Müller-Doblies U U, Egli J, Hauser B, Li H, Strasser M, Ehrensperger F, Braun U, Ackermann M
Virologisches Institut, Universität Zürich.
Schweiz Arch Tierheilkd. 2001 Dec;143(12):581-91.
Malignant catarrhal fever (MCF) is a mostly fatal lymphoproliferative disease of cattle. In 1995 a PCR based method was introduced for the detection of the ovine herpesvirus 2 (OvHV-2), which is regarded as the causative agent of the sheep-associated form of the disease. This PCR can be regarded as a gold standard for the in vivo diagnosis of sheep-associated MCF in cattle (Müller-Doblies et al., 1998). This semi-nested PCR was now used as a reference test for the reassessment of diagnostic criteria in the clinical and post mortem diagnosis that could previously not be quantitated. Based on 83 suspected cases with a complete clinical record the clinical signs were weighted and grouped according to their sensitivity and specificity into lead signs indicative of MCF and frequently accompanying signs supportive for the diagnosis of MCF and general clinical signs that were less reliable for the diagnosis. Differential diagnoses are discussed, which are of particular significance due to their status as OIE list A diseases e.g. foot-and-mouth disease or rinderpest. 38 PCR confirmed cattle with MCF served for the quantitative analysis of organ lesions. For the post mortem diagnosis an essential set of organ samples is defined to permit a reliable histological diagnosis, as the gross pathology often did not give any indication for the diagnosis. These criteria should help to improve the diagnostic efficiency and to select the appropriate laboratory diagnostic procedures for MCF-suspected cattle.
恶性卡他热(MCF)是一种主要发生于牛的致死性淋巴细胞增生性疾病。1995年引入了一种基于聚合酶链反应(PCR)的方法来检测绵羊疱疹病毒2型(OvHV - 2),该病毒被认为是与绵羊相关形式的MCF的病原体。这种PCR可被视为牛体内绵羊相关MCF诊断的金标准(Müller - Doblies等人,1998年)。现在,这种半巢式PCR被用作参考测试,用于重新评估临床和死后诊断中的诊断标准,这些标准以前无法进行量化。基于83例有完整临床记录的疑似病例,对临床症状进行加权,并根据其敏感性和特异性分为指示MCF的主要症状、支持MCF诊断的常见伴随症状以及对诊断可靠性较低的一般临床症状。文中讨论了鉴别诊断,由于它们作为世界动物卫生组织(OIE)A类疾病(如口蹄疫或牛瘟)的地位,鉴别诊断具有特别重要的意义。38例经PCR确诊患有MCF的牛用于器官病变的定量分析。对于死后诊断,定义了一组基本的器官样本,以确保进行可靠的组织学诊断,因为大体病理学往往无法为诊断提供任何线索。这些标准应有助于提高诊断效率,并为疑似患有MCF的牛选择合适的实验室诊断程序。