Bai Laxmi, Goel Parveen, Jhambh Ricky, Kumar Pawan, Joshi V G
Department of Veterinary Medicine, Lala Lajpat Rai University of Veterinary and Animal Sciences, Hisar, Haryana 125004 India.
Department of Animal Biotechnology, College of Veterinary Sciences, Lala Lajpat Rai University of Veterinary and Animal Sciences, Hisar, Haryana 125004 India.
J Parasit Dis. 2017 Sep;41(3):647-654. doi: 10.1007/s12639-016-0860-8. Epub 2016 Nov 9.
The present study was planned to investigate the molecular prevalence of canine monocytic ehrlichiosis (CME) in dogs in and around Hisar and to evaluate the haemato-biochemical profile for its better management. A total of 60 dogs presented to Medicine Section, TVCC, LUVAS, Hisar with the history of naturally acquired tick infestation and clinical signs consistent with CME were screened on the basis of blood smear examination, followed by molecular detection by nested PCR assay targeting a portion of 16S rRNA gene of . Nested PCR detected 18 cases positive for with estimated 30% percent positivity as compared to 8.33% (5 out of 60) by blood smear examination. These 18 dogs confirmed for CME by nested PCR were assessed for clinical and haemato-biochemical profile. Breed-wise prevalence indicated maximum number of cases in Labrador retriever, followed by Pug, Rottweiler and German shepherd dog with more number of cases in male dogs. Age-wise prevalence revealed highest number of cases in more than 1 year age group, followed by 6 months to 1 year age group and least in less than 6 months aged dogs. Pyrexia, anorexia and pale to congested mucous membranes were the main clinical signs observed, followed by lethargy, vomiting. Less common clinical signs were epistaxis, lymphadenomegaly, hind limb weakness, malena, ocular discharge, followed by haematuria, corneal opacity, nasal discharge and coughing, icterus, dermal petechiae and ecchymoses. The haematological profile revealed macrocytic hypochromic anaemia, thrombocytopenia, normal leucocyte count with relative lymphocytosis, monocytosis and neutropenia. Serum biochemistry revealed significant rise in values of ALT, AST, GGT, bilirubin total, bilirubin indirect, alkaline phosphatase and A/G ratio in affected dogs as compared to healthy control, suggesting the hepatic dysfunction. The lipid metabolites and kidney function parameters were non-significantly altered from those of healthy control. A high positivity for detected by nested PCR in dogs in and around Hisar suggests the endemicity of the disease in dogs' population in this region and warrants the screening for the disease in suspected dogs by this technique as compared to routine blood smear examination. The presented haemato-biochemical profile may be useful in presumptive diagnosis of the disease in dogs and their better clinical management.
本研究旨在调查希萨尔及其周边地区犬类单核细胞埃立克体病(CME)的分子流行情况,并评估血液生化指标以实现更好的管理。共有60只呈现自然感染蜱虫病史且有与CME相符临床症状的犬被送至希萨尔LUVAS的TVCC医学科,先基于血涂片检查进行筛查,随后通过针对 16S rRNA基因一部分的巢式PCR检测进行分子检测。巢式PCR检测出18例 阳性病例,估计阳性率为30%,而血涂片检查的阳性率为8.33%(60只中有5只)。对这18只经巢式PCR确诊为CME的犬进行了临床和血液生化指标评估。按品种划分的流行情况显示,拉布拉多寻回犬病例数最多,其次是哈巴狗、罗威纳犬和德国牧羊犬,雄性犬病例数更多。按年龄划分的流行情况显示,1岁以上年龄组病例数最多,其次是6个月至1岁年龄组,6个月以下龄犬病例数最少。发热、厌食和黏膜从苍白到充血是观察到的主要临床症状,其次是嗜睡、呕吐。较不常见的临床症状有鼻出血、淋巴结肿大、后肢无力、黑便、眼部分泌物,其次是血尿、角膜混浊、鼻分泌物和咳嗽、黄疸、皮肤瘀点和瘀斑。血液学指标显示为大细胞低色素性贫血、血小板减少、白细胞计数正常伴相对淋巴细胞增多、单核细胞增多和中性粒细胞减少。血清生化检查显示,与健康对照相比,患病犬的ALT、AST、GGT、总胆红素、间接胆红素、碱性磷酸酶和A/G比值显著升高,提示肝功能障碍。脂质代谢产物和肾功能参数与健康对照相比无显著变化。希萨尔及其周边地区犬经巢式PCR检测出 高阳性率,表明该疾病在该地区犬类群体中呈地方性流行,与常规血涂片检查相比,有必要采用该技术对疑似犬进行疾病筛查。所呈现的血液生化指标可能有助于犬类该疾病的初步诊断及其更好的临床管理。