Leptospirosis: A need for increased awareness and improved laboratory testing

Abstract

While leptospirosis is currently described as an emerging pathogen, there have likely been numerous cases worldwide each year for centuries. Hurricanes and other flooding events contribute to its spread through rodent urine, many cases of which go undiagnosed. This is especially problematic in developing countries where laboratory techniques may be out of date. There are over 100 cases per year in the United States of America, but millions of cases occur worldwide annually. Caused by many different species of fastidious, spiral-shaped Leptospira, it is difficult and slow to culture. Strides have been made to improve culture techniques in order to reduce the time to grow this genus of bacteria. Greater understanding of this disease by laboratorians, physicians, and other healthcare workers and improved laboratory identification techniques will help increase diagnoses and decrease morbidity and mortality of leptospirosis.