Addamiano L, Babudieri B
Bull World Health Organ. 1968;39(6):925-34.
The most widely used serological reaction for the diagnosis of leptospirosis is the agglutination test. This test, however, cannot be carried out in many laboratories because special equipment and special experience are required. It is also necessary to maintain live Leptospira cultures belonging to all the serotypes present in the country where the test is made. Consequently, it would be extremely useful to be able to diagnose leptospirosis by means of a single antigen, regardless of the serotype to which the Leptospira responsible for the infection belonged. This is particularly important for countries in which the antigenic pattern of the local leptospirae is not well known and in which it would thus be necessary to use a large number of Leptospira serotypes for each test.Observations made in the last 11 years have suggested that the problem may be solved with the use of some non-pathogenic, water strains of Leptospira which seem to be agglutinated by human sera containing antibodies against pathogenic leptospirae. This paper reports the results of studies from 1960 to 1968 on the possibility of using water strains for serodiagnosis.The results over the 8-year period show that the non-pathogenic strain Patoc 1 is agglutinated by a high percentage of human sera positive for pathogenic leptospirae: these results indicate that Patoc 1 would be useful for serodiagnosis. However, a high percentage of animal sera positive for pathogenic leptospirae gave negative results with the strains Patoc 1 and Sao Paulo, and thus these strains cannot be used for serodiagnosis in animals.
用于诊断钩端螺旋体病的最广泛使用的血清学反应是凝集试验。然而,许多实验室无法进行该试验,因为需要特殊设备和特殊经验。还必须保存属于进行试验所在国家存在的所有血清型的活钩端螺旋体培养物。因此,能够通过单一抗原诊断钩端螺旋体病,而不管引起感染的钩端螺旋体属于何种血清型,将极其有用。这对于那些当地钩端螺旋体抗原模式不明、因此每次试验都需要使用大量钩端螺旋体血清型的国家尤为重要。过去11年的观察表明,使用一些非致病性的水生钩端螺旋体菌株可能解决这个问题,这些菌株似乎会被含有抗致病性钩端螺旋体抗体的人血清凝集。本文报告了1960年至1968年关于使用水生菌株进行血清诊断可能性的研究结果。8年期间的结果表明,高比例的致病性钩端螺旋体阳性人血清会凝集非致病性菌株帕托克1:这些结果表明帕托克1可用于血清诊断。然而,高比例的致病性钩端螺旋体阳性动物血清与帕托克1和圣保罗菌株反应呈阴性,因此这些菌株不能用于动物的血清诊断。