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===Laboratory Tests===
 
===Laboratory Tests===
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Demonstration of ''Toxoplasma gondii'' in the tissues with associated inflammation is required for the definitive diagnosis of clinical toxoplasmosis. This is achieved most easily post-mortem, but ante-mortem testing of tissues and effusions for bradyzoites or tachyzoites is possible. For example, tachyzoites may be seen in the blood, cerebrospinal fluid, peritoneal and pleural effusions or transtracheal washes from clinically ill animals. PCR, tissue culture and animal inoculation techniques can also be used to detect ''Toxoplasma gondii'' in blood, aqueous humour or CSF<sup>1</sup>.
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Demonstration of ''Toxoplasma gondii'' in the tissues with associated inflammation is required for the definitive diagnosis of clinical toxoplasmosis. For example, tachyzoites may be seen in blood, cerebrospinal fluid, peritoneal and pleural effusions, aqueous humour or transtracheal washes from clinically ill animals. ''Toxoplasma gondii'' may also be detected in these samples using PCR, tissue culture or animal inoculation techniques<sup>1</sup>. These methods may be employed on tissue biopsies too, as well as examination under haematoxylin and eosin or immunohistochemical staining. Immunohistochemistry is preferred to H&E because it is specific for ''T. gondii''. Demonstration of the organism is often most easily achieved post-mortem, as the size of the sample is not restrictive to the likelyhood of seeing ''T.gondii''. Even then, the pathogenesis of disease may be primarily immune-mediated in some cases and so there may be relatively few organisms to find. This is particularly true of opthalmic disease.
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In the absence of demonstration of ''Toxoplasma gondii'' in the tissues or fluids, there is no one specific test to diagnose toxoplamosis. However, a combination of various diagnostic procedures can be used to build a presumptive diagnosis. 
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Many normal animals possess ''Toxoplasma gondii''-specifice antibodies in the serum , aqueous humour and CSF, and so serology alone is not appropriate for diagnosis of toxoplasmosis. However, a combination of various diagnostic procedures can be used to build a presumptive diagnosis. 
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CSF analysis may show elevated protein levels.
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Tissue biopsy sections
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can be assessed for the presence of T gondii by haematoxylin
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and eosin (H&E) staining, immunohistochemical
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staining, PCR, cell culture or animal inoculation.
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Immunohistochemical staining procedures are superior
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to H&E staining because they are specific for T gondii
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(see figure on page 580). It may be difficult to document
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the organism in the tissues of some clinically ill cats
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because of the small sections of tissue evaluated
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histopathologically and because the pathogenesis of disease
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in some may be immune-mediated. This appears to
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be particularly true for the ophthalmic form of the disease
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in cats.
      
* Clinical signs of disease referable to toxoplasmosis;
 
* Clinical signs of disease referable to toxoplasmosis;
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