Flores-Castro R, Carmichael L E
Cornell Vet. 1978 Jan;68 Suppl 7:76-88.
A critical review of the performance of several methods used for the serodiagnosis of canine brucellosis is presented. It is concluded that none of the procedures commonly used is, in itself, adequate to permit a definitive diagnosis in all cases. The diagnosis is simplified when several animals in a kennel are infected; however individual cases pose a variety of problems, especially when complete clinical histories are not submitted or opportunities for infection have not been disclosed. Blood cultures are an essential part of the laboratory diagnosis of B. canis infection, but bacteremia is frequently absent in chronically infected dogs. Judgements must therefore be made on the basis of bacteriologic results in concert with a variety of serologic tests, and an evaluation of clinical signs. In some instances, laboratory diagnosis is not possible without repeated samplings. The minimal diagnostic effort should include the screening of sera by the slide agglutination test (SAT). Negative results, in the absence of clinical signs, strongly suggest absence of infection. Positive SAT results indicate that further laboratory study is required. A two-stage testing procedure of all SAT-positive serums is therefore recommended. The tube agglutination test (TAT) or the 2-mercaptoethanol-TAT (ME-TAT) are valuable complementary methods; however either of these latter procedures, in conjunction with immunodiffusion analysis, appears to provide the best chances for accurate judgements of serologic results in difficult cases.
本文对几种用于犬布鲁氏菌病血清学诊断方法的性能进行了批判性综述。得出的结论是,常用的任何一种方法本身都不足以在所有情况下做出明确诊断。当犬舍中有几只动物感染时,诊断会简化;然而,个别病例会带来各种问题,尤其是当没有提交完整的临床病史或未披露感染机会时。血培养是犬布鲁氏菌感染实验室诊断的重要组成部分,但慢性感染的犬经常没有菌血症。因此,必须根据细菌学结果并结合各种血清学检测和临床症状评估来做出判断。在某些情况下,不重复采样就无法进行实验室诊断。最低限度的诊断工作应包括通过玻片凝集试验(SAT)对血清进行筛查。在没有临床症状的情况下,阴性结果强烈提示未感染。SAT阳性结果表明需要进一步的实验室研究。因此,建议对所有SAT阳性血清采用两阶段检测程序。试管凝集试验(TAT)或2-巯基乙醇-TAT(ME-TAT)是有价值的补充方法;然而,后两种方法中的任何一种,结合免疫扩散分析,似乎都为在疑难病例中准确判断血清学结果提供了最佳机会。