๐ Use of anti-coronavirus antibody testing of cerebrospinal fluid for diagnosis of feline infectious peritonitis involving the central nervous system in cats
Objective - To assess the use of measuring anti-coronavirus IgG in CSF for the diagnosis of feline infectious peritonitis (FIP) involving the CNS in cats. Design - Prospective study. Sample Population-CSF and serum samples from 67 cats. Procedures - CSF and serum samples were allocated into 4 groups: cats with FIP involving the CNS (n = 10), cats with FIP not involving the CNS (13), cats with CNS disorders caused by diseases other than FIP (29), and cats with diseases other than FIP and not involving the CNS (15). Cerebrospinal fluid was evaluated for concentrations of erythrocytes, leukocytes, and total protein. Anti-coronavirus IgG was measured in CSF and serum by indirect immunofluorescence assay. Results-CSF IgG (range of titers, 1:32 to 1:4,096) was detected in 12 cats, including 6 cats with neurologic manifestation of FIR 4 cats with FIP not involving the CNS, and 2 cats with brain tumors. Cerebrospinal fluid IgG was detected only in cats with correspondingly high serum IgG titers (range, 1:4,096 to 1:16,384) and was positively correlated with serum IgG titers (r = 0.652; P < 0.01 ), but not with any other CSF parameter. Blood contamination of CSF resulted in โค 333 erythrocytes/ฮผL in cats with CSF IgG. Conclusions and Clinical Relevance - The correlation between serum and CSF IgG and the fact that CSF IgG was detected only in strongly seropositive cats suggested that CSF anti-coronavirus IgG was derived from blood. Measurement of anti-coronavirus IgG in CSF was of equivocal clinical use.
author
๐ค Boettcher, Irene C.
๐ค Steinberg, Tanja
๐ค Matiasek, Kaspar
๐ค Greene, Craig E.
๐ค Hartmann, Katrin
๐ค Fischer, Andrea
year
โฐ 2007
issn
๐ 00031488
volume
230
number
2
page
199-205
citedbycount
22
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