Skip to main content
Advertisement
  • Loading metrics

Pathogenic Leptospira species identified in dogs and cats during neutering in Thailand

  • Metawee Thongdee,

    Roles Conceptualization, Funding acquisition, Investigation, Methodology, Validation, Writing – original draft, Writing – review & editing

    Affiliation The Monitoring and Surveillance Center for Zoonotic Diseases in Wildlife and Exotic Animals, Faculty of Veterinary Science, Mahidol University, Salaya, Nakhon Pathom Province, Thailand

  • Somjit Chaiwattanarungruengpaisan,

    Roles Investigation, Methodology, Writing – review & editing

    Affiliation The Monitoring and Surveillance Center for Zoonotic Diseases in Wildlife and Exotic Animals, Faculty of Veterinary Science, Mahidol University, Salaya, Nakhon Pathom Province, Thailand

  • Weena Paungpin,

    Roles Investigation, Methodology, Writing – review & editing

    Affiliation The Monitoring and Surveillance Center for Zoonotic Diseases in Wildlife and Exotic Animals, Faculty of Veterinary Science, Mahidol University, Salaya, Nakhon Pathom Province, Thailand

  • Sivapong Sungpradit,

    Roles Investigation, Writing – review & editing

    Affiliation Department of Pre-Clinic and Applied Animal Science, Faculty of Veterinary Science, Mahidol University, Salaya, Nakhon Pathom Province, Thailand

  • Sineenard Jiemtaweeboon,

    Roles Investigation, Writing – review & editing

    Affiliations Department of Clinical Sciences and Public Health, Faculty of Veterinary Science, Mahidol University, Salaya, Nakhon Pathom Province, Thailand, Livestock and Wildlife Hospital, Faculty of Veterinary Science, Mahidol University, Sai Yok, Kanchanaburi Province, Thailand

  • Ekasit Tiyanun,

    Roles Investigation, Writing – review & editing

    Affiliation One Health Animal Clinic, Nakhonsawan Campus, Mahidol University, Nakhonsawan, Thailand

  • Kanin Ruchisereekul,

    Roles Investigation, Writing – original draft

    Affiliation 3D Pet Hospital, Bangkok, Thailand

  • Sarin Suwanpakdee,

    Roles Conceptualization, Formal analysis, Writing – review & editing

    Affiliations The Monitoring and Surveillance Center for Zoonotic Diseases in Wildlife and Exotic Animals, Faculty of Veterinary Science, Mahidol University, Salaya, Nakhon Pathom Province, Thailand, Department of Clinical Sciences and Public Health, Faculty of Veterinary Science, Mahidol University, Salaya, Nakhon Pathom Province, Thailand

  • Janjira Thaipadungpanit

    Roles Conceptualization, Data curation, Formal analysis, Methodology, Supervision, Validation, Writing – original draft, Writing – review & editing

    janjira.tha@mahidol.ac.th

    Affiliations Department of Clinical Tropical Medicine, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand, Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand

Abstract

Pathogenic species of the genus Leptospira cause an underdiagnosed zoonosis in humans and animals called leptospirosis. Animal reservoirs often remain asymptomatic yet shed the active spirochete in urine, making the control of leptospirosis transmission to humans more challenging. Asymptomatic leptospirosis in human companions, such as dogs and cats, resulting in unrecognised infections, has been demonstrated in a few countries. Crucially, the current lack of molecular epidemiology data on Leptospira among companion animals in Thailand underscores the urgent need to investigate transmission dynamics for effective regional control. We investigated the prevalence of Leptospira infection in cats and dogs during neutering in seven provinces across Thailand. The urine samples were screened for Leptospira DNA by PCR targeting the rrs gene and further speciation using the Sanger Sequencing Analysis. The 56/567 (9.9%) animals were positive for Leptospira in the Pathogen clade, including 34/303 (11.2%) dogs and 22/264 (8.3%) cats. The partial rrs gene analysis identified L. interrogans, L. weilii, and L. borgpetersenii (4.4%) as well as Pathogen subclade 2 species (1.4%). Notably, this study reports the first molecular detection of L. yasudae (1.0%) in companion animals in Thailand. The identification of these three key pathogenic Leptospira species, common causes of human leptospirosis in Southeast Asia, in clinically healthy owned and free-roaming dogs and cats, suggests the risk of human leptospirosis in the areas investigated. These companion animals, often living in close contact with human, may contribute to daily risks. Therefore, enhanced surveillance and vaccination programs for dogs and cats, coupled with targeted public awareness campaigns, are critical for mitigating the risk of human infections.

Author summary

Leptospirosis, a neglected zoonotic disease caused by pathogenic species of genus Leptospira, can be transmitted to humans through contact with infected animal body fluids or contaminated environments. Free-ranging dogs and cats can shed infectious Leptospira in their urine, posing a significant risk. In Thailand, animal vaccine coverage for diseases like leptospirosis in these animals is unknown and unregulated, raising concerns about zoonotic transmission and reflecting a lack of routine veterinary support. Our study joined non-profit, volunteer-led neutering programs that travel to various provinces, offering free services for owned and unowned pets. This allowed our team to collect urine specimens directly from the urinary bladder for the detection of Leptospira. We found nearly 10% of the recruited asymptomatic dogs and cats were infected by the molecular screening assay. Three pathogenic Leptospira species, commonly infecting humans globally, were identified. Notably, we report the first detection of L. yasudae in animal urine samples, providing evidence of infectivity for a species not previously recognised for its pathogenicity and typically reported from the environment. This highlights the risk of human leptospirosis from contact with cats and dogs, emphasising the need for public awareness and annual vaccination programs for all pets.

Introduction

The genus Leptospira comprises Gram-negative spirochetes. The primary pathogenic species that cause human leptospirosis worldwide are L. interrogans and L. borgpetersenii [1,2]. Many mammals, including rodents, dogs, cats, pigs, bats, and cattle, serve as reservoir hosts for spirochetes, harbouring the bacteria in their proximal renal tubules without showing clinical signs [3,4]. They excrete living bacteria in their urine, which can transmit the disease through direct or indirect exposure to contaminated environments [35]. Disease severity depends on bacterial virulence, inoculum size and host immunity [5].

Of 68 species in the genus Leptospira, 40 are categorised into the Pathogen (P) clade, based on whole genome sequence analysis [612]. The P clade comprises two subclades (P1 and P2). Of the 19 species in subclade P1, eight (including L. interrogans, L. weilii and L. borgpetersenii) are key species that cause leptospirosis worldwide. The other eleven species (including L. alstonii, L. kmetyi and L. yasudae) are recently discovered species isolated from environmental samples, with no evidence of human or mammalian infections. Of 21 species of the P2, five (including L. wolffii and L. licerasiae) have been known as the intermediate group, causing mild leptospirosis in mammals and humans [11,1317].

Human leptospirosis was commonly reported in tropical and subtropical regions [18,19]. In 2015, Costa et al. estimated over 1 million global human infections and more than 58,000 fatal cases (using data from 1970 to 2008) [18]. In Thailand, 24,378 human patients were reported to the Bureau of Epidemiology, Ministry of Public Health between 2017 and 2021 (average incidence rate of 3.6 per 100,000 population per year) [20]. The incidence rates in the lower northeastern (11.5 per 100,000 population per year) and upper southern (9.7 per 100,000 population per year) regions were higher than those in other regions of Thailand. Computational models showed that leptospirosis transmission is amplified by environmental changes, specifically increased rainfall and flood exposure. Furthermore, using diverse and potentially contaminated household water sources and occupational contact with moist soil, environmental water, or infected animals significantly raise the risk for all hosts (animals and humans) [2123].

Leptospirosis in animals can pose a public health threat, as asymptomatic infected animals can spread living bacteria through urination, contaminating habitats and foraging areas where humans live, travel, or work. The more exposure to a variety of probable infection sources, the higher the risk of infections, which shows the complexity of disease control [24,25]. Companion animals, especially free-roaming dogs and cats, act as a critical bridge for Leptospira transmission. They acquire pathogens from primary reservoirs, such as rodents and contaminated environments, and then introduce them into households, where the disease can be passed to owners through close, intimate exposures. In Thailand, the pet population was estimated at over 12 million between 2019 and 2020, with a high-risk group of approximately one million free-roaming animals [2629]. The prevalence of Leptospira carriage in free-roaming and client-owned animals varies across the country’s geographic regions [3032].

Leptospira infections (symptomatic or asymptomatic) have been reported in many countries using PCR or culture, with median rates of 7.3% (IQR = 4.4-15.7%) in dogs and 6.3% (IQR = 3.3-22.1%) in cats since 2003 [3070]. However, cross-sectional studies of asymptomatic Leptospira infections and carriages in dogs and cats in Thailand are scarce [3032]. A variety of Leptospira P1 species are commonly reported globally. For instance, L. interrogans and L. borgpetersenii have been found in both dogs (0.4-16% vs 0.5-1%) [25,31,33,34,36,37,41,42,4752,5557,71] and cats (2–5% vs 0.7-7%) [58,6164,70], while other species like L. weilii (1–3%) [31,33], L. santarosai (0.5-37%) [42,50,54,57], L. noguchii (2–37%) [25,50], L. kirschneri (0.4%) [52] and L. kmetyi (3–10%) [33,48] were found predominantly in dogs. In comparison, the P2 (L. wolffii and L. licerasiae) infections were reported in 18% and 5% of dogs originating from Iran and Sri Lanka, respectively [48,71]. In this study, we aimed to determine the prevalence of Leptospira carriage in dogs and cats across three regions of Thailand, establishing current molecular epidemiological data essential for directly informing targeted leptospirosis control strategies.

Methods

Ethics statement

The collection and analysis of animal samples were conducted between 2020 and 2023 under the approval of the Institute for Animal Care and Use Committee, Faculty of Veterinary Science, Mahidol University (MUVS-2020-01-03). The national standard’s animal welfare guidelines were followed. Written informed consent for participation was obtained from the animals’ owners. For unowned or free-roaming dogs and cats collected from public areas (such as temples and schools), informed consent for a sample collection was obtained from the heads of each community. Laboratory protocols were approved by the Institutional Biosafety Committee of the Faculty of Veterinary Science, Mahidol University (IBC/MUVS-B-001/2564).

Sample size calculation

Sample size estimation was performed using ProMESA software version 2.3 (EpiCentre, Massey University, New Zealand) based on the previously reported leptospirosis prevalence at 10% [31] of dogs and 0.8% of cats [32] at a 95% confidence interval and a 0.2 acceptable relative error. We used the maximum of the generally recommended relative error as the unknown prevalence in the study regions. This resulted in a minimum sample size of 223 dogs and 236 cats, which was required for the study.

Study population

Clinically healthy dogs and cats underwent sterilisation through the neutering program of the Faculty of Veterinary Science, Mahidol University and nonprofit organisations. All owned (n = 271) and free-roaming/unowned (n = 296) dogs and cats were included in this study. The neutering program was carried out across seven provinces in central, western, and southern Thailand (Fig 1). The sex and estimated age of each animal were recorded.

thumbnail
Fig 1. Geographic distribution of dog and cat Leptospira infections (Panel A) and median annual human leptospirosis incidence (Panel B) in seven provinces of Thailand: Nakhon Sawan, Nakhon Pathom, and Samut Sakhon (Central); Tak, Kanchanaburi, and Prachuap Khiri Khan (West); and Ranong (South).

Infection frequencies in animals were identified using PCR and sequencing. Human leptospirosis incidence data (per 100,000 population) were reported by the Ministry of Public Health. Darker shades indicate higher prevalence/incidence. Base map shapefiles were obtained from the Humanitarian Data Exchange (https://data.humdata.org/dataset/cod-ab-tha)(available under the Creative Commons Attribution for Intergovernmental Organisations license--https://data.humdata.org/faqs/licenses).

https://doi.org/10.1371/journal.pntd.0013421.g001

Dog and cat urine collections and DNA preparations

Urine samples were collected during trips with the non-profit, volunteer-led neutering programs. These programs provided access to anesthetised animals from which urine samples were collected using sterilised urinary catheters before sterilisation surgery. We collected a single urine sample from each animal. Available urine volume in the urine blader was collected into a new sterile 50 ml tube and kept on ice upon collection. The urine samples were transported to laboratories at cool temperatures (2°C to 6°C) and then stored at -80°C until used for DNA preparation. Collected urine specimens’ volume ranged from 1-370 ml (median = 42 ml) in dogs and 0.8–108 ml (median = 9.5 ml) in cats, which depended on each animal’s size. The total volume of each collected sample contained in 50 ml tubes was centrifuged at 2,000 relative centrifugal force (RCF) for 10 minutes at 4°C to remove cells and debris. Then, the supernatant was transferred to a new sterile 50 ml tube and centrifuged again at 20,000 RCF for 30 minutes at 4°C to obtain a microorganism cell pellet for the DNA preparation using the Genomic DNA Mini Kit (blood and cultured cells) (Geneaid, New Taipei City, Taiwan) according to the manufacturer’s protocol. The extracted DNA samples were eluted using 30–40 μl of the elution buffer.

Identification of Leptospira species based on partial 16S rRNA sequences amplification and analysis

The nested PCR assay targeting the partial 16S rRNA sequences of the P1 and P2 was conducted as described previously [72], with modifications as described in S1 File. The expected 547-bp amplicons were visualised using 1.5% agarose gel electrophoresis. Then, the PCR products were purified from agarose gel using GenepHlow Gel/PCR Kit (Geneaid, New Taipei City, Taiwan). It was conducted as described in the manufacturer’s protocol. The purified products were sent to Bionics (South Korea) for the Sanger DNA Sequencing.

The chromatogram results were inspected and edited for consensus using BioEdit Sequence Alignment Editor version 7.0.5.3. Maximum likelihood trees were reconstructed from the trimmed 443-nucleotide partial 16S rRNA gene alignments (from position 63–505 based on L. alexanderi GenBank accession number: NR_043047.1) using MEGA software version 11 [73]. The details of the algorithm used for the analysis were described in the S1 File. All sequences from this study (accession numbers: OQ446624-OQ446662)(S1 Table) and the 57 reference sequences of 40 Leptospira spp. acquired from GenBank data used for the analysis, (S2 Table). The phylogenetic tree was displayed and annotated using the Interactive Tree Of Life version 6.0 [74].

Statistical analysis

Data management was performed using Microsoft Excel, and statistical analyses were conducted using R version 4.0.3 [75]. The prevalence of Leptospira spp. infection was stratified by sex, age group, ownership, and study site. To determine the strength of associations between prevalence and exposure factors, Odds Ratios (ORs) and 95% confidence intervals (CIs) were calculated using the ‘epitools’ package for R [76]. Small-sample adjustments were applied to both OR estimates and CIs (using a normal approximation), and p-values were derived using Fisher’s exact test. Statistical significance was defined as a p-value < 0.05 and a 95% CI that did not include 1. Adjustments for multiple comparisons were not applied, as the primary objective was to estimate the magnitude of associations rather than strictly test hypotheses. Finally, the geographical distribution of Leptospira prevalence was visualised via choropleth mapping using the ggplot2 and sf packages in R. Base map shapefiles for Thailand’s administrative boundaries were obtained from the Humanitarian Data Exchange (URL: https://data.humdata.org/dataset/cod-ab-tha), sourced from the Royal Thai Survey Department. The maps were plotted with Leptospira spp. carriage among dogs and cats (data from this study) and human leptospirosis incidence in Thailand (S2 File)

Results

Asymptomatic Leptospira infections in dogs and cats

A total of 567 animals, comprising 303 dogs (53.4%) and 264 cats (46.6%), clinically healthy, were recruited into the study during the neutering service. They originated from seven provinces in three regions of Thailand, with the infection frequencies shown in Fig 1. The 5/7 provincial sites show infections ranging from 1% to 16% of the recruited animals. The infection rates are likely underestimated because the study design only detects chronic carriers (leptospiruria) and is subject to the inherent challenge of intermittent bacterial shedding in the urine.

The overall Leptospira infection prevalence was 11.2% (34/303) in dogs and 8.3% (22/264) in cats. In both animal types, statistical analysis revealed no significant differences in prevalence by sex, age group, or ownership status (Table 1). Although age was not statistically significant, no infections were detected in juvenile cats, compared with an 8.8% rate in adults. Geographical location was a significant predictor of infection for dogs. Dogs in Tak and Prachuap Khiri Khan exhibited significantly higher infection risks compared to the Nakhon Pathom site (p < 0.05).

thumbnail
Table 1. Distributions of leptospirosis in dogs and cats stratified by study sites, sex, age group and ownership.

https://doi.org/10.1371/journal.pntd.0013421.t001

National annual incidence data reported in those seven provinces (S1 File) indicate that Ranong had the highest human leptospirosis incidence (median 36.04 cases per 100,000 population), nearly 22-fold higher than Tak (1.65/100,000)(Fig 1). In contrast, our study found the highest leptospirosis prevalence in dogs and cats in Prachuap Khiri Khan (26.5%) and Tak (16.1%).

Leptospira pathogen clade detected in dogs and cats

The ML tree analysis revealed that 39/56 PCR-positive dogs and cats were infected with Leptospira subclade P1 and P2 (S1 File). Five distinct clusters were identified (Fig 2): Interrogans (46%), Borgpetersenii (13%), Weilii (5%), Yasudae (15%) and undetermined species of P2 (21%). The P2 classifications, based on rrs sequence polymorphisms and the distribution of infection, are detailed in S1 File. The distributions of each subclade are detailed in S3 Table.

thumbnail
Fig 2. Maximum Likelihood phylogenetic tree reconstructed using the partial 16S rRNA sequences of 39 nested PCR products amplified from urine samples of dogs (filled green triangles) and cats (not filled triangles).

There were 57 reference sequences of 40 Leptospira in the Pathogen clade, which were used to infer the species of amplicon sequences. The Leptospira sequences from this study were grouped into five clusters: L. interrogans (pink), L. borgpetersenii (yellow), L. weilii (orange), L. yasudae (green) and species in the Subclade 2 (grey) of the Pathogen clade. The sequences grouped in each cluster with a bootstrap value higher than 50% are indicated with a red star.

https://doi.org/10.1371/journal.pntd.0013421.g002

Geographically, P1-1 infections (L. interorgans, L. borgpetersenii and L. weilii) were most prevalent in animals from Tak (16.7% dogs vs 12.5% cats), followed by Ranong (6.5% vs 3.1%), Kanchanaburi (4.6% vs 4.8%), Prachuap Khiri Khan (3.6% vs 2.1%) and Nakhon Pathom (only 1.4% dogs) (Fig 3). Statistical analysis demonstrated that animals in Tak have a significantly higher risk of P1-1 infections than those in Nakhon Pathom (p-value = 0.005) (Table 2). L. yasudae (P1-2) was mainly detected in Prachuap Khiri Khan (5.5% vs 4.3%) and, to a lesser extent, in Ranong (0.8%, cats only). Animals from Prachuap Khiri Khan had a significantly higher risk of L. yasudae infections than those from Ranong (p-value = 0.010). The P2 cluster was most frequently found in Prachuap Khiri Khan (1.8% vs 6.4%), followed by Tak (4.2%, dogs only) and Ranong (0.9% vs 1.5%); the risk of P2 infection did not differ significantly among these three sites.

thumbnail
Table 2. Distribution of Leptospira Pathogen clade detected in dogs and cats in each study site.

https://doi.org/10.1371/journal.pntd.0013421.t002

thumbnail
Fig 3. The funnel graph illustrates the distributions of Pathogen clade (P)- infected dogs (left) and cats (right) in five prevalence study sites, compared to infected animals (PCR-positive without molecular typing).

L. interrogans, L. borgpetersenii and L. weilii (belonging to Group 1 of the Subclade 1 in the P clade as P1-1), L. yasudae (belonging to Group 2 of the Subclade 1 as P1-2), and species in the Subclade 2 (P2) were in Panels A, B and C, respectively.

https://doi.org/10.1371/journal.pntd.0013421.g003

Discussion

This study reveals a critical public health risk: the shedding of pathogenic Leptospira in the urine of clinically healthy (asymptomatic) dogs and cats across central, western, and southern Thailand. Notably, 9.9% of these animals (11.2% dogs vs 8.3% cats) were identified as active shedders, posing a direct transmission risk to owners, other animals, and the environment. Regional analysis indicated that infection rates were lower in the central region compared to the western and southern regions. Given the national reports of human leptospirosis incidence, these findings suggest a potential for disease transmission from dogs and cats to humans within the same spatiotemporal context. However, companion animals are likely not the only sources of human infections in these provinces; other reservoirs (such as rodents and livestock) and environmental exposure via contaminated water or agricultural activities undoubtedly play significant roles in the transmission cycle.

The urinary shedding prevalence in this study was slightly higher than that reported in previous Thai studies [3032,43]. In dogs, our findings were comparable to those from Malaysia, the USA and several European nations [34,38,41,45,47], but remain lower than the high-burden regions of South Asia, South America and Iran, where the prevalences ranged between 10.6% and 97.4% [33,37,39,42,46,48,50,53,56]. In cats, our prevalence fits within the broad international range of 0.3% to 12.9% reported in several countries of Asia, Europe, Latin America and the Caribbean [49,58,59,6167,69], contrasting with the strikingly high prevalence reported in Taiwan (67.8%) [60]. Variations in the urinary shedding prevalence may be attributed to geographical location, study population, sample size, season, and screening techniques. The application of molecular methods to specifically identify pathogenic Leptospira DNA in clinically healthy carriers provides a crucial tool for monitoring transmission risks from these animals and informing targeted control strategies.

Several Leptospira spp. within the Pathogen Clade have been reported in asymptomatic dogs and cats worldwide. Commonly identified pathogenic species include L. interrogans, L. borgpetersenii, L. weilii, L. kirschneri, L. santarosai, and L. noguchii [25,31,33,34,36,37,41,42,4755,57,58,6064,68]. Among these, L. interrogans predominates in both dogs and cats from Malaysia [34,58] and is a primary species identified in North America & the Caribbean, South America, Europe, Africa Asia and Australia [25,33,36,37,42,47,52,55,5860,62,63,68]. Consistent with these global trends, this study confirms that dogs and cats across Thailand carry these major pathogenic species. We identified L. interrogans, L. borgpetersenii, and L. weillii (which are the predominant causes of human leptospirosis in Thailand and neighbouring countries [7784]) in dogs and cats during neutering procedures from western (Tak, Kanchanaburi, and Prachuap Khiri Khan), southern (Ranong), and central (Nakhon Pathom) regions.

Notably, beyond these established P1-1 pathogens, we report the first identification of L. yasudae (a species of undetermined virulence) in companion animals in western (Prachuap Khiri Khan) and southern (Ranong) Thailand. Furthermore, unspecified species of Leptospira within the P2 subclade (associated with mild diseases in humans [17]) was identified in southern (Ranong) and western (Tak and Prachuap Khiri Khan) regions.

We detected L. interrogans in similar proportions in urine samples from dogs (3.6%) and cats (2.7%). In contrast, a previous report from northern Thailand (Nan) detected urinary shedding of L. interrogans in 6.9% of dogs, but not in cats [31]. Conversely, a study in Songkhla (southern Thailand) found a higher prevalence of L. interrogans in cats compared to dogs (0.5% of dogs’ vs 7.8% of cats’ blood PCR-positive) [43]. Nan and Songkhla were provinces where human leptospirosis was a significant problem, particularly during the wet season [21,85]. The reasons for the variation in host infection rates across these areas remain unclear; further investigation is needed to determine if these host disparities result from local ecological exposure or sampling differences.

L. borgpetersenii, a common cause of bovine leptospirosis, was first isolated from US slaughter cattle [86]. However, L. borgpetersenii infections have also been identified in dogs and cats. Notably, the number reported among cats was higher than that among dogs. For example, 7.1% of cats were infected on Okinawa Island, Japan [64], and 4.5% in southern Italy [61]. In contrast, 1.1% of dogs in Sri Lanka [33] and 0.5% in Germany [41] were infected. To our knowledge, the identification of L. borgpetersenii infections among asymptomatic dogs and cats has been reported for the first time in Thailand: in central (Nakhon Pathom) and southern (Ranong) regions.

L. weilii infects a broad host range, including livestock, canines and wildlife [31,87,88]. In this study, L. weilii infections were found in dogs with a low prevalence of 0.7% (Kanchanaburi and Ranong) and were not identified in cats. This contrasts with the higher canine infection rates in northern Thailand (3.4%) [31] and Sri Lanka (1.1%) [33].

L. yasudae (conspecific with L. dzianensis [7]) was previously isolated solely from environmental samples, without documented reports of natural infection in humans or animals. Here, we provide the first description of L. yasudae infections in companion animals. Crucially, L. yasudae was detected in urine collected aseptically from the bladders, ruling out environmental contamination. These infections were identified predominantly in dogs and cats from Prachuap Khiri Khan and in a cat from Ranong.

Because of the limited diversity in the selected rrs sequences, Leptospira P2 could not be fully speciate. In stead, these undetermined species were classified into L. wolffii- or L. licerasiae-related groups (S1 File). Members of P2 have been primarily isolated from environmental samples worldwide, including Mayotte, Puerto Rico, Japan, and Thailand [12,82,8991]. The potentially pathogenic L. wolffii was first documented in a patient from northeastern Thailand and subsequently identified in local rodents [17,92]. Recently, L. wolffii infections have been reported in other regions, including Iran and north-central Bangladesh, where it has reportedly replaced L. interrogans as a primary species [71,9395]. In this study, we identified urinary shedding of the L. wolffii-related group in six animals from Ranong and Prachuap Khiri Khan. Similarly, L. licerasiae (associated with mild symptomatic infections) was first described in rats and humans in (or returning from) South America [96,97] and has since been detected in Australian swine and leptospirosis-vaccinated dogs in Sri Lanka [48,98]. We identified two animals carrying the L. licerasiae-related group in Tak and Ranong. These findings underscore the potential emergence of L. wolffii- and L. licerasiae-related infections in animal reservoirs in Thailand, as well as across South and Southeast Asia. Although the precise species within the P2 subclade infecting these dogs and cats remains undetermined, the broad geographical distribution of these reservoirs warrants further attention regarding their implications for animal and public health.

This study has several limitations to consider. First, the geographic scope and sample distribution were restricted. Sampling was limited to central, western, and southern Thailand, and sample sizes were unevenly distributed across sites (median = 41.5; range = 12–238). This imbalance may have reduced the statistical power to detect infections in sites with low recruitment, suggesting that these results may not fully represent the epidemiological situation in the northern or eastern regions of the country. Second, the reported prevalence likely underestimates the true infection rate. As our study focused on urinary shedding (leptospiruria) to identify chronic carriers, we did not perform blood sample investigation; consequently, animals in the acute phase of infection (where the pathogen is present in the blood but not yet shed in the urine) were not captured. Furthermore, because Leptospira are shed intermittently [25,42], a single-point urine collection may have yielded false-negative results for some carriers. Other factors also contribute to this underestimation, including potential false PCR negatives due to antibiotic administration before urine collection (a factor we could not fully control, though our neutering protocol did not use antibiotics). Third, logistical constraints impacted molecular identification. Due to limited field resources, samples were maintained at 2°C–6°C without pH neutralisation. The resulting exposure to potentially acidic urine, particularly in samples requiring prolonged transport (>24 hours) from distant sites, may have caused DNA degradation and reduced diagnostic sensitivity. Additionally, species identification was limited by low DNA yields and potential primer competition, leading to ambiguous Sanger sequencing reads. While the conserved 443 bp rrs gene fragment is a rapid method for identifying major P1 subclade species, it cannot accurately distinguish between members of the P2 subclade due to low genetic diversity in this region [9]. Future studies could achieve higher resolution for P2 species by targeting a more diverse set of markers, such as lipL32 and secY [89], or by employing next-generation deep sequencing.

In conclusion, three classical Leptospira species (L. interrogans, L. weilii, and L. borgpetersenii), responsible for human leptospirosis, were predominantly identified in dogs and cats in western and southern Thailand. Additionally, species potentially causing mild leptospirosis (L. wolffii- and L. licerasiae-related groups) and those with unknown infectivity (L. yasudae) were also detected. Our findings highlight the role of dogs and cats as reservoirs of pathogenic Leptospira spp., emphasising the need for expanded surveillance, broader-spectrum vaccines to reduce urinary shedding, and public awareness campaigns to mitigate zoonotic risk.

Supporting information

S1 File. Identification of Leptospira species.

https://doi.org/10.1371/journal.pntd.0013421.s001

(DOCX)

S2 File. Annual case and morbidity rate of study sites reported to the Department of Disease Control, Ministry of Public Health of Thailand, between 2019 and 2022.

https://doi.org/10.1371/journal.pntd.0013421.s002

(DOCX)

S1 Table. Demography characteristics of dogs and cats with urine specimens PCR-positive for pathogenic Leptospira.

https://doi.org/10.1371/journal.pntd.0013421.s003

(XLSX)

S2 Table. List of reference rrs sequences used for the 16S rRNA sequence analysis.

https://doi.org/10.1371/journal.pntd.0013421.s004

(XLSX)

S3 Table. Frequency of Leptospira groups in dogs and cats stratified by study site, age group, sex, and owned status.

https://doi.org/10.1371/journal.pntd.0013421.s005

(DOCX)

Acknowledgments

We are grateful to the staff of the One Health mobile unit, Faculty of Veterinary Science, Mahidol University, and all the volunteers from Soi Dog and the nonprofit organisations for their assistance with sample collection during the neutering process. We would also like to thank all the dog and cat owners who participated in this study.

References

  1. 1. WHO. Neglected tropical diseases, hidden successes, emerging opportunities. Geneva: WHO Press. 2009. https://www.who.int/publications/i/item/9789241598705
  2. 2. Karpagam KB, Ganesh B. Leptospirosis: a neglected tropical zoonotic infection of public health importance-an updated review. Eur J Clin Microbiol Infect Dis. 2020;39(5):835–46. pmid:31898795
  3. 3. Adler B, de la Peña Moctezuma A. Leptospira and leptospirosis. Vet Microbiol. 2010;140(3–4):287–96. pmid:19345023
  4. 4. Haake DA, Levett PN. Leptospirosis in humans. Curr Top Microbiol Immunol. 2015;387:65–97. pmid:25388133
  5. 5. Evangelista KV, Coburn J. Leptospira as an emerging pathogen: a review of its biology, pathogenesis and host immune responses. Future Microbiol. 2010;5(9):1413–25. pmid:20860485
  6. 6. Casanovas-Massana A, Hamond C, Santos LA, de Oliveira D, Hacker KP, Balassiano I, et al. Leptospira yasudae sp. nov. and Leptospira stimsonii sp. nov., two new species of the pathogenic group isolated from environmental sources. Int J Syst Evol Microbiol. 2020;70(3):1450–6. pmid:31184568
  7. 7. Casanovas-Massana A, Vincent AT, Bourhy P, Neela VK, Veyrier FJ, Picardeau M, et al. Leptospira dzianensis and Leptospira putramalaysiae are later heterotypic synonyms of Leptospira yasudae and Leptospira stimsonii. Int J Syst Evol Microbiol. 2019;71(3):004713. pmid:33620308
  8. 8. Fernandes LGV, Stone NE, Roe CC, Goris MGA, van der Linden H, Sahl JW, et al. Leptospira sanjuanensis sp. nov., a pathogenic species of the genus Leptospira isolated from soil in Puerto Rico. Int J Syst Evol Microbiol. 2022;72(10). pmid:36260655
  9. 9. Guglielmini J, Bourhy P, Schiettekatte O, Zinini F, Brisse S, Picardeau M. Genus-wide Leptospira core genome multilocus sequence typing for strain taxonomy and global surveillance. PLoS Negl Trop Dis. 2019;13(4):e0007374. pmid:31026256
  10. 10. Korba AA, Lounici H, Kainiu M, Vincent AT, Mariet J-F, Veyrier FJ, et al. Leptospira ainlahdjerensis sp. nov., Leptospira ainazelensis sp. nov., Leptospira abararensis sp. nov. and Leptospira chreensis sp. nov., four new species isolated from water sources in Algeria. Int J Syst Evol Microbiol. 2021;71(12). pmid:34914572
  11. 11. Thibeaux R, Girault D, Bierque E, Soupé-Gilbert M-E, Rettinger A, Douyère A, et al. Biodiversity of Environmental Leptospira: Improving Identification and Revisiting the Diagnosis. Front Microbiol. 2018;9:816. pmid:29765361
  12. 12. Vincent AT, Schiettekatte O, Goarant C, Neela VK, Bernet E, Thibeaux R, et al. Revisiting the taxonomy and evolution of pathogenicity of the genus Leptospira through the prism of genomics. PLoS Negl Trop Dis. 2019;13(5):e0007270. pmid:31120895
  13. 13. Abd Rahman AN, Hasnul Hadi NH, Sun Z, Thilakavathy K, Joseph N. Regional Prevalence of Intermediate Leptospira spp. in Humans: A Meta-Analysis. Pathogens. 2021;10(8):943. pmid:34451407
  14. 14. Chiani Y, Jacob P, Varni V, Landolt N, Schmeling MF, Pujato N, et al. Isolation and clinical sample typing of human leptospirosis cases in Argentina. Infect Genet Evol. 2016;37:245–51. pmid:26658064
  15. 15. Chiriboga J, Barragan V, Arroyo G, Sosa A, Birdsell DN, España K, et al. High Prevalence of Intermediate Leptospira spp. DNA in Febrile Humans from Urban and Rural Ecuador. Emerg Infect Dis. 2015;21(12):2141–7. pmid:26583534
  16. 16. Perolat P, Chappel RJ, Adler B, Baranton G, Bulach DM, Billinghurst ML, et al. Leptospira fainei sp. nov., isolated from pigs in Australia. Int J Syst Bacteriol. 1998;48 Pt 3:851–8. pmid:9734039
  17. 17. Slack AT, Kalambaheti T, Symonds ML, Dohnt MF, Galloway RL, Steigerwalt AG, et al. Leptospira wolffii sp. nov., isolated from a human with suspected leptospirosis in Thailand. Int J Syst Evol Microbiol. 2008;58(Pt 10):2305–8. pmid:18842846
  18. 18. Costa F, Hagan JE, Calcagno J, Kane M, Torgerson P, Martinez-Silveira MS, et al. Global Morbidity and Mortality of Leptospirosis: A Systematic Review. PLoS Negl Trop Dis. 2015;9(9):e0003898. pmid:26379143
  19. 19. Victoriano AFB, Smythe LD, Gloriani-Barzaga N, Cavinta LL, Kasai T, Limpakarnjanarat K, et al. Leptospirosis in the Asia Pacific region. BMC Infect Dis. 2009;9:147. pmid:19732423
  20. 20. Health Information System Development Office (HISO) D of DCM. Thai Health Stat. 2020. https://www.hiso.or.th/thaihealthstat/area/index.php?ma=1&pf=01818101&tm=2&tp=243
  21. 21. Chadsuthi S, Chalvet-Monfray K, Geawduanglek S, Wongnak P, Cappelle J. Spatial-temporal patterns and risk factors for human leptospirosis in Thailand, 2012-2018. Sci Rep. 2022;12(1):5066. pmid:35332199
  22. 22. Narkkul U, Thaipadungpanit J, Srisawat N, Rudge JW, Thongdee M, Pawarana R, et al. Human, animal, water source interactions and leptospirosis in Thailand. Sci Rep. 2021;11(1):3215. pmid:33547388
  23. 23. Phosri A. Effects of rainfall on human leptospirosis in Thailand: evidence of multi-province study using distributed lag non-linear model. Stoch Environ Res Risk Assess. 2022;36(12):4119–32. pmid:35692716
  24. 24. Almeida DS, Paz LN, de Oliveira DS, Silva DN, Ristow P, Hamond C, et al. Investigation of chronic infection by Leptospira spp. in asymptomatic sheep slaughtered in slaughterhouse. PLoS One. 2019;14(5):e0217391. pmid:31120961
  25. 25. Sant’Anna da Costa R, N Di Azevedo MI, Dos Santos Baptista Borges AL, Carvalho-Costa FA, Martins G, Lilenbaum W. Persistent High Leptospiral Shedding by Asymptomatic Dogs in Endemic Areas Triggers a Serious Public Health Concern. Animals (Basel). 2021;11(4):937. pmid:33810226
  26. 26. Pet TV. Pet parenting on the rise. https://www.thaipbsworld.com/pet-parenting-on-the-rise/. 2021. Accessed 2024 January 4.
  27. 27. Puranabhandu OME. Thailand’s Pet Food Market. The United States Department of Agriculture, Foreign Agricultural Service. 2021. https://fas.usda.gov/data/thailand-thailands-pet-food-market
  28. 28. Srimoragot PSP, Suwannaphirom P, Ruchisereekul K. Surveillance of knowledge, and opinion among pet’s owner on tobacco effect on pets’ health. J Mahanakorn Vet Med. 2021;16(1):63–75.
  29. 29. Thanapongtharm W, Kasemsuwan S, Wongphruksasoong V, Boonyo K, Pinyopummintr T, Wiratsudakul A, et al. Spatial Distribution and Population Estimation of Dogs in Thailand: Implications for Rabies Prevention and Control. Front Vet Sci. 2021;8:790701. pmid:34993247
  30. 30. Altheimer K, Jongwattanapisan P, Luengyosluechakul S, Pusoonthornthum R, Prapasarakul N, Kurilung A, et al. Leptospira infection and shedding in dogs in Thailand. BMC Vet Res. 2020;16(1):89. pmid:32178664
  31. 31. Kurilung A, Chanchaithong P, Lugsomya K, Niyomtham W, Wuthiekanun V, Prapasarakul N. Molecular detection and isolation of pathogenic Leptospira from asymptomatic humans, domestic animals and water sources in Nan province, a rural area of Thailand. Res Vet Sci. 2017;115:146–54. pmid:28384550
  32. 32. Sprißler F, Jongwattanapisan P, Luengyosluechakul S, Pusoonthornthum R, Prapasarakul N, Kurilung A, et al. Leptospira infection and shedding in cats in Thailand. Transbound Emerg Dis. 2019;66(2):948–56. pmid:30580489
  33. 33. Athapattu T, Fernando R, Abayawansha R, Fernando P, Fuward M, Samarakoon N, et al. Carrier Status of Leptospira spp. in Healthy Companion Dogs in Sri Lanka. Vector Borne Zoonotic Dis. 2022;22(2):93–100. pmid:35099292
  34. 34. Benacer D, Thong KL, Ooi PT, Souris M, Lewis JW, Ahmed AA, et al. Serological and molecular identification of Leptospira spp. in swine and stray dogs from Malaysia. Trop Biomed. 2017;34(1):89–97. pmid:33592986
  35. 35. Delaude A, Rodriguez-Campos S, Dreyfus A, Counotte MJ, Francey T, Schweighauser A, et al. Canine leptospirosis in Switzerland-A prospective cross-sectional study examining seroprevalence, risk factors and urinary shedding of pathogenic leptospires. Prev Vet Med. 2017;141:48–60. pmid:28532993
  36. 36. Gay N, Soupé-Gilbert M-E, Goarant C. Though not reservoirs, dogs might transmit Leptospira in New Caledonia. Int J Environ Res Public Health. 2014;11(4):4316–25. pmid:24747539
  37. 37. Goy-Thollot I, Djelouadji Z, Nennig M, Hazart G, Hugonnard M. Screening for Leptospira DNA in blood and urine from 30 apparently healthy dogs. Revue Vétérinaire Clinique. 2018;53(3):79–86.
  38. 38. Harkin KR, Roshto YM, Sullivan JT, Purvis TJ, Chengappa MM. Comparison of polymerase chain reaction assay, bacteriologic culture, and serologic testing in assessment of prevalence of urinary shedding of leptospires in dogs. J Am Vet Med Assoc. 2003;222(9):1230–3. pmid:12725310
  39. 39. Khorami N, Malmasi A, Zakeri S, Zahraei Salehi T, Abdollahpour G, Nassiri SM, et al. Screening urinalysis in dogs with urinary shedding of leptospires. Comp Clin Pathol. 2009;19(3):271–4.
  40. 40. Lau SF, Low KN, Khor KH, Roslan MA, Bejo SK, Radzi R, et al. Prevalence of leptospirosis in healthy dogs and dogs with kidney disease in Klang Valley, Malaysia. Trop Biomed. 2016;33(3):469–75. pmid:33579118
  41. 41. Llewellyn J-R, Krupka-Dyachenko I, Rettinger AL, Dyachenko V, Stamm I, Kopp PA, et al. Urinary shedding of leptospires and presence of Leptospira antibodies in healthy dogs from Upper Bavaria. Berl Munch Tierarztl Wochenschr. 2016;129(5–6):251–7. pmid:27344919
  42. 42. Miotto BA, Guilloux AGA, Tozzi BF, Moreno LZ, da Hora AS, Dias RA, et al. Prospective study of canine leptospirosis in shelter and stray dog populations: Identification of chronic carriers and different Leptospira species infecting dogs. PLoS One. 2018;13(7):e0200384. pmid:29995963
  43. 43. Ngasaman R, Saechan V, Prachantasena S, Yingkajorn M, Sretrirutchai S. Investigation of Leptospira Infection in Stray Animals in Songkhla, Thailand: Leptospirosis Risk Reduction in Human. Vector Borne Zoonotic Dis. 2020;20(6):432–5. pmid:31905047
  44. 44. Rohilla P, Khurana R, Kumar A, Batra K, Gupta R. Detection of Leptospira in urine of apparently healthy dogs by quantitative polymerase chain reaction in Haryana, India. Vet World. 2020;13(11):2411–5. pmid:33363334
  45. 45. Rojas P, Monahan AM, Schuller S, Miller IS, Markey BK, Nally JE. Detection and quantification of leptospires in urine of dogs: a maintenance host for the zoonotic disease leptospirosis. Eur J Clin Microbiol Infect Dis. 2010;29(10):1305–9. pmid:20559675
  46. 46. Sant’anna R, Vieira AS, Grapiglia J, Lilenbaum W. High number of asymptomatic dogs as leptospiral carriers in an endemic area indicates a serious public health concern. Epidemiol Infect. 2017;145(9):1852–4. pmid:28367783
  47. 47. Zaidi S, Bouam A, Bessas A, Hezil D, Ghaoui H, Ait-Oudhia K, et al. Urinary shedding of pathogenic Leptospira in stray dogs and cats, Algiers: A prospective study. PLoS One. 2018;13(5):e0197068. pmid:29768448
  48. 48. Gamage CD, Sykes JE, Athapattu TPJ, Senerathne P, Karunadasa U, Fuward M, et al. Isolation of Leptospira licerasiae, Leptospira interrogans and Leptospira kmetyi From Apparently Healthy Companion Dogs Vaccinated for Leptospirosis. Vet Med Sci. 2025;11(3):e70375. pmid:40309759
  49. 49. Grippi F, Cannella V, Macaluso G, Blanda V, Emmolo G, Santangelo F, et al. Serological and Molecular Evidence of Pathogenic Leptospira spp. in Stray Dogs and Cats of Sicily (South Italy), 2017-2021. Microorganisms. 2023;11(2):385. pmid:36838350
  50. 50. Guzmán DA, Diaz E, Sáenz C, Álvarez H, Cueva R, Zapata-Ríos G, et al. Domestic dogs in indigenous Amazonian communities: Key players in Leptospira cycling and transmission?. PLoS Negl Trop Dis. 2024;18(4):e0011671. pmid:38568912
  51. 51. Mazzotta E, Lucchese L, Corrò M, Ceglie L, Danesi P, Capello K, et al. Zoonoses in dog and cat shelters in North-East Italy: update on emerging, neglected and known zoonotic agents. Front Vet Sci. 2024;11:1490649. pmid:39664895
  52. 52. Merker Breyer G, Noronha Arechavaleta N, Corrêa da Silva B, Rocha Jacques da Silva ME, Costa Torres M, Cadó Nemitz L, et al. Canine Leptospirosis in Flood-Affected Areas of Southern Brazil: Molecular Assessment and Public Health Implications. Infect Dis Rep. 2025;17(3):63. pmid:40559194
  53. 53. Orlando SA, Mora-Jaramillo N, Paredes-Núñez D, Rodriguez-Pazmiño AS, Carvajal E, León Sosa A, et al. Leptospirosis outbreak in Ecuador in 2023: A pilot study for surveillance from a One Health perspective. One Health. 2024;19:100948. pmid:39717537
  54. 54. Perez-Garcia J, Monroy FP, Agudelo-Florez P. Canine Leptospirosis in a Northwestern Region of Colombia: Serological, Molecular and Epidemiological Factors. Pathogens. 2022;11(9):1040. pmid:36145472
  55. 55. Puentes MMM, Camargo KDJ, Roberto YAM, Guzman-Barragan BL, Tafur-Gomez GA, Clavijo NFS. Infection and re-infection of Leptospira spp. in stray dogs and cats from Bogota, Colombia. Vet World. 2024;17(5):973–80. pmid:38911095
  56. 56. Sarangi S, Vijaya Bharathi M, Madhanmohan M, Meenambigai TV, Soundararajan C, Manimaran K, et al. Molecular and serological detection of acute canine leptospirosis and associated predictive risk factors in and around Chennai, India. Microb Pathog. 2025;198:107120. pmid:39549929
  57. 57. Silva-Ramos CR, Lemaitre G P, Mejorano-Fonseca JA, Matiz-González JM, Aricapa-Giraldo HJ, Agudelo JC, et al. Molecular Evidence of Leptospira spp. Infection Among Household Dogs From 15 Municipalities of the Department of Caldas, Colombia. Zoonoses Public Health. 2025;72(2):215–22. pmid:39658809
  58. 58. Alashraf AR, Lau SF, Khairani-Bejo S, Khor KH, Ajat M, Radzi R, et al. First report of pathogenic Leptospira spp. isolated from urine and kidneys of naturally infected cats. PLoS One. 2020;15(3):e0230048. pmid:32155209
  59. 59. Bourassi E, Savidge C, Foley P, Hartwig S. Serologic and urinary survey of exposure to Leptospira species in a feral cat population of Prince Edward Island, Canada. J Feline Med Surg. 2021;23(12):1155–61. pmid:33719673
  60. 60. Chan K-W, Hsu Y-H, Hu W-L, Pan M-J, Lai J-M, Huang K-C, et al. Serological and PCR detection of feline leptospira in southern Taiwan. Vector Borne Zoonotic Dis. 2014;14(2):118–23. pmid:24359421
  61. 61. Donato G, Masucci M, Hartmann K, Goris MGA, Ahmed AA, Archer J, et al. Leptospira spp. Prevalence in Cats from Southern Italy with Evaluation of Risk Factors for Exposure and Clinical Findings in Infected Cats. Pathogens. 2022;11(10):1129. pmid:36297186
  62. 62. Dorsch R, Ojeda J, Salgado M, Monti G, Collado B, Tomckowiack C, et al. Cats shedding pathogenic Leptospira spp.-An underestimated zoonotic risk? PLoS One. 2020;15(10):e0239991. pmid:33091006
  63. 63. Holzapfel M, Taraveau F, Djelouadji Z. Serological and molecular detection of pathogenic Leptospira in domestic and stray cats on Reunion Island, French Indies. Epidemiol Infect. 2021;149:e229. pmid:34372952
  64. 64. Kakita T, Kuba Y, Kyan H, Okano S, Morita M, Koizumi N. Molecular and serological epidemiology of Leptospira infection in cats in Okinawa Island, Japan. Sci Rep. 2021;11(1):10365. pmid:33990653
  65. 65. Murillo A, Cuenca R, Serrano E, Marga G, Ahmed A, Cervantes S, et al. Leptospira Detection in Cats in Spain by Serology and Molecular Techniques. Int J Environ Res Public Health. 2020;17(5):1600. pmid:32121670
  66. 66. Rodriguez J, Blais M-C, Lapointe C, Arsenault J, Carioto L, Harel J. Serologic and urinary PCR survey of leptospirosis in healthy cats and in cats with kidney disease. J Vet Intern Med. 2014;28(2):284–93. pmid:24417764
  67. 67. Weis S, Rettinger A, Bergmann M, Llewellyn JR, Pantchev N, Straubinger RK, et al. Detection of Leptospira DNA in urine and presence of specific antibodies in outdoor cats in Germany. J Feline Med Surg. 2017;19(4):470–6. pmid:26927819
  68. 68. Dybing NA, Jacobson C, Irwin P, Algar D, Adams PJ. Leptospira Species in Feral Cats and Black Rats from Western Australia and Christmas Island. Vector Borne Zoonotic Dis. 2017;17(5):319–24. pmid:28437186
  69. 69. Paim MG, Rivas BB, Sebastião GA, Kaefer K, Rodrigues RO, Mayer FQ, et al. Investigation of anti-Leptospira spp. antibodies and leptospiruria in cats attended to a veterinary teaching hospital in southern Brazil. Comp Immunol Microbiol Infect Dis. 2024;107:102138. pmid:38367297
  70. 70. Ulsenheimer BC, Tonin AA, von Laer AE, Dos Santos HF, Sangioni LA, Fighera R, et al. Molecular detection and phylogenetic analysis of Leptospira interrogans and Leptospira borgpetersenii in cats from Central region of Rio Grande do Sul state, Brazil. Comp Immunol Microbiol Infect Dis. 2025;116:102286. pmid:39644868
  71. 71. Zakeri S, Khorami N, Ganji ZF, Sepahian N, Malmasi A-A, Gouya MM, et al. Leptospira wolffii, a potential new pathogenic Leptospira species detected in human, sheep and dog. Infect Genet Evol. 2010;10(2):273–7. pmid:20074666
  72. 72. Boonsilp S, Thaipadungpanit J, Amornchai P, Wuthiekanun V, Chierakul W, Limmathurotsakul D, et al. Molecular detection and speciation of pathogenic Leptospira spp. in blood from patients with culture-negative leptospirosis. BMC Infect Dis. 2011;11:338. pmid:22151687
  73. 73. Tamura KSG, Kumar S. Mega 11: Molecular Evolutionary Genetics Analysis. 2021.
  74. 74. Letunic I, Bork P. Interactive Tree of Life (iTOL) v6: recent updates to the phylogenetic tree display and annotation tool. Nucleic Acids Res. 2024;52(W1):W78–82. pmid:38613393
  75. 75. Team RC. R: A language and environment for statistical computing. 4.0.3 ed. Vienna, Austria: R Foundation for Statistical Computing. 2020.
  76. 76. Aragon TJ, Omidpanah A. Tools for training and practicing epidemiologists including methods for two-way and multi-way contingency tables. 2020.
  77. 77. Chutinantakul ACP, Buathong R. Outbreaks of leptospirosis after a flood in Thung Song District, Nakhon Si Thammarat, January 2017. Dis Control J. 2019;45:317–29.
  78. 78. Ehelepola NDB, Ariyaratne K, Dissanayake DS. The interrelationship between meteorological parameters and leptospirosis incidence in Hambantota district, Sri Lanka 2008-2017 and practical implications. PLoS One. 2021;16(1):e0245366. pmid:33481868
  79. 79. Hinjoy S, Kongyu S, Doung-Ngern P, Doungchawee G, Colombe SD, Tsukayama R, et al. Environmental and Behavioral Risk Factors for Severe Leptospirosis in Thailand. Trop Med Infect Dis. 2019;4(2):79. pmid:31100812
  80. 80. Kakita T, Okano S, Kyan H, Miyahira M, Taira K, Kitashoji E, et al. Laboratory diagnostic, epidemiological, and clinical characteristics of human leptospirosis in Okinawa Prefecture, Japan, 2003-2020. PLoS Negl Trop Dis. 2021;15(12):e0009993. pmid:34905535
  81. 81. Philip N, Ahmed K. Leptospirosis in Malaysia: current status, insights, and future prospects. J Physiol Anthropol. 2023;42(1):30. pmid:38087323
  82. 82. Sato Y, Hermawan I, Kakita T, Okano S, Imai H, Nagai H, et al. Analysis of human clinical and environmental Leptospira to elucidate the eco-epidemiology of leptospirosis in Yaeyama, subtropical Japan. PLoS Negl Trop Dis. 2022;16(3):e0010234. pmid:35358181
  83. 83. Thaipadungpanit J, Wuthiekanun V, Chierakul W, Smythe LD, Petkanchanapong W, Limpaiboon R, et al. A dominant clone of Leptospira interrogans associated with an outbreak of human leptospirosis in Thailand. PLoS Negl Trop Dis. 2007;1(1):e56. pmid:17989782
  84. 84. Zhang R, Zhou W, Ye Q, Song S, Wang Y, Xu Y, et al. Comparative genomic analysis of Chinese human leptospirosis vaccine strain and circulating isolate. Hum Vaccin Immunother. 2020;16(6):1345–53. pmid:32045318
  85. 85. Della Rossa P, Tantrakarnapa K, Sutdan D, Kasetsinsombat K, Cosson J-F, Supputamongkol Y, et al. Environmental factors and public health policy associated with human and rodent infection by leptospirosis: a land cover-based study in Nan province, Thailand. Epidemiol Infect. 2016;144(7):1550–62. pmid:26607833
  86. 86. Putz EJ, Sivasankaran SK, Fernandes LGV, Brunelle B, Lippolis JD, Alt DP, et al. Distinct transcriptional profiles of Leptospira borgpetersenii serovar Hardjo strains JB197 and HB203 cultured at different temperatures. PLoS Negl Trop Dis. 2021;15(4):e0009320. pmid:33826628
  87. 87. Roberts MW, Smythe L, Dohnt M, Symonds M, Slack A. Serologic-based investigation of leptospirosis in a population of free-ranging eastern grey kangaroos (Macropus giganteus) indicating the presence of Leptospira weilii serovar Topaz. J Wildl Dis. 2010;46(2):564–9. pmid:20688651
  88. 88. Slack AT, Symonds ML, Dohnt MF, Corney BG, Smythe LD. Epidemiology of Leptospira weilii serovar Topaz infections in Australia. Commun Dis Intell Q Rep. 2007;31(2):216–22. pmid:17724998
  89. 89. Stone NE, Hall CM, Ortiz M, Hutton SM, Santana-Propper E, Celona KR, et al. Diverse lineages of pathogenic Leptospira species are widespread in the environment in Puerto Rico, USA. PLoS Negl Trop Dis. 2022;16(5):e0009959. pmid:35584143
  90. 90. Masuzawa T, Sakakibara K, Saito M, Hidaka Y, Villanueva SYAM, Yanagihara Y, et al. Characterization of Leptospira species isolated from soil collected in Japan. Microbiol Immunol. 2018;62(1):55–9. pmid:29105847
  91. 91. Chaiwattanarungruengpaisan S, Thepapichaikul W, Paungpin W, Ketchim K, Suwanpakdee S, Thongdee M. Potentially Pathogenic Leptospira in the Environment of an Elephant Camp in Thailand. Trop Med Infect Dis. 2020;5(4):183. pmid:33291225
  92. 92. Krairojananan P, Thaipadungpanit J, Leepitakrat S, Monkanna T, Wanja EW, Schuster AL, et al. Low Prevalence of Leptospira Carriage in Rodents in Leptospirosis-Endemic Northeastern Thailand. Trop Med Infect Dis. 2020;5(4):154. pmid:33008058
  93. 93. Zakeri S, Sepahian N, Afsharpad M, Esfandiari B, Ziapour P, Djadid ND. Molecular epidemiology of leptospirosis in northern Iran by nested polymerase chain reaction/restriction fragment length polymorphism and sequencing methods. Am J Trop Med Hyg. 2010;82(5):899–903. pmid:20439973
  94. 94. Djadid ND, Ganji ZF, Gouya MM, Rezvani M, Zakeri S. A simple and rapid nested polymerase chain reaction-restriction fragment length polymorphism technique for differentiation of pathogenic and nonpathogenic Leptospira spp. Diagn Microbiol Infect Dis. 2009;63(3):251–6. pmid:19097839
  95. 95. Rahman S, Paul SK, Aung MS, Ahmed S, Haque N, Raisul MNI, et al. Predominance of Leptospira wolffii in north-central Bangladesh, 2019. New Microbes New Infect. 2020;38:100765. pmid:33133612
  96. 96. Matthias MA, Ricaldi JN, Cespedes M, Diaz MM, Galloway RL, Saito M, et al. Human leptospirosis caused by a new, antigenically unique Leptospira associated with a Rattus species reservoir in the Peruvian Amazon. PLoS Negl Trop Dis. 2008;2(4):e213. pmid:18382606
  97. 97. Tsuboi M, Koizumi N, Hayakawa K, Kanagawa S, Ohmagari N, Kato Y. Imported Leptospira licerasiae Infection in Traveler Returning to Japan from Brazil. Emerg Infect Dis. 2017;23(3):548–9. pmid:28221126
  98. 98. Steinrigl A, Willixhofer D, Schindler M, Richter S, Unterweger C, Ahmed AA, et al. Isolation and characterization of Leptospira licerasiae in Austrian swine - a first-time case report in Europe. BMC Vet Res. 2024;20(1):348. pmid:39113014