Utility of a modified silver staining technique for detection of Leptospira (2024)

Research Articles

Authors:

  • C. P. GunasekaraEmail C. P. Gunasekara
  • M. H. F. Sumaiha
  • M. K. S. Damayanthi
  • M. M. Weerasekera
  • S. S. N. Fernando

Abstract

Background: Leptospira are spiral thin and highly motile pathogenic bacteria that are best visualized by dark ground microscopy. Although these bacteria are not stained by the Gram’s stain, the Fontana stain, which is a silver impregnation staining method, can be used successfully for light microscopy. It is important to investigate the usefulness of Fontana stain method for direct demonstration of Leptospira in human body fluids.

Objectives: To determine the usefulness and sensitivity of a modified Fontana silver staining method for microscopic detection of Leptospira in clinical specimens.

Methodology: 6×108 organisms/ml of Leptospira interrogans serovar Icterohaemorrhagiae and Canicola were spiked into PBS (Phosphate Buffered Saline), alkalinized urine and serum in triplicate and serial dilutions were made (6×106 to 6×101 organisms/ml). Smears were prepared using 10 µl of each dilution. In addition, centrifuged sediment of urine were also used to prepare smears. Slides were stained by modified Fontana method as reported by Gangadhar et al.(1998) and examined. Numbers of leptospires per field (×100) were recorded.

Results: Leptospira spiked in PBS and urine appeared as thin slender bacteria with characteristic hooked ends after Fontana staining under the light microscope. Serum could not be used for the detection of Leptospira by this method. Leptospires could be detected by staining the spiked PBS and urine at 6x103 – 6x106 organisms/ml.

Conclusion: Leptospires could be detected by Fontana staining in spiked PBS, urine (uncentrifuged and sediment). Serum was not suitable for detection of leptospires by Fontana staining. The detection limit of leptospires in PBS and urine by Fontana stain was found to be 6000 organisms/ml.

  • Published on 15 Oct 2017
  • Peer Reviewed
Utility of a modified silver staining technique for detection of Leptospira (2024)

FAQs

What is the silver stain for Leptospira? ›

Background: Leptospira are spiral thin and highly motile pathogenic bacteria that are best visualized by dark ground microscopy. Although these bacteria are not stained by the Gram's stain, the Fontana stain, which is a silver impregnation staining method, can be used successfully for light microscopy.

What is the special stain for leptospirosis? ›

Leptospires are not stained by conventional Gram staining. Available staining methods to increase the sensitivity of direct examination are: immunofluorescence, immunoperoxidase, silver staining, Warthin-Starry staining, immunohistochemistry, and in situ hybridization.

What is the confirmatory diagnostic test for leptospirosis? ›

Most cases of leptospirosis are diagnosed by serology. Antibodies can become detectable by the 6th to 10th day of disease and reach peak levels within three to four weeks. Antibody levels may then gradually decline but remain detectable for years.

What is the gold standard for diagnosis of leptospirosis? ›

The microscopic agglutination test (MAT) remains the reference serological method for diagnosis of leptospirosis with isolation providing the gold standard for definitive evidence of infection.

What is the function of silver stain? ›

Abstract. Silver staining is an excellent technique for detecting proteins which are separated by sodium dodecyl sulfate-polyacrylamide gel electrophoresis due to its efficiency of detecting proteins present in nanograms.

What is the silver staining method for bacteria? ›

Silver staining is a special yet powerful staining technique that is used for the detection and identification of proteins in gels. This is because silver binds to the chemical terminal or side chains of amino groups i.e carboxyl and sulfhydryl groups.

What clinical hallmark is usually seen in leptospirosis? ›

Leptospirosis typically presents as a nonspecific, acute febrile illness characterized by fever, myalgia, and headache and may be confused with other entities such as influenza and dengue fever. Newer diagnostic methods facilitate early diagnosis and antibiotic treatment.

What is the fontana stain for Leptospira? ›

Staining takes 25 minutes. The leptospirae are coloured violet. C. Fontana's silver solution: To a solution of 1 % silver nitrate in distilled water add, drop by drop, a 10% solution of ammonia until the precipitate which forms in the first placedisappears and the solution becomes clear.

Why use dark field microscopy for leptospirosis? ›

Dark Field Microscopy is one of the diagnostic methods used to detect the presence of Leptospira bacteria in the blood or urine of a patient. This technique allows for the visualization of the bacteria, which are often too small to be seen clearly using conventional light microscopy.

What are the odds of a dog surviving leptospirosis? ›

The most common early indicators of Leptospira infection are: loss of appetite, increase or decrease in urine production, uncharacteristic inactivity, vomiting, and diarrhea. Even with prompt, exhaustive medical care, 10 to 15 percent of infected dogs may die.

Is leptospirosis hard to diagnose? ›

Leptospirosis can be acquired through contact with water contaminated by infected animal urine. Laboratory diagnosis of leptospirosis is difficult and usually retrospective.

What is the Elisa test for leptospirosis? ›

Traditional serological methods, such as the ELISA, are widely used to diagnose leptospirosis. Antileptospires IgM may be detected 4 to 5 days after the onset of symptoms, before detection of IgG and agglutinating antibodies, and persist at least 5 months in patients 6.

What are the diagnostic tools for leptospirosis? ›

Screening tests for leptospirosis, which are easy to perform and provide results relatively rapidly, include the macroscopic slide agglutination test, the Patoc-slide agglutination test, the microcapsule agglutination test, latex agglutination tests, dipstick tests, and the indirect hemagglutination test.

What is dipstick test for leptospirosis? ›

Application of the dipstick assay for the detection of acute leptospirosis enabled the accurate identification, early in the disease, of a high proportion of the cases of leptospirosis. Analysis of a second serum sample is recommended, in order to determine seroconversion or increased staining intensity.

What does a leptospirosis rash look like? ›

This occurs early in the course of the illness. Occasionally patients develop a transient petechial rash (small red, purple, or brown spots) that can involve the palate. If present, the rash often lasts less than 24 hours. Later in severe disease, jaundice and extensive purpura can develop.

What is the Gram stain of Leptospira? ›

Leptospira is a flexible, spiral-shaped, Gram-negative spirochete with internal flagella.

What is the hallmark of leptospirosis? ›

Leptospirosis typically presents as a nonspecific, acute febrile illness characterized by fever, myalgia, and headache and may be confused with other entities such as influenza and dengue fever. Newer diagnostic methods facilitate early diagnosis and antibiotic treatment.

What is silver stain for neurons? ›

Silver stains are still the major light microscopic procedure for direct demonstration of neuronal degeneration. They are based on the fact that degenerating neurons become argyrophilic.

What is silver impregnation staining for syphilis? ›

Syphilis (Treponema pallidum)

Silver impregnation is the traditional method for detection of T. pallidum in formalin-fixed tissues. The Dieterle technique is believed to be more sensitive than the Warthin-Starry stain.

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