Sheehan Maresa, Cassidy Joseph P, Brady Joseph, Ball Hywel, Doherty Michael L, Quinn Patrick J, Nicholas Robin A J, Markey Bryan K
Department of Veterinary Microbiology and Parasitology, Faculty of Veterinary Medicine, University College Dublin, Belfield, Dublin 4, Ireland.
Vet J. 2007 May;173(3):630-7. doi: 10.1016/j.tvjl.2006.01.013. Epub 2006 Apr 24.
Chronic bronchopneumonia in lambs, also known as 'atypical' or 'chronic, non-progressive' pneumonia is a common, frequently sub-clinical disease affecting animals under 12-months-old in intensive production systems. Infection with both Mycoplasma ovipneumoniae and Mannheimia haemolytica have been implicated in the aetiology of this condition and a variety of pulmonary lesions can result. In this study, detailed laboratory examination of 30 abattoir-derived lungs with the characteristic gross features of atypical pneumonia (AP) was carried out with a view to refining and correlating the histopathological and microbiological criteria required for the diagnosis of this disease. For the first time a broad range of laboratory detection techniques including bacterial and virus isolation, fluorescent antibody tests and immunohistochemistry were used in parallel to identify potential causative pathogens such as M. ovipneumoniae, M. haemolytica, parainfluenza type-3 (PI3) virus and respiratory syncytial virus (RSV) in AP lesions. The most consistent finding was the association of gross AP lesions with M. ovipneumoniae, identified by either culture or immunohistochemistry in 27 (90%) of the 30 cases. However the presence M. ovipneumoniae organisms or antigen did not consistently correlate with particular histopathological changes. Furthermore, peri-airway lymphoid hyperplasia, intra-alveolar exudation and nodular 'hyaline scars', which are all previously reported microscopic lesions of AP, were not identified in 12 (40%) of the cases and isolation of M. haemolytica was over-represented in lungs exhibiting suppurative lesions. These findings illustrate the complex aetiopathogenesis of this disease and highlight the requirement to use a combination of diagnostic criteria in its laboratory diagnosis.
羔羊慢性支气管肺炎,也被称为“非典型”或“慢性、非进行性”肺炎,是集约化生产系统中影响12月龄以下动物的一种常见且常为亚临床的疾病。绵羊肺炎支原体和溶血曼氏杆菌感染均与该病的病因有关,可导致多种肺部病变。在本研究中,对30个具有非典型肺炎(AP)特征性大体表现的屠宰场来源的肺进行了详细的实验室检查,目的是完善并关联诊断该病所需的组织病理学和微生物学标准。首次同时使用了包括细菌和病毒分离、荧光抗体试验及免疫组织化学在内的多种实验室检测技术,以鉴定AP病变中潜在的致病病原体,如绵羊肺炎支原体、溶血曼氏杆菌、3型副流感病毒(PI3)和呼吸道合胞病毒(RSV)。最一致的发现是大体AP病变与绵羊肺炎支原体有关,通过培养或免疫组织化学在30例中的27例(90%)中得以鉴定。然而,绵羊肺炎支原体微生物或抗原的存在与特定的组织病理学变化并不始终相关。此外,先前报道的AP的微观病变,即气道周围淋巴组织增生、肺泡内渗出和结节状“透明瘢痕”,在12例(40%)病例中未被发现,并且溶血曼氏杆菌的分离在表现为化脓性病变的肺中占比过高。这些发现说明了该病复杂的发病机制,并强调了在其实验室诊断中使用综合诊断标准的必要性。