General Description
Leptospires are spiral-shaped, Gram-negative, obligate aerobic spirochetes with internal flagella. The genus is divided into two species, the pathogenic Leptospira interrogans and the free-living nonpathogenic Leptospira biflexa. Leptospira interrogans has about 200 different serovars based on the variability of surface antigens. Leptospires affect mammals (wild and domestic animals), reptiles and amphibians; they may be shed in the urine lifelong. Rats and other rodents are primary reservoirs for human infection. Infection is transmitted by urine-contaminated soil or water, rat bites or animal tissue. Especially occupational groups like agriculturists, plumbers, mine workers, fishermen and meatindustry workers are at great risk of exposure.
Mucosa and skin lesions are the most likely sites of entry for leptospires. Bacteria mainly proliferate in the central nervous system, kidneys and liver.

The immune system removes organisms from blood and organs within 4-7 days by complement and humoral immunity. Cell-mediated immunity does not appear to be important. Leptospires within the convoluted tubules of the kidneys may survive due to the inefficiency of the immune system, the complement system in particular. For this reason infectious leptospires are shed in urine.
Micro-agglutination tests, ELISAs and indirect fluorescence-antibody tests are most frequently used for serodiagnosis.