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Klosowski ML, Bohn AA. Microscopic detection of Leptospira bacterial organisms in urine sediment from a young dog with leptospirosis and a review of the pathobiology and diagnosis of canine leptospirosis. Vet Clin Pathol 2023; 52:112-118. [PMID: 35619239 DOI: 10.1111/vcp.13129] [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: 11/11/2021] [Revised: 02/01/2022] [Accepted: 02/09/2022] [Indexed: 11/27/2022]
Abstract
Samples collected from an 11-month-old Dachshund-mix dog with a history of acute azotemia, fever, and enlarged and irregular kidneys were received at the Colorado State Veterinary Diagnostic Laboratory (CSU VDL). The submitting veterinarians were concerned about lymphoma versus acute nephritis/pyelonephritis. The CSU clinical pathology laboratory received urine for urinalysis and kidney aspirates for cytologic evaluation. Urine had also been submitted for aerobic culture and Leptospirosis PCR, and serum was submitted for Lepto-5 microscopic agglutination testing (MAT). Upon examination of a wet mount of the urine sediment, technical staff noted "vibrating" clumps of granular-appearing material throughout the slide, which prompted the preparation of a stained sediment slide for pathologist review. Very small, faintly staining organisms were observed, and an attempt was made to picture-match these with published reports of Leptospira in dog urine, but none could be found. In addition, some references claimed that Leptospira organisms are not seen in urine with light microscopy. The suspicion that these organisms were Leptospira sp. was supported by the MAT results and later confirmed by PCR. The organisms subsequently exhibited strong positive immunolabeling for the Leptospira antigen. This case report provides a searchable record of Leptospira organisms visualized by routine light microscopy in dog urine during natural infection and a review of canine leptospirosis pathobiology and diagnosis.
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Affiliation(s)
- Marika L Klosowski
- Department of Microbiology, Immunology, and Pathology, College of Veterinary Medicine and Biosciences, Colorado State University, Fort Collins, Colorado, USA
| | - Andrea A Bohn
- Department of Microbiology, Immunology, and Pathology, College of Veterinary Medicine and Biosciences, Colorado State University, Fort Collins, Colorado, USA
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LeCount K, Fox K, Anderson T, Bayles DO, Stuber T, Hicks J, Schlater LK, Nally JE. Isolation of Leptospira kirschneri serovar Grippotyphosa from a red panda ( Ailurus fulgens) after antimicrobial therapy: Case report. Front Vet Sci 2023; 9:1064147. [PMID: 36819120 PMCID: PMC9932277 DOI: 10.3389/fvets.2022.1064147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2022] [Accepted: 12/28/2022] [Indexed: 02/05/2023] Open
Abstract
A 1-year-old female red panda started showing symptoms of illness, including lethargy, anorexia, abdominal discomfort, and vomiting, shortly after transfer to a new zoo. Serum was tested for leptospirosis using the microscopic agglutination test, and a titer of 1:25,600 to serogroup Grippotyphosa was detected. Antimicrobial treatment with doxycycline was initiated. After completion of treatment and resolution of clinical symptoms, a urine sample was collected to ensure clearance of leptospires and cessation of urinary shedding prior to co-housing with other red pandas. A repeat serum sample taken 13 days later had a lower titer of 1:6,400 to serogroup Grippotyphosa. A sample of the animal's urine was cultured in HAN media and was culture positive for Leptospira. The recovered isolate was completely characterized by whole genome sequencing and serotyping with reference antisera, and the isolate was classified as Leptospira kirschneri serogroup Grippotyphosa serovar Grippotyphosa strain RedPanda1.
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Affiliation(s)
- Karen LeCount
- National Veterinary Services Laboratories, Animal Plant and Health Inspection Service (APHIS), U.S. Department of Agriculture, Ames, IA, United States,National Center for Animal Health (NCAH) Leptospira Working Group, U.S. Department of Agriculture, Ames, IA, United States
| | - Kami Fox
- Fort Wayne Children's Zoo, Fort Wayne, IN, United States
| | - Tammy Anderson
- National Veterinary Services Laboratories, Animal Plant and Health Inspection Service (APHIS), U.S. Department of Agriculture, Ames, IA, United States,National Center for Animal Health (NCAH) Leptospira Working Group, U.S. Department of Agriculture, Ames, IA, United States
| | - Darrell O. Bayles
- Infectious Bacterial Diseases Research Unit, Agricultural Research Service (ARS), U.S. Department of Agriculture, Ames, IA, United States
| | - Tod Stuber
- National Veterinary Services Laboratories, Animal Plant and Health Inspection Service (APHIS), U.S. Department of Agriculture, Ames, IA, United States
| | - Jessica Hicks
- National Veterinary Services Laboratories, Animal Plant and Health Inspection Service (APHIS), U.S. Department of Agriculture, Ames, IA, United States
| | - Linda K. Schlater
- National Veterinary Services Laboratories, Animal Plant and Health Inspection Service (APHIS), U.S. Department of Agriculture, Ames, IA, United States,National Center for Animal Health (NCAH) Leptospira Working Group, U.S. Department of Agriculture, Ames, IA, United States
| | - Jarlath E. Nally
- National Center for Animal Health (NCAH) Leptospira Working Group, U.S. Department of Agriculture, Ames, IA, United States,Infectious Bacterial Diseases Research Unit, Agricultural Research Service (ARS), U.S. Department of Agriculture, Ames, IA, United States,*Correspondence: Jarlath E. Nally ✉
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Hetrick K, Harkin KR, Peddireddi L, Henningson J. Evaluation by polymerase chain reaction assay of persistent shedding of pathogenic leptospires in the urine of dogs with leptospirosis. J Vet Intern Med 2021; 36:133-140. [PMID: 34799884 PMCID: PMC8783323 DOI: 10.1111/jvim.16309] [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: 03/31/2021] [Revised: 10/25/2021] [Accepted: 10/26/2021] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND Persistent leptospiruria in naturally infected dogs occurs despite appropriate antibiotic treatment. HYPOTHESIS/OBJECTIVES To determine the frequency of persistent leptospiruria in naturally infected dogs and the association of persistent leptospiruria with different antibiotic treatments. ANIMALS Thirty-two dogs of varying age and breed diagnosed with leptospirosis via urine polymerase chain reaction assay (PCR). METHODS A prospective observational study of dogs diagnosed with leptospirosis was undertaken to determine the frequency of persistent leptospiruria as determined by PCR. Clinical presentation of leptospirosis, antibiotic treatment, serum creatinine concentration, and outcome were recorded. RESULTS Fifteen of 32 dogs had a negative urine PCR on the first submission in the study, 5 of 15 received only an aminopenicillin. The remaining 17 dogs had a negative urine PCR on the second (n = 6 dogs), third (n = 5), fourth (n = 5), and eighth (n = 1) submissions. Acute kidney injury was reported in 32/32 dogs. Two of 32 dogs developed chronic kidney disease. CONCLUSIONS AND CLINICAL IMPORTANCE Persistent leptospiruria is common despite treatment with antibiotics frequently recommended for treatment. Follow-up urine PCR to confirm clearance of the organism is recommended in all dogs. In dogs with persistent leptospiruria, chronic kidney disease can develop after acute kidney injury.
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Affiliation(s)
- Katie Hetrick
- Department of Clinical Sciences, College of Veterinary Medicine, Kansas State University, Manhattan, Kansas, USA
| | - Kenneth R Harkin
- Department of Clinical Sciences, College of Veterinary Medicine, Kansas State University, Manhattan, Kansas, USA
| | - Lalitha Peddireddi
- Kansas State Veterinary Diagnostic Laboratory, College of Veterinary Medicine, Kansas State University, Manhattan, Kansas, USA
| | - Jamie Henningson
- Kansas State Veterinary Diagnostic Laboratory, College of Veterinary Medicine, Kansas State University, Manhattan, Kansas, USA
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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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Comparison of Real-Time PCR, Bacteriologic Culture and Fluorescent Antibody Test for the Detection of Leptospira borgpetersenii in Urine of Naturally Infected Cattle. Vet Sci 2020; 7:vetsci7020066. [PMID: 32429076 PMCID: PMC7356886 DOI: 10.3390/vetsci7020066] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2020] [Revised: 05/11/2020] [Accepted: 05/11/2020] [Indexed: 01/06/2023] Open
Abstract
Cattle are susceptible to infection with multiple serovars of pathogenic leptospires, resulting in abortion, stillbirth, premature birth, reproductive failure and milk drop syndrome. Cattle also act as a reservoir host for L. borgpetersenii serovar Hardjo which is excreted from renal tubules via urine into the environment where it persists in suitable moist conditions. Our previous work demonstrated that 7% of urine samples from beef cattle were positive for L. borgpetersenii serovar Hardjo by culture and/or the fluorescent antibody test (FAT). In this study, a real-time PCR (rtPCR) assay was applied to determine the relative performance of rtPCR based detection of L. borgpetersenii serovar Hardjo compared to previously reported culture and FAT techniques. Of 42 bovine urine samples positive for leptospires by culture and/or FAT, 60% (25/42) were positive by rtPCR. Of 22 culture-positive samples, 91% (20/22) were rtPCR-positive. Of 32 FAT-positive samples, 50% (16/32) were rtPCR-positive. For 10 samples that were culture-positive but FAT-negative, 90% (9/10) were rtPCR-positive. For 20 samples that were FAT-positive but culture-negative, 25% (5/20) were rtPCR-positive. Collectively, these results indicate that no single assay is optimal, and the use of more than one assay to detect leptospires in urine from naturally infected cattle is recommended.
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Gutierrez L, Mendoza J, Rangel AB, Tapia G, Bernad MJ, Sumano H. Outpatient Clinical Trial in Dogs With Leptospirosis Treated With Enrofloxacin Hydrochloride-Dihydrate (ENRO-C). Front Vet Sci 2019; 6:360. [PMID: 31681813 PMCID: PMC6803455 DOI: 10.3389/fvets.2019.00360] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2019] [Accepted: 10/01/2019] [Indexed: 01/28/2023] Open
Abstract
Pharmacokinetics of enrofloxacin HCl-2H2O (enro-C) in dogs and Monte-Carlo simulations against Leptospira spp. prompted a clinical study to treat the clinically apparent phase of this disease. Leptospirosis was diagnosed by real-time PCR from blood, micro-agglutination titers (MAT), clinical signs and blood parameters of the liver and kidney. In order to determine the clinical ability of the participants to diagnose leptospirosis on the first exam and establish an early treatment to avoid excessive organ damage, patients were clinically classified as: high-risk or medium-risk. Forty-five dogs were included in this trial (from 2017 to early 2019). The treatment consisted of IM injections of a 5% aqueous enro-C suspension (10 mg/kg/day) for 10 days, and subsequently enro-C was administered orally for another 7 days in gelatin capsules. Thirty-four high-risk and 11 medium-risk dogs were treated, including 6 puppies (4 high-risk with ages between 6 to 10 months and 2 medium-risk dogs with an average age of 6 and 7 months). Other ages ranged from 1 to 5 years. Fifteen cases had a history of having received prior treatment with other antibiotics, including all puppies. The clinical diagnostic error was 13.5% (7/52 cases), and only one of the misdiagnosed dogs had been classified as a high-risk patient. Three to 5 days after finishing treatment with enro-C, 82.2% of the dogs were negative to real-time PCR from urine samples and 100% negativity was observed on day 30 after treatment, when antibody titrations dropped to 1:100–1:200. Based on the absence of clinical signs, real-time PCR, and MAT titers, all treated dogs were considered as successful treatments. Within 6–24 months of clinical follow-up, no relapses were recorded. Adverse effects were inconsequential. This study represents the first report of a successful treatment of canine leptospirosis using a fluoroquinolone, and due to its efficacy, it is suggested that enro-C be considered as a viable option for the treatment of this disease.
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Affiliation(s)
- Lilia Gutierrez
- Department of Physiology and Pharmacology, Veterinary Medicine Faculty, National Autonomous University of Mexico, Mexico City, Mexico
| | - Jesús Mendoza
- Department of Physiology and Pharmacology, Veterinary Medicine Faculty, National Autonomous University of Mexico, Mexico City, Mexico
| | - Ana Bertha Rangel
- Department of Physiology and Pharmacology, Veterinary Medicine Faculty, National Autonomous University of Mexico, Mexico City, Mexico
| | - Graciela Tapia
- Department of Genetics and Biostatistics, Veterinary Medicine Faculty, National Autonomous University of Mexico, Mexico City, Mexico
| | - Maria Josefa Bernad
- Department of Pharmacy, Chemistry Faculty, National Autonomous University of Mexico, Mexico City, Mexico
| | - Hector Sumano
- Department of Physiology and Pharmacology, Veterinary Medicine Faculty, National Autonomous University of Mexico, Mexico City, Mexico
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LaFerla Jenni M, Woodward P, Yaglom H, Levy C, Iverson SA, Kretschmer M, Jarrett N, Dooley E, Narang J, Venkat H. Knowledge, attitudes, and practices among veterinarians during an outbreak of canine leptospirosis-Maricopa County, Arizona, 2017. Prev Vet Med 2019; 172:104779. [PMID: 31557686 DOI: 10.1016/j.prevetmed.2019.104779] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2019] [Revised: 09/16/2019] [Accepted: 09/18/2019] [Indexed: 10/26/2022]
Abstract
Leptospirosis, caused by Leptospira spp., is a zoonotic bacterial disease important to both human and animal health. Six pathogenic serovars are currently known to commonly infect and cause disease in dogs in the United States. While canine leptospirosis infection is historically rare in Arizona (≤5 cases reported annually) (ADHS unpublished data) several clusters were reported in Maricopa County (MC) during February 2016-January 2017. Public health initiated an outbreak response and developed a knowledge, attitudes, and practices survey for veterinarians. The goals were to determine awareness and general attitudes about canine leptospirosis and to identify gaps in veterinarians' knowledge in treatment and prevention. We distributed a 40-question self-administered online survey to 1058 Arizona Veterinary Medical Association members, made available during February 9-May 15, 2017. We analyzed the results using Pearson's Chi-squared or Fisher's exact test; a P-value <0.05 was considered statistically significant. We analyzed 202 complete responses. Veterinarians from 10 (66%) of 15 Arizona counties were represented. MC practices were more likely to stock leptospirosis vaccine (80%) than other counties combined (58%) (P = 0.004). The average composite knowledge score was 24.4 out of 38 (range 12-37, median 24); 49% of respondents demonstrated higher knowledge as defined by authors, largely in identification of leptospirosis risk factors (86%) and routes of exposure (73%). Fewer than half (45%) of respondents correctly identified the length of time bacteria can be shed in dogs' urine. Eighty-one percent of respondents demonstrated lower knowledge about clinical signs associated with leptospirosis; only 47% of respondents identified eight clinical signs commonly associated with leptospirosis. Sixty-one percent of MC respondents agreed that leptospirosis is an important canine disease in their geographic area, while only 40% of other county respondents agreed (P=0.03). Seventy percent of respondents identified diagnostic testing options. The majority correctly selected infection-control practices in line with recommendations from 2 national clinical guidelines. More respondents would recommend leptospirosis vaccination if dogs traveled or lived in rural areas (87-96%) than if dogs attended day care or were boarded (63%). We identified opportunities for education, including the local epidemiology of leptospirosis, transmission prevention strategies, vaccine safety, testing, clinical identification, and emerging risk factors. Our findings will help guide the design of educational materials for small animal veterinarians in Arizona regarding recommendations for prevention of animal and human leptospirosis infections; these efforts could also shift the culture of reporting companion animal diseases to improve future One Health collaborations.
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Affiliation(s)
- Margaret LaFerla Jenni
- Public Health Associate Program, Center for State, Tribal, Local and Territorial Support, Centers for Disease Control and Prevention, 1600 Clifton Rd, Atlanta, GA, 30333, USA; Maricopa County Department of Public Health, 4041 N Central Ave, Suite 600, Phoenix, AZ 85012, USA.
| | - Peter Woodward
- Maricopa County Department of Public Health, 4041 N Central Ave, Suite 600, Phoenix, AZ 85012, USA.
| | - Hayley Yaglom
- Arizona Department of Health Services, 150 N 18th Ave Suite 140, Phoenix, AZ, 85007, USA.
| | - Craig Levy
- Maricopa County Department of Public Health, 4041 N Central Ave, Suite 600, Phoenix, AZ 85012, USA.
| | - Sally Ann Iverson
- Maricopa County Department of Public Health, 4041 N Central Ave, Suite 600, Phoenix, AZ 85012, USA; Arizona Department of Health Services, 150 N 18th Ave Suite 140, Phoenix, AZ, 85007, USA; Epidemic Intelligence Service, Division of Scientific Education and Professional Development, Centers for Disease Control and Prevention, 1600 Clifton Rd, Atlanta, GA, 30333, USA.
| | - Melissa Kretschmer
- Maricopa County Department of Public Health, 4041 N Central Ave, Suite 600, Phoenix, AZ 85012, USA.
| | - Nicole Jarrett
- Maricopa County Department of Public Health, 4041 N Central Ave, Suite 600, Phoenix, AZ 85012, USA.
| | - Elizabeth Dooley
- Arizona Department of Health Services, 150 N 18th Ave Suite 140, Phoenix, AZ, 85007, USA.
| | - Jigna Narang
- Maricopa County Department of Public Health, 4041 N Central Ave, Suite 600, Phoenix, AZ 85012, USA.
| | - Heather Venkat
- Arizona Department of Health Services, 150 N 18th Ave Suite 140, Phoenix, AZ, 85007, USA; Career Epidemiology Field Officer Program, Center for Preparedness and Response, Centers for Disease Control and Prevention, 1600 Clifton Rd, Atlanta, GA, 30333, USA.
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McCallum KE, Constantino-Casas F, Cullen JM, Warland JH, Swales H, Linghley N, Kortum AJ, Sterritt AJ, Cogan T, Watson PJ. Hepatic leptospiral infections in dogs without obvious renal involvement. J Vet Intern Med 2018; 33:141-150. [PMID: 30499209 PMCID: PMC6335520 DOI: 10.1111/jvim.15340] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2017] [Accepted: 10/11/2018] [Indexed: 12/23/2022] Open
Abstract
Background Reports of chronic hepatitis in dogs caused by Leptospira spp. are confined to small case series. Fluorescence in situ hybridization (FISH) allows the identification of spirochetes in liver samples. Consequently, this technique may help elucidate the role of Leptospira spp. in cases of chronic hepatitis. Objectives To describe cases of hepatic leptospirosis in dogs diagnosed by FISH and subsequent polymerase chain reaction (PCR) speciation, with the absence of clinically relevant renal involvement. Animals Ten client‐owned dogs. Methods Retrospective case series from the University of Cambridge presented between 2013 and 2016 or cases consulted by telephone advice during this time period. Cases were selected based on histopathologically confirmed granulomatous hepatitis and leptospiral organisms identified by FISH and PCR speciation (Leptospira interrogans/kirschneri). Results All cases had increased liver enzyme activities, and FISH in combination with PCR speciation‐confirmed infection with L. interrogans/kirschneri. Four dogs underwent repeat liver biopsy, FISH and PCR speciation 4‐15 months after initial presentation and doxycycline treatment with 1 dog undergoing repeat sampling at necropsy. Three dogs that underwent repeat biopsy remained positive for L. interrogans/kirschneri infection. Six dogs were alive at the time of manuscript preparation and 4 dogs were euthanized as a result of progressive liver disease. Conclusions and Clinical Importance The presence of hepatic leptospiral organisms may be associated with chronic granulomatous hepatitis without clinical evidence of renal involvement. Further studies are necessary to elucidate the etiological role of these organisms in the disease.
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Affiliation(s)
- Katie E McCallum
- Department of Veterinary Medicine, University of Cambridge, Cambridge, United Kingdom
| | | | - John M Cullen
- North Carolina State College of Veterinary Medicine, Raleigh, North Carolina
| | - James H Warland
- Department of Haematology, University of Cambridge, NHS Blood & Transplant Donor Centre, Cambridge, United Kingdom
| | - Harry Swales
- Small Animal Teaching Hospital, Leahurst Campus, University of Liverpool, Wirral, United Kingdom
| | | | - Andre J Kortum
- Department of Veterinary Medicine, University of Cambridge, Cambridge, United Kingdom
| | - Alex J Sterritt
- Highcroft Veterinary Group, Whitchurch Veterinary Centre, Bristol, United Kingdom
| | | | - Penny J Watson
- Department of Veterinary Medicine, University of Cambridge, Cambridge, United Kingdom
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Mauro T, Harkin K. Persistent Leptospiruria in Five Dogs Despite Antimicrobial Treatment (2000-2017). J Am Anim Hosp Assoc 2018; 55:42-47. [PMID: 30427719 DOI: 10.5326/jaaha-ms-6882] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
In dogs with leptospirosis, doxycycline therapy is recommended as the preferred therapy for its ability to eliminate the organism from all tissues, including the renal tubules. Elimination of organisms from the renal tubules terminates leptospiruria and prevents transmission of the organism. This report describes the discovery of persistent leptospiruria in the face of therapy with doxycycline in four dogs and enrofloxacin in one dog. Leptospiruria was confirmed by polymerase chain reaction testing for pathogenic leptospires in all five dogs. In two dogs, leptospiruria resolved after a change in therapy to enrofloxacin. In three dogs, doxycycline and/or enrofloxacin were ineffective at eliminating leptospiruria, which then resolved after therapy with clarithromycin. Pet owners could be at risk as persistent leptospiruria poses a potential zoonotic risk. The potential reasons for persistent leptospiruria as demonstrated by polymerase chain reaction testing are discussed.
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Affiliation(s)
- Tara Mauro
- From the Department of Small Animal Internal Medicine, College of Veterinary Medicine, Kansas State University, Manhattan, Kansas
| | - Kenneth Harkin
- From the Department of Small Animal Internal Medicine, College of Veterinary Medicine, Kansas State University, Manhattan, Kansas
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Murphy K. Leptospirosis in dogs and cats: new challenges from an old bacteria. IN PRACTICE 2018. [DOI: 10.1136/inp.k2926] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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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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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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Nally JE, Arent Z, Bayles DO, Hornsby RL, Gilmore C, Regan S, McDevitt AD, Yearsley J, Fanning S, McMahon BJ. Emerging Infectious Disease Implications of Invasive Mammalian Species: The Greater White-Toothed Shrew (Crocidura russula) Is Associated With a Novel Serovar of Pathogenic Leptospira in Ireland. PLoS Negl Trop Dis 2016; 10:e0005174. [PMID: 27935961 PMCID: PMC5147805 DOI: 10.1371/journal.pntd.0005174] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2016] [Accepted: 11/08/2016] [Indexed: 12/30/2022] Open
Abstract
The greater white-toothed shrew (Crocidura russula) is an invasive mammalian species that was first recorded in Ireland in 2007. It currently occupies an area of approximately 7,600 km2 on the island. C. russula is normally distributed in Northern Africa and Western Europe, and was previously absent from the British Isles. Whilst invasive species can have dramatic and rapid impacts on faunal and floral communities, they may also be carriers of pathogens facilitating disease transmission in potentially naive populations. Pathogenic leptospires are endemic in Ireland and a significant cause of human and animal disease. From 18 trapped C. russula, 3 isolates of Leptospira were cultured. However, typing of these isolates by standard serological reference methods was negative, and suggested an, as yet, unidentified serovar. Sequence analysis of 16S ribosomal RNA and secY indicated that these novel isolates belong to Leptospira alstonii, a unique pathogenic species of which only 7 isolates have been described to date. Earlier isolations were limited geographically to China, Japan and Malaysia, and this leptospiral species had not previously been cultured from mammals. Restriction enzyme analysis (REA) further confirms the novelty of these strains since no similar patterns were observed with a reference database of leptospires. As with other pathogenic Leptospira species, these isolates contain lipL32 and do not grow in the presence of 8-azagunaine; however no evidence of disease was apparent after experimental infection of hamsters. These isolates are genetically related to L. alstonii but have a novel REA pattern; they represent a new serovar which we designate as serovar Room22. This study demonstrates that invasive mammalian species act as bridge vectors of novel zoonotic pathogens such as Leptospira. Leptospirosis is a global zoonotic disease. Pathogenic species of Leptospira are excreted in urine from asymptomatic carrier hosts which facilitates disease transmission to new hosts. To date, there are 10 species of pathogenic leptospires which comprise more than 200 serovars. Disease transmission of these strains is maintained by a wide range of domestic and wild animal species. In this work, we discovered that an invasive mammalian species, the greater white toothed shrew, which was first identified in Ireland in 2007, acts as a carrier for a species of leptospires never before identified in Ireland. Results demonstrate that invasive mammalian species act as bridge vectors of novel zoonotic pathogens such as Leptospira.
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Affiliation(s)
- Jarlath E. Nally
- Infectious Bacterial Diseases Research Unit, National Animal Disease Center, Agricultural Research Service, United States Department of Agriculture, Ames, Iowa, United States of America
- * E-mail:
| | - Zbigniew Arent
- University Centre of Veterinary Medicine JU-UAK, University of Agriculture, Krakow, Poland
| | - Darrell O. Bayles
- Infectious Bacterial Diseases Research Unit, National Animal Disease Center, Agricultural Research Service, United States Department of Agriculture, Ames, Iowa, United States of America
| | - Richard L. Hornsby
- Infectious Bacterial Diseases Research Unit, National Animal Disease Center, Agricultural Research Service, United States Department of Agriculture, Ames, Iowa, United States of America
| | - Colm Gilmore
- OIE Leptospirosis Reference Laboratory, Veterinary Sciences Division, AFBI, Belfast, Northern Ireland, United Kingdom
| | - Siobhan Regan
- UCD School of Agriculture & Food Science, University College Dublin, Belfield, Dublin, Ireland
| | - Allan D. McDevitt
- Ecosystems and Environment Research Centre, School of Environment and Life Sciences, University of Salford, Salford, United Kingdom
| | - Jon Yearsley
- UCD School of Biology & Environmental Science and UCD Earth Institute, University College Dublin, Belfield, Dublin, Ireland
| | - Séamus Fanning
- UCD Centre for Food Safety, School of Public Health, Physiotherapy & Sports Science, University College Dublin, Belfield, Dublin, Ireland
| | - Barry J. McMahon
- UCD School of Agriculture & Food Science, University College Dublin, Belfield, Dublin, Ireland
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Schuller S, Francey T, Hartmann K, Hugonnard M, Kohn B, Nally JE, Sykes J. European consensus statement on leptospirosis in dogs and cats. J Small Anim Pract 2015; 56:159-79. [PMID: 25754092 DOI: 10.1111/jsap.12328] [Citation(s) in RCA: 151] [Impact Index Per Article: 16.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2014] [Revised: 10/31/2014] [Accepted: 11/28/2014] [Indexed: 02/03/2023]
Abstract
Leptospirosis is a zoonotic disease with a worldwide distribution affecting most mammalian species. Clinical leptospirosis is common in dogs but appears to be rare in cats. Both dogs and cats, however, can shed leptospires in the urine. This is problematic as it can lead to exposure of humans. The control of leptospirosis, therefore, is important not only from an animal but also from a public health perspective. The aim of this consensus statement is to raise awareness of leptospirosis and to outline the current knowledge on the epidemiology, clinical features, diagnostic tools, prevention and treatment measures relevant to canine and feline leptospirosis in Europe.
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Affiliation(s)
- S Schuller
- Department of Clinical Veterinary Medicine, Vetsuisse Faculty, University of Bern, 3012 Bern, Switzerland
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Thomé S, Lessa-Aquino C, Ko AI, Lilenbaum W, Medeiros MA. Identification of immunodominant antigens in canine leptospirosis by Multi-Antigen Print ImmunoAssay (MAPIA). BMC Vet Res 2014; 10:288. [PMID: 25466383 PMCID: PMC4269070 DOI: 10.1186/s12917-014-0288-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2014] [Accepted: 11/24/2014] [Indexed: 12/25/2022] Open
Abstract
BACKGROUND The microscopic agglutination test (MAT), the standard method for serological diagnosis of leptospirosis, may present limitations regarding its sensitivity. Current studies suggest that Leptospira immunoglobulin-like (Lig) proteins and LipL32 are of particular interest as serodiagnostic markers since they are present only in pathogenic species of the Leptospira genus. The purpose of this study was to identify leptospiral immunodominant proteins that are recognized by canine sera from diseased dogs. RESULTS A total of 109 dogs were studied, including seroreactive dogs (MAT ≥800) and dogs with no seroreactivity detectable by MAT. Eight recombinant fragments (31-70 kDa) of pathogenic Leptospira were tested for their use as diagnostic markers for canine leptospirosis using the Multi-antigen Print Immunoassay (MAPIA) platform: LigB [582-947aa] from L. interrogans serovar Pomona, L. interrogans serovar Copenhageni and L. kirschneri serovar Gryppotyphosa, LigB [131-649aa] from L. interrogans serovar Copenhageni, L. interrogans serovar Canicola and L. kirschneri serovar Gryppotyphosa, LigA [625-1224aa] L. interrogans serovar Copenhageni and LipL32 from L. interrogans serovar Copenhageni. The data were analyzed and ROC curves were generated. Altogether, LigB [131-649aa] L. interrogans Canicola, LigB [131-649aa] L. kirschneri Gryppotyphosa and LipL32 L. interrogans Copenhageni showed best accuracy (AUC = 0.826 to 0.869), with 70% specificity and sensitivity ranging from 89% to 95%. CONCLUSIONS These results reinforce their potential as diagnostic candidates for the development of new methods for the serological diagnosis of canine leptospirosis.
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Affiliation(s)
- Sabrina Thomé
- Laboratory of Veterinary Bacteriology, Department of Microbiology and Parasitology, Universidade Federal Fluminense, Niterói, RJ, Brazil.
| | - Carolina Lessa-Aquino
- Fiocruz, Bio-Manguinhos, Laboratory of Recombinant Technology, Avenida Brasil, 4365, Manguinhos, 21045-900, Rio de Janeiro, RJ, Brasil.
| | - Albert Icksang Ko
- School of Public Health, Department of Epidemiology of Microbial Diseases, Yale University, 60 College Street, Downtown, 06510, New Haven, USA.
| | - Walter Lilenbaum
- Laboratory of Veterinary Bacteriology, Department of Microbiology and Parasitology, Universidade Federal Fluminense, Niterói, RJ, Brazil.
| | - Marco Alberto Medeiros
- Fiocruz, Bio-Manguinhos, Laboratory of Recombinant Technology, Avenida Brasil, 4365, Manguinhos, 21045-900, Rio de Janeiro, RJ, Brasil.
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Bovens C, Fews D, Cogan TA. Leptospirosis and immune‐mediated haemolytic anaemia in a dog. VETERINARY RECORD CASE REPORTS 2014. [DOI: 10.1136/vetreccr-2014-000065] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
- C. Bovens
- School of Veterinary SciencesUniversity of BristolLangfordBristolBS40 5DUUK
- Small Animal HospitalLangford Veterinary ServicesLangfordBristolBS40 5DUUK
| | - D. Fews
- Diagnostic LaboratoriesLangford Veterinary ServicesLangfordBristolBS40 5DUUK
| | - T. A. Cogan
- School of Veterinary SciencesUniversity of BristolLangfordBristolBS40 5DUUK
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Schuller S. Urinary shedding of spirochaetes in a dog with acute leptospirosis despite treatment. Vet Rec 2011. [DOI: 10.1136/vr.d5114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Affiliation(s)
- Simone Schuller
- School of Agriculture, Food Science and Veterinary Medicine; University College Dublin, Belfield; Dublin 4 Ireland
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Prescott J. Urinary shedding of spirochaetes in a dog with acute leptospirosis despite treatment. Vet Rec 2011; 169:187; author reply 187-8. [DOI: 10.1136/vr.d5112] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
- John Prescott
- Department of Pathobiology; University of Guelph; PAHL Building 89, NW corner Gordon/McGilvray Guelph Ontario N1G 2W1 Canada
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