Search Results (663)

Leptospirosis, caused by Leptospira spp., affects multiple domestic species and can result in significant economic and public health impacts. This scoping review, conducted following the PRISMA 2020 guidelines, searched PubMed, SciELO, and Scopus for original studies that described complete therapeutic protocols (including dose, duration, and confirmed diagnosis) in dogs, cats, cattle, pigs, horses, sheep, and goats. Thirty-five studies met the criteria: 14 (40%) in cattle, 7 (20%) in swine, 2 (5.7%) in small ruminants, 7 (20%) in dogs and cats, and 5 (14.3%) in horses. In livestock, streptomycin monotherapy has predominated, demonstrating high efficacy against renal and genital carriers, but it faces regulatory restrictions in several countries. In companion animals, treatment often addressed acute cases using doxycycline and aminopenicillins, with frequent drug combinations. Horses were mainly treated with penicillin, alone or associated with other agents. Across species, protocols showed substantial heterogeneity, lack of harmonization, and limited evaluation of bacteriological cure, with most studies published before 2000. This scarcity of recent clinical trials reinforces the neglected status of animal leptospirosis. By compiling fragmented evidence, this review identifies converging practices that may serve as a preliminary consensus, highlights discrepancies and knowledge gaps, and provides an evidence-based framework to support the development of standardized, species-specific guidelines urgently needed in a One Health context. Full article

This study focuses on the impact of wastewater discharges from the Besòs treatment plant on the coastal water quality of Barcelona, particularly under adverse weather conditions. A simplified mathematical model was developed to predict, in real time, the concentration of bacterial indicators (Enterococci and E. coli) along nearby beaches. This model aims to quickly detect contamination events and trigger alerts to evacuate swimming areas before water quality tests are completed. The simulator uses meteorological data—such as wind direction and speed, rainfall intensity, and solar irradiance, among others—to anticipate pollution levels without requiring immediate water sampling. The model was tested against real-world scenarios and validated with historical meteorological and bacteriological data collected over six years. The results show that bacterial pollution occurs mainly during intense rainfall events combined with specific wind conditions, particularly when winds blow from the southeast (SE) or east–southeast (ESE) at moderate to high speeds. These wind patterns carry under-treated wastewater toward the coast. Conversely, winds from the north or northwest tend to disperse the contaminants offshore, posing little to no risk to swimmers. This study confirms that pollution events are relatively rare—about two per year—but pose significant health risks when they do occur. The simulator proved reliable, accurately predicting contamination episodes without producing false alarms. Minor variables such as water temperature or suspended solids showed limited influence, with wind and sunlight being the most critical factors. The model’s rapid response capability allows public authorities to take swift action, significantly reducing the risk to beachgoers. This system enhances current water quality monitoring by offering a predictive, cost-effective, and preventive tool for beach management in urban coastal environments. Full article

Objective: This study aims to evaluate the management and outcomes over 14 years at a tertiary maxillofacial surgery unit. Methods: Retrospective cohort study of patients from a Portuguese tertiary center of maxillofacial surgery with histopathologically confirmed diagnoses of chronic osteomyelitis of the jaws between January 2010 and December 2023. Demographic and clinical characteristics, treatment, and progression of the disease were evaluated. Results: Fifty-three patients were included—28 women (52.8%), mean age 55 (95% CI 5–90) years. The mandible was affected in 84.9% (n = 45) of cases. Secondary chronic osteomyelitis was diagnosed in 88.7% (n = 47), with medication-related osteonecrosis of the jaw (MRONJ) being the most common etiology (38.3%). Bacteriological samples were contributory in 52% (n = 13) and 46.1% (n = 6) were resistant to amoxicillin. All received antibiotics for a median time of 27.3 days. Surgical treatment included sequestrectomy (n = 40, 75.5%), marginal (n = 5, 9.4%), and segmental mandibulectomy (n = 8, 15.1%). Clinical remission was achieved in 77.4% (n = 41) of cases with higher success in MRONJ (n = 15, 83.3%) than ORN (n = 4, 57.1%). Conclusions: Almost half of the isolates were amoxicillin-resistant, reinforcing the need for susceptibility testing. Surgical management guided by etiology and disease stage remains essential, with more extensive resection needed in MRONJ and ORN. Full article

Implementation of molecular detection methodology of Shiga toxin-producing Escherichia coli (STEC) in Danish patients began in 1997. Since then, changes in molecular detection methods and diagnostic criteria have led to the present situation, in which almost all diarrhoeal stool specimens are examined for STEC. Whole genome sequencing (WGS) of STEC isolates referred to the national reference laboratory has increased the detailed characterisation, and revealed a large spectrum, of STEC types, including cross-over pathotypes typically associated with extraintestinal disease or traveller’s diarrhoea. Association of subtype stx2a (and stx2d) with the risk of developing haemolytic uraemic syndrome (HUS) was confirmed. These changes have resulted in an increase in the number of diagnosed STEC cases from 31 cases in 1997 to 1432 in 2023. Similar increases in Europe have also been recorded. Culture of STEC is, on the other hand, declining, which poses a challenge to the identification of multiple STEC infections and outbreaks. Syndromic (PCR) test panels have also resulted in an increase in the detection of multiple microorganisms. Double or triple infections have increased the role of clinical microbiologists in interpreting and assessing the significance of diagnostic results and have also increased the need for high-quality curation of surveillance data. Full article

Social Farming promotes mental and physical health, social inclusion, education and recreational services through agricultural and animal-related activities. The expansion of Social Farming draws attention to its potential health risks, although information on the role of animals and environments as reservoirs of pathogenic or resistant bacteria within Social Farming contexts is still limited. Therefore, this study aimed to assess the presence of potential zoonotic enterobacteria (e.g., Escherichia coli, Klebsiella spp., Salmonella spp.) and their antibiotic-resistance profiles from animals and environmental samples within a Social Farming context in Naples. Samples were collected from 76 animals belonging to 5 species and from 16 environmental surfaces. Bacteriological investigations included isolation of Enterobacteriaceae, identification through MALDI-TOF, and antibiotic susceptibility testing. The most frequently isolated species were E. coli and Klebsiella spp., both from animal (73.7% and 44.7%, respectively) and environmental samples (56.3% and 43.8%, respectively). Notably, 96.9% of tested strains were resistant to amoxicillin-clavulanic acid. These findings suggest that poultry, synanthropic birds and environmental surfaces within a Social Farming context might harbor potentially pathogenic and antibiotic-resistant bacteria. Thus, continuous monitoring, good hygiene, and proper management are required strategies to preserve the health of users, especially vulnerable populations such as children. Full article

Clostridium piliforme (Cp) is a pleomorphic spore-forming obligate intracellular bacterium and the causative agent of Tyzzer’s disease. The condition affects multiple species, including rabbits, in which the disease is sporadic in recently weaned animals. This report details a case of disease caused by Cp observed exclusively in breeding rabbits of a commercial farm. The clinical manifestations were a higher mortality rate in does and late-gestation abortions. We performed necropsy and further microbiological, parasitological and histopathological analyses. Anatomopathological lesions were suggestive of Tyzzer’s disease and the presence of Cp was confirmed by PCR. Parasitological analysis tested negative and standard bacteriological examination of intestines revealed a high load of Escherichia coli and Clostridium perfringens, which were considered secondary pathogens. Chlamydophila sp. and Toxoplasma gondii infections were excluded by PCR as causative agents of abortions. Moreover, in the months following the diagnosed outbreak, episodes of subcutaneous edema occurred in multiple does and young breeders born after the resolution of the epidemic. The constant reduction in the use of antimicrobials in recent years could make some neglected diseases emerge again. Therefore, it is crucial to suspect such uncommon pathologies in commercial rabbitries to properly manage them on farms. Full article

In children under 4, septic arthritis of the hip (SAH) caused by Kingella kingae (SAH-KK) can be misdiagnosed, as it does not meet classic septic joint criteria (fever > 38.5°, pain, limited range of motion, and inability to bear weight). The objective of this study was to report clinical and paraclinical characteristics in a large cohort of children with confirmed SAH-KK and to evaluate the reliability of the Kocher (KC) and Caird criteria (CC) in predicting SAH-KK. Medical records of 140 children with confirmed SAH-KK were collected. Data on sex, age, temperature on admission, weight-bearing status, white blood cell (WBC) count, platelet count, C-reactive protein (CRP) value, and erythrocyte sedimentation rate (ESR) were extracted. The study focused on the sensitivity of KC (body temperature, refusal to bear weight, leukocytosis, and ESR) and CC (KC criteria plus CRP level). All patients had bacteriologically confirmed SAH-KK; most had mild symptoms and near-normal inflammatory markers. CRP (76.2%) had the highest sensitivity, followed by weight-bearing status (73.8%) and WBC count (69.6%). Body temperature and ESR exceeded cutoff values in less than 50% of cases. Among 77 patients fulfilling all KC, 49 (63.5%) had less than a 40% probability of SAH. Of 50 children with complete CC, 20 (40%) had a 62.4% or lower probability of SAH. KC and CC are not sufficiently accurate to confidently exclude SAH-KK in preschool-aged children due to heterogeneous clinical presentations. Further studies are needed to redefine diagnostic criteria based on patient age and causative pathogens. Full article

As water scarcity and pollution increase in rural communities in some parts of developing countries, there is a need to find simple ways to improve the quality of contaminated water. In this research, bagasse-based cellulose membranes were prepared and evaluated in a simple filtration system and compared with polycaprolactone membranes (PCL) and bagasse-based cellulose/PCL membranes for the removal of total coliform bacteria, Escherichia coli and other physical and chemical contaminants from contaminated water. Cellulose offers many opportunities in filtration technology due to its physical and chemical characteristics that allow its use in the design of membranes with flexible capabilities and specific applications. The membranes were characterized physically, chemically and mechanically, finding similarity in mechanical properties and differences in porosity. The membranes were tested in a filtration system and PCL membranes were more effective in removing turbidity (94.5%), color removal (70%) and phosphorus removal (50%), while cellulose membranes were better at retaining fecal coliforms (84.5%) and E. coli (90.8%). Statistical analysis (one-way ANOVA, p < 0.05) confirmed significant differences among the three membrane types for turbidity, apparent color, and nitrate, while no significant differences were observed for pH, conductivity, and phosphorus. These results suggest that the use of the membranes could help to improve the quality of polluted water and more studies are needed in order to improve their efficiencies. Full article

Background: This case report describes a calf that underwent castration at a Japanese livestock farm and subsequently died after developing clinical signs of tetanus, including muscle rigidity and difficulty standing. Methods: A postmortem examination was performed, focusing on indurated lesions at the castration site, which were subjected to bacteriological and genetic analyses. Results: Clostridium tetani strain OPLHC-2022-Y645 was isolated from the purulent lesion. Whole-genome sequencing revealed a close genetic relationship to strain KHSU-254310-026, which belongs to the high toxin-producing lineage Clade 1-3 previously reported in Japan. Immunoassays demonstrated that OPLHC-2022-Y645 exhibited the highest tetanus toxin production among isolates tested to date. Conclusions: Whole-genome sequencing and immunoassay findings suggest that the rapid progression of tetanus in this calf could be associated with the strong toxin-producing capacity of the OPLHC-2022-Y645 strain. Full article

Background/Objectives: This report documents the first confirmed case in Romania of fatal pneumonia and septicemia in a domestic rabbit caused by multidrug-resistant Escherichia coli, highlighting both its pathogenic potential and One Health implications. Case Study: An 8-month-old male German Giant Spotted rabbit raised on a rural farm under poor husbandry conditions developed acute respiratory distress and died within 48 h. Post-mortem examination revealed severe pulmonary congestion, tracheal inflammation, serofibrinous pericarditis, and systemic vascular lesions. Bacteriological analysis confirmed E. coli from lung, trachea, and bone marrow samples. The isolate demonstrated strong Congo red binding, was confirmed by MALDI-TOF mass spectrometry, and showed resistance to beta-lactams, fluoroquinolones, tetracyclines, sulfonamides, macrolides, and phenicols, remaining susceptible only to aminoglycosides. PCR screening identified virulence genes (fimH, papC, iutA, ompA) linked to adhesion, immune evasion, and iron acquisition, with potential for horizontal gene transfer. Conclusions: This first documented case in Romania emphasizes the clinical threat posed by multidrug-resistant E. coli in rabbits and the importance of early diagnosis, improved biosecurity, and responsible antimicrobial use. The zoonotic and environmental risks in backyard farming underscore the urgent need for integrated surveillance. Alternative control strategies, including phage therapy and probiotics, should be explored to reduce reliance on conventional antibiotics. Full article

A 2-year-old male neutered domestic shorthair cat was presented with a 12-month history of anorexia, weight loss, vomiting, polyuria, and polydipsia. Physical examination revealed a responsive but debilitated cat with icteric mucous membranes and a low body-condition score. Laboratory tests showed mild macrocytic anemia, elevated liver enzymes, hyperproteinemia with hypoalbuminemia, hyperbilirubinaemia, and a decreased vitamin B12 level. Abdominal ultrasound revealed marked dilation of the common bile duct (CBD) and gallbladder, consistent with suspected extrahepatic biliary tract obstruction, as well as secondary pancreatic and intrahepatic duct distension. Cytological and bacteriological analyses confirmed bacterial cholangiohepatitis due to a mixed infection with Escherichia coli and Peptostreptococcus canis. Despite initial conservative management, the cat’s clinical condition remained unchanged, prompting exploratory laparotomy. Intraoperative findings confirmed the ultrasonographic suspicions and revealed severe pancreatitis. Based these findings, a cholecystectomy, choledochoenterostomy, and placement of a cholecystostomy tube as well as an abdominal drain and jejunal feeding tube were performed. Postoperatively, the cat initially showed improvement but subsequently developed signs of sepsis requiring intensive care. Although temporary stabilization was achieved, the cat died suddenly ten days after surgery due to unknown causes. This case report highlights the diagnostic and therapeutic challenges associated with bacterial cholangiohepatitis secondary to biliary obstruction in cats and documents the first clinical application of choledochoenterostomy—a surgical procedure previously only described hypothetically in this species. Full article

Laser-induced graphene (LIG) is a high-quality graphene material produced by laser scribing. It has garnered significant attention as a solution to various growing global concerns, such as biological threats, energy scarcity, and environmental contamination due to its high conductivity, tunable surface chemistry, and ease of synthesis from a variety of carbonaceous substrates. This review provides a survey of recent advances in LIG applications for energy storage, heavy metal adsorption, water purification, and antimicrobial materials. As a part of this, we discuss the most recent research efforts to develop LIG as (1) sensors to detect heavy metals at ultralow detection limits, (2) as membranes capable of salt and bacteria rejection, and (3) antimicrobial materials capable of bacterial inactivation efficiencies of up to 99.998%. Additionally, due to its wide surface area, electrochemical stability, and rapid charge conduction, we report on the current body of literature that showcases the potential of LIG within energy storage applications (e.g., batteries and supercapacitors). All in all, this critical review highlights the findings and promise of LIG as an emerging next-generation material for integrated biomedical, energy, and environmental technologies and identifies the key knowledge gaps and technological obstacles that currently hinder the full-scale implementation of LIG in each field. Full article

This paper aims to assess the antiseptic capacity of a double-distilled ozonated water solution and compare it to standard presurgical antiseptic protocols based on chlorhexidine and alcohol. Sixty-three canine patients undergoing different surgical procedures (such as thoracic, abdominal, proximal limb, or cervical) were enrolled in the study. Following extensive preoperative clipping of the selected anatomical regions, four standardized skin areas (6 × 6 cm each) were aseptically sampled according to a predefined protocol: Area 1 received soap-based chlorhexidine followed by alcoholic chlorhexidine; Area 2 was prepared using a combination of soap-based chlorhexidine and ozonated water; Areas 3 and 4 underwent presurgical skin antisepsis with a combination of ethyl alcohol and ozonated water, and ozonated water alone, respectively. Two different samples per area were collected using bacteriological buffers in order to evaluate the bacterial count at 90 s and 180 s, respectively. Those samples were sown via streak plating on Petri dishes using PCA (plate count agar) as the medium. The determination of the total mesophilic bacterial count on Petri dishes was used to assess the efficacy of the antiseptics in different areas. Results show that ozonated bidistilled water demonstrated comparable or superior efficacy compared to other antiseptics tested in this study. Its integration into surgical protocols could enhance patient safety while controlling environmental concerns associated with the massive use of chemical antiseptics. Full article

Tuberculosis (TB) continues to be the world’s deadliest infectious disease, with an estimated 10.8 million new cases reported in 2023, of which India alone accounted for 28% of the global burden. This study aims to evaluate the impact of tuberculosis on pulmonary function and exercise tolerance, and to examine how these impairments affect health-related quality of life (HRQoL). In a cross-sectional design, 96 bacteriologically confirmed TB patients and 96 age- and sex-matched community controls underwent spirometry, six-minute-walk test (6 MWT), and HRQoL evaluation. DR-TB was detected in 27 patients (28.1%): Isoniazid monoresistance 59.3%, rifampicin monoresistance 11.1%, and XDR-TB 29.6%. Dyspnoea (70.8%) and cough (37.5%) were the most commonly reported symptoms among TB patients. Mean values of FEV₁, FVC, and FEV₁/FVC were significantly lower in TB patients compared to controls (62.8%, 65.97%, and 70.08% vs. 82.55%, 80.09%, and 78.08%, respectively; p < 0.001). Recurrent or DR-TB was associated with reduced spirometric indices and 6 MWT distances (241 m vs. 358 m in drug-sensitive TB). St. George’s respiratory questionnaire (SGRQ) scores indicated significantly poorer health-related quality of life (HRQoL) in patients compared to controls across all domains—symptoms (23.7 vs. 10.7), activity (33.3 vs. 14.2), and impact (20.6 vs. 9.4; p < 0.05). SGRQ scores were inversely correlated with lung function parameters (r = −0.42 to −0.56). These findings underscore the persistent health burden TB poses post-therapy, highlighting the need for routine post-TB functional screening and robust DR-TB control to achieve End-TB goals. Full article

Bacterial diseases are widespread in pet birds, posing a severe threat in nestlings and birds with weakened immune systems, often resulting in high mortality during the first days after hatching. This study aimed to describe the pathological findings of a natural bacterial co-infection with Klebsiella pneumoniae and Pseudomonas aeruginosa in nestling European goldfinches (Carduelis carduelis), as a cause of mortality after hatching. Eight nestlings kept in a breeding facility showed an inability to move, anorexia, and respiratory distress, and were found dead between 1 and 4 days of life. Gross pathological findings included diffuse pneumonia with edema and multifocal hemorrhages and occasionally hepatic necrosis. On histopathology, the main findings in all examined birds included severe, subacute bronchopneumonia and severe necrotizing hepatitis. Gram-negative bacilli were observed in parabronchial walls, within pulmonary arteries and surrounding hepatocellular necrotic foci. Lungs, livers and kidneys were sampled for bacteriological examination, resulting in two Gram-negative bacterial isolates. Four housekeeping genes (i.e., 16S rRNA; rpoB; khe; ecfX) were amplified and sequenced for bacterial identification at species level. Although K. pneumoniae and P. aeruginosa are common Gram-negative pathogens and are often co-isolated in human bacterial pneumonia, co-infection with these bacteria has not been documented in nestling goldfinches to date. Pathogen identification is essential for formulating a correct etiological diagnosis and further selecting the most appropriate therapeutic strategy. Full article