Meningitis due to Leptospira canicola.
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Laboratory raised wild Norway rat males (Rattus norvegicus) were injected with leptospires of two serovars: icterohaemorrhagiae and grippotyphosa. The development of a carrier state was monitored serologically, culturally and histologically. Rats infected with icterohaemorrhagiae developed rapidly into a chronic carrier state and shed leptospires in the urine for the duration of the experiment (220 days). At the time of necropsy, histopathologic studies showed evidence of leptospiral infections in the lumen of proximal convoluted tubules of some kidneys. Rats infected with grippotyphosa shed organisms for 40 days after inoculation; thereafter, they apparently cleared the infection. No organisms were detected histologically nor by culture at the end of the experiment (220 days). There appears to be a specific host-parasite relationship in the Norway rat towards becoming chronic carriers when infected with serotype icterohaemorrhagiae but not with grippotyphosa.
The IAL-S. P. strain was isolated from the spinal fluid of a patient male, aged 35, black, a sewer worker with fever, myalgia, jaundice, vomiting and meningitis symptoms with a 5-day incubation period after the lower half of the body had been submerged for 2 hours in sewers when unblocking a drain. Leptospires were isolated by direct inoculation of the spinal fluid taken on the 9th day of the illness into the Fletcher's media and into guinea pigs by the intraperitoneal route. The patient gave a positive agglutination test for L. andamana with cross-reaction with L. sejroe. The strain was identified as L. andamana by the cross-agglutination-lysis test and the cross-absorption test. The IAL-S. P. strain is undoubtedly not saprophytic but parasitic and pathogenic for man and animals, however its biological properties resist to the oligodynamic action of Cu and Hg and the 8-azoguanine action as in the case of the Patoc 1 strain. I could be recommended to reconsider whether the strain belongs to L. interrogans, L. biflexa or to another group because the grounds for L. andamana being saprophytic were denied by this report.
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