Moriello Karen A, Leutenegger Christian M
School of Veterinary Medicine, University of Wisconsin-Madison, 2015 Linden Drive West, Madison, WI, 53706, USA.
IDEXX Laboratories, Inc., 2825 Kovr Dr, West Sacramento, CA, 95605, USA.
Vet Dermatol. 2018 Feb;29(1):66-e26. doi: 10.1111/vde.12485. Epub 2017 Aug 18.
qPCR is used to test for dermatophytosis.
To determine the clinical usefulness of a commercial qPCR for confirming dermatophytosis in lesional cats, and the clinical usefulness of the qPCR Microsporum spp. and/or M. canis assay for confirming mycological cure.
Fifty two shelter cats with skin lesions.
qPCR testing of toothbrush fungal culture samples of lesions.
qPCR and fungal culture (FC) matched in 49 of 52 cats. The qPCR correctly identified 45 of 46 and two of four cats with M. canis and Trichophyton spp. infections, respectively. qPCR correctly identified two cats as not infected. No evidence of cross reactivity was noted. The Microsporum spp. qPCR assay was positive in 45 of 46 (97.8%) of infected cats. Results were positive on both Microsporum spp. and M. canis assays in 29 of 45 cats. No cat had a positive qPCR result for M. canis alone. Mycological cure was defined as two negative fungal cultures. There were 92 negative FC from the 46 treated cats and qPCR assay for Microsporum spp. and M. canis was negative in 68 of 92 (73.1%) and 79 of 92 (85.9%) samples, respectively. The number of cats correctly identified with mycological cure via qPCR was 30 of 46 (65.2%) and 39 of 46 (84.8%) cats for the Microsporum spp. and M. canis assays, respectively.
The commercial qPCR assay was a reliable test for confirming disease. The qPCR Microsporum spp. assay was more useful for initial disease confirmation; while the qPCR M. canis assay was more useful for determining mycological cure.
定量聚合酶链反应(qPCR)用于检测皮肤癣菌病。
确定一种商用qPCR在确诊患皮肤病猫的皮肤癣菌病中的临床实用性,以及qPCR检测小孢子菌属和/或犬小孢子菌用于确认真菌治愈的临床实用性。
52只患有皮肤损伤的收容所猫。
对病变部位牙刷真菌培养样本进行qPCR检测。
52只猫中有49只的qPCR检测结果与真菌培养(FC)结果相符。qPCR分别正确鉴定出46只感染犬小孢子菌的猫中的45只以及4只感染毛癣菌属的猫中的2只。qPCR正确鉴定出2只猫未感染。未发现交叉反应的证据。46只感染猫中有45只(97.8%)的小孢子菌属qPCR检测呈阳性。45只猫中有29只的小孢子菌属和犬小孢子菌检测结果均为阳性。没有猫的qPCR检测结果仅犬小孢子菌呈阳性。真菌治愈定义为两次真菌培养结果均为阴性。46只接受治疗的猫有92次真菌培养结果为阴性,小孢子菌属和犬小孢子菌的qPCR检测分别在92份样本中的68份(73.1%)和79份(85.9%)呈阴性。通过qPCR正确鉴定为真菌治愈的猫,小孢子菌属检测为46只中的30只(65.2%),犬小孢子菌检测为46只中的39只(84.8%)。
商用qPCR检测是确诊疾病的可靠检测方法。小孢子菌属qPCR检测在疾病初步确诊中更有用;而犬小孢子菌qPCR检测在确定真菌治愈方面更有用。