Hartman E G, van den Ingh T S, Rothuizen J
Vet Immunol Immunopathol. 1986 Nov;13(3):261-71. doi: 10.1016/0165-2427(86)90078-4.
The clinical, pathomorphological and serological features of acute canine leptospirosis are evaluated and the IgM- and IgG-specific ELISA for leptospirosis serology in dogs is assessed. The clinical syndrome of acute canine leptospirosis was characterized by depression, anorexia, vomiting and often haemorrhagic diarrhoea. In addition, jaundice, uraemia, elevated creatinine and alkaline phosphatase were observed in the majority of the dogs. In pups invagination of the intestines was a noteworthy finding. The clinical signs and the post-mortem findings were rather non-specific so that the clinical and post-mortem diagnosis had to be confirmed serologically. In acute clinical cases of canine leptospirosis a high anti-leptospiral IgM titre, ranging from 160 in pups to 10240 in adults, was always present, whereas the anti-leptospiral IgG titre and the agglutination titre usually were negative or low. Dogs died from leptospirosis in spite of a high anti-leptospiral IgM titre. Only two dogs having, at the first examination, a high IgM titre in conjunction with a high IgG titre survived an acute infection. The possible role of IgM and IgG in the pathogenesis of an acute leptospiral infection is discussed. Different serological patterns in reference dogs, which were not suffering from acute leptospirosis, are presented.
对急性犬钩端螺旋体病的临床、病理形态学和血清学特征进行了评估,并对用于犬钩端螺旋体病血清学检测的IgM和IgG特异性酶联免疫吸附测定(ELISA)进行了评价。急性犬钩端螺旋体病的临床综合征表现为精神沉郁、厌食、呕吐,常伴有出血性腹泻。此外,大多数犬还出现黄疸、尿毒症、肌酐和碱性磷酸酶升高。幼犬出现肠套叠是一个值得注意的发现。临床症状和尸检结果相当不具特异性,因此临床和尸检诊断必须通过血清学进行确认。在急性犬钩端螺旋体病临床病例中,始终存在高抗钩端螺旋体IgM滴度,幼犬为160,成犬为10240,而抗钩端螺旋体IgG滴度和凝集滴度通常为阴性或较低。尽管抗钩端螺旋体IgM滴度很高,但犬仍死于钩端螺旋体病。只有两只在首次检查时IgM滴度高且IgG滴度也高的犬在急性感染中存活下来。讨论了IgM和IgG在急性钩端螺旋体感染发病机制中的可能作用。介绍了未患急性钩端螺旋体病的对照犬的不同血清学模式。