Corner L A
CSIRO, Division of Animal Health, Parkville, Vic., Australia.
Vet Microbiol. 1994 May;40(1-2):53-63. doi: 10.1016/0378-1135(94)90046-9.
A tentative diagnosis of bovine tuberculosis can be made following the macroscopic detection at necropsy of typical lesions. Histo-pathological examination of the lesion may increase the confidence of the diagnosis but bacteriological isolation of Mycobacterium bovis from the lesion is the only way to make a definitive diagnosis. The sensitivity of gross post mortem examination is affected by the method employed and the anatomical sites examined. Careful examination of as few as 6 pairs of lymph nodes, the lungs and the mesenteric lymph nodes can result in 95% of cattle with macroscopic lesions being identified. Although during post mortem inspection of carcases at abattoir all the principle sites where lesions are to be found were examined, this procedure was found to be insensitive for the detection of lesions. To determine the significance of cattle that give a positive reaction in diagnostic tests but do not have visible lesions (NVL), a bacteriological examination is necessary. NVLs may be due to early infection, poor necropsy technique or infection with mycobacteria other than M. bovis. M. bovis was found to survive best in frozen tissue and the tissue preservative, sodium tetraborate, was found to have adverse effects on viability. It was found desirable to use two different culture media for the primary isolation of M. bovis; agar media for rapid growth and egg media for control of contamination. Additional control of contamination was achieved without adversely affecting the viability by treating the specimen before culture with 0.075% hexadecylpyridinium chloride. The addition of CO2 to the incubation atmosphere did not enhance the recovery of M. bovis. Conventional identification of isolates of M. bovis is by biochemical tests and cultural characteristics, but methods employing monoclonal antibodies and DNA probes may be used to obtain a rapid identification.
在尸检时通过宏观观察发现典型病变后,可做出牛结核病的初步诊断。对病变进行组织病理学检查可能会增加诊断的可信度,但从病变中分离出牛分枝杆菌进行细菌学检测是做出明确诊断的唯一方法。尸检宏观检查的敏感性受所采用的方法和检查的解剖部位影响。仔细检查少至6对淋巴结、肺和肠系膜淋巴结,可识别出95%有宏观病变的牛。尽管在屠宰场对 carcasses 进行尸检时检查了所有可能发现病变的主要部位,但发现该程序对病变的检测不敏感。为了确定在诊断试验中呈阳性反应但没有可见病变(NVL)的牛的意义,有必要进行细菌学检查。NVL 可能是由于早期感染、尸检技术不佳或感染了除牛分枝杆菌以外的其他分枝杆菌。发现牛分枝杆菌在冷冻组织中存活最佳,并且发现组织防腐剂硼砂对其活力有不利影响。发现使用两种不同的培养基对牛分枝杆菌进行初次分离是可取的;琼脂培养基用于快速生长,鸡蛋培养基用于控制污染。通过在培养前用0.075%十六烷基吡啶氯化物处理标本,在不影响活力的情况下实现了对污染的额外控制。在培养环境中添加二氧化碳并没有提高牛分枝杆菌的回收率。传统上通过生化试验和培养特性对牛分枝杆菌分离株进行鉴定,但采用单克隆抗体和DNA探针的方法可用于快速鉴定。