology Division, ICAR-IVRI, Izzatnagar, Uttar Pradesh 243122, India
| | | | - Anil Kumar Sharma
- Center for Wildlife, ICAR-IVRI, Izzatnagar, Uttar Pradesh 243122, India
| | - Ilayaraja Selvaraj
- Agra Bear Rescue Center, Wildlife SOS, Keetham, Agra, Uttar Pradesh 283101, India
| | - Arun Sha
- Bannerghatta Bear Rescue Center, Wildlife SOS, Bengaluru 560083, India
| | - Ashok Kumar
- Krishi Bhawan, ICAR, New Delhi 110001, India
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Detection of bovine carriers of Leptospira by serological, bacteriological, and molecular tools. Trop Anim Health Prod 2018; 50:883-888. [PMID: 29349716 DOI: 10.1007/s11250-018-1512-z] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2017] [Accepted: 01/05/2018] [Indexed: 10/18/2022]
Abstract
Bovine leptospirosis is an important infectious disease that causes reproductive problems and economic risks, particularly in the tropics. The present study aimed to determine the extent of Leptospira infection among bovines on a slaughterhouse from Rio de Janeiro, Brazil via serological, bacteriological, and molecular tests. Two hundred eight bovines were examined in total, and we obtained 208 blood samples for serology, 198 urine samples collected via direct bladder puncture for polymerase chain reaction (PCR) and culture, 208 kidney samples (one from each animal) for PCR and culture, and 92 vaginal fluid samples from sterile swabs for PCR and culture. Serology demonstrated that 77/208 (37%) of the animals presented anti-Leptospira antibodies. Serogroup Sejroe was by far the most common. One hundrd thirty-three animals (63.9%) were PCR positive in at least one of the tested samples and were considered as Leptospira carriers. Furthermore, ten isolates were obtained by pure culture, all of them from urine samples. Bovine leptospirosis is widely prevalent, and the occurrence of renal carriers was unexpectedly much higher than generally reported.
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Taghadosi V, Hosseinzadeh S, Shekarforoush SS, Samiei A. Prevalence of renal lesions in slaughtered cattle in Shiraz, Iran, and detection of Leptospira in them by nested PCR-RFLP. Trop Anim Health Prod 2016; 48:1691-1696. [PMID: 27627907 DOI: 10.1007/s11250-016-1145-z] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2016] [Accepted: 09/06/2016] [Indexed: 01/06/2023]
Abstract
Renal diseases in cattle are frequently not recognized due to the subclinical conditions. Some species of Leptospira are the main cause of infectious agents that damage the kidneys and lead to abortion and economic losses in cattle and are also of major concern in the public health. This study was aimed to assess the prevalence of renal lesions of slaughtered cattle in the Shiraz abattoir and to determine the correlation between rejected kidneys and infection with Leptospira using nested PCR-restriction fragment length polymorphism (RFLP) techniques. Out of 1000 inspected animals, 205 (20.5 %) revealed the renal lesions. Chronic nephritis (7.5 %), white-spotted kidney (7.3 %), and petechial hemorrhage (3.5 %) were the most prevalent forms of the lesions. A direct correlation between increasing the age and significant increase in the rate of lesions was also observed (P = 0.03). Using nested PCR-RFLP assay, 40.8 % of the tested kidneys were turned to be infected to the pathogenic species of Leptospira. The risk of infection of the kidneys with white spot to pathogenic species of Leptospira (53.8 %) was more than that of the kidneys with other lesions (25.0 %) (P = 0.014). The odd ratio indicates that the kidneys with white spot lesions are likely to be infected with pathogenic species of Leptospira, five times greater than other lesions. This study showed that renal lesions especially white-spotted kidney, which were considerably associated with Leptospira in slaughtered cattle in Shiraz, were very high. This is important in terms of public health and in particular, increases the risk of transmission of disease to human specially in the high-risk careers including farmers, veterinarians, and abattoir workers.
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Affiliation(s)
- Vahideh Taghadosi
- Department of Food Hygiene, School of Veterinary Medicine, Shiraz University, Shiraz, 7441-69155, Iran
| | - Saeid Hosseinzadeh
- Department of Food Hygiene, School of Veterinary Medicine, Shiraz University, Shiraz, 7441-69155, Iran.
| | | | - Azadeh Samiei
- Department of Food Hygiene, School of Veterinary Medicine, Shiraz University, Shiraz, 7441-69155, Iran
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Matsui M, Roche L, Geroult S, Soupé-Gilbert ME, Monchy D, Huerre M, Goarant C. Cytokine and Chemokine Expression in Kidneys during Chronic Leptospirosis in Reservoir and Susceptible Animal Models. PLoS One 2016; 11:e0156084. [PMID: 27219334 PMCID: PMC4878748 DOI: 10.1371/journal.pone.0156084] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2015] [Accepted: 05/09/2016] [Indexed: 01/24/2023] Open
Abstract
Leptospirosis is caused by pathogenic spirochetes of the genus Leptospira. Humans can be infected after exposure to contaminated urine of reservoir animals, usually rodents, regarded as typical asymptomatic carriers of leptospires. In contrast, accidental hosts may present an acute form of leptospirosis with a range of clinical symptoms including the development of Acute Kidney Injury (AKI). Chronic Kidney Disease (CKD) is considered as a possible AKI-residual sequela but little is known about the renal pathophysiology consequent to leptospirosis infection. Herein, we studied the renal morphological alterations in relation with the regulation of inflammatory cytokines and chemokines, comparing two experimental models of chronic leptospirosis, the golden Syrian hamster that survived the infection, becoming carrier of virulent leptospires, and the OF1 mouse, a usual reservoir of the bacteria. Animals were monitored until 28 days after injection with a virulent L. borgpetersenii serogroup Ballum to assess chronic infection. Hamsters developed morphological alterations in the kidneys with tubulointerstitial nephritis and fibrosis. Grading of lesions revealed higher scores in hamsters compared to the slight alterations observed in the mouse kidneys, irrespective of the bacterial load. Interestingly, pro-fibrotic TGF-β was downregulated in mouse kidneys. Moreover, cytokines IL-1β and IL-10, and chemokines MIP-1α/CCL3 and IP-10/CXCL-10 were significantly upregulated in hamster kidneys compared to mice. These results suggest a possible maintenance of inflammatory processes in the hamster kidneys with the infiltration of inflammatory cells in response to bacterial carriage, resulting in alterations of renal tissues. In contrast, lower expression levels in mouse kidneys indicated a better regulation of the inflammatory response and possible resolution processes likely related to resistance mechanisms.
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Affiliation(s)
- Mariko Matsui
- Institut Pasteur International Network, Institut Pasteur de Nouvelle-Calédonie, Leptospirosis Research and Expertise Unit, Noumea, New Caledonia
| | - Louise Roche
- Institut Pasteur International Network, Institut Pasteur de Nouvelle-Calédonie, Leptospirosis Research and Expertise Unit, Noumea, New Caledonia
| | - Sophie Geroult
- Institut Pasteur International Network, Institut Pasteur de Nouvelle-Calédonie, Leptospirosis Research and Expertise Unit, Noumea, New Caledonia
| | - Marie-Estelle Soupé-Gilbert
- Institut Pasteur International Network, Institut Pasteur de Nouvelle-Calédonie, Leptospirosis Research and Expertise Unit, Noumea, New Caledonia
| | - Didier Monchy
- Anatomic Pathology Laboratory, Gaston-Bourret Territorial Hospital Center, Noumea, New Caledonia
| | - Michel Huerre
- Unité de Recherche et Expertise en Histotechnologie et Pathologie, Institut Pasteur, Paris, France.,Departement de Pathologie, Institut Curie, Paris, France
| | - Cyrille Goarant
- Institut Pasteur International Network, Institut Pasteur de Nouvelle-Calédonie, Leptospirosis Research and Expertise Unit, Noumea, New Caledonia
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Azizi S, Kheirandish R, Rahimi E. Comparison of polymerase chain reaction and Warthin-Starry techniques to detect Leptospira spp. in kidneys of slaughtered cattle. ACTA ACUST UNITED AC 2014; 81:e1-e6. [DOI: 10.4102/ojvr.v81i1.821] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2014] [Revised: 08/07/2014] [Accepted: 08/18/2014] [Indexed: 11/01/2022]
Abstract
Leptospirosis is a worldwide zoonotic disease that is caused by Gram-negative spirochaetes, Leptospira species. Affected animals excrete the organism in the urine into the environment and act as a source of infection. Cattle are maintenance hosts for some serovars of leptospirosis and are important in the transmission of the infection to humans. At post mortem examination, affected cattle show white spots in their kidneys but these are not specific for leptospirosis. Sometimes it is necessary that leptospirosis be diagnosed in the carcass. Different direct methods, including polymerase chain reaction (PCR), Warthin-Starry silver stain (WS), immunofluorescence (IF) and immunohistochemistry (IHC) can be used in order to diagnose leptospirosis in the affected tissues, such as kidney. The main advantage of the WS technique is direct visualisation of the bacteria in the tissue samples. Silver staining is useful for retrospective studies on formalin-fixed and paraffin-embedded samples but little information is available on the sensitivity and specificity of the technique. The present study aimed to find a simple and inexpensive method that can be used in any laboratory and that also, if clinical samples are not available, can detect Leptospira in tissue samples post mortem. This study was performed on 19 paraffin-embedded kidneys of slaughtered cows that grossly had focal to multifocal white spots. Leptospirosis was confirmed in these samples with PCR based on the LipL32 gene. Out of 19 PCR positive kidneys, Leptospira was identified in 13 stained samples by WS. The kidneys revealed different grades of interstitial nephritis. No relationship was found between severity of lesions and presence of leptospires in the kidneys. The PCR results on the urine and blood were consistent with matching WS stained kidneys. Out of 13 kidneys that were positive with silver staining, 7 matching blood and 10 matching urine samples were confirmed positive for leptospirosis with PCR. In this study, the WS technique provided fewer positive results than PCR. This may be as a result of a low burden of Leptospira in the kidney, but the sensitivity of WS staining needs more investigation.
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Calderón A, Rodríguez V, Máttar S, Arrieta G. Leptospirosis in pigs, dogs, rodents, humans, and water in an area of the Colombian tropics. Trop Anim Health Prod 2013; 46:427-32. [PMID: 24254419 DOI: 10.1007/s11250-013-0508-y] [Citation(s) in RCA: 43] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/05/2013] [Indexed: 11/27/2022]
Abstract
Leptospirosis is a reemerging zoonosis of global distribution and is one of the causes of hemorrhagic fevers in the tropics. We sought to determine seroprevalence in humans and animals and isolate Leptospira interrogans sensu lato in domestic animals, rodents, and water sources. The study was conducted in a tropical area of the middle Sinú in Cordoba, Colombia. In a prospective descriptive study, we collected blood and urine from pigs and dogs, sera from rural human workers, sera and kidney macerates of rodents, and water samples from environmental sources. We used microagglutination to screen for antibodies to 13 serovars. Strains were cultured on the Ellinghausen-McCullough-Johnson-Harris medium and confirmed by PCR amplifying lipL32 gene. Seroprevalence was 55.9% in pigs, 35.2% in dogs, and 75.8% in humans; no antibody was detected, and no Leptospira were isolated from kidney macerates of rodents. Seven L. interrogans sensu lato strains were isolated: three from pigs, two from dogs, and two from water. High seroprevalence in pigs, dogs, and humans, concomitant to isolation of strains, demonstrates that in Cordoba, transmission exists among animals, the environment, and humans, which warrants the implementation of public health intervention measures to reduce the epidemiological impact of leptospirosis in the region.
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Affiliation(s)
- Alfonso Calderón
- Department of Animal Sciences, Institute of Investigations Biologics of Tropic, University of Cordoba (Colombia), Cordoba, Colombia,
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