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PubMed2003

[Bone marrow hematopoiesis in leptospirosis and its role in anemia pathogenesis].

Sternal biopsy was made for and the dynamics of medullary hemopoiesis was examined in 20 patients with leptospirosis caused by L. icterohaemorragiae, L. canicola and L. gebdomadis. A severe icteric disease form complicated on day 10.75 +/- 1.26 by anemia was observed in all patients. A moderate activation of erythropoiesis, irritation of the lymphomonocytic sprout as well as oppression of the basophile and neutrophile series were the characteristic features of myelograms at the acute illness stage. Leptospirosis did not affect the functional ability of the bone marrow and no oppressive myelotoxic action as produced by Leptospira was observed. Anemia in patients with leptospirosis is predominantly of the hyperregenerative nature with the normoblastic hemopoiesis type.

Adult↗

PubMedDate not supplied

[Leptospirosis--epidemic, clinical and diagnostic aspects].

Leptospirosis is a major public health problem throughout the world. We studied 22 cases of leptospirosis. They were hospitalised between 1999-2003. Men were more affected than women and those with rural origin prevailed, too. The direct infection was more often found in these cases. These patients presented a large spectrum of signs and symptoms attributable to this spirochetal pathogen. The etiology was dominated by L. pomona, L. canicola, L. wolffi. Leptospirosis presented with 3 syndromes: Weil's syndrome, atypical pneumonia syndrome and aseptic meningitis. The adequate treatment was with penicillin or ampicillin i.v.

Adolescent↗

PubMed1976

Leptospirosis as an animal and public health problem in Latin America and the Caribbean area.

As a major livestock disease, leptospirosis cuts significantly into the world's supply of animal protein through its consequences of abortion and calf mortality, retarded growth, and reduced milk production. Evidently, such losses have severe economic implications as well. The disease's impact has been somewhat diminished in the developed countries thanks to mechanization of rural activities, improved personal and environmental hygiene, and broad application of preventive measures, including the administration of bacterins, in domestic animals. Still, even in these circumstances it remains a serious problem. In the developing countries, in which large percentages of the population live in close contact with animals, the spread of infection is much greater. Moreover, the ecology of tropical and subtropical America--with its abundant rainfall, natural water courses, and high temperatures--is particularly favorable for the transmission of leptospires. In such conditions the human disease is a growing threat as well. The spread of leptospirosis, both in animals and man, is facilitated by the fact that inefection from many of the serotypes can exist without presenting serious clinical manifestations. Hence the importance of laboratory diagnosis. Systematic studies over time of serotype distribution, coupled with wide and improved surveillance, will be a key factor in bringing the disease under control. According to the limited seroepidemiologic data available, 3 to 18 per cent of the general human population, 2 to 32 per cent of those belonging to exposed occupational groups, and 10 to 50 per cent of patients with fever of unknown origin have leptospiral antibody. The most predominant serogroups are Icterohaemorrhagiae, Canicola, Pomona, Hebdomadis, and Bataviae. So far more than 50 serotypes, from 15 serogroups, have been isolated from man and animals in Latin America and the Caribbean area.

Animals↗

PubMed2002

Common infecting leptospiral serovars in and around Pune, Maharashtra.

Leptospirosis is a disease with protean manifestations. The present study was conducted in Pune to examine the possibility of leptospiral infection among a group of patients with fever of undetermined origin and to identify the common infecting serovars. Serological evidence of leptospirosis was found in 22 of the 118 (18.6%) patients with the help of microagglutination test (MAT) using a battery of 9 antigens. The serovars responsible for infection included autumnalis in eight cases, copenhageni in six, pomona in three, grippotyphosa in two and australis, batavia and canicola in one case each. Thus, there appears to be a focus of leptospirosis in and around Pune with autumnalis and copenhagni as the common infecting serovars.

Agglutination Tests↗

PubMed1979

[A case of Leptospira hebdomadis infection treated with piperacillin (author's transl)].

A 35-year-old male went fishing at the Agano River side in the suburbs of Toyosaka City, in August 1977. He was admitted to the hospital then with the chief complaints of high fever and severe headache on the 5th day of illness. Following the intravenous drip infusion of 12 g piperacillin for 6 1/2 days, he became afebrile within 2 days and recovered rapidly. Bacteriological examination disclosed none of significant data. Serum agglutinin reaction for leptospirosis, however, was positive in a titer up to 1:2,560 to L. hebdomadis, except for L. icterohemorrhagiae, L. autumnalis, L. australis and L. canicola.

Adult↗

PubMed1998

A review of leptospirosis in farm animals in Portugal.

This paper presents a review of Leptospira infection in farm animals in Portugal which is based mainly on serological results obtained in the National Veterinary Research Laboratory between January 1987 and December 1993. Serum samples were tested by the microscopic agglutination test, at a minimum dilution of 1:100. Positive titres were obtained in 15.3% of the 9,543 bovine samples examined. Sejroe, Pomona, Hebdomadis, Tarassovi and Icterohaemorrhagiae were the principal serogroups which reacted in the tests. A total of 3,195 pigs were tested, of which 20.2% showed positive reactions. The main serogroups which reacted were Australis, Pomona, Cynopteri, Icterohaemorrhagiae and Autumnalis. Field observations on outbreaks of leptospirosis in pigs, along with data obtained from an experimental infection with serovar mozdok in pregnant gilts suggest that this serovar, rather than serovar pomona, may be causing Pomona group infections in pigs. Serum samples from 5,298 sheep were tested and 3.3% gave positive results. The predominant serogroups involved were Canicola, Pomona, Cynopteri, Sejroe and Icterohaemorrhagiae. From the 1,631 goats examined serologically, 5.0% gave positive results, mainly to serogroups Grippotyphosa, Canicola, Pomona, Icterohaemorrhagiae and Pyrogenes. Only 83 serum samples from horses were obtained, of which 43.4% showed positive titres. Serogroups Australis, Autumnalis, Cynopteri and Pyrogenes were those most commonly found. Serological evidence of leptospirosis in farm animals is widespread in Portugal, particularly in cattle and pigs. Leptospirosis in horses needs to be studied further. In an attempt to provide a general view on the occurrence of leptospirosis in these animal species in Portugal, the present results are compared with results obtained in previous studies and are complemented with both previous and recent bacteriological findings.

Agglutination Tests↗

PubMedDate not supplied

[Human leptospirosis in Martinique].

Eco-geographic conditions are good for spread of Leptospiroses in Martinique. Leptospiroses are widespread in all parts of the Island. Many people have animals in inhabitation area. When they are sought, Leptospiroses can be diagnosed. During 3 years, we found many cases confirmed by biological diagnosis (immunological research of antibodies). Icterohaemorrhagiae is the first serogroup encountered and the most frequent. After follow Canicola, Ballum, Cynopteri and Javanica. Actually, Leptospiroses are a disease more frequent than is generally thought in Martinique. But only the severe cases are hospitalized, so diagnosed. Many cases of fever of unknown origin can be Leptospiroses.

Adolescent↗

PubMed2000

[Report on a leptospirosis outbreak in the city of Santa Fe, Argentina, March-April 1998].

In March-April 1998 in a neighborhood in the city of Santa Fe, Argentina, there was an outbreak of an acute disease characterized by fever, headaches, and intense myalgias. This article presents the studies surrounding this outbreak and the attempts to identify the source and the mode of transmission. The epidemiological, serological, and clinical findings indicated that the causative agent was Leptospira interrogans. As a screening test, macroscopic agglutination with heat-resistant antigen was applied, followed by the ELISA test, and, as a confirmatory test, microscopic agglutination for 10 serotypes of L. interrogans. The study covered 32 persons, 8 dogs, and 8 water samples. Among the 32 persons, 12 cases were confirmed, 2 were suspicious, and 18 were negative. Six dogs were found to be infected, and motile spirochetes were found in the water samples. The human sera reacted with the ballum, canicola, icterohaemorrhagiae, and pyrogenes serotypes; the canine sera reacted with the ballum, canicola, and pomona serotypes. The coagglutination found in all the confirmed cases indicates that they were acute cases of leptospirosis, but it was impossible to identify the causal serotype. Except for the index case, the disease was not recognized clinically. Several facts suggest that the outbreak was caused by rain that had flooded the study area. The results of this study emphasize the need for active surveillance of leptospirosis when there are floods and other natural disasters.

Animals↗

PubMed1991

Serological and cultural examination for human leptospirosis in Plateau State, Nigeria.

In a serological examination of 710 serum samples collected from human volunteers in Plateau State, Nigeria, 128 (18.0pc) had leptospiral antibody titres of 1:100 and above. The prevalence of antibodies to individual serovars were: hardjo 28 (21.9pc), pomona 18 (14.1pc), canicola 17 (13.3pc), grippotyphosa 15 (11.7pc), pyrogenes 13 (10.2pc), icterohaemorrhagiae 12 (0.4pc) and autumnalis 8 (6.3pc). There was no statistical difference in the prevalence rate of leptospirosis in the different local government areas (p greater than 0.05; X2). Among the occupational groups examined, the abattoir workers were particularly at risk with a prevalence rate of 29.5pc. A leptospiral variant of strain Hardjoprajitno was also isolated from the midstream urine of an abattoir worker who was apparently healthy. The isolation of Leptospira interrogans serovar hardjo in man is the first such report in Nigeria.

Abattoirs↗

PubMed1984

Leptospira interrogans infection in domestic and wild animals in Fiji.

Clinical and serological evidence has indicated that human leptospirosis in Fiji is an important disease, and the prevalence of antibody is exceptionally high. A serological survey of the rural population showed that only 12% of the people studied did not have complement fixing (CF) leptospiral antibody. As the origin of this infection could not be explained by the known distribution of leptospiral infection in domestic and wild animals, a serological survey using the complement fixation test (CFT) was undertaken as the first stage of an epidemiological investigation into human and animal leptospirosis. Sera from domestic and wild animals were tested for CF antibody to 12 leptospiral serovars, namely: pomona, copenhageni, grippotyphosa, hardjo, ballum, tarassovi, canicola, australis, bratislava, autumnalis, pyrogenes and bataviae. Antibody was detected in 27.5% of 480 cattle, 17.1% of 70 sheep, 10.3% of 252 goats, 10.0% of 480 pigs, 57.0% of 100 dogs, 55.8% of 34 rats (Rattus rattus, R. frugivorus, R. exulans and R. norvegicus), 53.1% of 32 mongooses (Herpestes auropunctatus) and 40.0% of 10 mice (species unknown.) Cross-reactivity precluded the identification of infecting serogroups with the exception of pomona in pigs and icterohaemorrhagiae, ballum and australis in dogs. Infection of dogs with a serovar of the australis serogroup may explain the predominance of serological reactions to bratislava in man. The survey revealed a significant level of leptospiral antibody in the animal populations of Fiji and indicated that cattle, dogs, rats, mongooses and mice are probably the most important maintenance hosts. Consequently, further investigation will concentrate on the attempted isolation of leptospires from these species.

Journal Article↗

PubMed1982

A survey of leptospirosis in febrile patients mainly from hospitals and clinics in Trinidad.

Acute and convalescent sera were obtained from 202 febrile patients, most of whom were admitted to or attended hospitals or clinics in northern Trinidad during the 12 months from mid-February 1977 to mid-February 1978. Laboratory tests confirmed that 10 of the patients were suffering from current leptospirosis while another 54 had serological evidence of previous leptospiral infections. Antibodies to strains of the Icterohaemorrhagiae serogroup were most commonly found, followed by those to the Hebdomadis and Autumnalis serogroups. Isolates were obtained from the blood of two and the urine of three of the 10 current cases. Four of these strains were identified as belonging to copenhageni serovar of the Icterohaemorrhagiae serogroup and one to serovar brasiliensis of the Bataviae serogroup. Seven of the patients suffering from leptospirosis were males, all rural dwellers, and all except one under 20 years of age. Two of the three female patients were over 60 years old and were urban dwellers. It was not possible to identify the sources of infection with certainty, although dogs may have been responsible for three of the Icterohaemorrhagiae and one of the Canicola infections. Of the 192 patients who were not currently infected, serological evidence of previous infection was obtained in 31 (40%) males and 23 (21%) females and was most common among farmers and rural workers.

Adolescent↗

PubMed1980

The isolation of leptospires from stray dogs in the city of São Paulo, Brazil.

The search of leptospires was conducted in kidneys of 1,415 stray dogs in the city of São Paulo--Brazil. From them 35 isolations were got, serovar canicola was the most frequent (32 samples) followed by copenhageni (2 samples) and pomona (1 sample). For the first time serovar pomona was isolated from dog in Latin America. Also, monthly and seasonal variations are discussed in relation to the prevalence of leptospirosis.

Animals↗

PubMed1993

A serological survey for leptospirosis in the Enugu area of eastern Nigeria among people at occupational risk.

A serological examination of sera from 661 human volunteers in various occupations comprising 248 coal miners, 138 butchers and abattoir workers, 213 local farmers and 62 hospital laboratory personnel from various communities in Enugu and environs of eastern Nigeria was undertaken between January 1990 and March 1991. Leptospiral antibody titres of 1:100 and above were present in 89 (13.5%). The highest prevalence of antibodies to individual serovars were canicola 21 (23.6%), hardjo 17 (19.1%), pomona 13 (14.6%), icterohaemorrhagiae 11 (12.4%), pyrogenes 8 (9.0%), autumnalis 8 (9.0%) and grippotyphosa 7 (7.9%). Among the occupational groups examined, the coal miners were particularly at risk with a prevalence rate of 41 (46%), followed by the butchers/abattoir workers 26 (29.2%), farmers 18 (20.2%) and hospital laboratory personnel 4 (4.5%).

Abattoirs↗

PubMed1985

Leptospiral agglutinins among cattle in the Republic of Guyana.

Cattle sera collected in the Republic of Guyana during 1981 to 1982 were examined for serologic evidence of leptospirosis. Significant leptospiral agglutinins (1:100 or higher) were disclosed in 49.1% of 2,935 apparently normal cattle from 734 farms in the three major cattle-raising regions of the country. Seroreactions principally involved hardjo and wolffi of the Sejroe serogroup, icterohaemorrhagiae, pomona, tarassovi, canicola and grippotyphosa. A high proportion of reactions to one or more of different leptospiral serovars were observed in each of the three regions. These variations were attributed to differences in environmental conditions and farming practices. The findings provided evidence for the first time of the widespread occurrence of leptospirosis in cattle in Guyana caused by multiple leptospiral serovars.

Agglutinins↗

PubMedDate not supplied

Influence of infecting serogroup on clinical features of leptospirosis in dogs.

The purpose of this study was to review recent cases of leptospirosis seen at referral centers in New York State and to identify differences in clinical or clinicopathologic aspects of the disease among different suspected infecting serogroups. Medical records at the Cornell University Hospital for Animals and the Animal Medical Center in New York City were reviewed to identify dogs diagnosed with leptospirosis from September 1996 to August 2002. Records of 55 dogs met the inclusion criteria for the study. The suspected infecting serogroups included 21 occurrences of Grippotyphosa, 12 of Pomona, 6 of Autumnalis, 5 of Bratislava, 2 of Hardjo, and 1 of Canicola. Five dogs had equal titers to serogroups Grippotyphosa and Pomona, and 3 had equal titers to 2 other serogroups. Common clinical signs included lethargy, anorexia, and vomiting. Common clinicopathologic findings included anemia, thrombocytopenia, azotemia, hyperphosphatemia, high liver enzyme activity, and hyperbilirubinemia. Forty-three of 55 dogs were discharged from the hospital. Serogroup-specific analysis indicated that dogs with suspected serogroup Pomona infection were more likely to suffer from vomiting (P = .01), thrombocytopenia (P = .009), severe azotemia (P = .04), and hyperphosphatemia (P = .006) than dogs with other serogroups and were less likely to be discharged alive from the hospital (P = .03). This study suggests that only minor clinically relevant differences exist among serogroups. Leptospira serogroup Pomona caused more severe renal disease and was associated with a worse outcome compared with disease caused by other serogroups.

Animals↗

PubMedDate not supplied

[Epidemiology of leptospirosis in the Kirov region].

The dynamics of leptospirosis morbidity in the Kirov region for many years is presented. The wide spread of leptospirosis foci, both natural and formed as the result of human activities, in the region is shown. The main role in infecting humans with leptospires belonged to the latter foci in a number of districts in the region was established. The etiological structure of leptospirosis cases among humans was represented, primarily, by leptospires of serogroup Grippotyphosa, following by serogroup Canicola and then serogroups Pomona, Tarassovi, Sejroe, Australis, Javanica. The dominating serogroups of leptospires were Grippotyphosa in wild rodents and Sejroe in agricultural animals. Persons belonging to the age group constituting the mainstay of work force (20-49 years) prevailed among the patients: town dwellers, factory and office workers. The main role in the transmission of infection to the population was played by the water factor.

Adolescent↗

PubMed1997

Evaluation of leptospira micro capsule agglutination test (MCAT) for serodiagnosis of leptospirosis.

A micro capsule agglutination test (MCAT) was evaluated for its usefulness in the diagnosis of leptospirosis. The test was performed on 180 serum samples from 120 patients suspected to have leptospirosis and the results were compared with those obtained by microscopic agglutination test (MAT). The overall sensitivity and specificity of the test in comparison with MAT were 84.7 and 87.0 per cent respectively. Further, to study the relative merits of MCAT and MAT in diagnosing leptospirosis early in the course of the disease, its sensitivity and specificity during the early stages of the disease were compared with those of a single MAT done on acute samples in 60 patients from whom paired samples were available. The test appeared to have a higher sensitivity than MAT during the early stages of the disease (75% vs 58.3%) though the specificity was less than that of MAT (83.3% vs 100%). The sensitivity of the test declined to 61 per cent three to four weeks after the onset of illness. MCAT detected antibodies against serogroups Australis (76.9%), Autumnalis (100%) Ballum (100%), Canicola (100%), Cynopteri (100%), Grippotyphosa (71.8%), Icterohaemorrhagiae (93.3%), Javanica (100%), Pomona (75%) and Pyrogenes (100%). MCAT appears to be a useful screening test for early diagnosis of leptospirosis. It is a simple and easy to read test which does not require any special expertise or equipment.

Agglutination Tests↗

PubMed1989

Leptospirosis in piggery workers on Trinidad.

Of 133 cases of human leptospirosis recorded in Trinidad between 1977 and the end of February 1982, at least eight (6%) were in people who worked on pig farms. Three of the eight died, and their presumptive infecting serogroups were Icterohaemorrhagiae (3), Canicola (2), Pyrogenes (2) and Grippotyphosa (1). Six of the eight cases were followed up. Altogether, sera from 201 pigs, 78 other livestock animals, 38 workers and 34 dogs were tested for leptospiral agglutinins. The seropositivity prevalence among pigs on farms with human illness (43% greater than or equal to 1:100) was similar to that in pigs from farms not associated with illness (46%), but the titres among the former group (geometric mean 209.5) were higher than among the latter (91.5), where only titres less than or equal to 1:400 were recorded. Similar infecting serogroups were recorded among pigs on the two groups of farms, with Icterohaemorrhagiae, Autumnalis, Canicola and Pyrogenes most frequently recorded overall. There was little evidence of the pig-adapted serogroups Pomona and Tarassovi. Twelve of 13 workers (93%) from a farm on which at least two other people had contracted leptospirosis had serological evidence of exposure, compared with seven of 24 (29%) on a neighbouring farm not associated with human illness. Dogs and rodents are thought to be the major sources of leptospirosis in pigs and piggery workers in Trinidad.

Adolescent↗