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Intestinal spirochaetes colonizing aborigines from communities in the remote north of Western Australia.

Intestinal spirochaetal bacteria were isolated from 59 of 181 (32.6%) faecal samples obtained from Aboriginal children and a few adults living in communities in the Kimberley region in the north of Western Australia. Colonization was more common in young Aborigines between 2 and 18 years of age than it was in adults, or in babies and children less than 2 years of age. Three of 22 Aboriginal children who were sampled on two consecutive years were colonized on both occasions. None of four other children were found to be consistently colonized with the bacteria when sampled on three sequential years, but three were positive on two consecutive visits and the other child was positive on the first and third sampling. Most Aboriginal children had abnormal or watery stools, and both abnormal and watery stool samples were significantly more likely to contain spirochaetes than were normal samples. However, it was not possible to prove that the spirochaetes were the cause of the diarrhoea. In contrast, spirochaetes were only recovered from 8 of 695 (1.2%) faecal samples that were obtained from other mainly non-Aboriginal children and adults in Western Australia or the Northern Territory of Australia, even though most of these individuals were suffering from gastrointestinal disturbances.

Adolescent↗

[The changes of subgingival microbials during periodontal maintenance in patients with gingivitic and wearing fixed orthodontic appliances].

OBJECTIVE: To investigate the microbiological changes of subgingival microbials in patients with gingivitis and wearing fixed orthodontic appliances. METHODS: 48 subjects (10 to 17 years old) with gingivitis, and wearing fixed orthodontic appliances, were divided randomly into three groups (placebo, NS and CH). Placebo group had normal saline mouthrinse; only and no oral hygiene instruction (OHI). The NS group had OHI and normal saline mouthrinse; The CH group had OHI and 0.12% chlorhexidine gluconate mouthrinse. Bacterial examinations were carried out on baseline, one week, one month and three months after scaling. The bacterial examination was carried out. The percentage of coccus, bacillus and spirochete was calculated. RESULTS: In placebo group and NS group, the percentage of coccus increased up to the third examination then dropped down. The spirochete's percentage changed inversely. CH group maintained an increasing trend in coccus' percentage and decreasing trend in spirochete's percentage. The percentage changes of coccus and bacillus between placebo group and CH group are statistically significant (P < 0.05). CONCLUSIONS: During the three-month examination, the CH group had better microbiologic change than the other two groups.

Adolescent↗

Simultaneous detection of Lawsonia intracellularis, Brachyspira hyodysenteriae and Salmonella spp. in swine intestinal specimens by multiplex polymerase chain reaction.

A multiplex PCR assay was developed for the simultaneous detection of the etiologic agents associated with porcine proliferative enteropathies (PPE), swine dysentery (SD) and porcine salmonellosis (PS) in a single reaction using DNA from swine intestinal samples. Single and multiplex PCR amplification of DNA from Lawsonia intracellularis, Salmonella typhimurium and Brachyspira hyodysenteriae with each primer set produced fragments of the predicted size without any nonspecific amplification, 210-bp, 298-bp and 403-bp bands, respectively. The single PCR assay could detect as little as 100 pg of purified DNA of S. typhimurium and L. intracellularis, and 50 pg of B. hyodysenteriae, respectively. However, multiplex PCR turned out to be 10 times lower sensitivity with S. typhimurium compared with single PCR. With 23 swine intestinal specimens suspected of having PPE, SD and/or PS, the multiplex PCR assay showed identical results with conventional methods except one. In conclusion, this multiplex PCR is a feasible alternative to standard diagnostic methods for detection of L. intracellularis, B. hyodysenteriae and Salmonella spp. from swine intestinal specimens.

Animals↗

Necrotizing typhlocolitis associated with a spirochete in rheas (Rhea americana).

Necrotizing typhlocolitis was diagnosed in 13 juvenile common rheas (Rhea americana) from three separate of geographically isolated Ohio flocks, with mortality ranging from 25% to 80%. At postmortem examination, a diphtheritic membrane covered ulcerated cecal mucosa. Histologically, cecal sections showed necrosis and granulomatous-to-suppurative inflammation that extended into the submucosa and often surrounded large eosinophilic colonies of bacteria. Warthin-Starry staining showed these colonies to be composed of entangled spirochetes that invaded the submucosa and frequently were present transmurally. Similar organisms were identified by Warthin-Starry staining in the cecum of a juvenile rhea from a fourth flock that histologically had mild lymphocytic typhlitis. Scanning and transmission electron microscopy demonstrated the presence of a spirochete in the ceca. Anaerobic culture yielded a gram-negative, beta-hemolytic spirochete. Coccidia, histomonads, and Salmonella spp. were consistently absent.

Animals↗

[Severe diarrhoea with invasive intestinal spirochaetosis].

A 38-year-old heterosexual male presented with a 6 to 7 week history of severe diarrhoea but no other complaints. In routine faecal cultures and routine parasitological investigations no pathogenic micro-organisms were observed. Colonoscopy revealed a normal mucosa. Multiple biopsies were obtained. The histological diagnosis was invasive intestinal spirochaetosis. The immunostain for Borrelia burgdorferi cross-reacted with the spirochetes of the intestinal spirochaetosis. After two weeks of incubation under strict anaerobic conditions a spirochaete was cultured from a biopsy of the sigmoid mucosa. The 16SrDNA sequence was consistent with Brachyspira aalborgi. The HIV and syphilis results were negative. The patient was treated first with metronidazole and then by clindamycin. The diarrhoea subsided after the second course of treatment and the cause was presumed to have been the invasive intestinal spirochaetosis. Intestinal spirochaetosis is usually found coincidentally at histological examination of colon biopsies. There is no general consensus that intestinal spirochaetosis is the cause of the diarrhoea. There is however an association between the presence of symptoms and the invasivity of spirochaetes, morphological colon epithelial changes and evidence of immune response. The literature reports patients who improve symptomatically without specific treatment. Treatment may be given to patients with severe symptoms.

Adult↗

Risk factors associated with Brachyspira hyodysenteriae PCR-positivity in East-European pig production units.

UNLABELLED: The objective of the present study was to determine the risk factors for swine dysentery in East-European middle-to-large sized, farrow-to-finish units, with separate breeding and grower-finisher facilities. Samples of faeces from 10 breeding animals (3-10% of the female inventory) and 10 grower finisher pigs (80-140 days of age) were collected for polymerase chain reaction testing (PCR) for Brachyspira hyodysenteriae (B. hyo). Of 139 farrow-to-finish units, 51 (36.7%) were positive, 49 (35.3%) were negative, and 39 (28.1%) were inconclusive for B. hyo by PCR. In breeding subunits, twelve variables passed the screening criterion for risk factors (P < .2) for B. hyo PCR positivity. The odds of the breeding subunits being B. hyo PCR positive were 3.5 times greater when the grower-finisher subunit was positive and the fibre content of the diet was > 6%. Use of 'all-in-all-out' farrowing policy and having >60% multiparous sows each reduced the odds of being B. hyo PCR-positive by 4-fold. In grower-finisher subunits, fourteen variables passed the screening criterion for risk factors (P < .2) for B. hyo PCR positivity. B. hyo PCR-positive status of the breeding subunits and higher fibre content of the diet were the most influential variables, with the odds of the grower-finisher subunits being B. hyo PCR positive being almost 8 times greater when the breeding subunit was also B. hyo PCR positive. Grower-finisher B. hyo PCR positivity was also associated with the percentage of pigs housed on concrete slats, with the odds of being positive being 7.5-times higher for subunits where more that 70% of the animals were kept on concrete slats compared with all other floor types. There was a strong association between grower-finisher status and whether the animals were on outdoor lots, with the odds of being B. hyo PCR positive being substantially lower for pigs on outdoor lots compared with all other surfaces. IN CONCLUSION: All-in-all-out management in the breeding units, B. hyo negativity of adjacent grower-finisher units, high fibre content of the diet, and older parity structure in a sow herd may reduce the risk of swine dysentery. In grower-finisher units, slatted flooring is associated with a higher risk, while B. hyo negativity of the breeding units, the fibre content of the diet, and outdoor production are associated with lower risk of swine dysentery.

Animal Husbandry↗

The influence of puberty on spirochetal numbers assessed by dark field microscopy: a pilot study.

There seems to be a difference in the susceptibility, prevalence and severity of periodontal disease between children and adults. These differences could be due to; composition of plaque, host response or tissue alterations occurring with age. One of the micro-organisms suspected to play a role in the initiation of periodontal disease is the spirochete. A quick and simple way to observe spirochetes is via dark-field microscopy. The present study sample subgingival plaque from the crevices of 6 prepubertal and 6 postpubertal children and observed it under darkfield microscopy. The technique did not involve dispersion. The results showed a higher percentage of spirochetes for the postpubertal group (15.19% in the prepubertal and 21.62% in the postpubertal) but statistical analysis failed to show any significant difference. The small size of the sample, the variety in the technique and the clinical measurements influence the result.

Adolescent↗

Spirochetes in periodontal disease in the dog: a review.

The importance and the role of spirochetes in periodontal disease is controversial since the means to study these particular bacteria are limited. Because of specific requirements for growth, spirochetes are difficult to culture. Spirochetes could have profound effects on the perpetuation of periodontal disease. A review of the literature related to spirochetes is described.

Animals↗

[Isolation and identification of oral spirochaetes and Fusobacterium in juvenile periodontitis].

Periodontal pocket specimens of 40 juveniles periodontitis (JP) and specimens from gingival sulcus in 40 normal juveniles (NP) were examined. 25 strains of anaerobic oral spirochaete (62.5%) (17 strains were Treponema microdentium, 3 strains macrodentium, 2 strains T orale, 3 strains Borrelia) and 21 strains of fusobacterium were isolated in 40 JP. In 40 NP, 2 strains of spirochaetes (5%) and 3 strains fusobacterium (7.5%) were found. This study shows that there is a relationship between the infection of spirochaeta, fusobacterium and JP.

Adolescent↗