1
|
Silva-Ramos CR, Faccini-Martínez ÁA, Serna-Rivera CC, Mattar S, Hidalgo M. Etiologies of Zoonotic Tropical Febrile Illnesses That Are Not Part of the Notifiable Diseases in Colombia. Microorganisms 2023; 11:2154. [PMID: 37763998 PMCID: PMC10535066 DOI: 10.3390/microorganisms11092154] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2023] [Revised: 06/15/2023] [Accepted: 06/15/2023] [Indexed: 09/29/2023] Open
Abstract
In Colombia, tropical febrile illnesses represent one of the most important causes of clinical attention. Febrile illnesses in the tropics are mainly zoonotic and have a broad etiology. The Colombian surveillance system monitors some notifiable diseases. However, several etiologies are not monitored by this system. In the present review, we describe eleven different etiologies of zoonotic tropical febrile illnesses that are not monitored by the Colombian surveillance system but have scientific, historical, and contemporary data that confirm or suggest their presence in different regions of the country: Anaplasma, Arenavirus, Bartonella, relapsing fever group Borrelia, Coxiella burnetii, Ehrlichia, Hantavirus, Mayaro virus, Orientia, Oropouche virus, and Rickettsia. These could generate a risk for the local population, travelers, and immigrants, due to which they should be included in the mandatory notification system, considering their importance for Colombian public health.
Collapse
Affiliation(s)
- Carlos Ramiro Silva-Ramos
- Grupo de Enfermedades Infecciosas, Departamento de Microbiología, Facultad de Ciencias, Pontificia Universidad Javeriana, Bogotá 110231, Colombia;
| | - Álvaro A. Faccini-Martínez
- Servicio de Infectología, Hospital Militar Central, Bogotá 110110, Colombia;
- Servicios y Asesorías en Infectología—SAI, Bogotá 110110, Colombia
| | - Cristian C. Serna-Rivera
- Grupo de Investigación en Ciencias Veterinarias (CENTAURO), Línea de Investigación Zoonosis Emergentes y Re-Emergentes, Facultad de Ciencias Agrarias, Universidad de Antioquia, Medellín 050034, Colombia;
- Grupo de Investigación en Genética, Biodiversidad y Manejo de Ecosistemas (GEBIOME), Departamento de Ciencias Biológicas, Facultad de Ciencias Exactas y Naturales, Universidad de Caldas, Manizales 170004, Colombia
| | - Salim Mattar
- Instituto de Investigaciones Biológicas del Trópico, Universidad de Córdoba, Montería 230001, Colombia;
| | - Marylin Hidalgo
- Grupo de Enfermedades Infecciosas, Departamento de Microbiología, Facultad de Ciencias, Pontificia Universidad Javeriana, Bogotá 110231, Colombia;
| |
Collapse
|
2
|
Comparison of the Serion IgM ELISA and Microscopic Agglutination Test for diagnosis of Leptospira spp. infections in sera from different geographical origins and estimation of Leptospira seroprevalence in the Wiwa indigenous population from Colombia. PLoS Negl Trop Dis 2022; 16:e0009876. [PMID: 35666764 PMCID: PMC9223614 DOI: 10.1371/journal.pntd.0009876] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2021] [Revised: 06/23/2022] [Accepted: 04/22/2022] [Indexed: 11/23/2022] Open
Abstract
Leptospirosis is among the most important zoonotic diseases in (sub-)tropical countries. The research objective was to evaluate the accuracy of the Serion IgM ELISA EST125M against the Microscopic Agglutination Test (MAT = imperfect reference test); to assess its ability to diagnose acute leptospirosis infections and to detect previous exposure to leptospires in an endemic setting. In addition, to estimate the overall Leptospira spp. seroprevalence in the Wiwa indigenous population in North-East Colombia. We analysed serum samples from confirmed leptospirosis patients from the Netherlands (N = 14), blood donor sera from Switzerland (N = 20), and sera from a cross-sectional study in Colombia (N = 321). All leptospirosis ELISA-positive, and a random of negative samples from Colombia were tested by the MAT for confirmation. The ELISA performed with a sensitivity of 100% (95% CI 77% - 100%) and a specificity of 100% (95% CI 83% - 100%) based on MAT confirmed Leptospira spp. positive and negative samples. In the cross-sectional study in Colombia, the ELISA performed with a sensitivity of 100% (95% CI 2–100%) and a specificity of 21% (95% CI 15–28%). Assuming a 5% Leptospira spp. seroprevalence in this population, the positive predictive value was 6% and the negative predictive value 100%. The Leptospira spp. seroprevalence in the Wiwas tested by the ELISA was 39%; however, by MAT only 0.3%. The ELISA is suitable to diagnose leptospirosis in acutely ill patients in Europe several days after onset of disease. For cross-sectional studies it is not recommended due to its low specificity. Despite the evidence of a high leptospirosis prevalence in other study areas and populations in Colombia, the Wiwa do not seem to be highly exposed to Leptospira spp.. Nevertheless, leptospirosis should be considered and tested in patients presenting with febrile illness. Leptospirosis is among the most important zoonotic diseases in (sub-)tropical countries. The correct diagnosis of leptospirosis is very important to take a medical or public health decision. Therefore, we tested a serological test (ELISA) for its ability to correctly diagnose a negative sample as truly negative and a positive sample as truly positive. We tested the ELISA with European acute leptospirosis confirmed positive and negative samples and compared results with another serological test (microscopic agglutination test), which is the recognized reference test. Further, the ELISA was assessed for its ability to detect previous exposure to leptospires in serum samples from the indigenous Wiwa population from Colombia, where leptospirosis is expected to be endemic. The ELISA performed very well with sera from patients with acute leptospirosis, however had difficulties to diagnose negative samples as truly negative in the Colombian field samples; hence unexposed persons were falsely diagnosed to be positive. Therefore, we recommend using the ELISA to detect acute leptospirosis several days after onset of illness in a non-endemic environment, but are not convinced of its usefulness to screen a population for previous Leptospira spp. exposure.
Collapse
|
3
|
Bolaños A, Montoya-Ruiz C, Perez-Peréz JC, Rodas JD, Mattar S. Seroprevalence of arenavirus and hantavirus in indigenous populations from the Caribbean, Colombia. Rev Soc Bras Med Trop 2019; 53:e20190132. [PMID: 31859943 PMCID: PMC7083376 DOI: 10.1590/0037-8682-0132-2019] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2019] [Accepted: 05/31/2019] [Indexed: 11/30/2022] Open
Abstract
INTRODUCTION: In Colombia, there is insufficient epidemiological surveillance of zoonotic
hemorrhagic viruses. METHODS: We performed a sero-epidemiological study in indigenous populations of
Wayuü, Kankuamos, and Tuchin communities using Maciel hantavirus and Junin
arenavirus antigens for IgG detection by ELISA. RESULTS: IgG antibodies to hantavirus and arenavirus were found in 5/506 (1%) and
2/506 (0.4%) serum samples, respectively. CONCLUSIONS: Arenavirus and hantavirus circulate in indigenous populations from the
Colombian Caribbean region, and the results indicate that the indigenous
populations are exposed to these zoonotic agents, with unknown consequences
on their health, despite low seroprevalence.
Collapse
Affiliation(s)
- Amada Bolaños
- Universidad de Córdoba, Instituto de Investigaciones Biológicas del Trópico, Montería, Córdoba, Colombia
| | - Carolina Montoya-Ruiz
- Universidad de Antioquia, Grupo Centauro, Medellín, Antioquia, Colombia.,Universidad de los Andes, Laboratorio De Diagnóstico Molecular y Bioinformática, Bogotá D.C, Colombia
| | | | - Juan David Rodas
- Universidad de Antioquia, Grupo Centauro, Medellín, Antioquia, Colombia
| | - Salim Mattar
- Universidad de Córdoba, Instituto de Investigaciones Biológicas del Trópico, Montería, Córdoba, Colombia
| |
Collapse
|
4
|
Fernandes J, Silva TACD, Oliveira RCD, Guterres A, Oliveira ECD, Terças ACP, Levis SC, Fontes CJF, Atakana M, Lemos ERSD. Letter. Rev Soc Bras Med Trop 2019; 51:881-882. [PMID: 30517550 DOI: 10.1590/0037-8682-0071-2018] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2018] [Accepted: 09/20/2018] [Indexed: 11/21/2022] Open
Affiliation(s)
- Jorlan Fernandes
- Laboratório de Hantaviroses e Rickettsioses, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brasil
| | - Thayssa Alves Coelho da Silva
- Laboratório de Hantaviroses e Rickettsioses, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brasil
| | - Renata Carvalho de Oliveira
- Laboratório de Hantaviroses e Rickettsioses, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brasil
| | - Alexandro Guterres
- Laboratório de Hantaviroses e Rickettsioses, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brasil
| | - Elaine Cristina de Oliveira
- Hopital Universitário Julio Müller, Universidade Federal do Mato Grosso, Cuiabá, MT, Brasil.,Secreteria de Estado de Saúde do Mato Grosso, Cuiabá, MT, Brasil
| | | | - Silvana C Levis
- Instituto Nacional de Enfermedades Virales Humanas, Pergamino, Argentina
| | | | - Marina Atakana
- Hopital Universitário Julio Müller, Universidade Federal do Mato Grosso, Cuiabá, MT, Brasil
| | - Elba Regina Sampaio de Lemos
- Laboratório de Hantaviroses e Rickettsioses, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brasil
| |
Collapse
|
5
|
Montoya-Ruiz C, Díaz FJ, W MJ, Xiaofeng Z, Levis S, Zapata JC, Muskus CE, Álvarez CM, Rodas JD. Development of a serosurveillance assay for detection of Necoclí virus exposure. Arch Virol 2018; 163:3291-3301. [PMID: 30191374 DOI: 10.1007/s00705-018-4015-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2018] [Accepted: 08/27/2018] [Indexed: 10/28/2022]
Abstract
Hantavirus cardiopulmonary syndrome (HPS) has gained importance in Latin America as an emerging disease, with reports of about 4000 HPS cases; however, this is probably an underestimate because of limited surveillance programs and diagnostic tools to confirm HPS. In order to address this issue and develop better serosurveillance capability, we evaluated three recombinant peptides from the Necoclí virus (NECV) nucleocapsid in antibody-capture ELISA. We cloned and expressed antigens representing the whole NECV nucleocapsid protein (NECV-rN), the immunodominant domain (NECV-rN100), and a serospecific domain (NECV-rN428), and then we compared these antigens in ELISA to detect IgG antibodies to NECV in human sera. We evaluated human sera collected during two epidemiological studies from the area where NECV was discovered. The first group included 609 sera from healthy individuals, and the second one included 89 samples from patients with undifferentiated febrile illness. In these two groups, hantavirus infection had previously been determined by the presence of IgG to Maciel virus (MCLV), a hantavirus closely related to NECV. The number of IgG-positive sera was higher using the Necoclí ELISA with the rN100 protein, which detected antibodies in a higher percentage of healthy individuals, 129/609 (21.2%), as well as in febrile patients, 11/89 (12.3%). In contrast, using MCLV ELISA, 8 of 609 (1.3%) and 4 of 89 (4.5%) samples from healthy and febrile patients, respectively, were seropositive. The agreement between the NECV and MCLV ELISA assays was ≥ 82.3%; however, the kappa indices were weak but statistically significant for rN (0.251 CI; 0.138-0.365) and rN100rN (0.153 CI; 0.084-0.223). The weak kappa indices were attributed to decreased MCLV ELISA assay sensitivity. These results suggest that NECV rN and rN100 have increased specificity and could be further validated for improved diagnosis of hantavirus infections.
Collapse
Affiliation(s)
- Carolina Montoya-Ruiz
- Grupo Centauro, Universidad de Antioquia U-de-A, Sede de Investigación Universitaria, SIU, Carrera 53 No. 61-30 Lab. 233, Medellín, Antioquia, Colombia.
| | - Francisco J Díaz
- Grupo Inmunovirología, Universidad de Antioquia U-de-A, Medellín, Antioquia, Colombia
| | - McBride Jere W
- Department of Pathology, University of Texas Medical Branch, Galveston, Texas, USA
| | - Zhang Xiaofeng
- Department of Pathology, University of Texas Medical Branch, Galveston, Texas, USA
| | - Silvana Levis
- Instituto Nacional de Enfermedades Virales Humanas "Dr. Julio I. Maiztegui" (INEVH), Pergamino, Argentina
| | - Juan Carlos Zapata
- Institute of Human Virology, University of Maryland School of Medicine, 725 W. Lombard Street, Baltimore, MD, USA
| | - Carlos E Muskus
- Programa de Estudio y Control de Enfermedades Tropicales-PECET, Universidad de Antioquia U-de-A, Medellín, Antioquia, Colombia
| | - Cristian M Álvarez
- Grupo de Inmunología Celular e Inmunogenética (GICIG), Universidad de Antioquia U-de-A, Medellín, Antioquia, Colombia
| | - Juan David Rodas
- Grupo Centauro, Universidad de Antioquia U-de-A, Sede de Investigación Universitaria, SIU, Carrera 53 No. 61-30 Lab. 233, Medellín, Antioquia, Colombia
| |
Collapse
|