Vector Borne Disease Diagnostic Laboratory and the Intracellular Pathogens Research Laboratory, Center for Comparative Medicine and Translational Research, College of Veterinary Medicine, North Carolina State University, 1060 William Moore Dr,, Raleigh, North Carolina 27607, USA.
Parasit Vectors. 2014 Mar 26;7:127. doi: 10.1186/1756-3305-7-127.
Canine vector-borne diseases (CVBD) are caused by a diverse array of pathogens with varying biological behaviors that result in a wide spectrum of clinical presentations and laboratory abnormalities. For many reasons, the diagnosis of canine vector-borne infectious diseases can be challenging for clinicians. The aim of the present study was to compare CVBD serological and molecular testing as the two most common methodologies used for screening healthy dogs or diagnosing sick dogs in which a vector-borne disease is suspected.
We used serological (Anaplasma species, Babesia canis, Bartonella henselae, Bartonella vinsonii subspecies berkhoffii, Borrelia burgdorferi, Ehrlichia canis, and SFG Rickettsia) and molecular assays to assess for exposure to, or infection with, 10 genera of organisms that cause CVBDs (Anaplasma, Babesia, Bartonella, Borrelia, Ehrlichia, Francisella, hemotropic Mycoplasma, Neorickettsia, Rickettsia, and Dirofilaria). Paired serum and EDTA blood samples from 30 clinically healthy dogs (Group I) and from 69 sick dogs suspected of having one or more canine vector-borne diseases (Groups II-IV), were tested in parallel to establish exposure to or infection with the specific CVBDs targeted in this study.
Among all dogs tested (Groups I-IV), the molecular prevalences for individual CVBD pathogens ranged between 23.3 and 39.1%. Similarly, pathogen-specific seroprevalences ranged from 43.3% to 59.4% among healthy and sick dogs (Groups I-IV). Among these representative sample groupings, a panel combining serological and molecular assays run in parallel resulted in a 4-58% increase in the recognition of exposure to or infection with CVBD.
We conclude that serological and PCR assays should be used in parallel to maximize CVBD diagnosis.
犬媒介传染病(CVBD)由具有不同生物学行为的多种病原体引起,导致广泛的临床症状和实验室异常。由于多种原因,犬媒介传染病的诊断对临床医生来说具有挑战性。本研究的目的是比较 CVBD 血清学和分子检测,这是两种最常用于筛查健康犬或诊断疑似患有媒介传染病的患病犬的常用方法。
我们使用血清学(无形体属、犬巴贝斯虫、汉塞巴尔通体、伯氏考克斯体伯氏亚种、伯氏疏螺旋体、犬埃立克体和 SF 群立克次体)和分子检测来评估 10 个引起 CVBD 的病原体属(无形体属、巴贝斯虫属、巴尔通体属、伯氏疏螺旋体属、埃立克体属、弗朗西斯菌属、嗜血性支原体属、新立克次体属、立克次体属和犬恶丝虫属)的暴露或感染。30 只临床健康犬(I 组)和 69 只疑似患有一种或多种犬媒介传染病的患病犬(II-IV 组)的配对血清和 EDTA 血液样本平行检测,以确定是否暴露于或感染了本研究中靶向的特定 CVBD。
在所有接受检测的犬(I-IV 组)中,单个 CVBD 病原体的分子流行率在 23.3%至 39.1%之间。同样,健康和患病犬(I-IV 组)的病原体特异性血清流行率在 43.3%至 59.4%之间。在这些代表性样本分组中,结合使用血清学和分子检测的面板平行运行可将 CVBD 暴露或感染的识别率提高 4-58%。
我们得出结论,应同时使用血清学和 PCR 检测以最大限度地提高 CVBD 诊断率。