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PubMed1952

Leptospirosis.

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Leptospirosis↗
PubMed2005

[Risk factors and frequency of positive antibodies for leptospirosis in a sub urban population near Santiago].

BACKGROUND: Leptospirosis is a zoonotic disease and its incidence is known in Chile since 2002, when it was incorporated as a disease that must be reported to health authorities. A serologic survey for leptospirosis was performed in humans and animals from a farm in a semi urban area in Santiago Chile, after the death of a farmer due to Weil disease in that place. AIM: To report the prevalence of antibodies against leptospirosis and to determine exposure to infection risk factors in the humans and domestic animals studied in this survey. MATERIAL AND METHODS: Antibodies were detected by IgM immunodot and indirect haemagglutination test in 61 humans (43 male, aged 5 to 70 years) and by microscopic agglutination test (MAT) in 44 animals. A questionnaire was applied to determine their exposure to risk factors for infection with Leptospira. RESULTS: Seventy two percent of the studied population were farm workers and 70% had activities that required contact with water from canals, 41% cleaned closed places where rodents were present. Other risk factors detected were lack of sewage and waste disposal, high level of rodent infestation and disposal of faeces into canals used for watering. Two humans (3.3%) and six animals (1 bovine and 5 rodents) had positive antibodies. Among animals, antibodies against Leptospira serovar pomona and icterohaemorragiae were detected. CONCLUSIONS: In Chile, leptospirosis exists not only in rural areas but semi urban ones close to Santiago, although the prevalence is low. Education is necessary among semi urban population to avoid infection.

Adolescent↗
PubMed1987

[Familial hemophagocytic lymphohistiocytosis (case report)].

This is the report of a female infant ten weeks of age, who was admitted to our hospital with hyperpyrexia, hemolytic anemia and disseminated intravascular coagulation. The further course of the disease was characterized by: continuing hemolysis resulting in severe normochromic, normocytic anemia, unrelenting disseminated intravascular coagulation, increasing hepato-splenomegaly with hyperbilirubinemia and ascites. No causative infectious organism could be identified. The infant died at the age of 14 weeks from respiratory insufficiency. Autopsy revealed massive hepato-splenomegaly, ascites and bilateral pneumonia. Histologic evaluation demonstrated lymphohistiocytic infiltrates of the periportal areas of the liver, the spleen and lymphnodes. Meninges were infiltered by macrophages with ingested erythrocytes. Differential diagnosis includes an infection with leptospira icterohemorrhagica (Weils disease) and erythrophagocytosis observed after various viral infections. Also histiocytosis X or malignant histiocytosis has to be taken into consideration. The most probable diagnosis in our patient is that of familiar hemophagocytic reticulosis although the familiarity in our patient was lacking. Intra vitam diagnosis can only be established by liver biopsy which could not be performed in our patient due to the severe coagulation disturbance.

Anemia, Hemolytic, Congenital↗
PubMed1986

Serosurvey on the presence of leptospiral agglutinins in humans in Northern Italy.

The article reports data concerning a serosurvey carried out in the province of Gorizia as a part of a research project sponsored by the National Research Council (CNR) on the epidemiological status of leptospirosis in Northern Italy. Microagglutination tests have been carried out on sera taken from randomly chosen healthy people and from humans exposed to occupational hazards, at a representing sample size for each category. The results have shown 8.29% agglutinin prevalence in healthy people, serovars bratislava, sejroe and canicola being predominant. Prevalence agglutinin rates were higher in meat workers (11.76%), sweepers (16.66%) and breeders (40%); in the latter category antibodies to Leptospira hardjo have been found out; this is the first reported instance of human contamination by L. hardjo in Italy.

Agglutination Tests↗
PubMed1986

Pathology of acute Leptospira interrogans serotype icterohaemorrhagiae infection in the Syrian hamster.

The pathology of acute Leptospira interrogans serotype icterohaemorrhagiae infection in the Syrian hamster was investigated up to 7 days after infection using histology, electron microscopy and an indirect fluorescence test for leptospires. The disease was characterized by the presence of many leptospires in the tissues, jaundice, leukocytosis, haemorrhages, endothelial alteration and thrombotic glomerulopathy. The leptospires were present intravascularly, in the interstitium penetrating between liver cells and tubular epithelial cells and in the tubular lumina. The presence of leptospires was not necessarily associated with lesions. These findings support both pathogenetic mechanisms suggested in the literature, namely: the ability of leptospires to penetrate actively between cells with detachment of tight junctions, without obvious lesions to the cells, and an immune-mediated process with immune complex formation and binding and activation of complement resulting in leukocytosis, thrombotic glomerulopathy, endothelial alteration and haemorrhages.

Acute Disease↗
PubMed1991

The role of the common vole (Microtus arvalis) in the epidemiology of bovine infection with Leptospira interrogans serovar hardjo.

Control of leptospirosis in cattle depends on the presence of other possible maintenance hosts, with which cattle may have contact. Twenty-seven common voles (Microtus arvalis) were trapped on a dairy farm where the cattle were infected with Leptospira interrogans serovar hardjo (hardjo). In the sera of 11 voles, titres greater than or equal to 100 against serogroup Grippotyphosa were measured with the microscopical agglutination test (MAT). From 8 of these 11 voles, which also showed interstitial lymphoplasmacellular nephritis, Leptospira interrogans serovar grippotyphosa was isolated. We found no evidence that the common vole is a maintenance host for hardjo in this biotope.

Agglutination Tests↗
PubMed2006

Influence of leptospirosis on reproductive performance of sows in Brazil.

The purpose of this study was to investigate the association between seropositivity for the most frequent Leptospira serovars and reproductive losses in sows in Brazil. Serum samples from 351 sows from 18 herds (in the state of Rio de Janeiro, Brazil) with low reproductive efficiency were tested (microscopic agglutination) for antibodies against serovars of Leptospira. Antibodies were detected in serum samples of 66.1% of all sows, most frequently serovar icterohaemorrhagiae (43.1%), followed by pomona (18.1%) and tarassovi (9.9%). Seroreactivity to icterohaemorrhagiae and pomona were associated (P<0.05) with impaired reproductive performance (and substantial economic loss). Seroreactivity for pomona was associated (P<0.05) with stillborn piglets and mummified fetuses, whereas seroreactivity to icterohaemorrhagiae was associated (P<0.05) with the number of piglets born dead.

Abortion, Habitual↗