Changes

Jump to navigation Jump to search
Line 42: Line 42:     
Demonstration of antibodies in serum is indicative of exposure to ''T. gondii'', but does not necessarily show active infection. This could be overcome by testing for ''T. gondii'' antigen or immune complexes, but these methods are currently only available to researchers. Several techniques are commercially available for detection of antibody, including ELISA,
 
Demonstration of antibodies in serum is indicative of exposure to ''T. gondii'', but does not necessarily show active infection. This could be overcome by testing for ''T. gondii'' antigen or immune complexes, but these methods are currently only available to researchers. Several techniques are commercially available for detection of antibody, including ELISA,
immunofluorescent antibody testing, Sabin-Feldmann dye test, and agglutination tests. Although these tests are theoretically able to detect all classes of immunoglobulin against ''Toxoplasma gondii'' in many species, it seems that feline serum positive for IgM only often reads as a false negative<sup>5, 6</sup> and so careful interpretation is necessary, particularly since the IgM antibody class appears to correlate more closely to clinical disease than IgG<sup>7</sup>. IgG antibody persists at high levels for at least six years after infection, and so a single IgG measurement is not particularly useful for clinical diagnosis. A rising IgG titre may be more suggestive of active toxoplasmosis: however, IgG is not produced until 2-3 weeks post-infection which may be too late to be useful in acute cases, and many animals with chronic toxoplasmosis will not be assayed until IgG is already at its maximal titre.
+
immunofluorescent antibody testing, Sabin-Feldmann dye test, and agglutination tests. Although these tests are theoretically able to detect all classes of immunoglobulin against ''Toxoplasma gondii'' in many species, it seems that feline serum positive for IgM only often reads as a false negative<sup>5, 6</sup> and so careful interpretation is necessary, particularly since the IgM antibody class appears to correlate more closely to clinical disease than IgG<sup>7</sup>. IgG antibody persists at high levels for at least six years after infection, and so a single IgG measurement is not particularly useful for clinical diagnosis. A rising IgG titre may be more suggestive of active toxoplasmosis: however, IgG is not produced until 2-3 weeks post-infection which may be too late to be useful in acute cases, and many animals with chronic toxoplasmosis will not be assayed until IgG is already at its maximal titre. A more practically useful form of serology is examination of IgM in aqueous humour or cerebrospinal fluid. IgM, in contrast to IgG and IgA, has only been detected in the aqueous humour and CSF of cats with clinical disease <sup>5, 6</sup>. Thereforem, an IgM titre of above 1:64 is highly suggestive of recent of active ''T. gondii'' infection.
   −
A more practically useful form of serology is examination of IgM in aqueous humour or cerebrospinal fluid. IgM, in contrast to IgG and IgA, has only been detected in the aqueous humour and CSF of cats with clinical disease <sup>5, 8</sup>. An IgM titre of above  Most cats with
  −
local production of T gondii-specific antibodies in aqueous
  −
humour have responded to the administration of anti-
  −
Toxoplasma drugs, suggesting that aqueous humour antibody
  −
testing can aid in the diagnosis of clinical ocular
  −
toxoplasmosis in cats (Lappin and others 1992b).
  −
T gondii DNA has been detected in the aqueous
  −
humour of cats with uveitis by polymerase chain reaction
  −
(PCR) (Lappin and others 1996). However, the
  −
organism is also detected occasionally in the aqueous
  −
humour of cats without uveitis and so positive results do
  −
not provide a definitive diagnosis of clinical toxoplasmosis
  −
(Burney and others 1998).
      
*Faecal examination
 
*Faecal examination
6,502

edits

Navigation menu