Baas E J, Trotter S L, Franklin R M, Barile M F
Infect Immun. 1977 Dec;18(3):806-15. doi: 10.1128/iai.18.3.806-815.1977.
Clinical, microbiological, serological, histological, and therapeutic aspects of two separate outbreaks of caprine keratoconjunctivitis are described. The disease was characterized by a high rate of contagion, rapid onset, intense lacrimation, conjunctival hyperemia, and corneal opacity with neovascularization. In addition, many of the animals developed respiratory illness during the second epidemic. The only organism consistentlyisolated was Mycoplasma conjunctivae. A total of 23 strains were isolated from 18 inflamed conjunctivae, one normal conjunctiva, and the nasal secretions of four goats with concomitant respiratory illness. The convalescent sera of goats in the first outbreak had neutralizing antibody titers to M. conjunctivae that ranged from 1:32 to 1:256. In the milder second outbreak the antibody titers ranged from 1:4 to 1:32 in animals with only ocular disease and from 1:4 to 1:64 in animals with only respiratory disease. Whereas little change was noted in antibody titers of goats with only localized eye disease, 43% of the goats with respiratory disease showed significant fourfold rises. The histological picture was consistent with acute corneal infection. Animals requiring antibiotic treatment appeared to respond favorably to a combination of oxytetracycline and polymyxin B, but not to penicillin. These findings suggest that M. conjunctivae is one cause of epidemic caprine keratoconjunctivitis.
本文描述了两次单独爆发的山羊传染性角膜结膜炎的临床、微生物学、血清学、组织学和治疗方面的情况。该疾病的特点是传染率高、发病迅速、流泪严重、结膜充血以及角膜混浊并伴有新生血管。此外,在第二次疫情期间,许多动物还出现了呼吸道疾病。唯一持续分离出的病原体是结膜支原体。从18只发炎的结膜、1只正常结膜以及4只伴有呼吸道疾病山羊的鼻分泌物中总共分离出23株菌株。第一次疫情中康复山羊的血清对结膜支原体的中和抗体效价范围为1:32至1:256。在较为温和的第二次疫情中,仅患有眼部疾病的动物抗体效价范围为1:4至1:32,仅患有呼吸道疾病的动物抗体效价范围为1:4至1:64。仅患有局部眼部疾病的山羊抗体效价变化不大,而43%患有呼吸道疾病的山羊抗体效价出现了显著的四倍增长。组织学表现与急性角膜感染一致。需要抗生素治疗的动物对土霉素和多粘菌素B的联合用药反应良好,但对青霉素无反应。这些发现表明结膜支原体是流行性山羊传染性角膜结膜炎的病因之一。