Article
Role of inducible nitric oxide synthase in the pathogenesis of experimental leptospirosis.
Institute of Biotechnology and Molecular Biology, CCT-La Plata, CONICET-UNLP, La Plata, Argentina.
Microbial Pathogenesis (impact factor:
1.94).
09/2011;
51(3):203-8.
DOI:10.1016/j.micpath.2011.03.011
pp.203-8
Source: PubMed
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Article: Leptospira and leptospirosis
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ABSTRACT: This paper briefly describes the historical background, the biological nature, epidemiology, diagnosis, and the control of leptospira and leptospirosis (Weil's disease).Journal of biological education 12/2010; Autumn 1991(Vol. 25):169-172. · 0.39 Impact Factor -
Article: Urban epidemic of severe leptospirosis in Brazil. Salvador Leptospirosis Study Group.
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ABSTRACT: Leptospirosis has, traditionally, been considered a sporadic rural disease. We describe a large urban outbreak of leptospirosis. Active surveillance for leptospirosis was established in an infectious-disease referral hospital in Salvador, Brazil, between March 10 and Nov 2, 1996. Patients meeting case criteria for severe manifestations of leptospirosis were recruited into the study. The diagnosis was confirmed in the laboratory with the microagglutination test and identification of leptospires in blood or urine. Risk factors for death were examined by multivariate analyses. Surveillance identified 326 cases of which 193 (59%) were laboratory-confirmed (133) or probable (60) cases. Leptospira interrogans serovar copenhageni was isolated from 87% of the cases with positive blood cultures. Most of the cases were adult (mean age 35.9 years [SD 15.9]), and 80% were male. Complications included jaundice (91%), oliguria (35%), and severe anaemia (26%). 50 cases died (case-fatality rate 15%) despite aggressive supportive care including dialysis (in 23%). Altered mental status was the strongest independent predictor of death (odds ratio 9.12 [95% CI 4.28-20.3]), age over 37 years, renal insufficiency, and respiratory insufficiency were also significant predictors of death. Before admission to hospital, 42% were misdiagnosed as having dengue fever in the outpatient clinic; an outbreak of dengue fever was taking place concurrently. An epidemic of leptospirosis has become a major urban health problem, associated with high mortality. Diagnostic confusion with dengue fever, another emerging infectious disease with a similar geographic distribution, prevents timely intervention that could minimise mortality.The Lancet 10/1999; 354(9181):820-5. · 38.28 Impact Factor -
Article: Factors affecting the development of the carrier state in leptospirosis.
Journal of Hygiene 12/1962; 60(4):427-34.
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Keywords
14 days post-infection
4-aminopyridine
4-AP treatment
bacterial burden
deeper insight
Golden Syrian hamsters
inducible nitric oxide synthase
innate immune system
iNOS inhibition
intraperitoneally
leptospiral DNA quantification
mock-infected animals
mortality rate
pathogen replication
radical effector molecule
real-time PCR
specific humoral response
study subsequent iNOS kidney expression
tubulointerstitial nephritis
untreated