Diagnosis of acute canine leptospirosis using multiple laboratory tests and characterization of the isolated strains

Abstract Background Dogs presenting with acute leptospirosis may present non-specific clinical and laboratory findings, and the definitive diagnosis may require additional confirmatory tests, including bacterial culture, for the direct or indirect identification of the pathogen. The present study de...

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Main Authors: Bruno Alonso Miotto, Barbara Furlan Tozzi, Manoela de Souza Penteado, Aline Gil Alves Guilloux, Luisa Zanolli Moreno, Marcos Bryan Heinemann, Andrea Micke Moreno, Walter Lilenbaum, Mitika Kuribayashi Hagiwara
Format: Article
Language:English
Published: BMC 2018-07-01
Series:BMC Veterinary Research
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12917-018-1547-4
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author Bruno Alonso Miotto
Barbara Furlan Tozzi
Manoela de Souza Penteado
Aline Gil Alves Guilloux
Luisa Zanolli Moreno
Marcos Bryan Heinemann
Andrea Micke Moreno
Walter Lilenbaum
Mitika Kuribayashi Hagiwara
author_facet Bruno Alonso Miotto
Barbara Furlan Tozzi
Manoela de Souza Penteado
Aline Gil Alves Guilloux
Luisa Zanolli Moreno
Marcos Bryan Heinemann
Andrea Micke Moreno
Walter Lilenbaum
Mitika Kuribayashi Hagiwara
author_sort Bruno Alonso Miotto
collection DOAJ
description Abstract Background Dogs presenting with acute leptospirosis may present non-specific clinical and laboratory findings, and the definitive diagnosis may require additional confirmatory tests, including bacterial culture, for the direct or indirect identification of the pathogen. The present study describes the diagnosis of leptospirosis in suspected dogs based on the use of multiple diagnostic tests, including serological, molecular and bacteriological tests, along with the characterization of the recovered leptospiral strains. Results Urine, serum and blood samples were collected from 33 dogs with suspected clinical leptospirosis treated at the University of São Paulo Veterinary Hospital Service (Hovet FMVZ-USP) between 2013 and 2016. Only dogs with high blood urea nitrogen and creatinine levels in association with multiple clinical manifestations of the disease were included. Leptospiral culture, PCR and serology (Microscopic agglutination test - MAT) were performed in blood and urine samples taken from all suspected dogs at clinical presentation, and an additional prospective MAT titration was performed in seven dogs. Infection could be identified exclusively by PCR in 10 dogs (30.3%), exclusively by MAT in four dogs (12.1%) and by both tests in four dogs, totaling 18 dogs (54.5–95%CI: 37.6–71.5). Six out of eight MAT-confirmed cases presented with the highest titers against the Icterohaemorrhagiae serogroup. Leptospires were recovered from urine samples from two PCR-positive dogs, and both strains could be characterized by Multilocus Sequence Analysis and serogrouping as L. interrogans serogroup Icterohaemorrhagiae. Both isolates were shown to be pathogenic in the hamster model. Conclusions The simultaneous use of MAT and PCR was able to increase the diagnosis of leptospirosis in clinically suspected cases. Despite the increasing incidence of new serovars affecting dogs being reported in different locations, our results suggest that leptospiral strains belonging to the Icterohaemorrhagiae serogroup are still a major causative agent of canine leptospirosis in São Paulo, Brazil.
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spelling doaj.art-342d47254f6c4f60907af0eb3e2a1a302022-12-22T03:38:41ZengBMCBMC Veterinary Research1746-61482018-07-011411910.1186/s12917-018-1547-4Diagnosis of acute canine leptospirosis using multiple laboratory tests and characterization of the isolated strainsBruno Alonso Miotto0Barbara Furlan Tozzi1Manoela de Souza Penteado2Aline Gil Alves Guilloux3Luisa Zanolli Moreno4Marcos Bryan Heinemann5Andrea Micke Moreno6Walter Lilenbaum7Mitika Kuribayashi Hagiwara8Departamento de Clínica Médica (Department of Veterinary Clinics), Faculdade de Medicina Veterinária e Zootecnia (School of Veterinary Medicine and Animal Science), Universidade de São Paulo (University of São Paulo)Departamento de Clínica Médica (Department of Veterinary Clinics), Faculdade de Medicina Veterinária e Zootecnia (School of Veterinary Medicine and Animal Science), Universidade de São Paulo (University of São Paulo)Departamento de Clínica Médica (Department of Veterinary Clinics), Faculdade de Medicina Veterinária e Zootecnia (School of Veterinary Medicine and Animal Science), Universidade de São Paulo (University of São Paulo)Departamento de Medicina Veterinária Preventiva e Saúde Animal (Department of Veterinary Preventive Medicine and Animal Health), Faculdade de Medicina Veterinária e Zootecnia (School of Veterinary Medicine and Animal Science), Universidade de São Paulo (University of São Paulo)Departamento de Medicina Veterinária Preventiva e Saúde Animal (Department of Veterinary Preventive Medicine and Animal Health), Faculdade de Medicina Veterinária e Zootecnia (School of Veterinary Medicine and Animal Science), Universidade de São Paulo (University of São Paulo)Departamento de Medicina Veterinária Preventiva e Saúde Animal (Department of Veterinary Preventive Medicine and Animal Health), Faculdade de Medicina Veterinária e Zootecnia (School of Veterinary Medicine and Animal Science), Universidade de São Paulo (University of São Paulo)Departamento de Medicina Veterinária Preventiva e Saúde Animal (Department of Veterinary Preventive Medicine and Animal Health), Faculdade de Medicina Veterinária e Zootecnia (School of Veterinary Medicine and Animal Science), Universidade de São Paulo (University of São Paulo)Departamento de Microbiologia e Parasitologia (Department of Microbiology and Parasitology), Universidade Federal FluminenseDepartamento de Clínica Médica (Department of Veterinary Clinics), Faculdade de Medicina Veterinária e Zootecnia (School of Veterinary Medicine and Animal Science), Universidade de São Paulo (University of São Paulo)Abstract Background Dogs presenting with acute leptospirosis may present non-specific clinical and laboratory findings, and the definitive diagnosis may require additional confirmatory tests, including bacterial culture, for the direct or indirect identification of the pathogen. The present study describes the diagnosis of leptospirosis in suspected dogs based on the use of multiple diagnostic tests, including serological, molecular and bacteriological tests, along with the characterization of the recovered leptospiral strains. Results Urine, serum and blood samples were collected from 33 dogs with suspected clinical leptospirosis treated at the University of São Paulo Veterinary Hospital Service (Hovet FMVZ-USP) between 2013 and 2016. Only dogs with high blood urea nitrogen and creatinine levels in association with multiple clinical manifestations of the disease were included. Leptospiral culture, PCR and serology (Microscopic agglutination test - MAT) were performed in blood and urine samples taken from all suspected dogs at clinical presentation, and an additional prospective MAT titration was performed in seven dogs. Infection could be identified exclusively by PCR in 10 dogs (30.3%), exclusively by MAT in four dogs (12.1%) and by both tests in four dogs, totaling 18 dogs (54.5–95%CI: 37.6–71.5). Six out of eight MAT-confirmed cases presented with the highest titers against the Icterohaemorrhagiae serogroup. Leptospires were recovered from urine samples from two PCR-positive dogs, and both strains could be characterized by Multilocus Sequence Analysis and serogrouping as L. interrogans serogroup Icterohaemorrhagiae. Both isolates were shown to be pathogenic in the hamster model. Conclusions The simultaneous use of MAT and PCR was able to increase the diagnosis of leptospirosis in clinically suspected cases. Despite the increasing incidence of new serovars affecting dogs being reported in different locations, our results suggest that leptospiral strains belonging to the Icterohaemorrhagiae serogroup are still a major causative agent of canine leptospirosis in São Paulo, Brazil.http://link.springer.com/article/10.1186/s12917-018-1547-4LeptospirosisDogsCaninePCRMATAcute infection
spellingShingle Bruno Alonso Miotto
Barbara Furlan Tozzi
Manoela de Souza Penteado
Aline Gil Alves Guilloux
Luisa Zanolli Moreno
Marcos Bryan Heinemann
Andrea Micke Moreno
Walter Lilenbaum
Mitika Kuribayashi Hagiwara
Diagnosis of acute canine leptospirosis using multiple laboratory tests and characterization of the isolated strains
BMC Veterinary Research
Leptospirosis
Dogs
Canine
PCR
MAT
Acute infection
title Diagnosis of acute canine leptospirosis using multiple laboratory tests and characterization of the isolated strains
title_full Diagnosis of acute canine leptospirosis using multiple laboratory tests and characterization of the isolated strains
title_fullStr Diagnosis of acute canine leptospirosis using multiple laboratory tests and characterization of the isolated strains
title_full_unstemmed Diagnosis of acute canine leptospirosis using multiple laboratory tests and characterization of the isolated strains
title_short Diagnosis of acute canine leptospirosis using multiple laboratory tests and characterization of the isolated strains
title_sort diagnosis of acute canine leptospirosis using multiple laboratory tests and characterization of the isolated strains
topic Leptospirosis
Dogs
Canine
PCR
MAT
Acute infection
url http://link.springer.com/article/10.1186/s12917-018-1547-4
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