Leptospirosis in the West of Scotland.
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Twelve 4-day old, pathogen-free pigs were inoculated intraperitoneally with virulent L. pomona. Two pigs each were killed 1, 2, 3, 5, 7, and 14 days after inoculation and their kidneys examined by light and electron microscopy. Three to 5 days after inoculation there was hyperemia, edema and swelling of tubular epithelium; leptospires were detected intravascularly, in interstitium and embedded within basement membranes. At day 7, leptospires were at basal surfaces of proximal tubules and in phagosomes in tubular epithelium. Perivascular aggregates of monocytes and macrophages were prominent. At day 14, intersitial cells were chiefly plasmacytes and lymphocytes. Leptospires were only on tubular epithelial cell surface microvilli. In another experiment, all pigs receiving low-virulent strains had leptospires in the renal interstitium at 7 days after inoculation but had none at 14 days. All low-virulent strains produced degenerative changes and lymphocyte-plasmacytic infiltration. These studies indicate that non of the low-virulent isolates were acceptable for use in vaccines. Fialure of leptospires to remain attached to microvilli of proximal tubules in late stages of acute infection may be related to differences in virulence of various isolates.
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Sera from 386 environmental sanitation workers, concerned with water supply, drains and drainage galleries, sewers, garbage collection and road sweepers, were examined for leptospiral agglutinins by the microscopic agglutination test. Altogether 40 of the 386 workers (10.4%) were positive to one or more serovars; however, the difference in seropositivity between the professional categories was not significant (p < 0.05). Twelve serovars were recorded among the seropositive workers with predominance of L. castelonis and L. australis; but the difference between the serovars was not statistically significant (p > 0.05). Of the seropositive workers, 86.9% had agglutination titres > or = 100 and < or = 400; the rates for titres 100 and 400 were higher than 800, 1,600 and 3,200 (p < 0.05).
OBJECTIVE: To establish the seroprevalence of infection by Leptospira in an occupational setting in Cordoba. MATERIAL AND METHODS: A cross-sectional study was conducted among 334 farmworkers, butchers, and garbage collectors, to identify the presence of anti-leptospira IgM antibodies, in the Department of Cordoba, Colombia. Stratified sampling proportional to the number of inhabitants and occupation was used to select the sample population (confidence level 99.9%, error 0.5%, prevalence 72%). The SPSS software 11.0 version was used to perform non parametric tests with p < 0.05, as well as odds ratios with confidence intervals. RESULTS: The prevalence of previous infection by Leptospira was high (13.1%). No differences among areas were found, however, higher infection was associated with living in Cienaga de Oro municipality (OR = 3.52 Cl 1.70-7.26) (p = 0,00283). Being a farmer was also a risk factor for infection (OR = 2.04 Cl 1.080-3.85) (p = 0.025), as well as drinking water from a dam (OR = 2.4 CI 1.24-4.70) (p = 0.00787). CONCLUSIONS: The rate of infection is important and a significant public health problem in this area of the Colombian Caribbean coast.
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A serologic survey was carried out on slum dwellers in the city of Rio de Janeiro. A total of 259 serum samples from male and female individuals of different age groups were tested for the presence of antileptospire antibodies by microagglutination. Prevalence data were analyzed in relation to the major risk factors present at the site, mainly represented by the presence of carrier animals and the occurrence of frequent floods. Of the samples tested, 25% reacted with antigens of different serogroups at titres ranging from 1:100 to 1:6400, with a predominance of titres less than or equal to 1:400; 35% of positive sera reacted with leptospirae of the Icterohaemorrhagiae serogroup. Reactions with Djasiman, Panama, Javanica, Canicola, Pyrogenes, Australis, Ballum, Sejroe, Bataviae, Grippotyphosa, Autumnalis and Cynopteri were also detected, though at lower frequencies. There was no statistically significant difference between sexes, but higher prevalence rates were found to be associated with increasing age. A focus of infection was characterized, in which social and economic factors contribute to the persistence of leptospirae by favoring the proliferation of the main reservoir.
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A cross-sectional study was conducted to estimate the prevalence of Leptospira infection in populations of workers, cattle, and pigs in livestock operations and to explore some environmental and production system variables associated with seropositivity. The research was done between November 1997 and February 1998 in the municipality of Don Matías, in the northern part of the department of Antioquia, Colombia. The area has a cold climate, and there is a "pigs-grasses-milk" production system that utilizes pig dung to fertilize grazing pastures. A total of 23 farms were studied, and blood samples were obtained from 67 dairy and pig-raising workers, 174 dairy cows, 68 pigs for fattening, and 214 pigs for breeding. The microagglutination test (MAT) was used for six Leptospira serotypes. The seropositivity prevalence was 22.4% among the workers (95% confidence interval: 13.1% to 34.2%), 60.9% among the dairy cows (95% CI: 53.2% to 68.2%), 10.3% in the fattening pigs, and 25.7% in the breeding pigs. Four logistic regression models were constructed to identify the variables that predicted infection in the workers and in the dairy cows. A high prevalence of infection with Leptospira (serotypes pomona, bratislava, and hardjo) was found in this production system, where conditions are favorable for transmitting this microorganism to the different animal species and to humans.