Comparative evaluation of the DPP(®) CVL rapid test for canine serodiagnosis in area of visceral leishmaniasis.

We investigated the performance of the DPP(®) canine visceral leishmaniasis (CVL) rapid test, a novel immunochromatographic assay launched by BioManguinhos (Brazil), which was recently included in the new Brazilian protocol for screening CVL in serological surveys. The present study compared the DPP(®) with the ELISA and IFA produced by BioManguinhos (Brazil) both with L. major-like antigens and with in-house tests using Leishmania infantum chagasi (in-house ELISA and in-house IFA). We analyzed the sera from clinically symptomatic (n=47) and asymptomatic (n=38) infected dogs from an endemic area of CVL, as well as from healthy (n=18) dogs, in addition to the sera of dogs (n=81) infected with other pathogens. The DPP(®) and the in-house ELISA showed a sensitivity of 90.6% and 94.1%, respectively, and specificity of 95.1% and 97.5%, respectively, and both presented cross-reactivity only with the sera of dogs with babesiosis, 44% for the DPP(®) and 22% for the in-house ELISA. The clinical groups were detected equally by the two assays. The ELISA BioManguinhos, IFA BioManguinhos, and in house-IFA showed a good sensitivity, 90.6%, 96.5% and 89.4%, respectively, but very low specificity, 77.8%, 69.1% and 65.8%, respectively, due to the high cross-reactivity with the sera from the animals harboring other pathogens. The in-house ELISA provided the highest accuracy (95.8%), followed by the DPP(®) (92.7%), ELISA BioManguinhos (84.3%), IFA BioManguinhos (83.1%), and in-house IFA (78.0%). The simultaneous use of the DPP(®) and ELISA BioManguinhos reached a sensitivity of 99.1% and 82.1% when used sequentially. In conclusion, the DPP(®) performed well as serological test for CVL, and detected both asymptomatic and symptomatic dogs in equal proportions. Although its sensitivity is not ideal yet, discarding the IFA and including the DPP(®) improved the accuracy of the new Brazilian CVL diagnostic protocol, particularly of detecting truly infected dogs. Moreover, considering the higher specificity of DPP(®) (95.1% vs 77.8%), positive predictive value (95.1% vs 81.1%) and positive likelihood value (18.3% vs 4.1%) in comparison with the ELISA BioManguinhos, the use of DPP(®) as a confirmatory test instead of a screening test is suggested.

Avian paramyxoviruses: detection by transmission electron microscopy techniques / Paramixovirus aviario: detección por técnicas de microscopía electrónica de transmisión

Diseases caused by avian paramyxovirus (APMV) occur in commercial, captive and wild birds worldwide, demonstrating the significant economic and ecological importance of these agents. Paramyxoviruses belong to the paramyxoviridae family, paramyxovirinae subfamily and avulavirus genus. During the period 2000 to 2011, stool and small intestine samples of 1647 birds species were sent to the Laboratory of Electron Microscopy, Biological Institute of São Paulo, Brazil, for diagnosis of viral agents. The samples were processed by negative staining (rapid preparation) and resin embedding techniques. Under the transmission electron microscope by negative staining technique, in 294 (17.8 percent) samples of 1647 were visualized paramyxovirus particles pleomorphic, roughly spherical or filamentous, measuring 100 to 500 nm of diameter containing an envelope covered with spikes and characteristic helical herring-bone-like nucleocapsid measuring 15 to 20 nm in diameter. Ultrathin sections of the small intestine fragments revealed the presence of amorphous granular intracytoplasmic inclusions surrounded by membrane and containing viral nucleocapsid measuring 10-14 nm in diameter. Immature particles budding from cell membranes, pleomorphic, spherical and tubular particles containing viral nucleocapsid strands, and the complete particles measured up to 170 nm in diameter were seen in the cytoplasm. Intranuclear inclusions containing viral nucleocapsid were also visualized. Nuclei showed a marginalized chromatin.

Las enfermedades causadas por paramixovirus (APMV) ocurren mundialmente, tanto en aves de corral, en aquellas en vida libre o en cautiverio, lo que demuestra la importancia económica y ecológica de estos virus. El paramixovirus aviario pertenece a la familia paramyxoviridae, subfamilia paramyxovirinae y género avulavirus. Durante el periodo de 2000 a 2011, muestras de heces y fragmentos del intestino delgado de 1647 especies de aves han sido enviados al Laboratorio de Microscopía Electrónica, Instituto Biológico de São Paulo, para el diagnóstico de agentes virales. Las heces y fragmentos del intestino delgado, se procesaron por las técnicas de contraste negativo (preparación rápida) y la inclusión en resina. Al microscopio electrónico de transmisión mediante la técnica de contraste negativo se visualizaron en muestras de 294 aves, partículas de paramixovirus, pleomórficas, más o menos esféricas o filamentosas, de 100 a 500 nm de diámetro que contenían un sobre cubierto por púas que presentaban característica helicoidal, con nucleocapside tipo espiga, midiendo de 15 a 20 nm de diámetro. Secciones ultrafinas de los fragmentos del intestino delgado, revelaron en el citoplasma la presencia de inclusiones granulares amorfas rodeadas por una membrana, contiendo nucleocapside viral midiendo de 10-14 nm de diámetro, partículas inmaduras brotando de las membranas celulares, partículas virales tubulares, esféricas o pleomórficas que contenían filamentos nucleocapside. Estas partículas completas alcanzaban a los 170 nm de diámetro. Fueron observadas también, inclusiones intranucleares contiendo nucleocapside viral. Los núcleos mostraron una cromatina marginal.