Programa de pós-graduação em Pesquisa Clínica em Doenças Infecciosas, Instituto de Pesquisa Clínica Evandro Chagas, Fundação Oswaldo Cruz, Av. Brasil 4365, 21040-900 Rio de Janeiro, RJ, Brazil.
Diagn Microbiol Infect Dis. 2013 Jul;76(3):321-4. doi: 10.1016/j.diagmicrobio.2013.03.017. Epub 2013 Apr 22.
The accurate diagnosis of canine visceral leishmaniasis (CanL) is essential for visceral leishmaniasis control. To this end, DNA detection on different biological samples has been employed. In this study, we report the use of polymerase chain reaction (PCR) assay on samples such as buffy coat, bone marrow, intact skin and cutaneous ulcers fragments, and lymph node aspirate collected from 430 dogs to determine the suitable biological sample for use in CanL diagnosis. The PCR results were correlated with clinical status and other tests previously performed. Leishmania chagasi DNA was detected in 14.6% (n = 63) of the dogs investigated, regardless of the sample analyzed. Our results showed that symptomatic cases were easily diagnosed when compared to asymptomatic animals; however, the PCR proved to be very useful for Leishmania DNA detection, mainly in lymph node aspirate (41; 9.6%), irrespective of the clinical status of the dog. The finding that the lymph node aspirate produced high positivity rates and the fact that this specimen was obtained by noninvasive methods highlight its use in epidemiological survey by PCR for CanL diagnosis.
准确诊断犬内脏利什曼病(CanL)对于内脏利什曼病的控制至关重要。为此,已经在不同的生物样本上进行了 DNA 检测。在这项研究中,我们报告了使用聚合酶链反应(PCR)检测 430 只狗的不同样本,如血涂片、骨髓、完整皮肤和皮肤溃疡碎片、以及淋巴结抽吸物,以确定用于 CanL 诊断的合适生物样本。PCR 结果与临床状况和以前进行的其他检测相关联。无论分析何种样本,研究中均检测到 14.6%(n = 63)的狗携带利什曼原虫 DNA。我们的结果表明,与无症状动物相比,有症状的病例很容易被诊断出来;然而,PCR 对于利什曼原虫 DNA 的检测非常有用,尤其是在淋巴结抽吸物中(41;9.6%),无论狗的临床状况如何。发现淋巴结抽吸物产生高阳性率,并且该标本是通过非侵入性方法获得的,这突出了其在 CanL 诊断的 PCR 流行病学调查中的用途。