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2.
Medicina (B Aires) ; 81(1): 107-110, 2021.
Artigo em Espanhol | MEDLINE | ID: mdl-33611253

RESUMO

We present the clinical cases of two patients who were admitted to the HIGA San Martín de La Plata emergency ward with a clinical picture compatible with leptospirosis, who evolved with respiratory failure and alveolar hemorrhage. In both, glucocorticoids were administered with good evolution. A bibliographic search of articles published since 2005 in Spanish and English and a review of the topic was carried out. Based on the current evidence, no clear recommendation can be made for the use of corticosteroids in severe leptospirosis. The published bibliography is scarce and of low quality. There would appear to be a benefit in the use of corticosteroids in cases of pulmonary involvement due to severe leptospirosis. High-quality studies are needed to make recommendations with scientific evidence, to verify the adequate dose of corticosteroids, time of initiation, duration of treatment and the cases in which this therapy should be administered.


Assuntos
Leptospira , Leptospirose , Insuficiência Respiratória , Glucocorticoides , Hemorragia/induzido quimicamente , Humanos , Leptospirose/complicações , Leptospirose/tratamento farmacológico
3.
BMC Infect Dis ; 20(1): 794, 2020 Oct 27.
Artigo em Inglês | MEDLINE | ID: mdl-33109122

RESUMO

BACKGROUND: Pulmonary hemorrhage is an important complication of leptospirosis. Once acute respiratory distress syndrome (ARDS) occurs as a secondary condition, treatment is extremely difficult and the mortality rate is very high. CASE PRESENTATION: The patient was a 49-year-old. He was admitted to the hospital because he had experienced a fever and cough for 4 days. Hemorrhage, respiratory failure, ARDS and other symptoms appeared soon after admission. Due to severe pulmonary hemorrhage secondary to ARDS, mechanical ventilation was performed through tracheal intubation. During intubation, the patient suffered cardiac arrest, and the patient's condition worsened. He was confirmed to have leptospirosis through second-generation sequencing of the alveolar lavage fluid. Finally, we successfully treated the patient with penicillin as an anti-infective medication and venous-venous extracorporeal membrane oxygenation (v-vECMO). To the best of our knowledge, this report is the first to describe the successful application of ECMO in mainland China. CONCLUSIONS: Leptospirosis can induce serious but transient ARDS with a better prognosis than other causes of ARDS. Our patient was successfully treated with V-vECMO.


Assuntos
Oxigenação por Membrana Extracorpórea , Hemorragia/etiologia , Hemorragia/cirurgia , Leptospira/genética , Leptospirose/complicações , /cirurgia , Antibacterianos/uso terapêutico , Líquido da Lavagem Broncoalveolar/microbiologia , China , Humanos , Leptospira/isolamento & purificação , Leptospirose/tratamento farmacológico , Leptospirose/microbiologia , Masculino , Pessoa de Meia-Idade , Penicilinas/uso terapêutico , Prognóstico , Respiração Artificial/efeitos adversos , Insuficiência Respiratória/etiologia , Insuficiência Respiratória/cirurgia , Resultado do Tratamento
4.
Internist (Berl) ; 61(11): 1189-1192, 2020 Nov.
Artigo em Alemão | MEDLINE | ID: mdl-32965521

RESUMO

This article reports an incidental finding of leptospirosis during a special consultation, which was initiated due to the pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The focus on SARS-CoV­2 and the uncharacteristic symptoms of these two diseases make it much more difficult to find the correct diagnosis. Leptospirosis is predominantly a tropical zoonosis but also occurs in Germany.


Assuntos
Infecções por Coronavirus/diagnóstico , Leptospira/isolamento & purificação , Leptospirose/diagnóstico , Pneumonia Viral/diagnóstico , Insuficiência Renal/etiologia , Animais , Betacoronavirus , Infecções por Coronavirus/complicações , Infecções por Coronavirus/epidemiologia , Equidae , Febre/etiologia , Alemanha , Humanos , Achados Incidentais , Icterícia/etiologia , Leptospirose/complicações , Pandemias , Pneumonia Viral/complicações , Pneumonia Viral/epidemiologia
5.
Can Vet J ; 61(5): 534-536, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-32355355

RESUMO

A 3-year-old spayed female Labrador retriever dog was presented with clinical signs of lethargy, vomiting, hyporexia, and increased respiratory effort. An exploratory laparotomy was conducted and a liver biopsy submitted for histopathologic evaluation revealed moderate multifocal coalescing pyogranulomatous hepatitis. Clinical signs, hematological parameters, and liver histopathology suggested an infectious etiology, such as leptospirosis, mycobacteriosis, or fungal infection. Polymerase chain reaction (PCR) and immunohistochemistry (IHC) for leptospirosis were negative. The infectious etiology was not identified, but leptospirosis may have played a role in the disease.


Assuntos
Doenças Transmissíveis/veterinária , Doenças do Cão/diagnóstico , Hepatite , Leptospirose/complicações , Leptospirose/diagnóstico , Leptospirose/veterinária , Micoses/veterinária , Animais , Cães , Feminino
6.
Top Companion Anim Med ; 38: 100406, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32115077

RESUMO

Extracorporeal renal replacement therapy (ERRT) used in dogs with acute kidney injury (AKI) may be associated with hematological and hemostatic disorders. However, its characteristics are not fully described in dogs. The purpose of this pilot study was to characterize the impact of ERRT on hematological, hemostatic, and thromboelastometric parameters in dogs with AKI. We conducted a prospective observational single cohort study in 10 client-owned dogs with AKI associated leptospirosis undergoing ERRT. Results from the CBC, coagulation tests (prothrombin and activated partial thromboplastin times [aPTT]) and rotational thromboelastometry (TEM; intrinsic TEM [inTEM] and heparinase-based TEM [hepTEM]) were recorded before and after the first ERRT session. Blood abnormalities observed before the ERRT session included thrombocytopenia (10/10), anemia (8/10), leukocytosis (4/10), prolonged aPTT (4/10) and leukopenia (1/10). After ERRT, the platelet count decreased (-25%; P = .012) whereas leukocytes (+15%; P = .046) and aPTT (+24%; P = .006) increased. The clotting time (CT) on inTEM assay and the relative variation of CT based on inTEM and hepTEM profiles increased after the ERRT session (P = .037 and P = .048, respectively). Seven dogs, 2 dogs, and 1 dog were defined as having a normal, hypocoagulable, and hypercoagulable inTEM profile after ERRT, respectively. After ERRT, no hepTEM parameter was significantly different from before treatment. Platelet count, leukocytes, aPTT and CT were altered after the first ERRT session. Beyond the hemostatic abnormalities expected by the use of UFH, thrombocytopenia appears as the only hemostatic change after a single ERRT session in dogs with AKI.


Assuntos
Lesão Renal Aguda/veterinária , Doenças do Cão/terapia , Leptospirose/veterinária , Terapia de Substituição Renal/veterinária , Lesão Renal Aguda/terapia , Animais , Contagem de Células Sanguíneas/veterinária , Testes de Coagulação Sanguínea/veterinária , Estudos de Coortes , Doenças do Cão/sangue , Doenças do Cão/microbiologia , Cães , Feminino , Leptospira/isolamento & purificação , Leptospirose/complicações , Masculino , Projetos Piloto , Estudos Prospectivos , Terapia de Substituição Renal/efeitos adversos , Tromboelastografia/veterinária , Trombocitopenia/veterinária , Resultado do Tratamento
7.
Infez Med ; 28(1): 11-16, 2020 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-32172256

RESUMO

There is a massive burden of acute febrile diseases during the post-monsoon season in tropical countries. Despite this, there is a lack of clarity amongst the primary care physicians and travel medicine experts on how to approach such patients in a syndromic fashion. In this review, the authors summarize a case-based approach in the management of acute febrile diseases.


Assuntos
Tempestades Ciclônicas , Países em Desenvolvimento , Febre/etiologia , Doença Aguda , Adulto , Febre de Chikungunya/complicações , Febre de Chikungunya/diagnóstico , Dengue/complicações , Dengue/diagnóstico , Humanos , Leptospirose/complicações , Leptospirose/diagnóstico , Malária Falciparum/complicações , Malária Falciparum/diagnóstico , Masculino , Tifo por Ácaros/complicações , Tifo por Ácaros/diagnóstico , Avaliação de Sintomas/métodos , Febre Tifoide/complicações , Febre Tifoide/diagnóstico , Infecção por Zika virus/complicações , Infecção por Zika virus/diagnóstico
8.
Infez Med ; 28(1): 91-97, 2020 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-32172267

RESUMO

Leptospirosis is a ubiquitous acute bacterial zoonosis. This report describes six cases presenting to our hospital with symptoms such as fever and muscle pain and diagnosed as leptospirosis. All cases presented with fever, muscle pain, and lethargy and were engaged in activities such as farming, hunting, and fishing. Thrombocytopenia and impaired liver function tests were found in all patients, increased creatine-kinase in five, and increased creatinine in four. Leptospirosis was diagnosed using polymerase chain reaction (PCR). The course of the disease resulted in cure in three cases, chronic kidney disease sequelae in one, and death in two. In conclusion, the possibility of leptospirosis should be considered in patients presenting with non-specific symptoms such as fever and muscle pain and developing thrombocytopenia, and liver and kidney function disorder. Risk factors should also be investigated when taking histories. Early diagnosis and antibiotic therapy being started as quickly as possible are important in terms of the course of the disease.


Assuntos
Leptospirose/diagnóstico , Adulto , Idoso , Doenças dos Trabalhadores Agrícolas/diagnóstico , Animais , Mar Negro , Água Potável/microbiologia , Humanos , Leptospirose/complicações , Masculino , Pessoa de Meia-Idade , Reação em Cadeia da Polimerase , Turquia , Zoonoses/microbiologia
9.
Artigo em Inglês | MEDLINE | ID: mdl-32074217

RESUMO

Tropical diseases are mainly found in the tropical regions of Asia, Africa and Latin America. They are a major Public Health problem in these regions, most of them are considered neglected diseases and remain as important contributors to the development of AKI (Acute Kidney Injury), which is associated with increased patients' morbidity and mortality. In most countries, kidney disease associated to tropical diseases is attended at health services with poor infrastructure and inadequate preventive measures. The long-term impacts of these infections on kidney tissue may be a main cause of future kidney disease in these patients. Therefore, the investigation of novel kidney injury biomarkers in these tropical diseases is of utmost importance to explain the mechanisms of kidney injury, to improve their diagnosis and prognosis, as well as the assessment to health systems by these patients. Since 2011, our group has been studying renal biomarkers in visceral and cutaneous leishmaniasis, schistosomiasis, leptospirosis and leprosy. This study has increased the knowledge on the pathophysiology of kidney disease in the presence of these infections and has contributed to the early diagnosis of kidney injury, pointing to glomerular, endothelial and inflammatory involvement as the main causes of the mechanisms leading to nephropathy and clinical complications. Future perspectives comprise establishing long-term cohort groups to assess the development of kidney disease and the patients' survival, as well as the use of new biomarkers such as urinary exosomes to detect risk groups and to understand the progression of kidney injuries.


Assuntos
Lesão Renal Aguda/etiologia , Leishmaniose Visceral/complicações , Hanseníase/complicações , Leptospirose/complicações , Doenças Negligenciadas/complicações , Esquistossomose/complicações , Dengue Grave/complicações , Lesão Renal Aguda/sangue , Biomarcadores/sangue , Humanos , Doenças Negligenciadas/sangue , Fatores de Risco
10.
BMJ Case Rep ; 13(1)2020 Jan 07.
Artigo em Inglês | MEDLINE | ID: mdl-31915183

RESUMO

Leptospirosis, one of the most important of neglected tropical diseases, is a common zoonosis in the tropics. Recent reports have demonstrated that pulmonary haemorrhage is one of the fatal complications of severe leptospirosis. In this report, we present a case of leptospirosis manifested with severe pulmonary haemorrhagic syndrome successfully treated with venovenous extracorporeal membrane oxygenation (VV-ECMO). A 39-year-old man who lives in Bangkok presented with fever, severe myalgia and haemoptysis. With rapid progression of acute respiratory failure in 6 hours, he was intubated and a litre of fresh blood was suctioned. Chest x-ray showed diffuse alveolar infiltrates compatible with ARDS, then mechanical ventilator with lung protective strategy was used. Diagnosis of leptospirosis with diffuse alveolar haemorrhage was made. Refractory hypoxaemia was not responsive to positive end-expiratory pressure (PEEP); thus, VV-ECMO was initiated on the first day. Other treatments included plasmapheresis, intravenous pulse methylprednisolone and intravenous antibiotics. The outcome of treatment was successful, and this patient was discharged to home on day 14 after admission.


Assuntos
Oxigenação por Membrana Extracorpórea , Hemorragia/microbiologia , Leptospirose/terapia , Pneumopatias/microbiologia , Adulto , Diagnóstico Diferencial , Hemorragia/terapia , Humanos , Leptospirose/complicações , Pneumopatias/terapia , Masculino
11.
Clin Nephrol ; 93(1): 8-16, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31397270

RESUMO

Acute kidney injury (AKI) is prevalent and is associated with high morbidity and mortality globally. The epidemiology differs remarkably between developing and developed economies. Infections, diarrheal illnesses, obstetric causes and nephrotoxins are very rampant in the tropics. Even though the etiologies are different, the final common pathway in the pathogenesis is similar - tubular damage or necrosis, tubular blockage, and back leak of glomerular filtrate. The mechanism of AKI in infections could be through ischemic insult consequent to hypovolemia and/or hemoglobinuria, as seen in malaria and viral hemorrhagic fevers, interstitial inflammation, or nephrotoxicity. On the contrary, the mechanism of nephrotoxin-induced AKI includes direct toxic effect on the renal tubules, intratubular precipitation of substances like djenkolic and oxalic acids (crystalluria) as well as intratubular obstruction and AKI. Toxicity could also be indirect by interacting with the pharmacokinetic profile of other coadministered medications. Bites and envenomation as well as obstetric complications also induce AKI through hypovolemia, interstitial nephritis, and other unclear mechanisms in eclampsia and preeclampsia. Outcome is variable and dependent on etiology. Prognosis appears to be significantly better in hypovolemic or prerenal and/or obstructive AKI compared to intrarenal or intrinsic AKI.


Assuntos
Lesão Renal Aguda/etiologia , Lesão Renal Aguda/epidemiologia , Lesão Renal Aguda/terapia , Efeitos Psicossociais da Doença , Dengue/complicações , Diarreia/complicações , Humanos , Rim/efeitos dos fármacos , Leptospirose/complicações , Malária/complicações , Febre Amarela/complicações
12.
J Microbiol Immunol Infect ; 53(2): 307-314, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29934034

RESUMO

BACKGROUND/PURPOSE: The clinical, epidemiological, and laboratory factors associated with disease severity and mortality from confirmed leptospirosis patients in Taiwan are not well known. This retrospective study examined patients with suspected leptospirosis admitted to En-Chu-Kong Hospital, a regional teaching hospital in northern Taiwan. METHODS: From January 2002 to July 2014, 733 suspected cases were reported to the National Reference Laboratory, 57 of which were identified as laboratory and clinical confirmed. We analyzed the clinical, epidemiological, and laboratory factors associated with disease severity and mortality in 57 cases. RESULTS: The mean age was 59.1 ± 18.2 years, 74% were male, and 49% had occupational contact with soil. The major complications were pulmonary involvement (54%), shock (44%), ventilator support (32%), jaundice (32%), hemorrhage (30%), acute kidney injury (30%), meningitis (11%) and myocarditis (2%). Leptospira santarosai serova Shermani was present in 42 (74%) patients and 37 (58%) patients had severe leptospirosis. Sixteen (28%) patients had concomitant infections, including nine patients with bloodstream infection. The only independent predictor for severe leptospirosis was shock (OR 14.8, 95% CI 2.97-73.59). Eleven patients died (19%). Acute respiratory distress syndrome with severe pulmonary hemorrhage syndrome (6 patients) was present in 55% of the fatal cases. The factors independently related to mortality were prior steroid use (OR 20.2, 95% CI 1.9-217.5) and hemorrhage (OR 71.2, 95% CI 4.9 - >999.9). CONCLUSION: These results indicate that shock is a predictor of severe leptospirosis, and prior steroid use and hemorrhage are predictors of death from leptospirosis.


Assuntos
Leptospirose/complicações , Leptospirose/mortalidade , Índice de Gravidade de Doença , Lesão Renal Aguda , Adulto , Idoso , Feminino , Hemorragia/complicações , Hemorragia/epidemiologia , Hospitais de Ensino , Humanos , Icterícia/complicações , Icterícia/epidemiologia , Leptospira , Leptospirose/fisiopatologia , Modelos Logísticos , Pulmão , Masculino , Meningite/complicações , Meningite/epidemiologia , Pessoa de Meia-Idade , Miocardite/complicações , Miocardite/epidemiologia , /epidemiologia , Estudos Retrospectivos , Fatores de Risco , Choque/complicações , Choque/epidemiologia , Taiwan/epidemiologia , Ventiladores Mecânicos
13.
Artigo em Inglês | MEDLINE | ID: mdl-31859840

RESUMO

Leptospirosis is a globally distributed zoonosis with a broad clinical spectrum. This disease mostly affects liver and kidney tissues. Other organs such as the pancreas, can be affected by leptospirosis-induced vasculitis. In addition, cardiac manifestations are common, and the presence of transient ECG abnormalities can be found in 70% of the patients. We report a male patient who presented with an atypical leptospirosis that progressed with severe acute pancreatitis, acute kidney injury and atrial fibrillation. Early diagnosis and adequate supportive therapy are crucial for the appropriated management of symptoms.


Assuntos
Lesão Renal Aguda/etiologia , Fibrilação Atrial/etiologia , Leptospirose/complicações , Pancreatite/etiologia , Evolução Fatal , Humanos , Masculino , Pessoa de Meia-Idade , Índice de Gravidade de Doença
14.
Intensive Care Med ; 45(12): 1763-1773, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31654079

RESUMO

PURPOSE: To report the incidence, risk factors, clinical presentation, and outcome predictors of severe leptospirosis requiring intensive care unit (ICU) admission in a temperate zone. METHODS: LEPTOREA was a retrospective multicentre study conducted in 79 ICUs in metropolitan France. Consecutive adults admitted to the ICU for proven severe leptospirosis from January 2012 to September 2016 were included. Multiple correspondence analysis (MCA) and hierarchical classification on principal components (HCPC) were performed to distinguish different clinical phenotypes. RESULTS: The 160 included patients (0.04% of all ICU admissions) had median values of 54 years [38-65] for age, 40 [28-58] for the SAPSII, and 11 [8-14] for the SOFA score. Hospital mortality was 9% and was associated with older age; worse SOFA score and early need for endotracheal ventilation and/or renal replacement therapy; chronic alcohol abuse and worse hepatic dysfunction; confusion; and higher leucocyte count. Four phenotypes were identified: moderately severe leptospirosis (n = 34, 21%) with less organ failure and better outcomes; hepato-renal leptospirosis (n = 101, 63%) with prominent liver and kidney dysfunction; neurological leptospirosis (n = 8, 5%) with the most severe organ failures and highest mortality; and respiratory leptospirosis (n = 17, 11%) with pulmonary haemorrhage. The main risk factors for leptospirosis contamination were contact with animals, contact with river or lake water, and specific occupations. CONCLUSIONS: Severe leptospirosis was an uncommon reason for ICU admission in metropolitan France and carried a lower mortality rate than expected based on the high severity and organ-failure scores. The identification in our population of several clinical presentations may help clinicians establish an appropriate index of suspicion for severe leptospirosis.


Assuntos
Mortalidade Hospitalar , Unidades de Terapia Intensiva/estatística & dados numéricos , Leptospirose/complicações , Leptospirose/epidemiologia , Leptospirose/mortalidade , Insuficiência de Múltiplos Órgãos/epidemiologia , Insuficiência de Múltiplos Órgãos/mortalidade , Adulto , Idoso , Feminino , França/epidemiologia , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Fatores de Risco
15.
G Ital Nefrol ; 36(5)2019 Sep 24.
Artigo em Italiano | MEDLINE | ID: mdl-31580545

RESUMO

We describe here the case of a young patient, employed in agriculture, who entered the emergency room with fever, headache, hematuria and a worsening of renal function; we diagnosed leptospirosis with renal involvement. As the patient lamented very generic symptoms, the anamnesis was fundamental in leading us to suspect an infection, execute the right laboratory analysis, and correctly diagnose a pathology which is currently very rare in Italy.


Assuntos
Doenças dos Trabalhadores Agrícolas , Nefropatias/parasitologia , Leptospirose/complicações , Adulto , Doenças dos Trabalhadores Agrícolas/diagnóstico , Humanos , Nefropatias/diagnóstico , Leptospirose/diagnóstico , Masculino
18.
J Infect Public Health ; 12(6): 751-759, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31281106

RESUMO

Leptospirosis is the most widely spread zoonosis and Leptospirosis Associated Acute Kidney Injury (LAKI) is common and fatal if not properly and swiftly treated. The aim of this review is to evaluate the mortality of LAKI and to identify the risk factors for its development. An electronic search was performed to identify the studies included LAKI patients series. Only studies which investigated mortality or risk factors for LAKI development in adults were included. Twenty-three studies with 24 patients series were included in the final analysis and included 1698 patients. The median series mortality was 10.05% (range 0-33.3%) with a total of 223 death. Only four studies identified the independent risk factors for LAKI development which were oliguria, jaundice, arrhythmia, crackles, elevated direct bilirubin level, elevated activated prothrombin time, hyperbilirubinemia and leukocytosis. Although the mortality of LAKI is high, its predictors are not studied enough in literature.


Assuntos
Lesão Renal Aguda/mortalidade , Lesão Renal Aguda/patologia , Leptospirose/complicações , Adolescente , Adulto , Idoso , Criança , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Análise de Sobrevida , Adulto Jovem
19.
Praxis (Bern 1994) ; 108(8): 519-524, 2019 Jun.
Artigo em Alemão | MEDLINE | ID: mdl-31185842

RESUMO

CME: Zoonosis in Switzerland: Leptospirosis Abstract. Leptospirosis is worldwide a common zoonosis that also occurs in Switzerland. Frequently it presents as a self-limited, mild illness. The more severe presentation with jaundice and sever acute kidney injury (Weil's disease) is, however, associated with a high morbidity and mortality. In order to make the diagnosis, it is important to recognize the typical findings and perform the appropriate diagnostic workup. In this article, we discuss the clinical signs, diagnostic workup, therapy and prevention of leptospirosis and present the case of a 54-year-old patient with severe leptospirosis.


Assuntos
Leptospirose , Doença de Weil , Lesão Renal Aguda/etiologia , Humanos , Icterícia/etiologia , Leptospirose/complicações , Leptospirose/diagnóstico , Pessoa de Meia-Idade , Suíça , Doença de Weil/etiologia
20.
Rev Bras Parasitol Vet ; 28(2): 245-257, 2019 Jun 13.
Artigo em Inglês | MEDLINE | ID: mdl-31215610

RESUMO

This is a cross-sectional study to assess the presence of antibodies in ruminants against selected pathogens associated with reproductive disorders in cattle in four Brazilian states, including the zoonotic agent Coxiella burnetii. The used tests were Virus Neutralization Assay for IBR and BVD, Microscopic Agglutination Test for Leptospira spp., Indirect Fluorescent Antibody Test (IFAT) for C. burnetii and Toxoplasma gondii, and Enzyme-Linked Immunosorbent Assay for Neospora caninum and Trypanosoma vivax. Seropositivity for C. burnetii was 13.7% with titers from 128 to 131,072; 57.8% for BoHV-1, with titers between 2 and 1,024; 47.1% for BVDV-1a, with titers from 10 to 5,120; 89.2% for N. caninum; 50% for T. vivax; and 52.0% for Leptospira spp., with titers between 100 to 800 (the following serovars were found: Tarassovi, Grippotyphosa, Canicola, Copenhageni, Wolffi, Hardjo, Pomona and Icterohaemorrhagiae); 19.6% for T. gondii with titer of 40. This is the first study that has identified C. burnetii in cattle associated with BoHV and BVDV, N. caninum, Leptospira spp., T. gondii and T. vivax. Thus, future studies should be conducted to investigate how widespread this pathogen is in Brazilian cattle herds.


Assuntos
Doença das Mucosas por Vírus da Diarreia Viral Bovina/complicações , Doenças dos Bovinos/epidemiologia , Coccidiose/veterinária , Leptospirose/veterinária , Febre Q/veterinária , Toxoplasmose Animal/complicações , Tripanossomíase Africana/veterinária , Aborto Animal , Testes de Aglutinação , Animais , Doença das Mucosas por Vírus da Diarreia Viral Bovina/diagnóstico , Doença das Mucosas por Vírus da Diarreia Viral Bovina/epidemiologia , Brasil/epidemiologia , Bovinos , Doenças dos Bovinos/microbiologia , Doenças dos Bovinos/parasitologia , Doenças dos Bovinos/virologia , Coccidiose/complicações , Coccidiose/diagnóstico , Coccidiose/epidemiologia , Coxiella burnetii/imunologia , Estudos Transversais , Vírus da Diarreia Viral Bovina/imunologia , Endometrite/etiologia , Ensaio de Imunoadsorção Enzimática/veterinária , Feminino , Técnica Indireta de Fluorescência para Anticorpo/veterinária , Infertilidade Feminina/etiologia , Leptospira/imunologia , Leptospirose/complicações , Leptospirose/diagnóstico , Leptospirose/epidemiologia , Neospora/imunologia , Febre Q/complicações , Febre Q/diagnóstico , Febre Q/epidemiologia , Estudos Soroepidemiológicos , Toxoplasma/imunologia , Toxoplasmose Animal/diagnóstico , Trypanosoma vivax/imunologia , Tripanossomíase Africana/complicações , Tripanossomíase Africana/diagnóstico , Tripanossomíase Africana/epidemiologia
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