Serologic evidence of human leptospirosis in and around Kolkata, India: a clinico-epidemiological study

OBJECTIVE

To investigate the prevalence of leptospirosis among patients from within and outside Kolkata, India, attending the Calcutta School of Tropical Medicine, for treatment during August 2002 to August 2008.

METHODS

The leptospirosis cases were determined on the basis of clinical, epidemiological, and biochemical factors, and were tested for leptospiral antibodies using IgM ELISA. Serum samples with absorbance ratio ≥ 1.21 were interpreted as reactive.

RESULTS

The commonest presentation involved fever, headache and jaundice. The male-female ratio was 61:46. A total of 65(64.20%) cases had abnormal liver and renal functions respectively, and 57.1% had both the abnormalities. The highest incidence (75, 35.04%) was recorded in September-October followed by July-August (53, 24.77%). The reactive cases had absorbance ratios between 1.21 and 8.21, and 53 showed equivocal result, while IgM non reactivity were seen in 90 patients (absorbance ratios 0.10-0.90). The patients responded to treatment with parenteral antibiotics, penicillin, ceftriaxone and cefotaxime; follow up did not reveal case fatality.

CONCLUSIONS

The cardinal signs of leptospirosis help in making clinical diagnosis, but in any hyper-endemic situation any patient reporting with acute fever and signs of pulmonary, hepatic or renal involvement should be suspected to have leptospirosis and investigated accordingly. Increased awareness, and early diagnosis and treatment, can reduce mortality due to leptospirosis.

Kinetics of dimethoate biodegradation in bacterial system

The present study is an investigation on the kinetics of dimethoate biodegradation and an estimation of residual dimethoate in bacterial culture by spectrophotometry. The methylene chloride extract of the culture medium was used for determination of dimethoate through its reaction with 1 chloro-2, 4 dinitrobenzene to produce methylamine whose absorbance at 505 nm gave an estimation of dimethoate content. The dimethoate standard curve follows Beer’s law at 505 nm with a slope of 0.0129 absorbance units per µg/mL. The regression equation relating concentration of dimethoate (x) with the absorbance is (y): y = 0.037 + 0.0129x. The amount of residual dimethoate after 7 days were 0, 4, 17, 28 and 29 µg/mL; the rate constants were 0.775, 0.305, 0.225, 0.167 and 0.127 each per day, and the efficiency of dimethoate degradation were 100%, 96%, 83%, 72% and 71%, for <em>Bacillus licheniformis, Pseudomonas aeruginosa, Aeromonas hydrophila, Proteus mirabilis </em>and <em>Bacillus pumilus</em> respectively. Dimethoate remediation could be attained through bacterial metabolism of the pesticide and colorimetric analysis might be useful in the estimation of dimethoate within a detection limit of 5-100 µg/mL.