Brem S, Gerhards H, Wollanke B, Meyer P, Kopp H
Landesuntersuchungsamt für das Gesundheitswesen Südbayern, Oberschleissheim.
Berl Munch Tierarztl Wochenschr. 1998 Nov-Dec;111(11-12):415-7.
Vitreous samples from 43 horses which underwent vitrectomy because of equine recurrent uveitis (ERU) were cultured for leptospires. Out of 4 vitreous samples (4/43 = 9%), leptospires could be isolated. In 3 cases, serovar grippotyphosa, and in one case, a serovar out of the serogroup Australis were identified. So for the first time, in several horses with ERU in vivo cultures of vitreous material were positive for leptospires. A strong evidence of association between leptospiral infection and uveitis is discussed for many years. In this investigation the leptospiral etiology is confirmed. Vitreous material from 42 and serum samples from 40 horses were tested for specific antibodies to leptospira by microagglutination test (MAT). In 34 vitreous samples (34/42 = 81%), leptospiral antibody titers of 1:50 or higher were detected. In 33 horses (33/40 = 83%) leptospiral antibody titers of 1:50 or higher could also be detected in the serum. Altogether, leptospiral antibodies were detected by the MAT in the serum and in the vitreous material of 39 of 43 horses (= 91%) subjected to vitrectomy. These results indicate, that ERU is probably often a sequel to systemic Leptospira interrogans infection. The presence of intact leptospires and specific antibodies in eyes affected with ERU indicates a local antibody production to leptospira organisms and/or their antigens.
对43只因马反复性葡萄膜炎(ERU)而接受玻璃体切割术的马的玻璃体样本进行钩端螺旋体培养。在4个玻璃体样本中(4/43 = 9%),可分离出钩端螺旋体。3例鉴定为爪哇型血清型,1例鉴定为澳洲群血清型中的一种血清型。所以首次在几只患有ERU的马中,玻璃体材料的体内培养物钩端螺旋体呈阳性。多年来一直在讨论钩端螺旋体感染与葡萄膜炎之间存在关联的有力证据。在本研究中,钩端螺旋体病因得到证实。对42匹马的玻璃体材料和40匹马的血清样本进行微量凝集试验(MAT)检测钩端螺旋体特异性抗体。在34个玻璃体样本中(34/42 = 81%),检测到钩端螺旋体抗体效价为1:50或更高。在33匹马(33/40 = 83%)中,血清中也可检测到钩端螺旋体抗体效价为1:50或更高。总共,在接受玻璃体切割术的43匹马中的39匹(= 91%)的血清和玻璃体材料中通过MAT检测到钩端螺旋体抗体。这些结果表明,ERU可能常常是全身性问号钩端螺旋体感染的后遗症。在受ERU影响的眼睛中存在完整钩端螺旋体和特异性抗体,表明对钩端螺旋体生物体和/或其抗原产生了局部抗体。