Jäderlund K H, Bergström K, Egenvall A, Hedhammar A
Department of Clinical Sciences, Swedish University of Agricultural Sciences, Uppsala, Sweden.
J Vet Intern Med. 2009 May-Jun;23(3):669-72. doi: 10.1111/j.1939-1676.2009.0313.x. Epub 2009 Apr 28.
The tick-borne bacteria Borrelia burgdorferi sensu lato (sl) and Anaplasma phagocytophilum have been suspected to cause neurological signs in dogs. Diagnosis often has been made based on positive antibody titers in serum of dogs with neurological signs, but a high seroprevalence in dogs in at-risk populations makes diagnosis difficult.
To determine if the neurological signs in dogs examined were caused by any of these bacteria.
Fifty-four dogs presented to a board-certified neurologist.
Prospective study. We divided dogs into 2 groups: those with inflammatory diseases of the central nervous system (CNS) and those with neurological signs from other diseases. Blood and cerebrospinal fluid (CSF) from all dogs were analyzed.
Dogs with inflammatory CNS diseases showed no serum antibodies against any of the agents. Among dogs with neurological signs from other diseases, 10.3% had serum antibodies for B. burgdorferi sl and 20.5% for A. phagocytophilum. All blood samples analyzed for bacterial deoxyribonucleic acid (DNA) and all CSF analyzed for antibodies and bacterial DNA for the 2 agents were negative.
Based on this study, these bacteria are unlikely causes of neurologic disease in dogs and the presence of serum antibodies alone does not document or establish a definitive diagnosis of CNS disease caused by these organisms. Dogs that have neurologic disease and corresponding serum antibodies against these agents should have additional tests performed to assess for other potential etiologies of the signs.
蜱传播的细菌伯氏疏螺旋体狭义种(Borrelia burgdorferi sensu lato,sl)和嗜吞噬细胞无形体(Anaplasma phagocytophilum)被怀疑可导致犬出现神经症状。诊断通常基于有神经症状犬血清中的抗体滴度呈阳性,但处于危险群体中的犬血清阳性率很高,这使得诊断变得困难。
确定所检查犬的神经症状是否由这些细菌中的任何一种引起。
54只犬被送至一位具有专科医师资格的神经科医生处就诊。
前瞻性研究。我们将犬分为2组:患有中枢神经系统(CNS)炎性疾病的犬和患有其他疾病所致神经症状的犬。对所有犬的血液和脑脊液(CSF)进行分析。
患有CNS炎性疾病的犬未显示出针对任何一种病原体的血清抗体。在患有其他疾病所致神经症状的犬中,10.3%的犬血清中有针对伯氏疏螺旋体狭义种的抗体,20.5%的犬血清中有针对嗜吞噬细胞无形体的抗体。所有检测细菌脱氧核糖核酸(DNA)的血液样本以及所有检测这2种病原体抗体和细菌DNA的脑脊液样本均为阴性。
基于本研究,这些细菌不太可能是犬神经疾病的病因,仅血清抗体的存在并不能证明或确诊由这些病原体引起的CNS疾病。患有神经疾病且血清中有针对这些病原体抗体的犬应进行额外检测,以评估症状的其他潜在病因。