A Retrospective Study of Rabies Cases Reported at Vom Christian Hospital, Plateau State, Nigeria, 2006 – 2010

Rabies is a zoonosis of public health importance in Nigeria. Exposure to bites of rabid dogs is the cause of over 99% of human cases of rabies worldwide. Post-Exposure Prophylaxis (PEP) is a vital aspect of clinical rabies prevention in humans The aim of this study was to determine the magnitude of rabies disclosure among dogbite victims (DBVs) and their compliance with a PEP regimen. We reviewed patient records of DBVs who were treated at the Vom Christian Hospital, Plateau State, from 2006 – 2010, obtained information on patient demographics and rabies status of implicated dogs from patients' hospital records. A trend of reported rabid dog bites in children was determined. We assessed compliance of DBVs with the recommended dosage regimen for PEP which is local wound treatment followed by vaccine therapy on days 0, 3, 7, 14 and 30. Over the five-year period, 713 DBVs were reported; 377(52.9%) were children <15 years, 404(56.7%) were males and 299 (41.9%) were bitten by laboratory-confirmed rabid dogs.Rabid dog-bites among children increased exponentially from 2007(6/1,000,000) to 2009(41/1,000,000) with a steep decline in 2010 (24/1,000,000). Of all DBVs, 677 (95%) first sought veterinary care. Of all implicated dogs, 305(42.8%) were tested and 299 (98.0%) were positive for rabies. Nearly all (99.6%) DBVs were treated using human diploidcell rabies vaccine, while only 49.1% completed the recommended doses. Of the 299 DBVs bitten by rabies-positive dogs, 59.2% completed the regimen and were likely to be PEP compliant than those bitten by untested dogs (p<0.01). No mortalities among DBVs were reported to the hospital. Rabies in dogs is a serious public health problem in Plateau State, in which children constitute the highest proportion of rabid DBVs reported. We recommend joint sensitization of physicians and veterinarians about the need for detailed DBV and animal information for rabies management.Keywords: Rabies, Dog bite victims, Post Exposure Prophylaxis, NigeriaNigerian Veterinary Journal, VOL:32 (4) 366-37

Histopathological changes in female rabbits administered with aqueous extract of Calotropis procera

Calotropis procera is an evergreen perennial shrub, which is found mainly in the arid regions and produces copious latex when cut. It has been reported to possess medicinal properties but equally pose deleterious effect in animals. In a bid to exploit its pharmacological properties, it was necessary to ascertain its level of safety. A toxicological evaluation of the aqueous extract of fresh leaves of the plant was therefore conducted in the more sensitive female rabbits of the same weight range. Low levels of phytochemicals (alkaloids, saponins, tannins, cardiac glycosides and flavonoids) were found, while elemental analyses showed traces of iron, lead, sodium, and potassium in concentrations of 0.23, 0.03, 0.82 and 9.5 mg/g, respectively. Acute toxicity study was conducted with oral administration of 200, 400, 800 and 1600 mg/kg of the extract once to groups I, II, III and IV, respectively with a 24 h observation period. Clinical signs such as mouth chewing, photophobia, bradycardia, coughing, vomiting and convulsion amongst others were noticed. Four rabbits died within 24 h and LD50 was estimated (940 mg/kg). 80, 40 and 20 mg/kg of the extract were administered daily to groups I, II, and III, respectively, during sub-acute toxicity study for 14 days. Grossly, catarrhal enteritis and mesenteric congestion of the small intestines, congestion of the lungs, hepatization and paleness of the liver, congestion and pallor of the kidney cortex, and congestion of the meninges were noticed. Histopathological examination of the tissues revealed mild pulmonary oedema and peribronchial lymphocytic infiltration of the lungs, hepatization of the liver, disruption of cardiac architecture, generalised cell necrosis and erosion of the villi of the small intestine. All the rabbits that survived gained weight, which is indicative of some nutrient value in the extract. It was concluded that the extract had dose-dependent deleterious effects on the tissues as higher dose groups were more affected. Hence, it is evident that sub-chronic toxicity studies would reveal greater lesions to better ascertain extent of damage.Key words: Calotropis procera, phytochemical, histopathology, toxicity, lesions, tissues, organs

Identification and Characterization of Microsporidia from Fecal Samples of HIV-Positive Patients from Lagos, Nigeria

BACKGROUND: Microsporidia are obligate intracellular parasites that infect a broad range of vertebrates and invertebrates. They have been increasingly recognized as human pathogens in AIDS patients, mainly associated with a life-threatening chronic diarrhea and systemic disease. However, to date the global epidemiology of human microsporidiosis is poorly understood, and recent data suggest that the incidence of these pathogens is much higher than previously reported and may represent a neglected etiological agent of more common diseases indeed in immunocompetent individuals. To contribute to the knowledge of microsporidia molecular epidemiology in HIV-positive patients in Nigeria, the authors tested stool samples proceeding from patients with and without diarrhea. METHODOLOGY/PRINCIPAL FINDINGS: Stool samples from 193 HIV-positive patients with and without diarrhea (67 and 126 respectively) from Lagos (Nigeria) were investigated for the presence of microsporidia and Cryptosporidium using Weber's Chromotrope-based stain, Kinyoun stain, IFAT and PCR. The Weber stain showed 45 fecal samples (23.3%) with characteristic microsporidia spores, and a significant association of microsporidia with diarrhea was observed (O.R. = 18.2; CI: 95%). A similar result was obtained using Kinyoun stain, showing 44 (31,8%) positive samples with structures morphologically compatible with Cryptosporidium sp, 14 (31.8%) of them with infection mixed with microsporidia. The characterization of microsporidia species by IFAT and PCR allowed identification of Enterocytozoon bieneusi, Encephalitozoon intestinalis and E. cuniculi in 5, 2 and 1 samples respectively. The partial sequencing of the ITS region of the rRNA genes showed that the three isolates of E.bieneusi studied are included in Group I, one of which bears the genotype B. CONCLUSIONS/SIGNIFICANCE: To our knowledge, this is the first report of microsporidia characterization in fecal samples from HIV-positive patients from Lagos, Nigeria. These results focus attention on the need to include microsporidial diagnosis in the management of HIV/AIDS infection in Nigeria, at the very least when other more common pathogens have not been detected

Brucellosis as an Emerging Threat in Developing Economies:Lessons from Nigeria

Nigeria is the most populous country in Africa, has a large proportion of the world's poor livestock keepers, and is a hotspot for neglected zoonoses. A review of the 127 accessible publications on brucellosis in Nigeria reveals only scant and fragmented evidence on its spatial and temporal distribution in different epidemiological contexts. The few bacteriological studies conducted demonstrate the existence of Brucella abortus in cattle and sheep, but evidence for B. melitensis in small ruminants is dated and unclear. The bulk of the evidence consists of seroprevalence studies, but test standardization and validation are not always adequately described, and misinterpretations exist with regard to sensitivity and/or specificity and ability to identify the infecting Brucella species. Despite this, early studies suggest that although brucellosis was endemic in extensive nomadic systems, seroprevalence was low, and brucellosis was not perceived as a real burden; recent studies, however, may reflect a changing trend. Concerning human brucellosis, no studies have identified the Brucella species and most reports provide only serological evidence of contact with Brucella in the classical risk groups; some suggest brucellosis misdiagnoses as malaria or other febrile conditions. The investigation of a severe outbreak that occurred in the late 1970s describes the emergence of animal and human disease caused by the settling of previously nomadic populations during the Sahelian drought. There appears to be an increasing risk of re-emergence of brucellosis in sub-Saharan Africa, as a result of the co-existence of pastoralist movements and the increase of intensive management resulting from growing urbanization and food demand. Highly contagious zoonoses like brucellosis pose a threat with far-reaching social and political consequences

Rabies in a Vaccinated 9-Month-Old German Shepherd Dog, Akure, 2010: A Case Report

After the onset of symptoms, the clinical course of rabies is almost invariably fatal. Rabies has traditionally been associated with dogs more than any other animal, and in parts of the world where domestic animal control and vaccination programs are limited, dogs remain the most important reservoir of the disease. We report a case of canine rabies in a vaccinated 9-month-old German shepherd female dog. The presenting clinical sign was jaw muscle paralysis with a hanging bronze color like tongue without salivation. Following encephalectomy, a rabies positive diagnosis was confirmed by fluorescent antibody technique at the Rabies Laboratory, National Veterinary Research Institute, Vom. The epidemiology of the rabies case is not understood. This case is of public health significance because of the at-risk population including animal health care service provider and animals. The following were recommended, (a) a reinvigorated control measure that includes the awareness program on prevention, responsible dog ownership with dog registration at veterinary hospitals, and registered veterinary clinics by the government and (b) a yearly rabies vaccination campaign that must be improved through the veterinary public health and other health departments collaborating

Serological survey for antibody to Encephalitozoon cuniculi in horses in the USA

Encephalitozoon cuniculi is an obligate intracellular microsporidian parasite that can result in clinical and subclinical infection in many species. In the present study, a serological survey was conducted using samples from 105 horses in the state of New Jersey; 49 of the samples were obtained from clinically abnormal animals. Five or 4.8% of 105 serum samples were found to demonstrate reactivity by ELISA with titers of 1:64 to 1:1,024. One of the samples was obtained from a clinically normal horse. Clinical signs and diagnoses from the other animals included lameness, colic, osteochondritis dissecans, and fever. All clinical issues were resolved with hospitalization and treatment without the institution of E. cuniculi-focused therapy. This is the first report on the detection of E. cuniculi antibodies in horses in the USA

Therapeutic and Safety Evaluation of Combined Aqueous Extracts of Azadirachta indica and Khaya senegalensis in Chickens Experimentally Infected with Eimeria Oocysts

Coccidiosis is a disease of economic importance in poultry causing morbidity and mortality. Reports show that Azadirachta indica and Khaya senegalensis have been used individually in the treatment of avian coccidiosis. We thus investigated the efficacy and safety of the combined aqueous extracts of these plants for the treatment of experimentally induced coccidiosis in broiler chickens using oocyst count, oxidative stress biomarkers, serum biochemistry, histology, and haematological parameters. The phytochemical screening revealed the presence of tannins, saponins, cardiac glycosides, and steroids in both extracts. In addition, alkaloids and flavonoids were present in Azadirachta indica. There was significant (p<0.05) dose dependent decrease in oocyst count across the treatment groups with 400 mg/kg of the combined extract being the most efficacious dose. Immunomodulatory and erythropoietic activity was observed. There were decreased intestinal lesions and enhanced antioxidant activity across the treatment groups compared to the negative control. Administration of the combined extract did not cause damage to the liver as ALT, AST, and ALP levels were significantly reduced in the uninfected chickens treated with the extracts compared to control suggesting safety at the doses used. The combined aqueous extracts of K. senegalensis stem bark and Azadirachta indica leaves were ameliorative in chickens infected with coccidiosis