Choudat D, Paul G, Legoff C, Choudat L, Philippon A, Perreau P, Marsac J
Department of Lung Medicine, Cochin Hospital, Paris, France.
Scand J Infect Dis. 1987;19(4):453-7. doi: 10.3109/00365548709021678.
Six patients with culturally proven Pasteurella multocida infection were evaluated serologically. The infections were 1 foot abscess, 1 septicemia, 3 bronchitis and 1 bronchopneumonia. Most of them were elderly women closely exposed to pets or domestic animals. The serotypes of the strains were determined in 5 cases (3 A3, 2 A7). Specific antibodies against capsular and somatic antigens of P. multocida were determined by indirect hemagglutination and agglutination respectively. The antibodies were strictly directed against the capsular and somatic specificities of the isolated strain. The range of the serum antibody titers were 20 to 2,560 to capsular antigens and 5 to 640 to somatic antigens within 2 weeks after the first clinical signs of infection. Several months after successful treatment, the capsular antibodies were lower while the somatic antibodies had almost disappeared. These findings suggest a good sensitivity for these serologic methods in active cases. Declining antibody titers follow healing. Cross-reactivity of the serologic tests with other bacteria was not observed. Serologic diagnosis of P. multocida infections is a possible alternative to direct diagnosis when cultures are negative or when unusual localizations must be confirmed.
对6例经培养证实感染多杀巴斯德菌的患者进行了血清学评估。感染类型包括1例足部脓肿、1例败血症、3例支气管炎和1例支气管肺炎。他们大多是与宠物或家畜密切接触的老年女性。在5例患者中确定了菌株的血清型(3例A3型,2例A7型)。分别通过间接血凝试验和凝集试验测定了针对多杀巴斯德菌荚膜抗原和菌体抗原的特异性抗体。这些抗体严格针对分离菌株的荚膜和菌体特异性。在出现感染的首个临床症状后的2周内,血清抗体滴度范围为针对荚膜抗原20至2560,针对菌体抗原5至640。成功治疗数月后,荚膜抗体水平降低,而菌体抗体几乎消失。这些发现表明这些血清学方法在活动期病例中具有良好的敏感性。抗体滴度随愈合而下降。未观察到血清学检测与其他细菌的交叉反应。当培养结果为阴性或必须确认异常定位时,多杀巴斯德菌感染的血清学诊断可能是直接诊断的一种替代方法。