Leptospira

钩端螺旋体
  • 文章类型: Journal Article
    这项研究评估了Zaria居民对钩端螺旋体病的风险行为和认识水平,尼日利亚。通过面对面访谈对100名居民进行了预先测试的问卷。使用卡方和多变量分析对数据进行分析,以确定钩端螺旋体病的危险因素。人口统计显示,大多数受访者是男性,21-40岁,和主要种植农民。确定的危险因素表明,男性受钩端螺旋体病影响的可能性是其4.14倍(OR4.14,95%CI[1.93-5.37],p=0.02),动物水源被钩端螺旋体污染的可能性是5.56倍。(OR4.14,95%CI[2.88-8.03],p=0.01),这些关系是显著的。大多数受访者不知道这种疾病(OR1.87,95%CI[1.22-4.57],p=0.01),78%的受访者不确定哪种动物钩端螺旋体病受影响(OR1.67,95%CI[1.07-2.62],p=0.02)。这项研究证明了风险行为的存在,研究区域内有关钩端螺旋体病的知识匮乏。因此,建议组织一个启蒙计划,并为职业上有钩端螺旋体感染风险的个人提供防护服。
    This study evaluated the level of risk practices and awareness of leptospirosis among residents of Zaria, Nigeria. A pre-tested questionnaires were administered via face-to-face interview to 100 residents. The data was analyzed using chi-square and multivariate analysis to identify risk factors for leptospirosis. The demography showed that the majority of the respondents were male, aged 21-40 years, and majorly crop farmers. The risk factors identified showed that males were 4.14 times more likely to be affected by leptospirosis (OR 4.14, 95% CI [1.93-5.37], p = 0.02) and the source of animal\'s water was 5.56 times more likely to be contaminated by Leptospira spp. (OR 4.14, 95% CI [2.88-8.03], p = 0.01) and these relationships were significant. The majority of respondents were not aware of the disease (OR 1.87, 95% CI [1.22-4.57], p = 0.01) with 78% of the respondents not sure of which of the animal species leptospirosis affected (OR 1.67, 95% CI [1.07-2.62], p = 0.02). This study has demonstrated the existence of risk behaviors, and paucity of knowledge about leptospirosis in the study area. It is therefore recommended to organize an enlightenment program and the need for protective clothing for individuals occupationally at risk of infection by Leptospira spp.
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  • 文章类型: Journal Article
    斑点印迹是一个简单的,快,敏感,和多功能技术,能够在载体DNA存在的情况下鉴定最小量的探针杂交特异性靶向的DNA。它基于将已知量的DNA转移到惰性固体支持物上,比如尼龙膜,利用斑点印迹装置,无需电泳分离。尼龙膜具有高核酸结合能力(400µg/cm2)的优势,高强度,并且带正电荷或中性电荷。使用的探针是用地高辛(DIG)标记的18至20个碱基长的高度特异性ssDNA片段。探针将与钩端螺旋体DNA缀合。一旦探针与靶DNA杂交,它通过抗洋地黄毒苷抗体检测到,通过X射线胶片中显示的发射,可以很容易地检测到它。具有发射的点将对应于感兴趣的DNA片段。该方法采用探针的非同位素标记,可能有很长的半衰期。这种标准免疫标记的缺点是灵敏度低于同位素探针。然而,它通过偶联聚合酶链反应(PCR)和斑点印迹分析得到缓解.该方法使得能够富集靶序列及其检测。此外,当与已知标准的连续稀释进行比较时,其可用作定量应用。此处介绍了用于检测水样中三个主要进化枝的钩端螺旋体的斑点印迹应用。一旦通过离心浓缩了大量的水,就可以将该方法应用于大量的水,以提供存在钩端螺旋体DNA的证据。这是一个有价值的和令人满意的工具,用于一般的筛选目的,并可用于其他可能存在于水中的不可培养细菌,增强对生态系统的理解。
    The dot-blot is a simple, fast, sensitive, and versatile technique that enables the identification of minimal quantities of DNA specifically targeted by probe hybridization in the presence of carrier DNA. It is based on the transfer of a known amount of DNA onto an inert solid support, such as a nylon membrane, utilizing the dot-blot apparatus and without electrophoretic separation. Nylon membranes have the advantage of high nucleic acid binding capacity (400 µg/cm2), high strength, and are positively or neutrally charged. The probe used is a highly specific ssDNA fragment of 18 to 20 bases long labeled with digoxigenin (DIG). The probe will conjugate with the Leptospira DNA. Once the probe has hybridized with the target DNA, it is detected by an anti-digoxigenin antibody, allowing its easy detection through its emissions revealed in an X-ray film. The dots with an emission will correspond to the DNA fragments of interest. This method employs the non-isotopic labeling of the probe, which may have a very long half-life. The drawback of this standard immuno-label is a lower sensitivity than isotopic probes. Nevertheless, it is mitigated by coupling polymerase chain reaction (PCR) and dot-blot assays. This approach enables the enrichment of the target sequence and its detection. Additionally, it may be used as a quantitative application when compared against a serial dilution of a well-known standard. A dot-blot application to detect Leptospira from the three main clades in water samples is presented here. This methodology can be applied to large amounts of water once they have been concentrated by centrifugation to provide evidence of the presence of Leptospiral DNA. This is a valuable and satisfactory tool for general screening purposes, and may be used for other non-culturable bacteria that may be present in water, enhancing the comprehension of the ecosystem.
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  • 文章类型: Journal Article
    钩端螺旋体病是一种影响全世界人类和动物的细菌性疾病。目前,乌克兰正在进行一场阵地战争,军方在战壕和防空洞中遇到了大量的啮齿动物,这是已知的钩端螺旋体的水库,钩端螺旋体病的病原体-一种潜在危险的传染病,死亡率很高。平民也面临钩端螺旋体病的潜在风险。2023年6月6日Kakhovka大坝的破坏导致了广泛的破坏和人类的痛苦。在短期内,如钩端螺旋体病等啮齿动物传播疾病的风险很大。我们利用乌克兰疾病预防控制中心的数据,观察到2023年患病率大幅增加。2023年乌克兰的通报率为每10万人1.06,高于欧盟其他国家。特别关注扎卡帕蒂亚州,位于乌克兰西部边界,与罗马尼亚有共同的边界,匈牙利,波兰,斯洛伐克,发病率极高,为每100,000人中12.08人。基于这些发现,我们建议开展教育和宣传活动,疫苗接种,个人保护措施,并改善监测,以解决乌克兰钩端螺旋体病发病率上升的问题。
    Leptospirosis is a bacterial disease that affects both humans and animals worldwide. Currently, a positional war is ongoing in Ukraine, and the military is encountering a significant number of rodents in trenches and dugouts, which are known reservoirs for Leptospira, the causative agent of leptospirosis-a potentially dangerous infectious disease with a high mortality rate. The civilian population is also at potential risk of leptospirosis. The destruction of the Kakhovka Dam on June 6, 2023, has led to widespread devastation and human suffering. In the short term, there is a significant risk of rodent-borne diseases such as leptospirosis. We utilized data from the Ukrainian Centre for Disease Prevention Control and observed a substantial increase in prevalence in 2023. The notification rate in Ukraine in 2023 was 1.06 per 100,000 persons, which is higher than that of other countries in the European Union. Particular attention is being given to Zakarpattia Oblast, located on the western border of Ukraine, which shares boundaries with Romania, Hungary, Poland, and Slovakia, with an extremely high incidence rate of 12.08 per 100,000 persons. Based on these findings, we recommend education and awareness campaigns, vaccination, personal protective measures, and improved surveillance to address the increasing incidence of leptospirosis in Ukraine.
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  • 文章类型: Journal Article
    来自越南三个省的蝙蝠(荔洲,儿子La,和DongThap)使用聚合酶链反应(PCR)检查了致病性钩端螺旋体或特异性抗体的存在,酶联免疫吸附测定(ELISA),和显微凝集试验(MAT)。使用针对病原物种钩端螺旋体的实时PCR测定法分析了来自11种物种的298只蝙蝠的组织样本。在以下物种的40只蝙蝠中鉴定了钩端螺旋体DNA:Rousettusamplicacaudatus(5/9;55.5%),Rousettusleschenaultii(17/42;40.4%),Myotishasseltii(8/25;32%),长毛囊(3/12;25%),和以马龙(7/32;21.9%)。基于SecY系统发育,来自M.hasseltii的序列与L.borgpetersenii非常相似。来自其他物种的序列揭示了独特的谱系:其中一个类似于钩端螺旋体。,先前在Rousettusmadagascariensis(马达加斯加)和Rousettusaegyptiacus(南非)中发现;第二血统与L.kirshneri密切相关;第三血统在L.noguchii和L.rologans之间处于中间地位。通过ELISA,在306只蝙蝠中的83只中发现了抗钩端螺旋体抗体,在R.leshenaultii中观察到最高的血清阳性率(44/48;91.6%),R.amplexicaudatus(6/8;75%),和E.spelaea(19/25;76%)。使用MAT测试这些ELISA阳性样品中的66个;其中41个在MAT中被证实为阳性。我们研究中的主要血清群是Tarassovi和Mini。
    Bats from three provinces in Vietnam (Lai Chau, Son La, and Dong Thap) were examined for the presence of pathogenic Leptospira or specific antibodies using polymerase chain reaction (PCR), enzyme-linked immunosorbent assay (ELISA), and microscopic agglutination test (MAT). Tissue specimens from 298 bats belonging to 11 species were analyzed using a real-time PCR assay specific for leptospires of pathogenic species. Leptospiral DNA was identified in 40 bats from following species: Rousettus amplexicaudatus (5/9; 55.5%), Rousettus leschenaultii (17/42; 40.4%), Myotis hasseltii (8/25; 32%), Taphozous longimanus (3/12; 25%), and Eonycteris spelaea (7/32; 21.9%). Based on secY phylogeny, sequences from M. hasseltii bore a strong resemblance to L. borgpetersenii. Sequences from other species revealed unique lineages: one of them resembled Leptospira sp., previously identified in Rousettus madagascariensis (Madagascar) and Rousettus aegyptiacus (South Africa); the second lineage showed close relation to L. kirshneri; and the third held an intermediary position between L. noguchii and L. interrogans. Through ELISA, anti-Leptospira antibodies were found in 83 of 306 bats, with the highest seroprevalence observed in R. leschenaultii (44/48; 91.6%), R. amplexicaudatus (6/8; 75%), and E. spelaea (19/25; 76%). 66 of these ELISA-positive samples were tested using MAT; 41 of them were confirmed in MAT as positive. The predominant serogroups in our study were Tarassovi and Mini.
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  • 文章类型: Journal Article
    目的:本研究旨在确定急性高热疾病与具有人畜共患潜力的细菌病原体之间的关系,这些病原体在秘鲁中东部地区引起新出现和重新出现的疾病。
    结果:在分析的279个样本中,23(8.2%)的立克次体感染呈阳性。,而共有15人(5.4%)的钩端螺旋体属检测呈阳性。妇女感染立克次体的频率更高。,13例(53.3%),而男性感染钩端螺旋体的频率更高。,10例(66.7%)。最常报告的一般症状是头痛,100.0%(n=23)的立克次体()患者和86.7%(n=13)的钩端螺旋体()患者经历了它。关节痛是第二常见的症状,报告了95.6%(n=22)和60%(n=9)的立克次体(+)和钩端螺旋体(+)患者,分别。有91.3%(n=21)和66.7%(n=10)的立克次体(+)和钩端螺旋体(+)患者报告肌痛,分别。眼后疼痛,腰痛,还出现了皮疹,但不太频繁。在积极的方面,没有出血的表现,尽管只有一例钩端螺旋体属阳性病例。呈现血小板数量的减少。
    OBJECTIVE: this study was to determine the relationship between acute febrile illness and bacterial pathogens with zoonotic potential that cause emerging and re-emerging diseases in a central-eastern region of Peru.
    RESULTS: Out of the 279 samples analyzed, 23 (8.2%) tested positive for infection by Rickettsia spp., while a total of 15 (5.4%) tested positive for Leptospira spp. Women had a higher frequency of infection by Rickettsia spp., with 13 cases (53.3%), while men had a higher frequency of infection by Leptospira spp., with 10 cases (66.7%). The most frequently reported general symptom was headache, with 100.0% (n = 23) of patients with Rickettsia (+) and 86.7% (n = 13) of patients with Leptospira (+) experiencing it. Arthralgia was the second most frequent symptom, reported by 95.6% (n = 22) and 60% (n = 9) of patients with Rickettsia (+) and Leptospira (+), respectively. Myalgia was reported by 91.3% (n = 21) and 66.7% (n = 10) of patients with Rickettsia (+) and Leptospira (+), respectively. Retroocular pain, low back pain, and skin rash were also present, but less frequently. Among the positives, no manifestation of bleeding was recorded, although only one positive case for Leptospira spp. presented a decrease in the number of platelets.
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  • 文章类型: Journal Article
    背景:致病性钩端螺旋体是全球重要的人畜共患病原体,能够感染多种宿主物种。在海洋哺乳动物中,钩端螺旋体的报告主要存在于针脚中,有关于鲸目动物感染的孤立报告。
    方法:2021年6月28日,一名150.5厘米长的女性,短喙普通海豚(Delphinusdelphisdelphis)被困在加利福尼亚南部海岸,随后死亡。大体尸检显示肾脏肾囊内多灶性皮质苍白,组织学观察到淋巴浆细胞性肾小管间质性肾炎。免疫组织化学证实钩端螺旋体感染,PCR和lfb1基因扩增子测序表明感染生物是L.kirschneri。钩端螺旋体DNA捕获和富集允许进行全基因组测序。系统发育分析证实病原体是以前未描述的,L.kirschneri.的分歧谱系
    结论:我们报告了在短喙普通海豚中首次检测到致病性钩端螺旋体,在东北太平洋的鲸类动物中首次发现。肾脏病变与其他宿主物种的钩端螺旋体病一致,包括海洋哺乳动物,是整体检测到的最重要的病变,提示钩端螺旋体病是可能的死亡原因.我们确定了感染的原因是L.kirschneri,以前在海洋哺乳动物中只发现过一次的物种-东北太平洋的北象海豹(Miroungaangustirostris)。这些发现提出了关于传播机制的问题,考虑到鲸目动物特有的海洋生活方式(与大足动物相比,花时间在陆地上)和普遍接受的观点认为钩端螺旋体很快被盐水杀死。他们还提出了有关感染源的重要问题,以及它是由海洋哺乳动物之间的传播还是陆地到海洋的溢出引起的。往前走,必须扩大监测和采样范围,以更好地了解钩端螺旋体感染在海洋生态系统中的发生程度,以及海洋和陆地宿主物种之间和之间可能的流行病学联系。从不同的宿主物种中产生钩端螺旋体基因组将产生有关可能的传播联系的关键信息,我们的研究强调了DNA富集等新技术的力量,以阐明这种重要的人畜共患病原体的复杂生态学。
    BACKGROUND: Pathogenic Leptospira species are globally important zoonotic pathogens capable of infecting a wide range of host species. In marine mammals, reports of Leptospira have predominantly been in pinnipeds, with isolated reports of infections in cetaceans.
    METHODS: On 28 June 2021, a 150.5 cm long female, short-beaked common dolphin (Delphinus delphis delphis) stranded alive on the coast of southern California and subsequently died. Gross necropsy revealed multifocal cortical pallor within the reniculi of the kidney, and lymphoplasmacytic tubulointerstitial nephritis was observed histologically. Immunohistochemistry confirmed Leptospira infection, and PCR followed by lfb1 gene amplicon sequencing suggested that the infecting organism was L.kirschneri. Leptospira DNA capture and enrichment allowed for whole-genome sequencing to be conducted. Phylogenetic analyses confirmed the causative agent was a previously undescribed, divergent lineage of L.kirschneri.
    CONCLUSIONS: We report the first detection of pathogenic Leptospira in a short-beaked common dolphin, and the first detection in any cetacean in the northeastern Pacific Ocean. Renal lesions were consistent with leptospirosis in other host species, including marine mammals, and were the most significant lesions detected overall, suggesting leptospirosis as the likely cause of death. We identified the cause of the infection as L.kirschneri, a species detected only once before in a marine mammal - a northern elephant seal (Mirounga angustirostris) of the northeastern Pacific. These findings raise questions about the mechanism of transmission, given the obligate marine lifestyle of cetaceans (in contrast to pinnipeds, which spend time on land) and the commonly accepted view that Leptospira are quickly killed by salt water. They also raise important questions regarding the source of infection, and whether it arose from transmission among marine mammals or from terrestrial-to-marine spillover. Moving forward, surveillance and sampling must be expanded to better understand the extent to which Leptospira infections occur in the marine ecosystem and possible epidemiological linkages between and among marine and terrestrial host species. Generating Leptospira genomes from different host species will yield crucial information about possible transmission links, and our study highlights the power of new techniques such as DNA enrichment to illuminate the complex ecology of this important zoonotic pathogen.
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  • 文章类型: Journal Article
    这项研究调查了家庭宠物作为潜在的流行病学联系被致病性钩端螺旋体污染的环境和人类在圣达菲,阿根廷。我们研究的目的是:(a)表征参加圣达菲市政绝育运动的猫狗和猫的习惯和暴露于钩端螺旋体病的环境来源,阿根廷,(b)评估无症状的狗和猫中抗钩端螺旋体抗体的血清阳性率,(c)评估可能增加血清阳性的因素,和(d)确定首都圣达菲的血清阳性狗和猫的空间簇。从2022年5月至11月,在市政绝育运动期间进行了横断面血清调查。合格的家用狗和猫超过6个月大,看起来很健康,过去6个月没有接种钩端螺旋体病疫苗。我们使用微凝集测试(MAT)使用一组10个参考菌株来评估抗钩端螺旋体抗体。我们使用广义线性混合效应模型(GLMM)来检查血清阳性的个体和人口普查道水平风险因素,和当地的Moran\的I统计空间集群。结果显示狗的钩端螺旋体抗体患病率(18.2%)高于猫(3.6%,p=0.002)。有街道通道的狗有更高的可能性是血清阳性(OR:3.8,95%CI:1.2;11.9),和慢性贫困地区的动物出现血清阳性的风险较高(RR:4.0,95%CI:1.1;14.4).空间分析未显示人口普查区域中存在明显的血清阳性簇。这些发现揭示了该流行地区宠物中广泛存在的钩端螺旋体血清阳性。了解血清阳性率和危险因素可以指导公共和兽医健康策略。强调为脆弱地区的狗增加钩端螺旋体病疫苗接种,并促进负责任的宠物护理。
    This study examines household pets as potential epidemiological links between environments contaminated with pathogenic leptospires and humans in Santa Fe, Argentina. The aims of our study were: (a) to characterize the habits and exposure to environmental sources of leptospirosis in the population of dogs and cats attending to municipal spay and neutering campaigns in Santa Fe, Argentina, (b) to assess the seroprevalence of anti-Leptospira antibodies in asymptomatic dogs and cats, (c) to evaluate factors that could increase seropositivity, and (d) to identify spatial clusters of seropositive dogs and cats in the capital city of Santa Fe. From May to November 2022, a cross-sectional serosurvey was conducted during municipal spaying/neutering campaigns. Eligible household dogs and cats were over 6 months old, apparently healthy, and not vaccinated against leptospirosis in the past 6 months. We used microagglutination test (MAT) to assess anti-Leptospira antibodies using a panel of 10 reference strains. We used generalized linear mixed effects models (GLMM) to examine individual and census tract-level risk factors for seropositivity, and local Moran\'s I statistic for spatial clusters. Results showed higher leptospiral antibody prevalence in dogs (18.2 %) than cats (3.6 %, p = 0.002). Dogs with street access had higher likelihood of being seropositive (OR: 3.8, 95 % CI: 1.2; 11.9), and areas with chronic poverty showed an elevated risk of presenting seropositive animals (RR: 4.0, 95 % CI: 1.1; 14.4). Spatial analysis didn\'t reveal significant seropositivity clusters among census tracts. These findings shed light on widespread Leptospira seropositivity in pets in this endemic region. Understanding seroprevalence and risk factors can guide public and veterinary health strategies, emphasizing increased leptospirosis vaccination for dogs in vulnerable areas and promoting responsible pet care.
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  • 文章类型: Journal Article
    很少有研究有效地量化自然感染的奶牛中钩端螺旋体病引起的问题造成的经济损失。鉴于这种差距,这项研究的目的是提出并应用一种方法来量化自然感染钩端螺旋体的商业乳牛群的生产和生殖问题造成的经济损失。对于这项研究,在2014年至2017年期间,对泽西岛牛的房产的动物技术和经济指标进行了分析。钩端螺旋体病疫情发生在2014年,治疗方法在2015年至2017年之间进行,后者被认为是疫情控制的年份。采用的综合控制策略是根据显微凝集试验获得的血清学结果对牛群进行划分,用链霉素处理试剂,以及针对非试剂母牛和奶牛的钩端螺旋体病的疫苗接种。用于评估物业经济指标的方法是通过考虑与钩端螺旋体病的表现相关的隐含和明确的成本参数来计算毛利率。钩端螺旋体病的患病率从2015年的49.4%下降到2017年的21.6%。堕胎率有所下降(从2014年的40.00%下降到2017年的9.00%),死胎率(从2014年的2.63%增加到2017年的1.69%)和产仔率增加(从2014年的65.00%增加到2017年的86.00%)。此外,泌乳奶牛的数量有所增加(从2014年的38只增加到2017年的57只)和平均泌乳时间,从2014年的275天增加到2017年的295天。因此,牛奶的平均年产量从2014年的164,655升增加到2017年的248,521升。2014年,当治疗尚未开始时,每升牛奶销售的毛利率,考虑到隐性和显性成本,是US$0.00。2015年和2016年分别获得0.27美元和0.30美元,分别,对于这个变量。2017年,随着该物业的疾病得到控制,每升牛奶的毛利率达到0.36美元。在疾病得到控制的时期,销售的每升牛奶的毛利率较高,在疫情期间出现高达84%的毛利率亏损。立即处理阳性奶牛和预防措施对提高该物业的生产效率和经济效益具有重大影响。
    There are few studies that effectively quantify the economic losses resulting from problems caused by leptospirosis in naturally infected dairy cattle. Given this gap, the objective of this study was to propose and apply a method to quantify the economic losses resulting from productive and reproductive problems in a commercial dairy herd naturally infected by Leptospira spp. For this study, the zootechnical and economic indicators at a property with Jersey cattle were analyzed during the period from 2014 to 2017. The leptospirosis outbreak occurred in 2014, and the therapeutic approach was carried out between 2015 and 2017, with the latter considered the year of control of the outbreak. The adopted integrated control strategy consisted of dividing the herd according to the serological results obtained through the microscopic agglutination test, the treatment of reagents with streptomycin, and vaccination against leptospirosis of non-reagent heifers and cows. The method used to evaluate the economic indicators of the property was the calculation of the gross margin by taking into account the implicit and explicit cost parameters associated with the manifestation of leptospirosis. The prevalence rate of leptospirosis decreased from 49.4 % in 2015 to 21.6 % in 2017. There was a reduction in the abortion rate (from 40.00 % in 2014 to 9.00 % in 2017), in the stillborn rate (from 2.63 % in 2014 to 1.69 % in 2017) and an increase in the calving rate (from 65.00 % in 2014 to 86.00 % in 2017). In addition, there were increases in the number of lactating cows (from 38 in 2014-57 in 2017) and the mean times of lactation duration, which increased from 275 days in 2014-295 days in 2017. As a result, the average annual production of milk increased from 164,655 liters in 2014-248,521 liters in 2017. In 2014, when treatment hadn\'t yet started, the gross margin per liter of milk sold, considering implicit and explicit costs, was US$0.00. In 2015 and 2016, US$0.27 and US$0.30 were obtained, respectively, for this variable. In 2017, with the disease under control on the property, the gross margin per liter of milk reached US$0.36. The gross margin per liter of milk sold was higher in the period when the disease was controlled, showing losses of up to 84 % of the gross margin during the outbreak. Immediate treatment of positive cows and preventive measures had a significant impact on improving the productive and economic efficiency of the property.
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  • 文章类型: Journal Article
    啮齿动物通常被视为无症状的钩端螺旋体感染的宿主,因为啮齿动物的临床疾病很少被描述。本报告包括3年期间在单个动物园内多个地点的巴塔哥尼亚马拉(Dolichotispatagonum)中的三例钩端螺旋体病。所有三例病例均表现为不同的临床体征,包括嗜睡,结膜充血,高胆红素血症,和推测的肾性氮质血症。钩端螺旋体感染。通过全血(n=1,病例1)或尿液(n=2,病例2和3)的PCR诊断为死前。通过血清微凝集测试(n=3)测量的钩端螺旋体抗体滴度在1-3周期间在所有三只动物中均升高或增加了钩端螺旋体血清变型布拉迪斯拉发和Hardjo(病例1)和Gripotyposhosa(病例2和3)。三只动物中有两只对青霉素和多西环素的治疗和支持治疗有反应,而一只动物对治疗没有反应。这个人的死后发现包括结膜炎,化疗,脱水,icterus,三腔浆血积液,坏死性肝炎,弥漫性肺充血,和水肿。免疫组织化学检查确定了肝细胞和肾小管上皮细胞中分散的钩端螺旋体生物。该机构的野生浣熊(Procyonlotor)通过PCR对相同的钩端螺旋体的肾脏组织检测呈阳性。血清型,是可疑的感染源。本病例系列强调了钩端螺旋体病的临床重要性,与表现为嗜睡的巴塔哥尼亚maras不同,眼部体征,急性肝病,和氮质血症。
    Rodents are typically viewed as asymptomatic reservoirs for leptospirosis infection, as clinical disease in rodents is rarely described. This report includes three separate cases of leptospirosis in Patagonian maras (Dolichotis patagonum) over a 3-yr period in multiple locations within a single zoo. All three cases presented with varying clinical signs including lethargy, conjunctival hyperemia, hyperbilirubinemia, and presumed renal azotemia. Infection with Leptospira spp. was diagnosed antemortem by PCR on whole blood (n = 1, Case 1) or urine (n = 2, Cases 2 and 3). Leptospira antibody titers measured by serum microagglutination testing (n = 3) were elevated or increased in all three animals over a 1-3-wk period for Leptospira serovars Bratislava and Hardjo (Case 1) and Grippotyphosa (Case 2 and 3). Two of the three animals responded to treatment with penicillin and doxycycline and supportive care, whereas one animal did not respond to treatment. Postmortem findings in this individual included conjunctivitis, chemosis, dehydration, icterus, tricavitary serosanguinous effusions, necrotizing hepatitis, diffuse pulmonary congestion, and edema. Immunohistochemical examination identified scattered Leptospira organisms within hepatocytes and renal tubular epithelial cells. A wild raccoon (Procyon lotor) at the institution tested positive by PCR on kidney tissue for the same Leptospira spp. serovar and was the suspected source of infection. This case series highlights the clinical importance of leptospirosis as a differential for Patagonian maras presenting with lethargy, ocular signs, acute hepatic disease, and azotemia.
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  • 文章类型: Journal Article
    世界卫生组织将钩端螺旋体病列为重大公共卫生问题,主要影响贫困和不卫生地区。通过使用彭萨科拉湾系统作为案例研究,这项研究调查了发达的亚热带沿海生态系统(例如彭萨科拉湾系统)对被忽视的人畜共患病原体(例如钩端螺旋体)的敏感性。我们分析了在12个月内从44个不同位置收集的132个水样,这些水样具有高水平的大肠杆菌(>410最可能的数量/100mL)。使用IDEXXColilert-18和Enterolert-18评估了粪便指示细菌(FIB)的浓度,并对水的生理化学特性和降雨强度进行了分析。将LipL32基因用作定量聚合酶链反应(qPCR)指标,以鉴定问号钩端螺旋体的分布。结果表明,在各种土地覆盖和水生生态系统类型的高FIB地点,有12例存在问候虫。与特定降雨事件无关,发现了降水与粪便细菌和钩端螺旋体病发生率升高之间的季节性关系。这些发现强调了qPCR在识别水生环境中的病原体以及在自然和发达地区可以发现的广泛条件中的实用性。
    The World Health Organization classifies leptospirosis as a significant public health concern, predominantly affecting impoverished and unsanitary regions. By using the Pensacola Bay System as a case study, this study examines the underappreciated susceptibility of developed subtropical coastal ecosystems such as the Pensacola Bay System to neglected zoonotic pathogens such as Leptospira. We analyzed 132 water samples collected over 12 months from 44 distinct locations with high levels of Escherichia coli (>410 most probable number/100 mL). Fecal indicator bacteria (FIB) concentrations were assessed using IDEXX Colilert-18 and Enterolert-18, and an analysis of water physiochemical characteristics and rainfall intensity was conducted. The LipL32 gene was used as a quantitative polymerase chain reaction (qPCR) indicator to identify the distribution of Leptospira interrogans. The results revealed 12 instances of the presence of L. interrogans at sites with high FIB over various land cover and aquatic ecosystem types. Independent of specific rainfall events, a seasonal relationship between precipitation and elevated rates of fecal bacteria and leptospirosis was found. These findings highlight qPCR\'s utility in identifying pathogens in aquatic environments and the widespread conditions where it can be found in natural and developed areas.
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