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Guzmán DA, Diaz E, Sáenz C, Álvarez H, Cueva R, Zapata-Ríos G, Prado-Vivar B, Falconí M, Pearson T, Barragan V. Domestic dogs in indigenous Amazonian communities: Key players in Leptospira cycling and transmission? PLoS Negl Trop Dis 2024; 18:e0011671. [PMID: 38568912 PMCID: PMC10990217 DOI: 10.1371/journal.pntd.0011671] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2023] [Accepted: 03/01/2024] [Indexed: 04/05/2024] Open
Abstract
BACKGROUND Leptospirosis is the world's most common zoonotic disease. Mitigation and control rely on pathogen identification and understanding the roles of potential reservoirs in cycling and transmission. Underreporting and misdiagnosis obscure the magnitude of the problem and confound efforts to understand key epidemiological components. Difficulties in culturing hamper the use of serological diagnostics and delay the development of DNA detection methods. As a result, especially in complex ecosystems, we know very little about the importance of different mammalian host species in cycling and transmission to humans. METHODOLOGY/PRINCIPAL FINDINGS We sampled dogs from five indigenous Kichwa communities living in the Yasuní National Park in the Ecuadorian Amazon basin. Blood and urine samples from domestic dogs were collected to assess the exposure of these animals to Leptospira and to identify the circulating species. Microscopic Agglutination Tests with a panel of 22 different serovars showed anti-leptospira antibodies in 36 sampled dogs (75%), and 7 serogroups were detected. Two DNA-based detection assays revealed pathogenic Leptospira DNA in 18 of 19 dog urine samples (94.7%). Amplicon sequencing and phylogenetic analysis of 16S rRNA and SecY genes from 15 urine samples revealed genetic diversity within two of three different Leptospira species: noguchii (n = 7), santarosai (n = 7), and interrogans (n = 1). CONCLUSIONS/SIGNIFICANCE The high prevalence of antibodies and Leptospira DNA provides strong evidence for high rates of past and current infections. Such high prevalence has not been previously reported for dogs. These dogs live in the peridomestic environment in close contact with humans, yet they are free-ranging animals that interact with wildlife. This complex web of interactions may explain the diverse types of pathogenic Leptospira observed in this study. Our results suggest that domestic dogs are likely to play an important role in the cycling and transmission of Leptospira. Future studies in areas with complex ecoepidemiology will enable better parsing of the significance of genotypic, environmental, and host characteristics.
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Affiliation(s)
- Diego A. Guzmán
- Instituto de Microbiología, Colegio de Ciencias Biológicas y Ambientales, Universidad San Francisco de Quito, Quito, Ecuador
| | - Eduardo Diaz
- Escuela de Medicina Veterinaria, Colegio de Ciencias de la Salud, Universidad San Francisco de Quito USFQ, Quito, Ecuador
| | - Carolina Sáenz
- Hospital de Fauna Silvestre TUERI, Instituto de Biodiversidad Tropical IBIOTROP, Universidad San Francisco de Quito USFQ, Quito, Ecuador
| | - Hernán Álvarez
- Wildlife Conservation Society–Ecuador Program, Quito, Ecuador
| | - Rubén Cueva
- Wildlife Conservation Society–Ecuador Program, Quito, Ecuador
| | | | - Belén Prado-Vivar
- Instituto de Microbiología, Colegio de Ciencias Biológicas y Ambientales, Universidad San Francisco de Quito, Quito, Ecuador
| | - Mercy Falconí
- Agencia de Regulación y Control Fito y Zoosanitario-Agrocalidad, Quito, Ecuador
| | - Talima Pearson
- Pathogen and Microbiome Institute, Northern Arizona University, Flagstaff, Arizona, United States of America
| | - Veronica Barragan
- Instituto de Microbiología, Colegio de Ciencias Biológicas y Ambientales, Universidad San Francisco de Quito, Quito, Ecuador
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Andityas M, Nuraini DM, Sota P, Loong SK, Sripa B, Sukon P, Tangkawattana P, Tangkawattana S. Feline leptospirosis prevalence worldwide: A systematic review and meta-analysis of diagnostic approaches. Vet World 2024; 17:255-272. [PMID: 38595668 PMCID: PMC11000471 DOI: 10.14202/vetworld.2024.255-272] [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: 09/20/2023] [Accepted: 01/05/2024] [Indexed: 04/11/2024] Open
Abstract
Background and Aim Leptospirosis in felids (domestic and wild cats) presents an ongoing challenge in our understanding. Numerous studies have reported the detection of Leptospira spp. in these feline populations, highlighting their potential as zoonotic carriers. This systematic review and meta-analysis aimed to provide insight into the global prevalence of leptospirosis in domestic and wild cats. Materials and Methods We conducted extensive searches across five databases (PubMed, Scopus, Web of Science, Science Direct, and Google Scholar) following the Preferred Reporting Items for Systematic Reviews and Meta-analyses Protocols guidelines. Random-effect meta-analyses were performed using R software version 4.3.0 to estimate pooled prevalence rates. Subgroup meta-analyses were conducted based on continents, diagnostic methods, sample types, and wildcat genera. Results A total of 71 articles on leptospirosis in domestic cats and 23 articles on leptospirosis in wild cats met the eligibility criteria. Our findings indicated a significantly higher pooled seroprevalence of leptospirosis in domestic cats compared with infection prevalence (9.95% [95% confidence interval (CI), 7.60%-12.54%] vs. 4.62% [95% CI, 2.10%-7.83%], p = 0.01). In contrast, no significant difference was observed in pooled seroprevalence and infection prevalence among wild cats (13.38% [95% CI, 6.25%-21.93%] vs. 2.9% [95% CI, 0.00%-18.91%], p = 0.21). A subgroup meta-analysis of domestic cats revealed significant differences in seroprevalence across continents, sample types, and diagnostic methods. On the contrary, wild cats had no significant differences in any of the subgroups. Conclusion Leptospira spp. have evidently been exposed to both domestic and wild cats, highlighting their potential roles as reservoir hosts for leptospirosis. These findings highlight the importance of considering felids as a possible public health threat.
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Affiliation(s)
- Morsid Andityas
- Veterinary Science Program, Faculty of Veterinary Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand
- Veterinary Technology Study Program, Department of Bioresources Technology and Veterinary, Vocational College, Universitas Gadjah Mada, 55281, Indonesia
| | - Dian Meididewi Nuraini
- Veterinary Science Program, Faculty of Veterinary Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand
- Department of Animal Science, Faculty of Animal Science, Sebelas Maret University, Surakarta, 57126, Indonesia
| | - Pornphutthachat Sota
- Tropical Disease Research Center, WHO Collaborating Center for Research and Control of Opisthorchiasis (Southeast Asian Liver Fluke Disease), Khon Kaen University, Khon Kaen, 40002, Thailand
| | - Shih Keng Loong
- Tropical Infectious Diseases Research and Education Centre, Higher Institution Centre of Excellence, Universiti Malaya, Kuala Lumpur, 50603, Malaysia
| | - Banchob Sripa
- Tropical Disease Research Center, WHO Collaborating Center for Research and Control of Opisthorchiasis (Southeast Asian Liver Fluke Disease), Khon Kaen University, Khon Kaen, 40002, Thailand
- Department of Tropical Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand
| | - Peerapol Sukon
- Department of Veterinary Anatomy, Faculty of Veterinary Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand
| | - Prasarn Tangkawattana
- Department of Veterinary Anatomy, Faculty of Veterinary Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand
| | - Sirikachorn Tangkawattana
- Tropical Disease Research Center, WHO Collaborating Center for Research and Control of Opisthorchiasis (Southeast Asian Liver Fluke Disease), Khon Kaen University, Khon Kaen, 40002, Thailand
- Department of Veterinary Pathobiology, Faculty of Veterinary Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand
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Razali K, Nalbone L, Giarratana F. Aerococcus viridans and Public Health: Oral Carriage and Antimicrobial Resistance in Stray Dogs and Cats in Algeria. Microb Drug Resist 2023; 29:576-581. [PMID: 37855893 DOI: 10.1089/mdr.2022.0165] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2023] Open
Abstract
The current study aimed to determine the occurrence and antimicrobial resistance of oral Aerococcus viridans in stray dogs and cats in Algeria. Oral swabs from 200 stray animals (100 dogs and 100 cats) were collected and cultured on Columbia agar medium supplemented with 5% defibrinated sheep blood. Isolates were identified using analytical profile index Rapid 20 Strep commercial kits, and antibiotic susceptibility was determined using the disk diffusion method. Of the 200 animals sampled, 34 carried A. viridans in their oral cavities, with 26 isolates (76.47%) resistant to at least 2 drugs. Multidrug resistance profiles (to more than three different antimicrobials) were observed only in cats (26.08% of isolates). More isolates were resistant to erythromycin and tetracycline (71% and 65%, respectively) than to other antimicrobials. This is the first research study in Algeria detecting antimicrobial resistance in oral A. viridans isolated from dogs and cats and highlights potential public health concerns. Clinical trials registration number: 01/2018.
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Affiliation(s)
- Kahina Razali
- Institute of Veterinary Sciences, University of Saad Dahlab Blida, Blida, Algeria
| | - Luca Nalbone
- Department of Veterinary Sciences, University of Messina, Messina, Italy
| | - Filippo Giarratana
- Department of Veterinary Sciences, University of Messina, Messina, Italy
- RICONNEXIA SRLS, Spin-off of the University of Messina, Messina, Italy
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Guzmán DA, Diaz E, Sáenz C, Álvarez H, Cueva R, Zapata-Ríos G, Prado-Vivar B, Falconí M, Pearson T, Barragán V. Domestic dogs in indigenous Amazonian communities: key players in Leptospira cycling and transmission? BIORXIV : THE PREPRINT SERVER FOR BIOLOGY 2023:2023.09.19.558554. [PMID: 37786682 PMCID: PMC10541607 DOI: 10.1101/2023.09.19.558554] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/04/2023]
Abstract
Background Leptospirosis is the world's most common zoonotic disease. Mitigation and control rely on pathogen identification and understanding the roles of potential reservoirs in cycling and transmission. Underreporting and misdiagnosis obscure the magnitude of the problem and confound efforts to understand key epidemiological components. Difficulties in culturing hamper the use of serological diagnostics and delay the development of DNA detection methods. As a result, especially in complex ecosystems, we know very little about the importance of different mammalian host species in cycling and transmission to humans. Methodology/Principal Findings We sampled five indigenous Kichwa communities living in the Yasuní National Park in the Ecuadorian Amazon basin. Blood and urine samples from domestic dogs were collected to assess the exposure of these animals to Leptospira, and to identify the circulating species. Microscopic Agglutination Tests with a panel of 22 different serovars showed anti-leptospira antibodies in 36 sampled dogs (75%), and 10 serotypes were detected. Two DNA-based detection assays revealed pathogenic Leptospira DNA in 18 of 19 dog urine samples (94.7%). Amplicon sequencing and phylogenetic analysis of 16s rDNA and SecY genes from 15 urine samples revealed genetic diversity within two of three different Leptospira species: noguchii (n=7), santarosai (n=7), and interrogans (n=1). Conclusions/Significance The high prevalence of antibodies and Leptospira DNA provides strong evidence for high rates of past and current infections. Such high prevalence has not been previously reported for dogs. These dogs live in the peridomestic environment in close contact with humans, yet they are free-ranging animals that interact with wildlife. This complex web of interactions may explain the diverse types of pathogenic Leptospira observed in this study. Our results suggest that domestic dogs are likely to play an important role in the cycling and transmission of Leptospira. Future studies in areas with complex ecoepidemiology will enable better parsing of the significance of genotypic, environmental, and host characteristics.
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Affiliation(s)
- Diego A. Guzmán
- Instituto de Microbiología, Colegio de Ciencias Biológicas y Ambientales, Universidad San Francisco de Quito, Quito, Ecuador
| | - Eduardo Diaz
- Escuela de Medicina Veterinaria, Colegio de Ciencias de la Salud, Universidad San Francisco de Quito USFQ, Quito, Ecuador
| | - Carolina Sáenz
- Hospital de Fauna Silvestre TUERI, Instituto de Biodiversidad Tropical IBIOTROP, Universidad San Francisco de Quito USFQ, Quito, Ecuador
| | - Hernán Álvarez
- Wildlife Conservation Society – Ecuador Program, Quito, Ecuador
| | - Rubén Cueva
- Wildlife Conservation Society – Ecuador Program, Quito, Ecuador
| | | | - Belén Prado-Vivar
- Instituto de Microbiología, Colegio de Ciencias Biológicas y Ambientales, Universidad San Francisco de Quito, Quito, Ecuador
| | - Mercy Falconí
- Agencia de Regulación y Control Fito y Zoosanitario – Agrocalidad, Quito, Ecuador
| | - Talima Pearson
- Pathogen and Microbiome Institute, Northern Arizona University, Flagstaff, Arizona, United States of America
| | - Verónica Barragán
- Instituto de Microbiología, Colegio de Ciencias Biológicas y Ambientales, Universidad San Francisco de Quito, Quito, Ecuador
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Belsare AV, Gompper ME, Mason M, Munoz-Zanzi C. Investigating Leptospira dynamics in a multi-host community using an agent-based modelling approach. Transbound Emerg Dis 2022; 69:3780-3789. [PMID: 36315387 DOI: 10.1111/tbed.14750] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2022] [Revised: 10/24/2022] [Accepted: 10/26/2022] [Indexed: 11/05/2022]
Abstract
Leptospirosis, a neglected bacterial zoonosis, is a global public health issue disproportionately affecting impoverished communities such as urban slums in the developing world. A variety of animal species, including peridomestic rodents and dogs, can be infected with different strains of leptospirosis. Humans contract leptospirosis via exposure to water or soil contaminated with the urine of infected animals. Due to the unavailability of safe and effective vaccines, preventive strategies mainly focus on minimizing human exposure to contaminated environment. In marginalized communities, this approach is ineffective due to infrastructure deficiencies and the difficulties in implementing sanitation and hygiene practices. Moreover, continuing the expansion of urban slums worldwide will likely contribute to the increase in outbreaks of leptospirosis. Effective prevention of leptospirosis outbreaks will therefore require a thorough understanding of Leptospira transmission dynamics in impoverished, high-density settings. We developed the agent-based model MHMSLeptoDy to investigate Leptospira dynamics in a realistic, in silico high-density community of rodents, dogs and human hosts, and two host-adapted Leptospira strains. Virtual explorations using MHMSLeptoDy were undertaken to evaluate alternate interventions and to assess the zoonotic transmission risk of leptospirosis. A key finding from model explorations is that rodents are the main contributors of rodent-adapted as well as dog-adapted strains in the environment, whereas dogs play an important role in distributing the rodent-adapted strain. Alternate leptospirosis control strategies can be evaluated using the open-source, customizable agent-based model, MHMSLeptoDy. This modelling approach provides a sophisticated mechanism to quantitatively evaluate nuanced intervention strategies and inform the design of rational, locally relevant leptospirosis control programmes.
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Affiliation(s)
| | - Matthew E Gompper
- Department of Fish, Wildlife and Conservation Ecology, New Mexico State University, Las Cruces, New Mexico, USA
| | - Meghan Mason
- Department of Public Health, St. Catherine University, St. Paul, Minnesota, USA
| | - Claudia Munoz-Zanzi
- Division of Environmental Health Sciences, School of Public Health, University of Minnesota, Minneapolis, Minnesota, USA
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Lekhal L, Harran E, Aragon A, Groud K, Le Guyader M, Kaidi R, Khelef D, Djelouadji Z. First Molecular Detection of Pathogens Leptospira in Common Rodent Captured in North Algeria Urban Areas. Trop Med Infect Dis 2022; 7:335. [PMID: 36355878 PMCID: PMC9693108 DOI: 10.3390/tropicalmed7110335] [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: 09/15/2022] [Revised: 10/14/2022] [Accepted: 10/27/2022] [Indexed: 09/10/2024] Open
Abstract
Leptospirosis is an anthropozoonosis disease of worldwide distribution caused by mobile spirochetes of the genus Leptospira and rodents, mainly rats, are described as its primary reservoir. In Algeria, there is limited data about the prevalence of Leptospira spp. in humans and animals, as well as Leptospira carriage in wild rodents. The study aimed to highlight the importance of rodents as a reservoir of Leptospira bacterium in Blida city in Algeria by detecting and identifying circulating Leptospira species in the rodent population. A total of 101 rodents, 95 Rattus Norvegicus, 5 Rattus Rattus, and 1 Mus Musculus were captured and tested for pathogenic Leptospira spp. byreal-time PCR targeting the Leptospira 16S rRNA (rrs) gene, revealing a total prevalence of 40.6%, 95% IC [30.9-50.8%]. Positive samples were subjected to species-specific real-time PCR assays targeting L. interrogans, L. noguchii, L. borgpetersenii, and L. kirschneri for species identification. However, positive samples for which Leptospira-species could not be determined were subjected to conventional PCR targeting the partial 16S rRNA (rrs) gene, and amplified DNA was subjected to sequencing. Leptospira spp. was detected in 36 kidney, 16 urine, and three lung specimens. L. interrogans was identified in 39 rodents and L. borpetersenii in one rodent; however, one rodent with renal carriage could not be typed due to poor DNA quality. This study provides the first description of pathogenic Leptospira spp. in wild rodents in Algeria. These findings suggest a high potential risk of leptospirosis transmission from rodents to humans and animals in Algeria and therefore imply the adoption of prophylactic measures. In addition, further studies, including different animals and rodent species, should be conducted to clarify the epidemiology of this disease in Algeria.
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Affiliation(s)
- Lila Lekhal
- Laboratoroire des Biotechnologies Liées à la Reproduction Animale, Institut des Sciences Vétérinaires, Univerité Saad Dahlab Blida1, P.B. 270, Route de Soumaa, Blida 09000, Algeria
- Départment des Sciences Vétérinaires, Institut des Sciences Vétérinaires, Université Saad Dahlab Blid1, Blida 09000, Algeria
| | - Elena Harran
- USC1233-INRAe Rongeurs Sauvages, Risque Sanitaire et Gestion des Populations, VetAgro Sup, Campus Vétérinaire de Lyon, 69280 Marcy l’Etoile, France
- Faculty of Arts and Sciences, Holy Spirit University of Kaslik (USEK), Jounieh P.O. Box 446, Lebanon
| | - Anaïs Aragon
- USC1233-INRAe Rongeurs Sauvages, Risque Sanitaire et Gestion des Populations, VetAgro Sup, Campus Vétérinaire de Lyon, 69280 Marcy l’Etoile, France
| | - Karine Groud
- USC1233-INRAe Rongeurs Sauvages, Risque Sanitaire et Gestion des Populations, VetAgro Sup, Campus Vétérinaire de Lyon, 69280 Marcy l’Etoile, France
| | - Marine Le Guyader
- USC1233-INRAe Rongeurs Sauvages, Risque Sanitaire et Gestion des Populations, VetAgro Sup, Campus Vétérinaire de Lyon, 69280 Marcy l’Etoile, France
| | - Rachid Kaidi
- Laboratoroire des Biotechnologies Liées à la Reproduction Animale, Institut des Sciences Vétérinaires, Univerité Saad Dahlab Blida1, P.B. 270, Route de Soumaa, Blida 09000, Algeria
- Départment des Sciences Vétérinaires, Institut des Sciences Vétérinaires, Université Saad Dahlab Blid1, Blida 09000, Algeria
| | - Djamel Khelef
- Ecole Nationale Supérieure Vétérinaire, Oued Smar, Alger 16000, Algeria
- Laboratoire de Santé et Production Animale, Ecole Nationale Supérieure Vétérinaire, Oued Smar, Alger 16000, Algeria
| | - Zouheira Djelouadji
- USC1233-INRAe Rongeurs Sauvages, Risque Sanitaire et Gestion des Populations, VetAgro Sup, Campus Vétérinaire de Lyon, 69280 Marcy l’Etoile, France
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Leptospira spp. Prevalence in Cats from Southern Italy with Evaluation of Risk Factors for Exposure and Clinical Findings in Infected Cats. Pathogens 2022; 11:pathogens11101129. [PMID: 36297186 PMCID: PMC9609655 DOI: 10.3390/pathogens11101129] [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: 09/12/2022] [Revised: 09/27/2022] [Accepted: 09/27/2022] [Indexed: 01/12/2023] Open
Abstract
Leptospirosis is a worldwide zoonotic disease, but feline leptospirosis is rarely reported. This study aimed at investigating Leptospira spp. prevalence in cats from southern Italy, evaluating risk factors, clinical findings and laboratory data associated with infection. The serum of 112 cats was investigated by microscopic agglutination test (MAT), detecting anti-Leptospira antibodies against 14 pathogenic serovars. Blood and urine samples were tested by a real-time polymerase chain reaction targeting the lipL32 gene of pathogenic Leptospira. Antibodies against serovars Poi, Bratislava, Arborea, Ballum, Pomona and Lora were detected in 15.3% (17/111) of cats (titers range: 20-320). Leptospira spp. DNA was found in 3% (4/109) of blood and 9% (10/111) of urine samples. The spring season was the only risk factor for urinary Leptospira DNA shedding. Laboratory abnormalities significantly associated and/or correlated with Leptospira spp. positivity were anemia, monocytosis, neutrophilia, eosinopenia, increased alanine aminotransferase activity, hypoalbuminemia and hyperglobulinemia. In the investigated areas, cats are frequently infected by Leptospira spp. and can represent an additional reservoir or sentinel for a risk of infection. Moreover, some laboratory changes could be compatible with a pathogenic effect of Leptospira spp. in the feline host.
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Abstract
The aim of this systematic review was to investigate the prevalence of leptospirosis among stray and sheltered dogs worldwide. Six databases were searched, which resulted in the retrieval of 476 articles. Sixty articles were selected for analysis according to 10 quality criteria. Among the selected papers, 26 papers [43.4% (26/60)] met five of the 10 quality criteria established, 10 papers [16.7% (10/60)] met three criteria, nine papers [15.0% (9/60)] met four criteria, six papers [10.0% (6/60)] met six criteria, four papers [6.7% (4/60)] met eight criteria, and three papers [5.0% (3/60)] met nine of the 10 criteria, whereas two papers [1.7% (1/60)] met two and seven [1.7% (1/60)] criteria. Publications originated mainly from the Americas [45.0% (27/60)] and in the last 16 years (2003-2019) [81.7% (49/60)], and most of the sampled dogs were stray dogs [65.0% (39/60)]. The most commonly used diagnostic test for leptospirosis was the microscopic agglutination test [78.4% (47/60)] followed by polymerase chain reaction [21.7% (13/60)], and the most common serovars were Canicola [71.4% (35/49)], Icterohaemorrhagiae [65.3% (32/49)], Grippotyphosa [40.8% (20/49)], and Pomona [40.8% (20/49)]. In conclusion, our results showed that Leptospira spp. are present in unowned dogs worldwide; however, the low-methodological quality of the recovered cross-sectional studies precluded a meta-analysis.
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Serological and molecular detection of pathogenic Leptospira in domestic and stray cats on Reunion Island, French Indies. Epidemiol Infect 2021; 149:e229. [PMID: 34372952 PMCID: PMC8569831 DOI: 10.1017/s095026882100176x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Goh SH, Khor KH, Radzi R, Lau SF, Khairani-Bejo S, Abdul Rahman MS, Roslan MA. Shedding and Genetic Diversity of Leptospira spp. From Urban Stray Dogs in Klang Valley, Malaysia. Top Companion Anim Med 2021; 45:100562. [PMID: 34271178 DOI: 10.1016/j.tcam.2021.100562] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2020] [Revised: 07/08/2021] [Accepted: 07/08/2021] [Indexed: 11/16/2022]
Abstract
Leptospirosis is an endemic zoonoses of global proportions. Stray dogs have been postulated to play a role in disease transmission; however, supporting information are still limited. Roaming behavior may not only predispose the dogs to infection, but could also contribute to disease spread. In this study, the susceptibility of urban stray dogs in shedding Leptospira spp. was determined. Blood, urine, and tissue samples of kidney and liver were collected from 100 dogs from 2 animal control facilities. Serological testing using microscopic agglutination test (MAT) were performed on blood against 20 leptospiral serovars with a cut-off titre of ≥ 1:100. Samples were cultured onto semi-solid Ellinghausen and McCullough modified by Johnson and Harris (EMJH) media. Isolates were identified using molecular polymerase chain reaction (PCR) using 2 primers (16s rRNA and LipL32) and hyperimmune serum (HIS) MAT. The seroprevalence for the dogs positive for leptospirosis was 32% (n=32/100) with the following detected serovars: Javanica (n=13), Bataviae (n=10), Icterohaemorrhagiae (n=3), Autumnalis (n=2), Canicola (n=1), Pyrogenes (n=1), Copenhageni (n=1), and Australis (n=1). Six Leptospira spp. isolated were procured from urine (n=2), kidney (n=2) and liver (n=2). All 6 isolates belonged to L. interrogans, a pathogenic variant of Leptospira spp. Serotyping and phylogenetic analysis suggested serovar Bataviae (n=5) and serovar Canicola (n=1). Presence of vaccinal serovars (Icterohaemorrhagiae and Canicola) suggested potential post-vaccination antibodies but the predominance of non-vaccinal serovars (Javanica and Bataviae) indicate the possibility of current infection or post-exposure. Isolation of Leptospira spp. directly from urine sample not only suggested an active infection but highlighted the potential shedding capability among these stray dogs. These findings further strengthen speculations that urban stray dogs could play a role in transmission and dissemination of leptospirosis through their constant movement. The urine of infected dogs may contaminate the environment, posing a major public health threat.
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Affiliation(s)
- Soon Heng Goh
- Department of Veterinary Clinical Studies, Universiti Putra Malaysia, Serdang, Selangor, Malaysia; Preclinical Department, Universiti Malaysia Kelantan, Kota Bharu, Kelantan, Malaysia
| | - Kuan Hua Khor
- Department of Veterinary Clinical Studies, Universiti Putra Malaysia, Serdang, Selangor, Malaysia.
| | - Rozanaliza Radzi
- Department of Veterinary Clinical Studies, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
| | - Seng Fong Lau
- Department of Veterinary Clinical Studies, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
| | - Siti Khairani-Bejo
- Department of Veterinary Pathology and Microbiology, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
| | - Mohammad Sabri Abdul Rahman
- Department of Veterinary Clinical Studies, Universiti Putra Malaysia, Serdang, Selangor, Malaysia; Paraclinical Department, Universiti Malaysia Kelantan, Kota Bharu, Kelantan, Malaysia
| | - Mohd Azri Roslan
- Department of Veterinary Pathology and Microbiology, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
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Kakita T, Kuba Y, Kyan H, Okano S, Morita M, Koizumi N. Molecular and serological epidemiology of Leptospira infection in cats in Okinawa Island, Japan. Sci Rep 2021; 11:10365. [PMID: 33990653 PMCID: PMC8121857 DOI: 10.1038/s41598-021-89872-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2020] [Accepted: 04/26/2021] [Indexed: 12/03/2022] Open
Abstract
Leptospirosis is a zoonosis caused by pathogenic Leptospira spp. Cats have been reported to be infected with Leptospira spp. and shed the bacteria in the urine. However, the importance of cats as an infection source for humans remains unclear. In this study, Leptospira infection in cats in Okinawa Prefecture, Japan, where leptospirosis is endemic, was investigated by leptospiral antibody and DNA detection using microscopic agglutination test and nested PCR, respectively. Moreover, multilocus sequence typing (MLST) and whole genome sequencing (WGS) were conducted on the Leptospira borgpetersenii serogroup Javanica isolated from cats, black rats, a mongoose, and humans. Anti-Leptospira antibodies were detected in 16.6% (40/241) of the cats tested, and the predominant reactive serogroup was Javanica. The leptospiral flaB gene was detected in 7.1% (3/42) of cat urine samples, and their sequences were identical and identified as L. borgpetersenii. MLST and WGS revealed the genetic relatedness of L. borgpetersenii serogroup Javanica isolates. This study indicated that most seropositive cats had antibodies against the serogroup Javanica and that cats excreted L. borgpetersenii in the urine after infection. Further, genetic relatedness between cat and human isolates suggests that cats may be a maintenance host for L. borgpetersenii serogroup Javanica and a source for human infection.
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Affiliation(s)
- Tetsuya Kakita
- Department of Biological Sciences, Okinawa Prefectural Institute of Health and Environment, 17-1 Kanekadan, Uruma-shi, Okinawa, 904-2241, Japan.
| | - Yumani Kuba
- Department of Biological Sciences, Okinawa Prefectural Institute of Health and Environment, 17-1 Kanekadan, Uruma-shi, Okinawa, 904-2241, Japan
| | - Hisako Kyan
- Department of Biological Sciences, Okinawa Prefectural Institute of Health and Environment, 17-1 Kanekadan, Uruma-shi, Okinawa, 904-2241, Japan
| | - Sho Okano
- Department of Biological Sciences, Okinawa Prefectural Institute of Health and Environment, 17-1 Kanekadan, Uruma-shi, Okinawa, 904-2241, Japan
- Regional Health Division, Department of Public Health and Medical Care, Okinawa Prefectural Government, 1-2-2 Izumizaki, Naha-shi, Okinawa, 900-8570, Japan
| | - Masatomo Morita
- Department of Bacteriology I, National Institute of Infectious Disease, 1-23-1 Toyama, Shinjuku-ku, Tokyo, 162-8640, Japan
| | - Nobuo Koizumi
- Department of Bacteriology I, National Institute of Infectious Disease, 1-23-1 Toyama, Shinjuku-ku, Tokyo, 162-8640, Japan
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Persistent High Leptospiral Shedding by Asymptomatic Dogs in Endemic Areas Triggers a Serious Public Health Concern. Animals (Basel) 2021; 11:ani11040937. [PMID: 33810226 PMCID: PMC8065945 DOI: 10.3390/ani11040937] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2021] [Revised: 03/19/2021] [Accepted: 03/23/2021] [Indexed: 12/03/2022] Open
Abstract
Simple Summary Dogs are known as hosts of Leptospira interrogans and can spread this bacterium to the environment. Although Canicola is responsible for determining chronic disease in dogs, when affected by incidental serogroups such as Icterohaemorrhagiae, acute disease may occur with a predominance of clinical signs with hepatic and renal lesions. In endemic areas, it is a serious public health problem, as dogs can become asymptomatic carriers of leptospires in the urine, characterizing a risk in the context of zoonotic leptospirosis. Thus, this study aims to estimate the incidence and duration of the elimination of leptospires in the urine of dogs, taking another step from a previous study of our group, by a longitudinal, long-term and molecular approach. A total of 125 dogs without signs of leptospirosis were included in the study. Of the 125 dogs, 62 were PCR-positive (48.8% (95% CI, 47.9–49.7%)) throughout the study. Most dogs were shedding the Icterohaemorrhagiae serogroup in urine, which was unexpected, since the animals remained clinically asymptomatic during the study. Although the fact that asymptomatic dogs eliminate leptospires is not new, the extent of this fact and that the strain is virulent is impressive, with an impact on public health that cannot be overlooked. Abstract (1) Background: Dogs are known as hosts of Leptospira interrogans and can spread this bacterium to the environment. Although Canicola is responsible for determining chronic disease in dogs, when affected by incidental serogroups such as Icterohaemorrhagiae, acute disease may occur with a predominance of clinical signs with hepatic and renal changes. In endemic areas, it is a serious public health problem. Thus, this study aims to estimate the incidence and duration of elimination of leptospires in the urine of dogs, taking another step from a previous study of our group, by a longitudinal, long-term and molecular approach. (2) Methods: A total of 125 dogs without apparent symptoms of leptospirosis were included in the study. The dogs were all PCR-negative and seronegative at the beginning of the study. Blood samples were collected for hematological examinations and urine for amplification of the lipL32 gene by PCR at five different time points during one year. (3) Results: Out of the 125 dogs, 62 became lipL32 PCR-positive (48.8% (95% CI, 47.9–49.7%)) at some point during the study, distributed as follows: at day 0, all negative; day 90, 18/125 (14.4% (95% CI, 13.5–15.3%)); day 180, 18/125 (14.4% (95% CI, 13.5–15.3%)); day 270, 12/125 (9.6% (95% CI, 8.7–10.5%)); and day 365, 14/125 (11.2% (95% CI, 10.3–12.1%)). Out of the 62 amplicons, 22 were sequenced, targeting a short region of secY gene. Of these, 20 (90.9%) were identical to the L. interrogans serovar Icterohaemorrhagiae, while two (9.1%) were Leptospira noguchii. (4) Conclusions: The fact that the leptospires of the Icterohaemorrhagiae serogroup were characterized was unexpected, since the animals remained clinically asymptomatic during the study. The fact that asymptomatic dogs shed leptospires is not new, but the extent of this fact and the characterized strain is impressive, with an impact on public health that cannot be overlooked.
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Di Azevedo MIN, Lilenbaum W. An overview on the molecular diagnosis of animal leptospirosis. Lett Appl Microbiol 2021; 72:496-508. [PMID: 33332656 DOI: 10.1111/lam.13442] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2020] [Revised: 12/11/2020] [Accepted: 12/14/2020] [Indexed: 02/06/2023]
Abstract
The most common presentation of animal leptospirosis is the subclinical and silent chronic form, that can lead to important reproductive disorders. The diagnosis of this chronic form remains a challenge. The aim of the present study is to gather and critically analyse the current information about molecular tools applied to animal leptospirosis diagnosis, particularly the silent chronic presentation of the infection. Regarding clinical specimens, samples from urinary tract were the most used (69/102, 67·7%), while few studies (12/102, 11·8%) investigated samples from reproductive tract. Concerning the molecular methods applied, the most used is still the conventional polymerase chain reaction (PCR) (46/102, 45%), followed by real-time PCR (38/102, 37·2%). The lipL32 gene is currently the most common target used for Leptospira detection, with 48% of studies applying this genetic marker. From all the studies, only few (21/102, 20·5%) performed gene sequencing. According to the majority of authors, current evidence suggests that lipL32-PCR is useful for an initial screening for Leptospira DNA detection in animal clinical samples. Posteriorly, if DNA sequencing could be performed on positive lipL32-PCR samples, we encourage the use of secY gene as a genetic marker. The molecular methods appear as the most important tools for the diagnosis of the chronic silent leptospirosis on domestic animals, reinforcing its evident impact not only on animal reproduction but also on a One Health context.
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Affiliation(s)
- M I N Di Azevedo
- Laboratory of Veterinary Bacteriology, Biomedical Institute, Fluminense Federal University, Niterói, Rio de Janeiro, Brazil
| | - W Lilenbaum
- Laboratory of Veterinary Bacteriology, Biomedical Institute, Fluminense Federal University, Niterói, Rio de Janeiro, Brazil
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Rohilla P, Khurana R, Kumar A, Batra K, Gupta R. Detection of Leptospira in urine of apparently healthy dogs by quantitative polymerase chain reaction in Haryana, India. Vet World 2020; 13:2411-2415. [PMID: 33363334 PMCID: PMC7750226 DOI: 10.14202/vetworld.2020.2411-2415] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2020] [Accepted: 10/12/2020] [Indexed: 11/16/2022] Open
Abstract
Background and Aim: Leptospirosis is a zoonotic disease caused by bacteria of the genus Leptospira. The organism can spread through the urine of infected animals, which can get into water or soil and can survive there for weeks to months. The study was undertaken to detect the pathogenic Leptospira in healthy dogs’ urinary shedding by real-time polymerase chain reaction (qPCR). Materials and Methods: Leptospirosis is a zoonotic disease caused by bacteria of the genus Leptospira. To detect the pathogenic Leptospira organisms in dogs’ urinary shedding, 239 urine samples were collected from healthy dogs from April 2018 to March 2019 from different areas of Haryana. All the urine samples were processed for DNA extraction and qPCR technique was used to detect the presence of Leptospira. Results: Out of 239 urine samples of dogs, none of the samples resulted in the detection of DNA of pathogenic Leptospira organisms. Conclusion: The present study indicated low risk of transmission of Leptospira organisms from dogs’ urine to human beings in Haryana.
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Affiliation(s)
- Preeti Rohilla
- Department of Veterinary Public Health and Epidemiology, Lala Lajpat Rai University of Veterinary and Animal Sciences, Hisar, Haryana, India
| | - Rajesh Khurana
- Department of Veterinary Public Health and Epidemiology, Lala Lajpat Rai University of Veterinary and Animal Sciences, Hisar, Haryana, India
| | - Aman Kumar
- Department of Animal Biotechnology, Lala Lajpat Rai University of Veterinary and Animal Sciences, Hisar, Haryana, India
| | - Kanisht Batra
- Department of Animal Biotechnology, Lala Lajpat Rai University of Veterinary and Animal Sciences, Hisar, Haryana, India
| | - Renu Gupta
- Department of Veterinary Public Health and Epidemiology, Lala Lajpat Rai University of Veterinary and Animal Sciences, Hisar, Haryana, India
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Biscornet L, de Comarmond J, Bibi J, Mavingui P, Dellagi K, Tortosa P, Pagès F. An Observational Study of Human Leptospirosis in Seychelles. Am J Trop Med Hyg 2020; 103:999-1008. [PMID: 32700658 PMCID: PMC7470538 DOI: 10.4269/ajtmh.19-0228] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
A 1-year population-based prospective study was launched in Seychelles, a country with one of the highest human incidence of leptospirosis worldwide, to describe the characteristic features of the epidemiology of the disease and highlight the most prominent risk factors. Diagnosis was based on the IgM enzyme-linked immunosorbent assay, microscopic agglutination test, and real-time PCR. A standardized questionnaire was administered to 219 patients aged ≥ 13 years consulting for acute febrile illness. The high incidence of leptospirosis in Seychelles was confirmed. The disease was particularly severe, as the case fatality rate was 11.8%. Leptospirosis was positively associated in univariate analysis with socio-professional and clinical variables including gardening/farming, oliguria, jaundice, conjunctivitis, history of hepatitis C virus infection, anemia, thrombocytopenia, and/or biological renal failure. Epidemiological analyses of the questionnaires highlighted a link of the disease with living in houses (versus apartment), the presence of animals around and in houses, gardening, and misuse of personal protective equipment. Multivariate analyses indicated that being a farmer/landscaper and having cattle and cats around the home are the most significant drivers of leptospirosis. Biological features most associated with leptospirosis were thrombocytopenia, leukocytosis, high values for renal function tests, and elevated total bilirubin. We report changes in behavior and exposure compared with data collected on leptospirosis 25 years ago, with indication that healthcare development has lowered case fatality. Continuous health education campaigns are recommended as well as further studies to clarify the epidemiology of human leptospirosis, especially the role of domestic animals.
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Affiliation(s)
- Leon Biscornet
- Infectious Disease Surveillance Unit, Seychelles Public Health Laboratory, Public Health Authority, Ministry of Health, Victoria, Seychelles.,Université de La Réunion, UMR PIMIT (Processus Infectieux en Milieu Insulaire Tropical), INSERM U 1187, CNRS 9192, IRD 249, Plateforme de Recherche CYROI, Sainte Clotilde, France
| | - Jeanine de Comarmond
- Disease Surveillance and Response Unit, Epidemiology and Statistics Section, Public Health Authority, Ministry of Health, Victoria, Seychelles
| | - Jastin Bibi
- Disease Surveillance and Response Unit, Epidemiology and Statistics Section, Public Health Authority, Ministry of Health, Victoria, Seychelles
| | - Patrick Mavingui
- Université de La Réunion, UMR PIMIT (Processus Infectieux en Milieu Insulaire Tropical), INSERM U 1187, CNRS 9192, IRD 249, Plateforme de Recherche CYROI, Sainte Clotilde, France
| | - Koussay Dellagi
- Université de La Réunion, UMR PIMIT (Processus Infectieux en Milieu Insulaire Tropical), INSERM U 1187, CNRS 9192, IRD 249, Plateforme de Recherche CYROI, Sainte Clotilde, France
| | - Pablo Tortosa
- Université de La Réunion, UMR PIMIT (Processus Infectieux en Milieu Insulaire Tropical), INSERM U 1187, CNRS 9192, IRD 249, Plateforme de Recherche CYROI, Sainte Clotilde, France
| | - Frédéric Pagès
- Regional Office of the French Institute for Public Health Surveillance (Santé Publique France), Saint-Denis, France
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Altheimer K, Jongwattanapisan P, Luengyosluechakul S, Pusoonthornthum R, Prapasarakul N, Kurilung A, Broens EM, Wagenaar JA, Goris MGA, Ahmed AA, Pantchev N, Reese S, Hartmann K. Leptospira infection and shedding in dogs in Thailand. BMC Vet Res 2020; 16:89. [PMID: 32178664 PMCID: PMC7077098 DOI: 10.1186/s12917-020-2230-0] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2019] [Accepted: 01/03/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Leptospirosis is a widespread zoonosis and has been recognized as a re-emerging infectious disease in humans and dogs, but prevalence of Leptospira shedding in dogs in Thailand is unknown. The aim of this study was to determine urinary shedding of Leptospira in dogs in Thailand, to evaluate antibody prevalence by microscopic agglutination test (MAT) and enzyme-linked immunosorbent assay (ELISA), and to assess risk factors for Leptospira infection. In Northern, Northeastern, and Central Thailand, 273 stray (n = 119) or client-owned (n = 154) dogs from rural (n = 139) or urban (n = 134) areas were randomly included. Dogs that had received antibiotics within 4 weeks prior to sampling were excluded. No dog had received vaccination against Leptospira. Urine was evaluated by real-time polymerase chain reaction (PCR) specific for lipL32 gene of pathogenic Leptospira. Additionally, urine was cultured for 6 months in Ellinghausen-McCullough-Johnson-Harris (EMJH) medium. Antibodies were measured by ELISA and MAT against 24 serovars belonging to 15 serogroups and 1 undesignated serogroup. Risk factor analysis was performed with backwards stepwise selection based on Wald. RESULTS Twelve of 273 (4.4%; 95% confidence interval (CI): 2.0-6.8%) urine samples were PCR-positive. In 1/273 dogs (0.4%; 95% CI: 0.01-1.1%) Leptospira could be cultured from urine. MAT detected antibodies in 33/273 dogs (12.1%; 95% CI: 8.2-16.0%) against 19 different serovars (Anhoa, Australis, Ballum, Bataviae, Bratislava, Broomi, Canicola, Copenhageni, Coxi, Grippotyphosa, Haemolytica, Icterohaemorrhagiae, Khorat, Paidjan, Patoc, Pyrogenes, Rachmati, Saxkoebing, Sejroe). In 111/252 dogs (44.0%; 95% CI: 37.9-50.2%) immunoglobulin M (IgM) and/or immunoglobulin G (IgG) antibodies were found by ELISA. Female dogs had a significantly higher risk for Leptospira infection (p = 0.023). CONCLUSIONS Leptospira shedding occurs in randomly sampled dogs in Thailand, with infection rates comparable to those of Europe and the USA. Therefore, the potential zoonotic risk should not be underestimated and use of Leptospira vaccines are recommended.
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Affiliation(s)
- Kerstin Altheimer
- Clinic of Small Animal Medicine, Centre for Clinical Veterinary Medicine, LMU Munich, Veterinaerstrasse 13, 80539 Munich, Germany
| | - Prapaporn Jongwattanapisan
- Department of Veterinary Medicine, Faculty of Veterinary Science, Chulalongkorn University, Bangkok, Thailand
| | - Supol Luengyosluechakul
- Department of Veterinary Medicine, Faculty of Veterinary Science, Chulalongkorn University, Bangkok, Thailand
| | - Rosama Pusoonthornthum
- Department of Veterinary Medicine, Faculty of Veterinary Science, Chulalongkorn University, Bangkok, Thailand
| | - Nuvee Prapasarakul
- Department of Veterinary Microbiology, Faculty of Veterinary Science, Chulalongkorn University, Bangkok, Thailand
| | - Alongkorn Kurilung
- Department of Veterinary Microbiology, Faculty of Veterinary Science, Chulalongkorn University, Bangkok, Thailand
| | - Els M. Broens
- Department of Infectious Diseases and Immunology, Faculty of Veterinary Medicine, Utrecht University, Utrecht, the Netherlands
| | - Jaap A. Wagenaar
- Department of Infectious Diseases and Immunology, Faculty of Veterinary Medicine, Utrecht University, Utrecht, the Netherlands
- Wageningen Bioveterinary Research, Lelystad, the Netherlands
| | - Marga G. A. Goris
- OIE and National Collaborating Centre for Reference and Research on Leptospirosis, Department of Medical Microbiology, Academic Medical Center, Amsterdam, the Netherlands
| | - Ahmed A. Ahmed
- OIE and National Collaborating Centre for Reference and Research on Leptospirosis, Department of Medical Microbiology, Academic Medical Center, Amsterdam, the Netherlands
| | | | - Sven Reese
- Department of Veterinary Sciences, Institute of Anatomy, Histology and Embryology, LMU Munich, Munich, Germany
| | - Katrin Hartmann
- Clinic of Small Animal Medicine, Centre for Clinical Veterinary Medicine, LMU Munich, Veterinaerstrasse 13, 80539 Munich, Germany
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Murillo A, Cuenca R, Serrano E, Marga G, Ahmed A, Cervantes S, Caparrós C, Vieitez V, Ladina A, Pastor J. Leptospira Detection in Cats in Spain by Serology and Molecular Techniques. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E1600. [PMID: 32121670 PMCID: PMC7084519 DOI: 10.3390/ijerph17051600] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/07/2020] [Revised: 02/26/2020] [Accepted: 02/27/2020] [Indexed: 12/22/2022]
Abstract
Leptospirosis is the most neglected widespread zoonosis worldwide. In Spain, leptospirosis reports in people and animals have increased lately. Cats can become infected with Leptospira, as well as be chronic carriers. The aim of this study was to determine serological antibody prevalence against Leptospira sp., blood DNA, and shedding of DNA from pathogenic Leptospira species in the urine of cats in Spain. Microagglutination tests (MAT) and blood and urine TaqMan real-time polymerase chain reaction (PCR) were performed. Leptospira antibodies were detected in 10/244 cats; with 4.1% positive results (95% confidence interval (CI): 2.1-7.18%). Titers ranged from 1:20 to 1:320 (serovars Ballum; Bataviae; Bratislava; Cynopteri; Grippotyphosa Mandemakers; Grippotyphosa Moskva; Pomona; and Proechimys). The most common serovar was Cynopteri. Blood samples from 1/89 cats amplified for Leptospira DNA (1.12%; 95% CI: 0.05-5.41%). Urine samples from 4/232 cats amplified for Leptospira DNA (1.72%; 95% CI: 0.55-4.10%). In conclusion free-roaming cats in Spain can shed pathogenic Leptospira DNA in their urine and may be a source of human infection. Serovars not previously described in cats in Spain were detected; suggesting the presence of at least 4 different species of pathogenic leptospires in the country (L. borgpetersenii; L. interrogans; L. kirschneri; and L. noguchii).
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Affiliation(s)
- Andrea Murillo
- Department de Medicina i Cirurgia Animals, Facultat de Veterinària, Universitat Autònoma de Barcelona, Barcelona (UAB), CP 08193 Bellaterra, Espana; (R.C.); (J.P.)
| | - Rafaela Cuenca
- Department de Medicina i Cirurgia Animals, Facultat de Veterinària, Universitat Autònoma de Barcelona, Barcelona (UAB), CP 08193 Bellaterra, Espana; (R.C.); (J.P.)
| | - Emmanuel Serrano
- Wildlife Ecology & Health group (WE&H), Servei d’Ecopatologia de Fauna Salvatge (SEFaS), Universitat Autònoma de Barcelona (UAB), CP 08193 Bellaterra, Espana;
| | - Goris Marga
- OIE and National Collaborating Centre for Reference and Research on Leptospirosis (NRL), Amsterdam UMC, University of Amsterdam, Medical Microbiology, Meibergdreef 39, 1105 AZ Amsterdam, The Netherlands; (G.M.); (A.A.)
| | - Ahmed Ahmed
- OIE and National Collaborating Centre for Reference and Research on Leptospirosis (NRL), Amsterdam UMC, University of Amsterdam, Medical Microbiology, Meibergdreef 39, 1105 AZ Amsterdam, The Netherlands; (G.M.); (A.A.)
| | | | - Cristina Caparrós
- Clínica Felina Barcelona, CP 08015 Barcelona, Espana; (S.C.); (C.C.)
| | - Verónica Vieitez
- Facultad de Veterinaria, Universidad de Extremadura, CP 10003 Cáceres, Espana; (V.V.); (A.L.)
| | - Andrea Ladina
- Facultad de Veterinaria, Universidad de Extremadura, CP 10003 Cáceres, Espana; (V.V.); (A.L.)
| | - Josep Pastor
- Department de Medicina i Cirurgia Animals, Facultat de Veterinària, Universitat Autònoma de Barcelona, Barcelona (UAB), CP 08193 Bellaterra, Espana; (R.C.); (J.P.)
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Philip N, Bahtiar Affendy N, Ramli SNA, Arif M, Raja P, Nagandran E, Renganathan P, Taib NM, Masri SN, Yuhana MY, Than LTL, Seganathirajah M, Goarant C, Goris MGA, Sekawi Z, Neela VK. Leptospira interrogans and Leptospira kirschneri are the dominant Leptospira species causing human leptospirosis in Central Malaysia. PLoS Negl Trop Dis 2020; 14:e0008197. [PMID: 32203511 PMCID: PMC7117766 DOI: 10.1371/journal.pntd.0008197] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2019] [Revised: 04/02/2020] [Accepted: 03/03/2020] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND Leptospirosis, commonly known as rat-urine disease, is a global but endemic zoonotic disease in the tropics. Despite the historical report of leptospirosis in Malaysia, the information on human-infecting species is limited. Determining the circulating species is important to understand its epidemiology, thereby to strategize appropriate control measures through public health interventions, diagnostics, therapeutics and vaccine development. METHODOLOGY/PRINCIPLE FINDINGS We investigated the human-infecting Leptospira species in blood and serum samples collected from clinically suspected leptospirosis patients admitted to three tertiary care hospitals in Malaysia. From a total of 165 patients, 92 (56%) were confirmed cases of leptospirosis through Microscopic Agglutination Test (MAT) (n = 43; 47%), Polymerase Chain Reaction (PCR) (n = 63; 68%) or both MAT and PCR (n = 14; 15%). The infecting Leptospira spp., determined by partial 16S rDNA (rrs) gene sequencing revealed two pathogenic species namely Leptospira interrogans (n = 44, 70%) and Leptospira kirschneri (n = 17, 27%) and one intermediate species Leptospira wolffii (n = 2, 3%). Multilocus sequence typing (MLST) identified an isolate of L. interrogans as a novel sequence type (ST 265), suggesting that this human-infecting strain has a unique genetic profile different from similar species isolated from rodents so far. CONCLUSIONS/SIGNIFICANCE Leptospira interrogans and Leptospira kirschneri were identified as the dominant Leptospira species causing human leptospirosis in Central Malaysia. The existence of novel clinically important ST 265 (infecting human), that is different from rodent L. interrogans strains cautions reservoir(s) of these Leptospira lineages are yet to be identified.
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Affiliation(s)
- Noraini Philip
- Department of Medical Microbiology and Parasitology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
| | - Norliza Bahtiar Affendy
- Department of Medical Microbiology and Parasitology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
| | - Siti Nur Alia Ramli
- Department of Medical Microbiology and Parasitology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
| | - Muhamad Arif
- Center of Excellence in Life Sciences, Bharathidasan University, Tiruchirappalli, India
| | - Pappitha Raja
- School of Medicine, Dentistry and Biomedical Sciences, Queens University, Belfast, Northern Ireland, United Kingdom
| | - Elanngovan Nagandran
- Clinical Research Centre Unit, Tengku Ampuan Rahimah Hospital, Ministry of Health Malaysia, Klang, Selangor, Malaysia
| | - Pukunan Renganathan
- Clinical Research Centre Unit, Tengku Ampuan Rahimah Hospital, Ministry of Health Malaysia, Klang, Selangor, Malaysia
| | - Niazlin Mohd Taib
- Department of Medical Microbiology and Parasitology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
| | - Siti Norbaya Masri
- Department of Medical Microbiology and Parasitology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
| | - Muhamad Yazli Yuhana
- Infectious Diseases Unit, Internal Medicine Department, Universiti Teknologi MARA, Sungai Buloh, Selangor, Malaysia
| | - Leslie Thian Lung Than
- Department of Medical Microbiology and Parasitology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
| | - Mithra Seganathirajah
- General Medicine, Hospital Serdang, Ministry of Health Malaysia, Jalan Puchong, Kajang, Selangor, Malaysia
| | - Cyrille Goarant
- Institut Pasteur de Noume´a, Leptospirosis Research and Expertise Unit, Noume´a, New Caledonia
| | - Marga G. A. Goris
- OIE and National Collaborating Centre for Reference and Research on Leptospirosis Academic Medical Center, Department of Medical Microbiology, University of Amsterdam, Amsterdam, the Netherlands
| | - Zamberi Sekawi
- Department of Medical Microbiology and Parasitology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
| | - Vasantha Kumari Neela
- Department of Medical Microbiology and Parasitology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
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García-Méndez J, Cervera-Ceballos E, Atilano-López D, Arroyo-Escalante S, Moncada-Barrón D, Leyva-Leyva M, Hernández-Castro R, Carrillo-Casas EM. Leptospirosis in an asplenic patient -case report. BMC Infect Dis 2020; 20:186. [PMID: 32111168 PMCID: PMC7048021 DOI: 10.1186/s12879-020-4869-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2017] [Accepted: 02/11/2020] [Indexed: 11/13/2022] Open
Abstract
Background The presentation of clinical leptospirosis has been historically associated with animal workers, slaughterhouse workers and medical veterinarians. This association has shifted to be related to flooding events and outdoor activities; few cases are related to high-risk factors found in immunosuppressed patients. Scarcely a handful of cases have serological evidence of immune response against Leptospira serovar Bratislava representing serogroup Australis, a serovar associated with poor reproductive performance in swine and horses, and recently with cats. Case presentation Herein, we describe a rare clinical presentation of disseminated Leptospira infection in an immunosuppressed 65-year-old woman. She was admitted to the emergency room with fever, bacteraemia, bilateral uveitis and pulmonary involvement. The patient denied outdoor activities; she only had wide exposure to faeces and urine from cats living in her home. Her medical history included idiopathic thrombocytopenic purpura (ITP) diagnosed at the age of 18. She did not respond to medical treatment, and a splenectomy was performed. At age 60, she was diagnosed with Chronic Myeloid Leukemia (CML), and was treated with a tyrosine kinase inhibitor (TKI) –Imatinib. The patient voluntarily discontinued the treatment for the last 6 months. After extensive workup, no microorganisms were identified by the commonly used stains in microbiology. The diagnosis was performed through dark-field microscopy, microagglutination test (MAT), Leptospira genus-specific PCR, the IS1500 PCR for identification of pathogenic species, and 16S based sequencing for the genus identification. Conclusion Immunosuppressed patients may acquire uncommon infections from ubiquitous microorganisms. In this case, serology evidence of exposure to Leptospira serovar Bratislava by MAT and the presence of the Leptospira genus were identified. It should be on mind for the diagnosis in otherwise healthy patients, and thoroughly search on splenectomised patients exposed to animals. Additionally, this report highlights the usefulness of PCR for diagnosis of this potentially life-threatening illness.
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Affiliation(s)
- J García-Méndez
- Dirección de Docencia, Instituto Nacional de Cancerología, Mexico City, Mexico.,Departamento de Microbiología y Parasitología, Facultad de Medicina, UNAM, Mexico City, Mexico
| | - E Cervera-Ceballos
- Dirección de Docencia, Instituto Nacional de Cancerología, Mexico City, Mexico
| | - D Atilano-López
- Laboratorio de Diagnóstico-Bacteriología, Sección Leptospira, Facultad de Medicina Veterinaria y Zootecnia, Mexico City, Mexico
| | - S Arroyo-Escalante
- División de Laboratorio Clínico, Hospital General "Dr. Manuel Gea González", Mexico City, Mexico
| | - D Moncada-Barrón
- División de Laboratorio Clínico, Hospital General "Dr. Manuel Gea González", Mexico City, Mexico
| | - M Leyva-Leyva
- Departamento de Biología Molecular e Histocompatibilidad, Dirección de investigación, Hospital General "Dr. Manuel Gea González", Mexico City, Mexico
| | - R Hernández-Castro
- Departamento de Ecología de Agentes Patógenos, Dirección de investigación, Hospital General "Dr. Manuel Gea González", Mexico City, Mexico
| | - E M Carrillo-Casas
- Departamento de Biología Molecular e Histocompatibilidad, Dirección de investigación, Hospital General "Dr. Manuel Gea González", Mexico City, Mexico.
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20
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Spangler D, Kish D, Beigel B, Morgan J, Gruszynski K, Naikare H, Nahar VK, Coarsey MD, Verma A. Leptospiral shedding and seropositivity in shelter dogs in the Cumberland Gap Region of Southeastern Appalachia. PLoS One 2020; 15:e0228038. [PMID: 31999733 PMCID: PMC6992200 DOI: 10.1371/journal.pone.0228038] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2019] [Accepted: 01/06/2020] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND Leptospirosis, caused by pathogenic Leptospira spp., is a zoonotic infection that affects humans, dogs and many other mammalian species. Virtually any mammalian species can act as asymptomatic reservoir, characterized by chronic renal carriage and shedding of a host-adapted leptospiral serovar. Environmental contamination by chronic shedders results in acquisition of infection by humans and susceptible animals. METHODS In this study, we investigated if clinically normal shelter dogs and cats harbor leptospires in their kidneys by screening urine samples for the presence of leptospiral DNA by a TaqMan based-quantitative PCR (qPCR) that targets pathogen-associated lipl32 gene. To identify the infecting leptospiral species, a fragment of leptospiral rpoB gene was PCR amplified and sequenced. Additionally, we measured Leptospira-specific serum antibodies using the microscopic agglutination test (MAT), a gold standard in leptospiral serology. RESULTS A total of 269 shelter animals (219 dogs and 50 cats) from seven shelters located in the tri-state area of western Virginia, eastern Tennessee, and southeastern Kentucky were included in this study. All cats tested negative by both qPCR and MAT. Of the 219 dogs tested in the study, 26/198 (13.1%, 95% CI: 8.4-17.8%) were positive for leptospiral DNA in urine by qPCR and 38/211 (18.0%, 95% CI: 12.8-23.2%) were seropositive by MAT. Twelve dogs were positive for both qPCR and MAT. Fourteen dogs were positive by qPCR but not by MAT. Additionally, leptospiral rpoB gene sequencing from a sub-set of qPCR-positive urine samples (n = 21) revealed L. interrogans to be the leptospiral species shed by dogs. CONCLUSIONS These findings have significant implications regarding animal and public health in the Cumberland Gap Region and possibly outside where these animals may be adopted.
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Affiliation(s)
- Dawn Spangler
- College of Veterinary Medicine, Lincoln Memorial University, Harrogate, TN, United States of America
- Center for Infectious, Zoonotic and Vector-borne Diseases, Harrogate, TN, United States of America
| | - Daniel Kish
- College of Veterinary Medicine, Lincoln Memorial University, Harrogate, TN, United States of America
| | - Brittney Beigel
- College of Veterinary Medicine, Lincoln Memorial University, Harrogate, TN, United States of America
| | - Joey Morgan
- College of Veterinary Medicine, Lincoln Memorial University, Harrogate, TN, United States of America
| | - Karen Gruszynski
- Center for Human and Animal Health in Appalachia, Lincoln Memorial University, Harrogate, TN, United States of America
| | - Hemant Naikare
- Tifton Veterinary Diagnostic and Investigational Lab, College of Veterinary Medicine, University of Georgia, Tifton, GA, United States of America
| | - Vinayak K. Nahar
- Department of Dermatology, School of Medicine, The University of Mississippi Medical Center, Jackson, MS, United States of America
- Department of Preventive Medicine, School of Medicine/John D. Bower School of Population Health, The University of Mississippi Medical Center, Jackson, MS, United States of America
| | - Michele D. Coarsey
- Tifton Veterinary Diagnostic and Investigational Lab, College of Veterinary Medicine, University of Georgia, Tifton, GA, United States of America
| | - Ashutosh Verma
- College of Veterinary Medicine, Lincoln Memorial University, Harrogate, TN, United States of America
- Center for Infectious, Zoonotic and Vector-borne Diseases, Harrogate, TN, United States of America
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21
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Ngasaman R, Saechan V, Prachantasena S, Yingkajorn M, Sretrirutchai S. Investigation of Leptospira Infection in Stray Animals in Songkhla, Thailand: Leptospirosis Risk Reduction in Human. Vector Borne Zoonotic Dis 2020; 20:432-435. [PMID: 31905047 DOI: 10.1089/vbz.2019.2549] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Leptospirosis is a zoonosis of public health concern in Thailand. Human leptospirosis presents severe illness and can be fatal due to pulmonary hemorrhage, kidney failure, or cardiac impairment. Infected animals show no clinical signs and play an important role in the Leptospira infection of humans and other hosts. The prevalence of leptospirosis in stray animals in Thailand is unknown. The aim of this study was to investigate the incidence of Leptospira infection in stray animals including dogs and cats in Songkhla province, Thailand. A total of 434 blood samples were collected from 370 stray dogs and 64 stray cats during a population control program from 2014 to 2018. Screening the serum samples using the latex agglutination test to detect antibodies against Leptospira interrogans showed that 29.26% (127/434) were positive. There were 120 positive samples for stray dogs and 7 positive samples for stray cats. The detection of positive samples by polymerase chain reaction specific to the LipL32 of L. interrogans showed 1.61% (7/434) were positive. Stray cats (5/64) showed a higher prevalence than stray dogs (2/370), which might be because they are more likely to come into contact with rodents in their habitat. Although the active infection detected was low, the seroprevalence was high. This result indicated that the stray animals might not have been infected at the time of sample collection, but that they had been infected in the past or were in a latent period of infection. Therefore, they might serve as a leptospirosis reservoir for domestic animals and humans present in the same environment. The results show that stray animals need health care, such as vaccination, surveillance, and treatment, when infected to prevent or reduce the risk of transmission to humans.
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Affiliation(s)
| | - Vannarat Saechan
- Faculty of Veterinary Science, Prince of Songkla University, Songkhla, Thailand
| | | | - Mingkwan Yingkajorn
- Department of Pathology, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand
| | - Somporn Sretrirutchai
- Department of Pathology, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand
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22
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Sprißler F, Jongwattanapisan P, Luengyosluechakul S, Pusoonthornthum R, Prapasarakul N, Kurilung A, Goris M, Ahmed A, Reese S, Bergmann M, Dorsch R, Klaasen HLBM, Hartmann K. Leptospira
infection and shedding in cats in Thailand. Transbound Emerg Dis 2019; 66:948-956. [DOI: 10.1111/tbed.13110] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2018] [Revised: 11/13/2018] [Accepted: 12/16/2018] [Indexed: 11/27/2022]
Affiliation(s)
- Fabienne Sprißler
- Clinic of Small Animal Internal Medicine Centre of Clinical Veterinary Medicine LMU Munich Munich Germany
| | | | | | | | - Nuvee Prapasarakul
- Veterinary Microbiology Department Chulalongkorn University Bangkok Thailand
| | - Alongkorn Kurilung
- Veterinary Microbiology Department Chulalongkorn University Bangkok Thailand
| | - Marga Goris
- Leptospirosis Reference Laboratory Department of Medical Microbiology Academic Medical Center Amsterdam the Netherlands
| | - Ahmed Ahmed
- Leptospirosis Reference Laboratory Department of Medical Microbiology Academic Medical Center Amsterdam the Netherlands
| | - Sven Reese
- Institute of Veterinary Anatomy, Histology and Embryology LMU Munich Munich Germany
| | - Michèle Bergmann
- Clinic of Small Animal Internal Medicine Centre of Clinical Veterinary Medicine LMU Munich Munich Germany
| | - Roswitha Dorsch
- Clinic of Small Animal Internal Medicine Centre of Clinical Veterinary Medicine LMU Munich Munich Germany
| | | | - Katrin Hartmann
- Clinic of Small Animal Internal Medicine Centre of Clinical Veterinary Medicine LMU Munich Munich Germany
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