Billen F, Clercx C, Le Garérrès A, Massart L, Mignon B, Peeters D
Department of Clinical Sciences, University of Liège, Boulevard de Colonster, Liège, Belgium.
J Small Anim Pract. 2009 Feb;50(2):67-72. doi: 10.1111/j.1748-5827.2008.00672.x. Epub 2008 Nov 13.
To evaluate the most appropriate sampling procedure and the effect of incubation temperature on fungal culture in the diagnosis of canine sinonasal aspergillosis (SNA).
Sixteen dogs with SNA and 20 dogs with non-fungal nasal disease entered a prospective study. Nasal secretions and mucosal biopsies were collected in all dogs. Fungal plaques were also sampled in dogs with SNA. Each specimen was taken in duplicate from each dog and incubated at room temperature and 37 degrees C.
In dogs with SNA, nasal secretions, mucosal biopsies and fungal plaques yielded fungal growth at room temperature in one, one and seven dogs, respectively, whereas fungal growth was obtained at 37 degrees C in three, 12 and 14 dogs, respectively. No specimen collected from any dog with non-fungal nasal disease yielded fungal growth at room temperature or at 37 degrees C.
The diagnosis of canine SNA is more likely to be confirmed following culture of mucosal biopsies or fungal plaques than nasal secretions sampled blindly with swabs. Incubating cultures at 37 degrees C is more likely to provide a diagnostic outcome than when samples are cultured at room temperature. Fungal culture of nasal specimens has good specificity for the diagnosis of SNA in dogs.
评估在犬鼻窦曲霉菌病(SNA)诊断中最合适的采样程序以及培养温度对真菌培养的影响。
16只患有SNA的犬和20只患有非真菌性鼻病的犬进入一项前瞻性研究。收集所有犬的鼻分泌物和黏膜活检样本。还对患有SNA的犬的真菌斑块进行采样。从每只犬采集的每个样本均取两份,分别在室温及37℃下培养。
在患有SNA的犬中,鼻分泌物、黏膜活检样本和真菌斑块在室温下分别有1只、1只和7只犬培养出真菌生长,而在37℃下分别有3只、12只和14只犬培养出真菌生长。从任何患有非真菌性鼻病的犬采集的样本在室温或37℃下均未培养出真菌生长。
与用拭子盲目采集鼻分泌物相比,对黏膜活检样本或真菌斑块进行培养更有可能确诊犬SNA。与在室温下培养样本相比,在37℃下培养更有可能得出诊断结果。鼻样本的真菌培养对犬SNA的诊断具有良好的特异性。