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Resurgence of leptospirosis in dogs in Ontario: recent findings

机译:安大略省犬钩端螺旋体病死灰复燃:最新发现

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摘要

A marked increase in leptospirosis in dogs was observed in 2000, part of an increasing trend observed in previous years in Ontario. The highest frequency of seropositive cases occurred from September to December 2000, with the peak in November. Large breed dogs were particularly affected. Clinical and clinicopathological data for 31 dogs admitted between 1998 and 2000 to the Ontario Veterinary College Veterinary Teaching Hospital were analyzed. Major clinical presenting features were acute onset of anorexia, depression, fever, and vomiting. Ninety percent of dogs, on admission, showed biochemical evidence of injury to several organs, notably combinations in the order of kidney, muscle, pancreas, and liver. Almost all dogs showed increased serum urea and creatinine levels, and the majority had increased total creatine kinase, bilirubin, alkaline phosphatase, and leukocytosis with neutrophilia. One-third were thrombocytopenic. Of dogs with liver-related abnormalities, most had evidence of cholestasis, with or without hepatocellular damage. Based on serologic studies, in the year 2000, the major serovar involved was autumnalis, but bratislava, grippotyphosa, and pomona were also implicated. The microscopic agglutination test often gave a confusing pattern of reactivities to the serovars that were tested. The high reactivity to serovar autumnalis may represent an erroneous or “paradoxical” reaction typical of early leptospiral serology. The year 2000 was the warmest in Ontario in each of the 4 fall months (September–December) of the previous decade, as well as being the third wettest in the fall period in the last decade. The increase in canine leptospirosis, therefore, may, in part, reflect climate change. The number of positive cases declined in 2001 by about one-third of those in 2000, but the number of submissions of sera for diagnosis increased markedly over previous years. Further work is required to isolate and to identify definitively serovars involved in resurgent canine leptospirosis and the common sources for dogs.
机译:2000年观察到犬钩端螺旋体病明显增加,这是前几年在安大略省观察到的增加趋势的一部分。血清反应阳性病例的最高频率发生在2000年9月至2000年12月,11月达到高峰。大型犬尤其受影响。分析了1998年至2000年间在安大略兽医学院兽医教学医院收治的31只狗的临床和临床病理数据。主要临床表现为厌食症,抑郁症,发烧和呕吐的急性发作。入院时有90%的狗表现出对几个器官的损伤的生化证据,尤其是肾脏,肌肉,胰腺和肝脏的组合。几乎所有的狗都表现出血清尿素和肌酐水平升高,大多数犬的总肌酸激酶,胆红素,碱性磷酸酶和白细胞增多症伴中性粒细胞增多。三分之一是血小板减少症。在患有肝脏相关异常的狗中,大多数都有胆汁淤积的证据,有或没有肝细胞损伤。根据血清学研究,在2000年,主要的血清型是秋季,但也牵涉了布拉迪斯拉发,沙棘和波莫那。显微凝集试验通常给所测血清提供令人困惑的反应模式。对秋季血清型的高反应性可能代表了早期钩端螺旋体血清学的典型错误或“悖论”反应。在前十年的四个秋季月份(9月至12月)中,2000年是安大略省最热的一年,也是过去十年秋季第三个最潮湿的年份。因此,犬钩端螺旋体病的增加可能部分反映了气候变化。 2001年阳性病例的数量下降了2000年的三分之一,但与往年相比,诊断出血清的数量明显增加。需要进一步的工作以分离并确定与复发性犬钩端螺旋体病有关的血清型以及犬的常见来源。

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