对患有球孢子菌病的犬类进行球孢子菌抗原检测的评估。

Evaluation of Coccidioides antigen detection in dogs with coccidioidomycosis.

作者信息

Kirsch Emily J, Greene Russell T, Prahl Annalisa, Rubin Stanley I, Sykes Jane E, Durkin Michelle M, Wheat Lawrence J

机构信息

MiraVista Diagnostics, Indianapolis, Indiana, USA.

出版信息

Clin Vaccine Immunol. 2012 Mar;19(3):343-5. doi: 10.1128/CVI.05631-11. Epub 2012 Jan 25.

Abstract

Antigen detection has been reported to be a promising method for rapid diagnosis of coccidioidomycosis in humans. Coccidioides antigen detection has not been previously reported in dogs with coccidioidomycosis and was evaluated in 60 cases diagnosed based on detection of anti-Coccidioides antibodies at titers of 1:16 or more in serum. Controls included dogs with presumed histoplasmosis or blastomycosis, other fungal infections, or nonfungal diseases and healthy dogs. Urine and serum specimens were tested using an enzyme immunoassay for Coccidioides galactomannan antigen. Antibody testing was performed at commercial veterinary reference laboratories. Antigen was detected in urine or serum of 12 of 60 (20.0%), urine only in 2 of 57 (3.5%), and serum only in 11 of 58 (19.0%) dogs with coccidioidomycosis. Antigen was detected in the urine of 3 of 43 (7.0%) and serum of 1 of 37 (2.7%) dogs with histoplasmosis or blastomycosis but not in 13 dogs with other fungal infections (serum, 9; urine, 13), 41 dogs with nonfungal diseases (urine, 41; serum, 18), or healthy dogs (serum, 21; urine, 21). Detection of antigen was an insensitive method for diagnosis of coccidioidomycosis in dogs in which the diagnosis was based primarily upon detection of antibodies at titers of 1:16 or higher, and the highest sensitivity was in serum.

摘要

据报道,抗原检测是快速诊断人类球孢子菌病的一种有前景的方法。此前尚未有关于犬球孢子菌病的球孢子菌抗原检测的报道,本研究对60例基于血清中抗球孢子菌抗体滴度为1:16或更高而确诊的病例进行了评估。对照组包括疑似组织胞浆菌病或芽生菌病、其他真菌感染或非真菌疾病的犬以及健康犬。使用酶免疫分析法检测尿液和血清样本中的球孢子菌半乳甘露聚糖抗原。抗体检测在商业兽医参考实验室进行。60只患有球孢子菌病的犬中,12只(20.0%)的尿液或血清中检测到抗原,57只中的2只(3.5%)仅在尿液中检测到抗原,58只中的11只(19.0%)仅在血清中检测到抗原。43只患有组织胞浆菌病或芽生菌病的犬中,3只(7.0%)的尿液中检测到抗原,37只中的1只(2.7%)的血清中检测到抗原,但13只患有其他真菌感染的犬(血清9只;尿液13只)、41只患有非真菌疾病的犬(尿液41只;血清18只)或健康犬(血清21只;尿液21只)中均未检测到抗原。对于主要基于1:16或更高滴度抗体检测来诊断球孢子菌病的犬,抗原检测是一种不敏感的诊断方法,且最高敏感性出现在血清中。

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