Seroprevalence of anti-Neospora caninum antibodies in sheep from the rapidly expanding flock of Rio de Janeiro, Brazil.

Neosporosis is primarily a disease of cattle and dogs, but Neospora caninum has been linked to abortion and neonatal mortality in sheep. Since the economic, clinical and epidemiological importance of the infection in sheep remains uncertain, this work investigated the seroprevalence of anti-N. caninum antibodies and associated factors in the rapidly expanding flock of Rio de Janeiro state. Blood samples from 388 sheep of 12 farms were collected and sera tested by a commercial Enzyme-Linked Immunosorbent Assay. Seroprevalence at the animal-level was of 6.2% (24/388) and, at the herd-level, 50% (6/12) of the studied farms had at least one seropositive animal. Multivariate analysis detected that occasional veterinary assistance (P < 0.05) was significantly associated to higher seroprevalence, which is also associated to age (P < 0.001) and gender (P < 0.0001). Farmers' investments should focus on making technical assistance more frequent and future studies should assess the association of veterinary assistance with anti-N. caninum antibodies in sheep flocks.

Pilot Study of Early Monitoring Using Urinary Screening for BK Polyomavirus as a Strategy for Prevention of BKV Nephropathy in Kidney Transplantation.

BACKGROUND: Urine monitoring programs represent an important strategy for early diagnosis of reactivation of BK polyomavirus (BKV) in kidney transplant recipients. This study analyzes a BKV urine screening model in kidney transplant patients. METHODS: Urinary screening for BKV reactivation was performed by urinary decoy cell and polymerase chain reaction (PCR) tests in samples from 32 consecutive kidney transplant patients, collected in a 6-month follow-up period. PCR in plasma samples and BKV immunohistochemical studies to assess BKV renal disease, if a kidney biopsy was indicated, were performed. RESULTS: The urinary screening for BKV among 32 renal receptors was positive in 18 patients (56%) by the concomitant use of the decoy cells and/or qualitative PCR at some time during the study period. Transfusion before transplantation was significantly associated with urinary decoy cell positive screening (odds ratio = 11; 95% confidence interval = 1.47 to 82.4; P < .05); and so was male sex (odds ratio = 2.02; 95% confidence interval = 1.07 to 3.83; P < .05). The clinical management of screening positive cases consisted of decreasing or changing the immunosuppression regimen. Sixteen renal biopsies were performed. Immunohistochemistry for SV40 T antigen was negative in all biopsies. After 1 year of follow-up, no patient developed BKV-associated nephropathy, and there was no difference in renal function between patients positive and negative for BKV urinary screening. CONCLUSIONS: Early urinary monitoring is effective in detection of BKV replication and represents a good strategy to minimize the deleterious effects caused by the presence of the virus on preservation of graft function.