Insights on seroprevalence of leptospirosis in dogs and cats from people with animal hoarding disorder profile in a semiarid region of Brazil / Percepções sobre a soroprevalência de leptospirose em cães e gatos de pessoas com perfil de acumuladores de animais em uma região semiárida do Brasil

ABSTRACT: Animal hoarding disorder, especially dogs and cats, is a complex issue that occurs in almost all communities, and it is necessary to collect data that contribute to the understanding of leptospirosis within the One Health initiative. In order to determine the seroprevalence of Leptospirasp., 71 dogs and 39 cats from 33 people with animal hoarding profile in the municipality of Patos, state of Paraíba, semi-arid region of Northeastern Brazil were evaluated by using the microscopic serum agglutination test (MAT) as diagnostic test. Thirty-eight animals (34.5%; 95% CI = 25.7 - 43.4%) were seroreactive, with 46.5% in dogs and 12.8% in cats (P < 0.01), with the highest frequency of the Icterohaemorrhagiae serogroup in both species. The high seroprevalence reported suggests the need for public policies for this vulnerable population in order to prevent the transmission of zoonoses.

RESUMO: O transtorno de acumulação de animais, principalmente de cães e gatos, é uma questão complexa que ocorre em quase todas as comunidades, sendo necessário o levantamento de dados que contribuam para a compreensão da leptospirose dentro da iniciativa Saúde Única. Com o objetivo de determinar a soroprevalência deLeptospirasp. em cães e gatos provenientes de acumuladores de animais foram utilizados 71 cães e 39 gatos de 33 acumuladores do município de Patos, estado da Paraíba, semiárido do Nordeste brasileiro, utilizando-se o teste de soroaglutinação microscópica (SAM) como teste de diagnóstico. Trinta e oito animais (34,5%; IC 95% = 25,7 - 43,4%) foram sororreativos, sendo 46,5% em cães e 12,8% em gatos (P < 0,01), com maior frequência do sorogrupo Icterohaemorrhagiae em ambas as espécies. A alta soroprevalência encontrada sugere a necessidade de políticas públicas para esta população vulnerável no sentido de prevenir a transmissão de zoonoses.

Serological frequency of Leptospira spp. in buffaloes (Bubalus bubalis) in Paraná state, Brazil / Frequência sorológica de Leptospira spp. em búfalos (Bubalus bubalis) no estado do Paraná, Brasil

Leptospirosis is a zoonosis that can infect buffaloes and other mammalians, and it's caused by Gram-negative bacteria of the genus Leptospira spp. The infection occurs through contact with urine or a contaminated environment with the mucous membranes of the animals, and the disease has two phases: leptospiremia and leptospiruria. The objective of this study was to determine the frequency of leptospirosis in buffaloes in the state of Paraná, Brazil, as well as the main serovars present in this area. A total of 276 blood samples were collected from buffaloes from 18 properties located in different cities and mesoregions of Paraná state. A microscopic agglutination test (MAT) was performed to detect the presence of anti-Leptospira spp. antibodies and to identify its serovars. The prevalence was 77.17% (213/276) of buffaloes seropositive for at least one serovar. The most frequent serovar was Icterohaemorrhagiae, followed by the Pomona serovar and serovar Hardjo. This study seems to be the first to determine the frequency of buffaloes with leptospirosis in the state of Paraná. Prevention and control measures are important to control the disease in herds.

Leptospirose é uma zoonose que infecta búfalos e outros mamíferos e é causada por bactérias Gram-negativas do gênero Leptospira spp. A infecção ocorre por meio do contato com a urina ou ambiente contaminado com as membranas mucosas dos animais e a doença possui duas fases: leptospiremia e leptospirúria. O objetivo deste trabalho foi determinar a frequência da leptospirose em bubalinos provenientes do estado do Paraná, assim como determinar os principais sorovares presentes no estado. Um total de 276 amostras de sangue foram coletados de búfalos provenientes de 18 propriedades localizadas em 14 municípios de diferentes mesorregiões do estado do Paraná. O teste de soroaglutinação microscópica (SAM) foi realizado para detecção da presença de anticorpos anti-Leptospira spp. e identificação dos respectivos sorovares. A prevalência de búfalos soropositivos para ao menos um sorovar foi de 77,17% (213/276). O sorovar mais frequente identificado nestes búfalos foi o Icterohaemorrhagiae, seguido pelos sorovares Pomona e Hardjo. Este é o primeiro estudo a determinar a frequência de búfalos com leptospirose no estado do Paraná. Medidas de controle e prevenção são importantes para o controle do agente nos rebanhos.

Occurrence of IgG antibodies against Toxoplasma gondii, Neospora caninum, and Leptospira spp. in goats and sheep from an indigenous village in Pernambuco, Brazil / Ocorrência de anticorpos IgG contra Toxoplasma gondii, Neospora caninum e Leptospira spp. em caprinos e ovinos de uma aldeia indígena em Pernambuco, Brasil

This study aimed to determine the occurrence of anti-Toxoplasma gondii, Neospora caninum, and Leptospira spp. antibodies in sheep and goats raised in villages of the Xukuru do Ororubá indigenous community, Pernambuco, Brazil. A total of 180 serum samples from sheep and 108 serum samples from goats of both sexes and different ages were analyzed. For antibody research, indirect immunofluorescence antibody test (IFAT) were used for the protozoa T. gondii and N. caninum, and microscopic agglutination test (MAT) for Leptospira spp., with a cutoff titer of 1:64, 1:50 and 1:100, respectively. The frequency of anti-T. gondii antibodies was 16.6% (30/180) for sheep and 11.1% (12/108) for goats. The frequency of anti-N. caninum antibodies was 10.55% (19/180) for sheep, and 20.37% (22/108) for goats, while for Leptospira spp., 2.2% (4/180) of sheep and 1.85% (2/108) of goats reacted positively. The results obtained in this study are unprecedented in indigenous communities in the country and serve as an alert for monitoring goats and sheep from the Xukuru do Ororubá indigenous village regarding the occurrence and productive impact of infections by T. gondii, N. caninum, and Leptospira spp., in addition to the occurrence of the zoonosis toxoplasmosis and leptospirosis in the indigenous community.(AU)

Objetivou-se determinar a ocorrência de anticorpos anti-Toxoplasma gondii, Neospora caninum e Leptospira spp., em ovinos e caprinos criados em aldeias da comunidade indígena Xukuru do Ororubá, Pernambuco, Brasil. Foram analisadas 180 amostras de soro de ovinos e 108 amostras de soro de caprinos de ambos os sexos e diferentes idades. Para a pesquisa de anticorpos foi utilizada a técnica de Reação de Imunofluorescência indireta (RIFI), para os protozoários T. gondii e N. caninum e Aglutinação Microscópica (MAT) para Leptospira spp., com ponto de corte de 1:64, 1:50 e 1:100, respectivamente. A frequência de anticorpos anti-T gondii foi de 16,6% (30/180) em ovinos e 11,1% (12/108) em caprinos. A frequência de anticorpos anti-N. caninum foi de 10,55% (19/180) para ovinos e 20,37% (22/108) para caprinos, enquanto para Leptospira spp., 2,2% (4/180) dos ovinos e 1,85% (2/108) dos caprinos reagiram positivamente. Os resultados obtidos neste estudo são inéditos em comunidades indígenas do país e alertam para o monitoramento de caprinos e ovinos da aldeia indígena Xukuru do Ororubá, quanto à ocorrência e impacto produtivo de infecções por T. gondii, N. caninum e Leptospira spp., além da ocorrência de zoonoses como a toxoplasmose e leptospirose na comunidade indígena.(AU)

Diagnóstico de leptospira spp. en bovinos sacrificados en brasil / Diagnostic of leptospira spp. in slaughtered cattle from brazil / Diagnóstico de leptospira spp. em bovinos abatidos no brasil

La leptospirosis es considerada una zoonosis bacteriana de importancia en salud pública. Es común en áreas tropicales, especialmente en países en desarrollo con escasos recursos de salud y saneamiento. Este estudio evaluó la presencia de Leptospira spp. en bovinos sacrificados en un matadero de la región Centro-Oeste de São Paulo, Brasil, así como animales positivos identificados tanto en serología como por análisis molecular. Se investigaron muestras biológicas de sangre, hígado y riñones de 150 bovinos mediante la técnica de Prueba de Aglutinación Microscópica (MAT) y Reacción en Cadena de la Polimerasa convencional (cPCR). Los resultados serológicos mostraron que de los 150 animales, 71 (47,3%) fueron reactivos. Los resultados moleculares mostraron la presencia de Leptospira spp. en riñones de 21 (14%) animales, en hígado de cinco (3,3%) animales, en hígado y riñones en dos animales (1,3%) y en sangre, en un (0,7%) animal. Estos resultados indican una alerta sobre la salud de los bovinos de carne debido a la posibilidad de que estos animales sean fuente de infección y la importancia de la característica ocupacional de esta enfermedad. También se verificó la importancia de complementar las técnicas serológicas y moleculares.  

Leptospirosis is considered a bacterial zoonosis of public health importance. It is common in tropical areas, especially in developing countries with scarce health and sanitation resources. This study evaluated the presence of Leptospira spp. in slaughtered bovine in a slaughterhouse in the Midwest region of São Paulo, Brazil, as well as identified positive animals both in serology and by molecular analysis. Biological samples of blood, liver and kidneys from 150 cattle were investigated by the technique of Microscopic Agglutination Test (MAT) and conventional Polymerase Chain Reaction (cPCR). The serological results showed that of the 150 animals, 71 (47.3%) were reactive. The molecular results showed the presence of Leptospira spp. in kidneys of 21 (14%) animals, in liver of five (3.3%) animals, in liver and kidneys in two animals (1.3%) and in blood, in one (0.7%) animal. These results indicate a warning about the health of beef cattle due to the possibility of these animals being the source of infection and the importance of the occupational characteristic of this disease. It was also verified the importance of complementing serological and molecular techniques.

A leptospirose é considerada uma zoonose bacteriana de importância para a saúde pública. É comum em áreas tropicais, especialmente em países em desenvolvimento com escassos recursos de saúde e saneamento. Este estudo avaliou a presença de Leptospira spp. em bovinos abatidos em frigorífico da região Centro-Oeste de São Paulo, Brasil, e identificou animais positivos tanto por sorologia quanto em análise molecular. Amostras biológicas de sangue, fígado e rins de 150 bovinos foram investigadas pela técnica de Teste de Aglutinação Microscópica (MAT) e Reação em Cadeia da Polimerase convencional (cPCR). Os resultados sorológicos mostraram que dos 150 animais, 71 (47,3%) foram reativos. Os resultados moleculares mostraram a presença de Leptospira spp. nos rins de 21 animais (14%), no fígado de 5 animais (3,3%), no fígado e rins em 2 animais (1,3%) e no sangue em 1 animal (0,7%). Esses resultados indicam um alerta sobre a saúde dos bovinos de corte devido à possibilidade desses animais serem fonte de infecção e a importância da característica ocupacional desta doença. Verificou-se também a importância de complementar as técnicas sorológicas e moleculares.

Molecular and serological diagnosis for Leptospira spp. in biological samples of cattle collected during the slaughter line / Diagnóstico molecular e sorológico para Leptospira spp. em amostras biológicas de bovinos coletadas durante a linha de abate / Diagnóstico molecular y serológico para Leptospira spp. en muestras biológicas de bovinos recogidas durante la línea de sacrificio

A leptospirose é considerada uma zoonose bacteriana de importância para a saúde pública. É comum em áreas tropicais, especialmente em países em desenvolvimento com escassos recursos de saúde e saneamento. Este estudo avaliou a presença de Leptospira spp. em bovinos abatidos em frigorífico da região Centro-Oeste de São Paulo, Brasil, e identificou animais positivos tanto por sorologia quanto em análise molecular. Amostras biológicas de sangue, fígado e rins de 150 bovinos foram investigadas pela técnica de Soroaglutinação Microscópica (SAM) e Reação em Cadeia da Polimerase convencional (cPCR). Os resultados sorológicos mostraram que dos 150 animais, 71 (47,3%) foram reagentes. Os resultados moleculares mostraram a presença de Leptospira spp. nos rins de 21 animais (14%), no fígado de 5 animais (3,3%), no fígado e rins em 2 animais (1,3%) e no sangue em 1 animal (0,7%). Esses resultados indicam um alerta sobre a saúde dos bovinos de corte devido à possibilidade desses animais serem fonte de infecção e a importância da característica ocupacional desta doença. Verificou-se também a importância de complementar as técnicas sorológicas e moleculares.

Leptospirosis is considered a bacterial zoonosis of public health importance. It is common in tropical areas, especially in developing countries with scarce health and sanitation resources. This study evaluated the presence of Leptospira spp. in slaughtered bovine in a slaughterhouse in the Midwest region of São Paulo, Brazil, as well as identified positive animals both in serology and by molecular analysis. Biological samples of blood, liver and kidneys from 150 cattle were investigated by the technique of Microscopic Agglutination Test (MAT) and conventional Polymerase Chain Reaction (cPCR). The serological results showed that of the 150 animals, 71 (47.3%) were reactive. The molecular results showed the presence of Leptospira spp. in kidneys of 21 (14%) animals, in liver of five (3.3%) animals, in liver and kidneys in two animals (1.3%) and in blood, in one (0.7%) animal. These results indicate a warning about the health of beef cattle due to the possibility of these animals being the source of infection and the importance of the occupational characteristic of this disease. It was also verified the importance of complementing serological and molecular techniques.

La leptospirosis es considerada una zoonosis bacteriana de importancia en salud pública. Es común en áreas tropicales, especialmente en países en desarrollo con escasos recursos de salud y saneamiento. Este estudio evaluó la presencia de Leptospira spp. en bovinos sacrificados en un matadero de región Centro-Oeste de São Paulo, Brasil, así como animales positivos identificados tanto en serología como por análisis molecular. Se investigaron muestras biológicas de sangre, hígado y riñones de 150 bovinos mediante la técnica de Aglutinación Microscópica (MAT) y Reacción en Cadena de la Polimerasa convencional (cPCR). Los resultados serológicos mostraron que de los 150 animales, 71 (47,3%) fueron reactivos. Los resultados moleculares mostraron la presencia de Leptospira spp. en riñones de 21 (14%) animales, en hígado de cinco (3,3%) animales, en hígado y riñones en dos animales (1,3%) y en sangre, en un (0,7%) animal. Estos resultados indican una alerta sobre la salud de los bovinos de carne debido a la posibilidad de que estos animales sean fuente de infección y la importancia de la característica ocupacional de esta enfermedad. También se verificó la importancia de complementar las técnicas serológicas y moleculares.

Leptospira spp. of the urinary tract of female carrier goats in semi-arid conditions

Background: Leptospirosis is an important infectious disease in goat farming, with a worldwide distribution. It is usually transmitted by rodents and the genital route, may cause reproductive losses, negatively impacting goat farming. The diagnosis lies on serological, molecular and isolation techniques. Considering the importance of this disease for small ruminants, this work aimed to evaluate the serological, molecular findings and isolation of pathogenic leptospires in the urinary tract (kidney and bladder tissues) of goats. Materials, Methods & Results: Thirty-four adult goats were used for slaughter. Renal samples (n = 34), bladder (n = 34), were collected for isolation of the agent and molecular detection of Leptospira sp. and blood samples (n = 34) for serological testing. The polymerase chain reaction (PCR) was used as a molecular test and the microscopic serum agglutination test (MAT) was used as a serological test. Samples with DNA amplification were subjected to genetic sequencing. The presence of Leptospira DNA was found in the tissues of 8 (23.4%) goats, and of these, only 2 were positive in PCR and MAT. There was a slight agreement between the PCR and MAT techniques (k = 0.150; P = 0.436). In 6 (17.6%) samples of renal tissue and 2 (5.8%) bladder samples, Leptospira DNA was detected. The genes in a kidney tissue sample were sequenced and demonstrated 99% similarity to Leptospira interrogans. Anti-Leptospira sp. were detected in 6 (17.6%) of the animals tested. Discussion: Serology identified 3 predominant serogroups: Icterohaemorrhagiae, Tarassovi and Autumnalis, serogroups that are related to the presence of rodents that coexist in rural environments. Autumnalis has been reported in small ruminants, raising the hypothesis that goats are adapted, becoming chronic carriers and possible maintenance hosts. The frequency obtained (17.6%) may be the result of the mixed breed pattern and rustic characteristics inherent to the goat species. Given the characteristics of the semi-arid region, such as low rainfall and high solar incidence, it is essential to use an adapted methodology, with a lower cut-off point (1:50), as the serological titer is an established relationship between the animal species, the level of exposure throughout its evolution and the region studied. Molecular findings and bacterial isolation reveal the agent's ability to colonize the urinary tract of goats. These data show the importance that urine has in the epidemiological chain, being able to transmit the agent through direct contact with this product or through contamination of soil and water. There was no statistical agreement between the diagnostic techniques used in this study, in this case, an association between PCR and MAT is recommended to obtain data with high sensitivity and specificity. A bladder sample was sequenced and showed 99% similarity to Leptospira interrogans. In the semiarid region, the most common form of leptospirosis spread is through the sale of animals in business fairs for breeding, rearing or slaughter, as well as sharing the same property with several breeders. The introduction of chronic and asymptomatic carriers on the properties represents a serious risk for the spread of the disease. The results show the presence of Leptospira spp. in semi-arid goat herds, having as risk factors the presence of rodents and intercropping. The association of MAT and PCR is necessary for a better diagnosis of the disease.

Seroprevalence of Leptospira spp. in horses from Rio Grande do Norte, Brazil / Soroprevalência de Leptospira spp. em equinos do Rio Grande do Norte, Brasil

This study aimed to determine the prevalence and risk factors associated with the presence of anti-Leptospira spp. antibodies in horses reared in the Eastern and Western Potiguar mesoregion, State of Rio Grande do Norte, northeastern Brazil. Seven hundred and eighty-five animals (785) were used from 90 properties from 2018 to 2019. The serological diagnosis was performed by the microscopic agglutination technique (MAT), using a collection of live antigens composed of twenty serovars belonging to sixteen serogroups. Variable data associated with risk factors were obtained from questionnaires carried out to herd owners and statistically analyzed. The absolute and relative frequencies were determined by descriptive analysis and risk factors by univariate analysis of the variables using the Pearson's chi-square test and Fisher's exact test, when necessary, and then assessed by Poison regression. The positivity frequency among animals was 97.2% (763), and from all properties, there was at least one seropositive animal. The main reactive serogroup was Icterohaemorrhagiae (72.88%), followed by reactive animals to Australis (14,94%), Sejroe (4.43%), Shermani (2.77%), Autumnalis and Pomona (1.29%). It was observed occurrences lower than 1% to serogroups Canicola, Ballum, Grippotyphosa and Hebdomadis, with titles ≤400 in 78,97% of cases. The significant occurrence of seropositive horses and the serogroup Icterohaemorrhagiae predominance highlights the importance of vaccination and hygiene in Potiguares herds facilities to prevent leptospirosis cases and the consequent elimination of the agent in the environment.

Este estudo objetivou determinar a prevalência e os fatores de risco associados à presença de anticorpos anti-Leptospira spp. em equinos criados na mesorregião Leste e Oeste Potiguar, estado do Rio Grande do Norte, Nordeste do Brasil. Foram utilizados 785 animais oriundos de noventa propriedades durante o período de 2018 e 2019. O diagnóstico sorológico foi realizado pela técnica de soroaglutinação microscópica (MAT) utilizando coleção de antígenos vivos composta por vinte sorovares, pertencentes a dezesseis sorogrupos. Os dados das variáveis associadas aos fatores de risco que podem predispor a presença de equinos soropositivos, foram obtidos a partir de questionários aplicados aos proprietários dos rebanhos e analisados estatisticamente. As frequências absolutas e relativas foram determinadas por análise descritiva e os fatores de risco por análise univariada das variáveis de interesse pelo Teste de Qui-quadrado de Pearson e Exato de Fisher, quando necessário, e em seguida submetidos à análise de regressão de Poison. A frequência de equinos soropositivos foi de 97,2% (763), sendo que em todas as propriedades houve pelo menos um animal com presença de anticorpos. O sorogrupo predominante foi o Icterohaemorrhagiae (72,88%), seguido do Australis (14,94%), Sejroe (4,43%), Shermani (2,77%), Autumnalis e Pomona (1,29%). Ocorrências menores que 1% foram observadas para os sorogrupos Canicola, Ballum, Grippotyphosa e Hebdomadis, com títulos ≤400 em 78,97% dos casos. Devido à alta ocorrência de equinos soropositivos e a predominância do sorogrupo Icterohaemorrhagiae, ressalta-se a importância da vacinação e da higiene das instalações nos rebanhos Potiguares na prevenção de casos de leptospirose e a consequente eliminação do agente no ambiente.

Leptospirosis in dairy cattle from southern Brazil - risk factors

Background: Cattle are susceptible to chronic leptospirosis infection, that results in reduced milk production and reproductive disorders such as abortions, stillbirths, fetal malformation, and mummified fetuses, causing significant economic losses.Commercially available vaccines against leptospirosis offer limited protection to cattle because they contain only the mostprevalent serovars worldwide, even though they are not prevalent in the specific region. This study aimed to evaluate theprevalence of specific antibodies against Leptospira serogroups, reproductive disorders and the risk factors in dairy herdsfrom different mesoregions of Rio Grande do Sul State, Southern Brazil.Materials, Methods & Results: An epidemiological survey was conducted, and serum samples from the bovine population representative of three mesoregions (MR1, MR2, and MR3) were studied; the samples were collected and tested forleptospirosis using the microscopic agglutination test (MAT) for 12 serogroups checking for the presence of agglutination.A total of 442 blood samples were collected from dairy cattle from November to December 2019 (MR1, 187; MR2, 88;and MR3, 167), including cows vaccinated with different commercial vaccines during the three months before sample collection (n = 295) and non-vaccinated against leptospirosis (n = 147). At the time of collection, an interview was conductedwith the owners with questions about the health of the animals, management, habitat, feeding and reproduction. Chi-squaretests univariate analysis with the SPSS® version 20.0 were performed to estimate the association of serogroup Djasimanseroreactivity with the occurrence of reproductive problems and related risk factors. The mean prevalence of antibodiesagainst leptospires was 78.7% (MR1, 74.9 %; MR2, 84.1 %; and MR3, 80.2 %). Serogroup prevalence was different in...

Leptospirosis diagnosis among patients suspected of dengue fever in Brazil

The early symptoms of leptospirosis and dengue fever are difficult to distinguish and can cause diagnostic confusion. Due to the large dengue epidemics that has occurred in Brazil in recent years, it is possible that cases of leptospirosis were unreported. Therefore, we performed a retrospective study to detect leptospirosis in patients who were tested for dengue, but whose laboratory diagnoses were negative. Methods: Sera samples from 2,017 patients from 48 cities located in the central region of São Paulo state, Brazil, were studied. All samples were subjected to the microscopic agglutination test (MAT), 305 of which were taken from patients five days or less since the onset of symptoms, and were additionally subjected to real-time polymerase chain reaction (PCR). Results: The overall prevalence of leptospirosis cases was 21 (1.04%), with 20 through MAT (18 for Icterohaemorrhagiae and two for the Cynopteri serogroup) and one through PCR (amplicon sequencing compatible with Leptospira interrogans). According to previously established criteria, eight cases of leptospirosis were classified as "confirmed" and 13 as "probable". The Brazilian notification system for health surveillance had no records for 16 patients positive for leptospirosis and, thus, they were considered unreported cases. Statistical analyses revealed that the prevalence of leptospirosis was higher in men (1.56%) than in women (0.56%), and the mean age was higher in positive patients (43.7 years) than in negative ones (32.3 years). Conclusion: The results indicated that patients suspected of dengue fever had evidence of leptospirosis or Leptospira infection, and most of these cases were unreported in the Brazilian notification system. The high burden of dengue may contribute to the misdiagnosis of leptospirosis, and health professionals should increase their awareness of leptospirosis as an important differential diagnosis of patients with suspicion of dengue.(AU)

Leptospirosis diagnosis among patients suspected of dengue fever in Brazil

The early symptoms of leptospirosis and dengue fever are difficult to distinguish and can cause diagnostic confusion. Due to the large dengue epidemics that has occurred in Brazil in recent years, it is possible that cases of leptospirosis were unreported. Therefore, we performed a retrospective study to detect leptospirosis in patients who were tested for dengue, but whose laboratory diagnoses were negative. Methods: Sera samples from 2,017 patients from 48 cities located in the central region of São Paulo state, Brazil, were studied. All samples were subjected to the microscopic agglutination test (MAT), 305 of which were taken from patients five days or less since the onset of symptoms, and were additionally subjected to real-time polymerase chain reaction (PCR). Results: The overall prevalence of leptospirosis cases was 21 (1.04%), with 20 through MAT (18 for Icterohaemorrhagiae and two for the Cynopteri serogroup) and one through PCR (amplicon sequencing compatible with Leptospira interrogans). According to previously established criteria, eight cases of leptospirosis were classified as "confirmed" and 13 as "probable". The Brazilian notification system for health surveillance had no records for 16 patients positive for leptospirosis and, thus, they were considered unreported cases. Statistical analyses revealed that the prevalence of leptospirosis was higher in men (1.56%) than in women (0.56%), and the mean age was higher in positive patients (43.7 years) than in negative ones (32.3 years). Conclusion: The results indicated that patients suspected of dengue fever had evidence of leptospirosis or Leptospira infection, and most of these cases were unreported in the Brazilian notification system. The high burden of dengue may contribute to the misdiagnosis of leptospirosis, and health professionals should increase their awareness of leptospirosis as an important differential diagnosis of patients with suspicion of dengue.(AU)

Epidemiological characteristics of Leptospira spp. infection in bovine herds in Mato Grosso do Sul, Brazil / Caracterização soroepidemiológica da infecção por Leptospira spp. em rebanhos bovinos de corte do estado de Mato Grosso do Sul, Brasil

The epidemiological characteristics of bovine leptospirosis in animals and herds in Mato Grosso do Sul were investigated to determine parameters such as disease frequency and the serovars reactant in beef cattle herds. A total of 4,629 beef cattle herds were examined against 33 Leptospira spp. serovars. The serum samples were submitted to the microscopic agglutination test (MAT) for the serological diagnosis of leptospirosis. The MAT results showed that 3,814 (82.39%) of the 4,629 animals evaluated were seropositive for the bacterium, with serological reactions mainly to serogroup Sejroe, serovar Wolffi (36.49%). The observed high frequency of reactive animals demonstrates the relevance of the infection. Therefore, general and specific measures should be implemented to contain and/or prevent infection of the animals in the studied region.(AU)

Foi realizado um inquérito epidemiológico da leptospirose em bovinos de rebanhos de corte do estado de Mato Grosso do Sul, de modo a determinar a frequência e as sorovariedades reagentes. Para isso, foram examinados 4.629 bovinos de corte, com uma coleção de 33 sorovariedades de Leptospira, por meio da prova de Soroaglutinação Microscópica (MAT). Dos 4.629 animais examinados, 3.814 (82,39%) foram reagentes com reações predominates para o sorogrupo Sejroe, sorovar Wolffi (36,49%). Assim, a alta frequência de animais reagentes encontrada justifica a implantação de medidas gerais e específicas para conter e/ou prevenir a infecção nos animais dessa região.(AU)

Epidemiological characteristics of Leptospira spp. infection in bovine herds in Mato Grosso do Sul, Brazil / Caracterização soroepidemiológica da infecção por Leptospira spp. em rebanhos bovinos de corte do estado de Mato Grosso do Sul, Brasil

The epidemiological characteristics of bovine leptospirosis in animals and herds in Mato Grosso do Sul were investigated to determine parameters such as disease frequency and the serovars reactant in beef cattle herds. A total of 4,629 beef cattle herds were examined against 33 Leptospira spp. serovars. The serum samples were submitted to the microscopic agglutination test (MAT) for the serological diagnosis of leptospirosis. The MAT results showed that 3,814 (82.39%) of the 4,629 animals evaluated were seropositive for the bacterium, with serological reactions mainly to serogroup Sejroe, serovar Wolffi (36.49%). The observed high frequency of reactive animals demonstrates the relevance of the infection. Therefore, general and specific measures should be implemented to contain and/or prevent infection of the animals in the studied region.(AU)

Foi realizado um inquérito epidemiológico da leptospirose em bovinos de rebanhos de corte do estado de Mato Grosso do Sul, de modo a determinar a frequência e as sorovariedades reagentes. Para isso, foram examinados 4.629 bovinos de corte, com uma coleção de 33 sorovariedades de Leptospira, por meio da prova de Soroaglutinação Microscópica (MAT). Dos 4.629 animais examinados, 3.814 (82,39%) foram reagentes com reações predominates para o sorogrupo Sejroe, sorovar Wolffi (36,49%). Assim, a alta frequência de animais reagentes encontrada justifica a implantação de medidas gerais e específicas para conter e/ou prevenir a infecção nos animais dessa região.(AU)

Antibodies against Leptospira spp. in bovine serum samples from several Brazilian states analyzed in the period from 2007 to 2015 / [Anticorpos contra Leptospira spp. em amostra de soro bovino de diversos estados brasileiros analisados no período entre 2007 e 2015]

Bovine leptospirosis assumes great economic importance since it affects several production aspects. Therefore, knowledge about the occurrence and distribution of this disease is fundamental to adopt the correct prevention measures. The present study aimed to evaluate the frequency of anti-Leptospira spp. antibodies in 24,483 bovine serum samples received between 2007 to 2015 from 21 Brazilian states. Of these, 8,643 (35.3%) were reagents in the microscopic agglutination test to one or more serovars of Leptospira spp. The most frequent serovars were Wolffi (61.47%), Tarassovi (9.62%) and Pomona (7.20%). Hardjo serovar presented a prevalence of 6.27%. Among the 21 states analyzed, the State of Pernambuco had the highest frequency with 88.24% and the State of São Paulo was the origin of the largest number of analyzed samples (13,838), with a frequency of 31.54% of reagents. The results demonstrate a high exposure to several serovars of Leptospira spp. in bovine species in Brazilian states, showing the importance of adopting prophylactic measures in order to reduce the risk of infection in this specie.(AU)

Com o objetivo de avaliar a frequência de anticorpos anti-Leptospira spp., foram analisadas 24.483 amostras de soro sanguíneo bovino, provenientes de 21 estados brasileiros, recebidas no período de 2007 a 2015. Destas, 8.643 (35,3%) foram reagentes no teste de soroaglutinação microscópica a uma ou mais sorovariedades de Leptospira spp., e as sorovariedades com maior frequência foram Wolffi (61,47%), Tarassovi (9,62%) e Pomona (7,20%). A sorovariedade Hardjo apresentou prevalência de 6,27%. Entre os 21 estados analisados, o estado de Pernambuco apresentou a maior frequência, com 88,24%, e o estado de São Paulo foi a origem do maior número de amostras para análise, 13.838, com frequência de 31,54% de reagentes.(AU)

Occurrence of Leptospira spp. and factors associated with the infection in horses from a military contingent in the Rio Grande do Sul State, Brazil / Ocorrência de Leptospira spp. e fatores associados à infecção em equinos de contingente militar no estado do Rio Grande do Sul, Brasil

The seroprevalence of Leptospira spp. and infection risk factors were investigated in horses from a military contingent in the Rio Grande do Sul State, Brazil. A total of 446 horses were evaluated and categorized into 309 mares, 11 stallions, and 126 horses with an average age of three years. To determine seroprevalence, serum samples from all horses were submitted to the microscopic agglutination test against 12 serovars belonging to nine serogroups, usually circulating in equine populations. To investigate the possible risk factors of infection by Leptospira spp., questionnaires were applied in that military unit. The seroprevalence in the horses with an average age of 3 years, mares, and stallions were 57.94% (73/126), 54.05% (165/309), and 45.45% (5/11), respectively. The main risk factors identified were contact with different water sources, the presence of rodents, and contact with wild and domestic animals. The high seroprevalence of anti­Leptospira spp. antibodies may be associated with the presence of these risk factors. Therefore, the exposure of horses to possible reservoirs of Leptospira spp. should be minimized. Also, the immunoprophylaxis protocol should be reviewed and a shorter interval between vaccinations adopted to control leptospirosis in this herd.(AU)

A soroprevalência de Leptospira spp. e os fatores de risco para infecção foram investigados em cavalos de um contingente militar no Rio Grande do Sul, Brasil. Um total de 446 cavalos foram avaliados e categorizados em 309 éguas, 11 garanhões e 126 cavalos com idade média de três anos. Para determinação da soroprevalência, amostras de soro de todos os equinos foram submetidas ao teste de aglutinação microscópica contra 12 sorovares pertencentes a nove sorogrupos, normalmente circulantes em populações equinas. Para investigar os possíveis fatores de risco da infecção por Leptospira spp., foi aplicado um questionário naquela unidade militar. A soroprevalência nos cavalos com idade média de três anos, éguas e garanhões foi de 57,94% (73/126), 54,05% (165/309) e 45,45% (5/11), respectivamente. Os principais fatores de risco identificados foram o contato com diferentes fontes de água, a presença de roedores e o contato com animais silvestres e domésticos. A alta soroprevalência de anticorpos anti­Leptospira spp. pode estar associada à presença desses fatores de risco. Portanto, a exposição destes equinos aos possíveis reservatórios de Leptospira spp. deve ser minimizada. Além disso, o protocolo de imunoprofilaxia deve ser revisto e, possivelmente, um menor intervalo entre as vacinas deve ser adotado para o controle da leptospirose neste plantel.(AU)

Occurrence of Leptospira spp. and factors associated with the infection in horses from a military contingent in the Rio Grande do Sul State, Brazil / Ocorrência de Leptospira spp. e fatores associados à infecção em equinos de contingente militar no estado do Rio Grande do Sul, Brasil

The seroprevalence of Leptospira spp. and infection risk factors were investigated in horses from a military contingent in the Rio Grande do Sul State, Brazil. A total of 446 horses were evaluated and categorized into 309 mares, 11 stallions, and 126 horses with an average age of three years. To determine seroprevalence, serum samples from all horses were submitted to the microscopic agglutination test against 12 serovars belonging to nine serogroups, usually circulating in equine populations. To investigate the possible risk factors of infection by Leptospira spp., questionnaires were applied in that military unit. The seroprevalence in the horses with an average age of 3 years, mares, and stallions were 57.94% (73/126), 54.05% (165/309), and 45.45% (5/11), respectively. The main risk factors identified were contact with different water sources, the presence of rodents, and contact with wild and domestic animals. The high seroprevalence of anti­Leptospira spp. antibodies may be associated with the presence of these risk factors. Therefore, the exposure of horses to possible reservoirs of Leptospira spp. should be minimized. Also, the immunoprophylaxis protocol should be reviewed and a shorter interval between vaccinations adopted to control leptospirosis in this herd.(AU)

A soroprevalência de Leptospira spp. e os fatores de risco para infecção foram investigados em cavalos de um contingente militar no Rio Grande do Sul, Brasil. Um total de 446 cavalos foram avaliados e categorizados em 309 éguas, 11 garanhões e 126 cavalos com idade média de três anos. Para determinação da soroprevalência, amostras de soro de todos os equinos foram submetidas ao teste de aglutinação microscópica contra 12 sorovares pertencentes a nove sorogrupos, normalmente circulantes em populações equinas. Para investigar os possíveis fatores de risco da infecção por Leptospira spp., foi aplicado um questionário naquela unidade militar. A soroprevalência nos cavalos com idade média de três anos, éguas e garanhões foi de 57,94% (73/126), 54,05% (165/309) e 45,45% (5/11), respectivamente. Os principais fatores de risco identificados foram o contato com diferentes fontes de água, a presença de roedores e o contato com animais silvestres e domésticos. A alta soroprevalência de anticorpos anti­Leptospira spp. pode estar associada à presença desses fatores de risco. Portanto, a exposição destes equinos aos possíveis reservatórios de Leptospira spp. deve ser minimizada. Além disso, o protocolo de imunoprofilaxia deve ser revisto e, possivelmente, um menor intervalo entre as vacinas deve ser adotado para o controle da leptospirose neste plantel.(AU)

Cross-sectional survey for canine leptospirosis in an Atlantic Rainforest area of the semiarid of Paraíba state, Northeastern Brazil

ABSTRACT: Leptospirosis is a worldwide zoonosis caused by the bacteria Leptospira spp. that affects humans, domestic and wild animals. The present work aimed to conduct a cross-sectional survey for leptospirosis in the canine population of the Brejo Paraibano microregion, semiarid of Northeastern Brazil. From May to October 2017, blood samples from 414 dogs were collected in the counties of Alagoa Grande (n=100), Areia (n=79), Bananeiras (n=72), Alagoa Nova (n=73), Serrraria (n=25), Pilões (n=25), Borborema (n=20) and Matinhas (n=20). The tutors of the sampled dogs answered an epidemiological questionnaire, obtaining information about the animals, owner, residence and breeding of the dogs. Subsequently, the serum samples were subjected to the microscopic agglutination test (MAT), using a collection of 23 serovar pathogenic antigens and using the 1:50 dilution as the cutoff point. Of the 414 dogs analyzed 52 were seroreactive, resulting in an apparent prevalence of 12.6% and a real prevalence of 12.2%. Seroreactive dogs were found in the eight counties. Dogs were reactive for the serogroups Icterohaemorrhagiae (76.9%), Autumnalis (13.55%), Pomona (3.8%), Grippotyphosa (3.8%) and Serjoe (1.9%) Antibody titers ranged from 50 to 800. The statistical analysis (robust Poisson regression) detected six factors associated with seropositivity, including the rainy season (prevalence ratio; PR=1.94, P=0.013), male dogs (PR=2.10, P=0.005), animals with age greater than five years (PR=4.21, P=0.012), consumption of untreated water (PR=1.87, P=0.043), free access of dogs to street (PR=2.15, P=0.011) and contact with wildlife (PR=3.54, P=0.050). The serogroup Icterohaemorrhagiae has a high zoonotic potential and was the most frequent in seropositive animals. The high real prevalence of Leptospira spp. in a transmission region of the semiarid region of Paraíba and the occurrence of seroreactive animals in all the counties suggest wide distribution of the infection and reinforce the need for preventive measures to avoid infection in pets and, consequently, to humans. The analysis of factors associated with the prevalence suggest greater manegment cares with the dogs.

RESUMO: A leptospirose é uma zoonose mundial causada pela bactéria Leptospira spp. que afeta seres humanos, animais domésticos e selvagens. O presente trabalho teve como objetivo realizar um estudo transversal de leptospirose na população canina da microrregião Brejo Paraibano, semiárido do Nordeste do Brasil. No período de maio a outubro de 2017, amostras de sangue de 414 cães foram coletadas nas cidades de Alagoa Grande (n=100), Areia (n=79), Bananeiras (n=72), Alagoa Nova (n=73), Serraria (n=25), Pilões (n=25), Borborema (n=20) e Matinhas (n=20). Os tutores dos cães amostrados responderam a um questionário epidemiológico, sendo obtidas informações sobre os animais, proprietário, residência e criação dos cães. Posteriormente as amostras de soro foram submetidas à prova de soroaglutinação microscópica (SAM), utilizando-se uma coleção de 23 sorovares antígenos patogênicos e adotando como ponto de corte a diluição 1:50. Dos 414 cães analisados 52 foram sorreativos, resultando em uma prevalência aparente de 12.6% e uma prevalência real de 12,2%. Cães sororreativos foram encontrados nos oito municípios. Os cães foram reativos para o sorogrupo Icterohaemorrhagiae (76,9%), Autumnalis (13,55%), Pomona (3,8%), Grippotyphosa (3,8%) and Serjoe (1,9%) Os títulos de anticorpos variaram de 50 a 800. A análise estatística (regressão de Poisson robusta) detectou seis fatores associados à soropositividade, incluindo o período chuvoso (razão de prevalência - RP=1,94; P=0,013), cães machos (RP=2,10; P=0,005), animais com idade maior que cinco anos (RP=4,21; P=0,012), consumo de água não tratada (RP=1,87; P=0,043), cães com livre acesso à rua (RP=2,15; P=0,011) e contato com animais silvestres (RP=3,54; P=0,050). Os resultados desse estudo indicaram que há a exposição por Leptospira spp. em cães da microrregião do Brejo paraibano. O sorogrupo Icterohaemorrhagiae possui alto potencial zoonótico e foi o mais frequente nos animais soropositivos. A alta prevalência real de Leptospira spp. em uma região de transmissão da região semiárida da Paraíba e a ocorrência de animais sororreativos em todos os municípios sugerem uma ampla distribuição da infecção e reforçam a necessidade de medidas preventivas para evitar a infecção em animais de estimação e, consequentemente, em seres humanos. A análise dos fatores associados à prevalência sugere maior cuidado com os cães.

Anti-Leptospira spp antibodies in cart horses of the city of Guaíba, Rio Grande do Sul State, Brazil

The objective of this study was to evaluated the occurrence of antibodies against Leptospira spp in horses used by communities of carroceiros, informal waste collectors who use horse-drawn wagons, in Guaíba, Rio Grande do Sul.  Additionally, interviews were conducted with owners to assess characteristics of the horses and environmental and work.  Serological testing for Leptospira spp. was performed on blood samples collected from 54 horses using the microscopic agglutination test. Results showed that 50.0% of the horses were seropositive for Leptospira spp and the most frequent serogroup was Leptospira canicola (44, 4%), followed by Leptospira pyrogenes (5, 5%), Leptospira bataviae (3,7%), Leptospira hebdomadis (3,7%), Leptospira icterohaemorrhagiae (1,8%; 1/54), Leptospira australis (1,8%) and Leptospira pomona (1,8%). There were no statistically significant associations among seropositivity for Leptospira spp and age, sex, body score, water source, food storage, cohabitation with dogs, rodent infestation, residential flooding and waste removal services. The prevalence of the Leptospira canicola serogroup, as well as the large number of dogs in close relationship with the horses, carroceiros draws attention to the potential of these animals as a source of Leptospira spp. infection to humans and other animals.

O objetivo deste estudo foi avaliar a ocorrência de anticorpos contra Leptospira spp em cavalos utilizados por comunidades de carroceiros, catadores informais que utilizam carroças puxadas a cavalo, em Guaíba, Rio Grande do Sul. Além disso, foram realizadas entrevistas com os proprietários para avaliar as características dos cavalos, o ambiente e o trabalho. Teste sorológico para Leptospira spp. foi realizada em amostras de sangue coletadas de 54 cavalos utilizando o teste de aglutinação microscópica. Os resultados mostraram que 50,0% dos cavalos eram soropositivos para Leptospira spp e o sorogrupo mais frequente foi Leptospira canicola (44, 4%), seguido por Leptospira pyrogenes (5, 5%), Leptospira bataviae (3,7%), Leptospira hebdomadis (3,7%), Leptospira icterohaemorrhagiae (1,8%; 1/54), Leptospira australis (1,8%) e Leptospira pomona (1,8%). Não houve associação estatisticamente significante entre soropositividade para Leptospira spp e idade, sexo, escore corporal, fonte de água, armazenamento de alimentos, convivência com cães, infestação de roedores, serviços de inundação residencial e remoção de resíduos. A prevalência do sorogrupo Leptospira canicola, bem como o grande número de cães em estreita rela-ção com os cavalos, os carroceiros chamam a atenção para o potencial desses animais como fonte de Leptospira spp. infecção em humanos e outros animais

Hematúria macroscópica em equinos associada à infecção por Leptospira interrogans / Macroscopic haematuria in horses associated with Leptospira interrogans infection

Hematúria é uma grave manifestação clínica de doença do sistema urinário, ocorrendo sob as formas micro ou macroscópica. Neste artigo relatam-se dois casos de hematúria macroscópica associada à infecção por Leptospira interrogans sorogrupo Canicola. O exame clínico inicial revelou hematúria macroscópica, taquicardia, taquipneia, febre, elevação do tempo de perfusão capilar, hipomotilidade intestinal, além de icterícia da mucosa oral. Leucocitose, proteinúria, glicosúria, piúria e azotemia foram achados comuns aos dois casos. Teste de Soroaglutinação Microscópica foi realizado para titulação de anticorpos contra Leptospira interrogans. Tratamento incluiu medidas terapêuticas de suporte (fluidoterapia), controle da hematúria e antibioticoterapia. Sete dias após manifestação dos sinais clínicos iniciais, ambos animais receberam alta hospitalar após remissão dos sinais clínicos.

Haematuria is a serious clinical manifestation of urinary system disease, occurring in micro or macroscopic forms. In this article two cases of macroscopic haematuria associated with Leptospira interrogans serogroup Canicolainfection are related. The initial clinical examination revealed macroscopic haematuria, tachycardia, tachypnea, fever, increased capillary perfusion time, intestinal hypomotility, in addition to jaundice of the oral mucosa. Leukocytosis, proteinuria, glycosuria, pyuria and azotemia were common findings in both cases. Microscopic serum agglutination test was performed for titration of antibodies against Leptospira interrogans. Treatment included supportive therapeutic measures (fluid therapy), hematuria control and antibiotic therapy. Seven days after the manifestation of the initial clinical signs, both animals were discharged from the hospital without complications.

Hematúria macroscópica em equinos associada à infecção por Leptospira interrogans / Macroscopic haematuria in horses associated with Leptospira interrogans infection

Hematúria é uma grave manifestação clínica de doença do sistema urinário, ocorrendo sob as formas micro ou macroscópica. Neste artigo relatam-se dois casos de hematúria macroscópica associada à infecção por Leptospira interrogans sorogrupo Canicola. O exame clínico inicial revelou hematúria macroscópica, taquicardia, taquipneia, febre, elevação do tempo de perfusão capilar, hipomotilidade intestinal, além de icterícia da mucosa oral. Leucocitose, proteinúria, glicosúria, piúria e azotemia foram achados comuns aos dois casos. Teste de Soroaglutinação Microscópica foi realizado para titulação de anticorpos contra Leptospira interrogans. Tratamento incluiu medidas terapêuticas de suporte (fluidoterapia), controle da hematúria e antibioticoterapia. Sete dias após manifestação dos sinais clínicos iniciais, ambos animais receberam alta hospitalar após remissão dos sinais clínicos.(AU)

Haematuria is a serious clinical manifestation of urinary system disease, occurring in micro or macroscopic forms. In this article two cases of macroscopic haematuria associated with Leptospira interrogans serogroup Canicolainfection are related. The initial clinical examination revealed macroscopic haematuria, tachycardia, tachypnea, fever, increased capillary perfusion time, intestinal hypomotility, in addition to jaundice of the oral mucosa. Leukocytosis, proteinuria, glycosuria, pyuria and azotemia were common findings in both cases. Microscopic serum agglutination test was performed for titration of antibodies against Leptospira interrogans. Treatment included supportive therapeutic measures (fluid therapy), hematuria control and antibiotic therapy. Seven days after the manifestation of the initial clinical signs, both animals were discharged from the hospital without complications.(AU)

Anti-Leptospira spp antibodies in cart horses of the city of Guaíba, Rio Grande do Sul State, Brazil

The objective of this study was to evaluated the occurrence of antibodies against Leptospira spp in horses used by communities of carroceiros, informal waste collectors who use horse-drawn wagons, in Guaíba, Rio Grande do Sul.  Additionally, interviews were conducted with owners to assess characteristics of the horses and environmental and work.  Serological testing for Leptospira spp. was performed on blood samples collected from 54 horses using the microscopic agglutination test. Results showed that 50.0% of the horses were seropositive for Leptospira spp and the most frequent serogroup was Leptospira canicola (44, 4%), followed by Leptospira pyrogenes (5, 5%), Leptospira bataviae (3,7%), Leptospira hebdomadis (3,7%), Leptospira icterohaemorrhagiae (1,8%; 1/54), Leptospira australis (1,8%) and Leptospira pomona (1,8%). There were no statistically significant associations among seropositivity for Leptospira spp and age, sex, body score, water source, food storage, cohabitation with dogs, rodent infestation, residential flooding and waste removal services. The prevalence of the Leptospira canicola serogroup, as well as the large number of dogs in close relationship with the horses, carroceiros draws attention to the potential of these animals as a source of Leptospira spp. infection to humans and other animals.(AU)

O objetivo deste estudo foi avaliar a ocorrência de anticorpos contra Leptospira spp em cavalos utilizados por comunidades de carroceiros, catadores informais que utilizam carroças puxadas a cavalo, em Guaíba, Rio Grande do Sul. Além disso, foram realizadas entrevistas com os proprietários para avaliar as características dos cavalos, o ambiente e o trabalho. Teste sorológico para Leptospira spp. foi realizada em amostras de sangue coletadas de 54 cavalos utilizando o teste de aglutinação microscópica. Os resultados mostraram que 50,0% dos cavalos eram soropositivos para Leptospira spp e o sorogrupo mais frequente foi Leptospira canicola (44, 4%), seguido por Leptospira pyrogenes (5, 5%), Leptospira bataviae (3,7%), Leptospira hebdomadis (3,7%), Leptospira icterohaemorrhagiae (1,8%; 1/54), Leptospira australis (1,8%) e Leptospira pomona (1,8%). Não houve associação estatisticamente significante entre soropositividade para Leptospira spp e idade, sexo, escore corporal, fonte de água, armazenamento de alimentos, convivência com cães, infestação de roedores, serviços de inundação residencial e remoção de resíduos. A prevalência do sorogrupo Leptospira canicola, bem como o grande número de cães em estreita rela-ção com os cavalos, os carroceiros chamam a atenção para o potencial desses animais como fonte de Leptospira spp. infecção em humanos e outros animais(AU)