Elhassan M A, Salama A Osman
Department of Veterinary Medicine, College of Agriculture and Veterinary Medicine, Qassim University, Saudi Arabia. P.O Box 6622, Saudi Arabia.
2Department of Microbiology, Faculty of Veterinary Medicine, Khartoum University, Sudan.
Trop Biomed. 2018 Mar 1;35(1):67-75.
Diagnosis of contagious caprine pleuropneumonia (CCPP) in Saudi Arabia mainly depends on clinical signs and post-mortem findings, in addition to limited usage of latex agglutination test (LAT). In this study, a PCR method specific for detection of Mycoplasma capricolum subspecies capripneumoniae (Mccp) was used as a direct confirmatory method and to compare it with clinical signs, necropsy lesions and LAT. During the 2016-2017 year, samples of serum, pleural fluid, lung tissue and nasal swab were collected from 40 goats with clinical signs of CCPP, which were selected from goats brought to the veterinary clinic of Qassim University from 18 goat herds and nine localities. Epidemiological data revealed 34.1%, 27.8% and 81.6% morbidity, mortality and case fatality rates, respectively. At necropsy, 31 of 40 goats (77.5%) were found with lesions matching those of CCPP. Molecular findings supported the suitability and applicability of PCR as a reliable method to diagnose and confirm CCPP directly from clinical samples. The disease was confirmed by PCR in 35 goats out of 40 (87.5%), 15 herds out of 18 (83.3%) and in all localities. Sera of 32 goats (80%) were found positive by LAT. Four of the five goats and two of the three herds negative by PCR were also negative by LAT and necropsy examination. Therefore, PCR sensitivity was considered 97.2% (35/36). Compared to the claimed high specificity and sensitivity of the used PCR method, diagnosis of CCPP based on clinical signs was found less specific and necropsy examination and LAT were less sensitive. It was concluded that molecular detection of Mccp directly in clinical samples should routinely be used to confirm diagnosis of CCPP in the region of study, prevent economic impact of wrong diagnosis and to hasten control process.
沙特阿拉伯传染性山羊胸膜肺炎(CCPP)的诊断主要依赖临床症状和尸检结果,此外乳胶凝集试验(LAT)的使用也较为有限。在本研究中,一种用于检测山羊支原体山羊肺炎亚种(Mccp)的PCR方法被用作直接确诊方法,并与临床症状、尸检病变及LAT进行比较。在2016 - 2017年期间,从40只具有CCPP临床症状的山羊采集了血清、胸水、肺组织和鼻拭子样本,这些山羊是从18个山羊群和9个地区送至卡西姆大学兽医诊所的山羊中挑选出来的。流行病学数据显示,发病率、死亡率和病死率分别为34.1%、27.8%和81.6%。尸检时,40只山羊中有31只(77.5%)发现有与CCPP相符的病变。分子检测结果支持PCR作为一种从临床样本直接诊断和确诊CCPP的可靠方法的适用性和实用性。40只山羊中有35只(87.5%)、18个羊群中有15个(83.3%)以及所有地区通过PCR确诊了该病。32只山羊(80%)的血清LAT检测呈阳性。PCR检测为阴性的5只山羊中的4只以及3个羊群中的2个,LAT检测和尸检也为阴性。因此,PCR的敏感性被认为是97.2%(35/36)。与所使用的PCR方法所宣称的高特异性和敏感性相比,基于临床症状诊断CCPP的特异性较低,尸检和LAT的敏感性较低。得出的结论是,应常规使用直接在临床样本中进行Mccp的分子检测来确诊研究区域内的CCPP,防止错误诊断造成的经济影响并加快控制进程。