Kidd L, Qurollo B, Lappin M, Richter K, Hart J R, Hill S, Osmond C, Breitschwerdt E B
Western University of Health Sciences College of Veterinary Medicine, Pomona, CA.
Vector Borne Disease Diagnostic Laboratory, College of Veterinary Medicine, North Carolina State University, Raleigh, NC.
J Vet Intern Med. 2017 Jul;31(4):1081-1090. doi: 10.1111/jvim.14735. Epub 2017 May 30.
Studies investigating the prevalence of vector-borne pathogens in southern California dogs are limited. Occult infections might be misdiagnosed as idiopathic immune-mediated disease.
HYPOTHESIS/OBJECTIVES: (1) To determine the prevalence of vector-borne pathogens in southern California dogs with compatible clinical findings using PCR and serologic panels and (2) to determine whether testing convalescent samples and repeating PCR on acute samples using the same and different gene targets enhance detection.
Forty-two client-owned dogs with clinical signs of vector-borne disease presenting to specialty practices in San Diego County.
Combined prospective and retrospective observational study. Forty-two acute and 27 convalescent samples were collected. Acute samples were prospectively tested for antibodies to Rickettsia, Ehrlichia, Bartonella, Babesia, Borrelia, and Anaplasma species. PCR targeting Ehrlichia, Babesia, Anaplasma, hemotropic Mycoplasma, and Bartonella species was also performed. Retrospectively, convalescent samples were tested for the same organisms using serology, and for Ehrlichia, Babesia, Anaplasma, and Bartonella species using PCR. Acute samples were retested using PCR targeting Ehrlichia and Babesia species.
Evidence of exposure to or infection with a vector-borne pathogen was detected in 33% (14/42) of dogs. Ehrlichia and Babesia species were most common; each was identified in 5 dogs. Convalescent serologic testing, repeating PCR, and using novel PCR gene targets increased detection by 30%.
Repeated testing using serology and PCR enhances detection of infection by vector-borne pathogens in dogs with clinical signs of immune-mediated disease. Larger prevalence studies of emerging vector-borne pathogens in southern California dogs are warranted.
关于南加州犬类媒介传播病原体患病率的研究有限。隐匿性感染可能被误诊为特发性免疫介导疾病。
假设/目标:(1)使用聚合酶链反应(PCR)和血清学检测板确定南加州有相关临床症状犬类中媒介传播病原体的患病率;(2)确定检测恢复期样本以及对急性期样本使用相同和不同基因靶点重复进行PCR是否能提高检测率。
42只出现媒介传播疾病临床症状的客户自养犬,就诊于圣地亚哥县的专科诊所。
前瞻性和回顾性联合观察研究。收集了42份急性期样本和27份恢复期样本。前瞻性地检测急性期样本中针对立克次体、埃立克体、巴尔通体、巴贝斯虫、疏螺旋体和无形体属的抗体。还进行了针对埃立克体、巴贝斯虫、无形体、嗜血性支原体和巴尔通体属的PCR检测。回顾性地使用血清学检测恢复期样本中的相同病原体,并使用PCR检测埃立克体、巴贝斯虫、无形体和巴尔通体属。使用针对埃立克体和巴贝斯虫属的PCR对急性期样本进行重新检测。
在33%(14/42)的犬中检测到接触或感染媒介传播病原体的证据。埃立克体和巴贝斯虫属最为常见;各有5只犬被检出。恢复期血清学检测、重复PCR以及使用新的PCR基因靶点使检测率提高了30%。
对有免疫介导疾病临床症状的犬类,使用血清学和PCR进行重复检测可提高对媒介传播病原体感染的检测率。有必要对南加州犬类中新出现的媒介传播病原体进行更大规模的患病率研究。