Heinzelmann M, Rodriguez-Campos S, Kittl S, Zanolari P, Hirsbrunner G
Wiederkäuerklinik, Vetsuisse-Fakultät, Universität Bern.
Institut für Veterinärbakteriologie, Vetsuisse-Fakultät, Universität Bern.
Schweiz Arch Tierheilkd. 2020 Oct;162(10):625-633. doi: 10.17236/sat00275.
Coxiellosis, caused by the bacterium Coxiella burnetii, is a reportable disease in animals and humans in Switzerland. The number of cases in farm animals and humans has risen continuously in recent years. The aim of this work was to investigate abortions and stillbirths in goats with a focus on C. burnetii, to identify excretory routes which pose a zoonotic risk and the excretion time after an acute infection. Besides the submitted fetuses, does were screened with a serological antibody test. In addition, excretion via milk, faeces and vaginal mucus were investigated in dams with fetuses tested positive for C. burnetii at 14-day intervals.C. burnetii were isolated in 8 cases (3× in the placenta, 2× in the abomasum, 3× in the placenta and abomasum) of 13 examined stillbirths/abortions. Ten abomasums of goat kids and 8 placentas were examined using modified Ziehl-Neelsen staining (ZN) according to Stamp simultaneously with a real-time PCR. Four of 18 samples were false negative using modified ZN staining according to Stamp in contrast to real-time PCR. Seven does had serum antibodies against Coxiella. The excretion of C. burnetii persisted for 63 days in the milk, for 96 days in the vaginal mucus and for 96 respectively 114 days in two does monitored extensively. Intermittent excretion could also be observed in the milk during these 63 days. The present study showed that confirmation of disease, respectively transmission cannot be based on a single test. Only combined serological antibody test and real-time PCR examinations of birth material, milk, feces and vaginal mucus can result in a conclusive diagnosis. In addition, the examination using modified ZN staining according to Stamp is less sensitive and specific than the real-time PCR examination.
由伯纳特柯克斯体细菌引起的柯克斯体病,在瑞士是一种动物和人类都需上报的疾病。近年来,农场动物和人类中的病例数持续上升。这项工作的目的是调查山羊的流产和死产情况,重点关注伯纳特柯克斯体,确定存在人畜共患病风险的排泄途径以及急性感染后的排泄时间。除了提交的胎儿外,还对母羊进行了血清学抗体检测。此外,对胎儿检测出伯纳特柯克斯体呈阳性的母羊,每隔14天对其乳汁、粪便和阴道黏液中的排泄情况进行调查。在13例检查的死产/流产病例中,有8例(3例在胎盘、2例在皱胃、3例在胎盘和皱胃)分离出了伯纳特柯克斯体。同时,对10只山羊幼崽的皱胃和8个胎盘按照斯坦普改良齐尔-尼尔森染色法(ZN)进行检查,并进行实时聚合酶链反应。与实时聚合酶链反应相比,按照斯坦普改良ZN染色法,18个样本中有4个为假阴性。7只母羊有抗柯克斯体的血清抗体。在乳汁中,伯纳特柯克斯体的排泄持续了63天,在阴道黏液中持续了96天,在两只受到广泛监测的母羊中,分别持续了96天和114天。在这63天里,乳汁中也可观察到间歇性排泄。本研究表明,疾病的确诊或传播不能仅基于单一检测。只有将血清学抗体检测与对出生材料、乳汁、粪便和阴道黏液进行的实时聚合酶链反应检测相结合才能得出确定性诊断。此外,按照斯坦普改良ZN染色法进行的检测比实时聚合酶链反应检测的敏感性和特异性更低。