Abstract

BackgroundRattus spp. are frequently implicated as key reservoir hosts for leptospirosis, one of the most common, but neglected, bacterial zoonoses in the world. Although leptospirosis is predicted to be a significant public health threat in Africa, studies from the continent are limited.MethodsRattus spp. (n = 171) were sampled (January–May 2016) across the City of Johannesburg, South Africa’s largest inland metropole. Rattus spp. genetic diversity was evaluated by full length (1140 bp) cyt b sequencing of 42 samples. For comparison, a further 12 Rattus norvegicus samples collected in Cape Town, South Africa’s largest coastal metropole, were also genotyped. Leptospira infections were identified and genotyped using real-time PCR and multi-locus (lfb1, secY and lipL41) DNA sequencing.ResultsFive R. norvegicus haplotypes were identified across Johannesburg, four of which have not previously been detected in South Africa, and one in Cape Town. Across Johannesburg we identified a Leptospira spp. infection prevalence of 44% (75/171) and noted significant differences in the prevalence between administrative regions within the metropole. Multi-locus sequence analyses identified a clonal genotype consistent with L. borgpetersenii serogroup Javanica (serovar Ceylonica).DiscussionThe prevalence of infection identified in this study is amongst the highest detected in Rattus spp. in similar contexts across Africa. Despite the complex invasion history suggested by the heterogeneity in R. norvegicus haplotypes identified in Johannesburg, a single L. borgpetersenii genotype was identified in all infected rodents. The lack of L. interrogans in a rodent community dominated by R. norvegicus is notable, given the widely recognised host-pathogen association between these species and evidence for L. interrogans infection in R. norvegicus in Cape Town. It is likely that environmental conditions (cold, dry winters) in Johannesburg may limit the transmission of L. interrogans. Spatial heterogeneity in prevalence suggest that local factors, such as land use, influence disease risk in the metropole.ConclusionsIn South Africa, as in other African countries, leptospirosis is likely underdiagnosed. The high prevalence of infection in urban rodents in Johannesburg suggest that further work is urgently needed to understand the potential public health risk posed by this neglected zoonotic pathogen.Graphical

Highlights

  • Rattus spp. are frequently implicated as key reservoir hosts for leptospirosis, one of the most common, but neglected, bacterial zoonoses in the world

  • The majority of R. norvegicus from Johannesburg clustered with the RN01 (n = 27), the only R. norvegicus haplotype identified in this study that has previously been detected in South Africa [6]

  • Despite the heterogenous R. norvegicus community identified in Johannesburg, we identified a single clonal Leptospira genotype consistent with L. borgpetersenii serogroup Javanica in R. norvegicus across the metropole and in the only R. rattus identified in this study

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Summary

Introduction

Rattus spp. are frequently implicated as key reservoir hosts for leptospirosis, one of the most common, but neglected, bacterial zoonoses in the world. Leptospirosis is one of the world’s most common, but neglected, zoonotic diseases. The majority of human cases of leptospirosis are as a result of infection with three pathogenic species, Leptospira interrogans, Leptospira borgpetersenii and Leptospira kirschneri [3]. Rattus norvegicus are traditionally associated with L. interrogans serogroup Icterohaemorrhagiae [3], and generally have a higher prevalence of infection than other Rattus spp. Exposure to this key urban rodent pest has been demonstrated to be associated with increased risk of leptospirosis [5]

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