Suppr超能文献

巴西东北部自然感染恰加斯利什曼原虫的犬内脏利什曼病的临床和血清学特征

Clinical and serological aspects of visceral leishmaniasis in northeast Brazilian dogs naturally infected with Leishmania chagasi.

作者信息

Almeida M A O, Jesus E E V, Sousa-Atta M L B, Alves L C, Berne M E A, Atta A M

机构信息

Escola de Medicina Veterinária, Universidade Federal da Bahia, Salvador, Bahia, Brazil.

出版信息

Vet Parasitol. 2005 Feb 28;127(3-4):227-32. doi: 10.1016/j.vetpar.2004.10.010. Epub 2004 Dec 15.

Abstract

Human visceral leishmaniasis is endemic in the northeast of Brazil, where the domestic dog is an important parasite reservoir in the infectious cycle of Leishmania chagasi. In this study, we evaluated the clinical signs of canine visceral leishmaniasis (CVL), serum protein profile and the antileishmanial IgG antibody production in 86 dogs living in northeast endemic areas of leishmaniasis. Thirty dogs from a leishmaniasis-free area were used as a control group. The major clinical signs of CVL seen were emaciation and skin ulcers (80%), followed by onychogryphosis and conjunctivitis (73%). Depilation was observed in 60% of animals while lymphadenomegaly, splenomegaly, liver enlargement or kidney involvement was less frequent (< or =20%). VL seropositive dogs presented with serum hyperproteinemia, hypoalbuminemia, hypergammaglobulinemia and decreased albumin/globulin ratio. A lower sensitivity and higher specificity was observed for promastigote indirect fluorescent antibody test (IFAT) (83 and 100%, respectively) compared with enzyme-linked immunosorbent assay (ELISA) (94 and 90%), which uses a crude extract of Leishmania. There was a positive correlation between IFAT and ELISA titers of antileishmanial IgG antibodies (Spearman test, P < 0.05), which was augmented in CVL dogs. This study found that the determination of serum protein, A/G ratio and the use of two different leishmanial serological tests like IFAT and ELISA are essential in CVL screening.

摘要

人类内脏利什曼病在巴西东北部流行,家犬是恰加斯利什曼原虫感染周期中的重要寄生虫宿主。在本研究中,我们评估了生活在利什曼病东北部流行区的86只犬的犬内脏利什曼病(CVL)临床症状、血清蛋白谱以及抗利什曼原虫IgG抗体产生情况。将来自无利什曼病地区的30只犬作为对照组。CVL的主要临床症状为消瘦和皮肤溃疡(80%),其次是爪甲肥厚和结膜炎(73%)。60%的动物出现脱毛,而淋巴结肿大、脾肿大、肝脏肿大或肾脏受累则较少见(≤20%)。VL血清阳性犬表现为血清高蛋白血症、低白蛋白血症、高球蛋白血症以及白蛋白/球蛋白比值降低。与使用利什曼原虫粗提物的酶联免疫吸附测定(ELISA)(敏感性94%,特异性90%)相比,前鞭毛体间接荧光抗体试验(IFAT)的敏感性较低、特异性较高(分别为83%和100%)。抗利什曼原虫IgG抗体的IFAT和ELISA滴度之间存在正相关(Spearman检验,P<0.05),在CVL犬中这种相关性增强。本研究发现,测定血清蛋白、A/G比值以及使用IFAT和ELISA这两种不同的利什曼原虫血清学检测方法对CVL筛查至关重要。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验