|Common disease - Leptospirosis|
What is leptospirosis?
Leptospirosis is a disease caused by a bacteria named Leptospira interrogans. This bacteria can survive a long time in the exterior environment when conditions are favourable. Leptospirosis survives well in a damp and warm environment, particularly in stagnant water. This is why the disease incidence among dogs is higher at the end of summer and in the fall.
Leptospirosis is found in the environment following contamination by wild animal urine. Many animal species can be a source of leptospirosis: among these are rats, skunks, raccoons, mice and more rarely cows, pigs and dogs.
How can leptospirosis be diagnosed?
Many tests will be necessary in order to assess the situation correctly and to identify problems that can exist (renal and hepatic insufficiency and coagulation problems).
Blood tests, X-rays and abdominal ultrasonography can help in the diagnosis and identification of affected organs.
The final diagnosis can be made by measuring the level of antibodies (serology) against the leptospire in the blood. Unfortunately, the level of antibodies in the blood can take 1 to 2 weeks before going up; this can delay the final diagnosis. Therefore, it is not rare that treatment be recommended even before the final diagnosis has been known. Since leptospirosis is a potentially fatal disease that can have serious consequences (renal and hepatic) if it is not treated quickly and aggressively, the veterinarian will rarely take the chance to wait for serology results to begin treatment.
Intravenous antibiotics and intravenous fluids are necessary to minimize kidney repercussions. If renal insufficiency is detected at the time of the exam, other treatments will be necessary, sometimes up to dialysis.
It is possible to cure a dog suffering from leptospirosis if treatment is started quickly. However, in some cases, damage to the dog's kidneys or liver could happen. Some dogs may also die during treatment even with all the efforts that were made. This happens when the renal or hepatic (liver) damage is too severe at the time of diagnosis.
Presently, existing vaccines have the strains that are most frequently found in dog clinical infection cases. However, there is no vaccine that can protect against all existing strains of Leptospira interrogans.
Therefore, it is possible that a vaccinated dog contract the disease if it is infected by a different strain than those that are found in the vaccine received.
In fact, this is what happened at the end of the 1990s. At that time, cases of leptospirosis reappeared. They were caused by "new" strains of leptospira interrogans against which there was no vaccine.
In the 1980s, veterinarians frequently vaccinated against leptospirosis with a vaccine containing the icterohemorragiae and canicola strains. Because the vaccine more frequently caused allergic reactions among dogs and because cases of leptospirosis were becoming extremely rare, it was decided to stop vaccinating against this disease. The disease was well controlled until the end of the 1990s where new cases of leptospirosis reappeared. This time, they were mostly caused by the pomona and gryppothyphosa strains. This is when a new vaccine containing these two "new" strains was developed and veterinarians began to vaccinate all dogs against this disease once again.