AI Article Synopsis

  • The study evaluates the effectiveness of heat-treating canine serum for detecting heartworm (Dirofilaria immitis) and examines potential cross-reactivity with other parasites like Acanthocheilonema reconditum and various intestinal helminths.
  • Out of 163 dogs tested, 35.6% were confirmed to have heartworm infections, and heat treatment did not affect the specificity of the heartworm test, which remained at 100% in dogs without heartworms.
  • Findings indicate that heat treatment enhances the sensitivity of heartworm testing without causing false positives due to other common parasitic infections in dogs.

Article Abstract

Background: Detection of Dirofilaria immitis, or heartworm, through antigen in sera is the primary means of diagnosing infections in dogs. In recent years, the practice of heat-treating serum prior to antigen testing has demonstrated improved detection of heartworm infection. While the practice of heat-treating serum has resulted in earlier detection and improved sensitivity for heartworm infections, it has been suggested that heat treatment may cause cross reactivity with A. reconditum and intestinal helminth infections of dogs. No studies have assessed the potential cross-reactivity of these parasites with heartworm tests before and after heat treatment using blood products and an appropriate gold standard reference.

Methods: Canine sera (n=163) was used to evaluate a heartworm antigen-ELISA (DiroCHEK®) and potential cross-reactivity with common parasitic infections. The heartworm status and additional parasite infections were confirmed by necropsy and adult helminth species verified morphologically or by PCR, and feces evaluated by centrifugal fecal flotation.

Results: Intestinal parasites were confirmed in 140 of the dogs by necropsy, and 130 by fecal flotation. Acanthocheilonema reconditum microfilariae were confirmed in 22 dogs. Prevalence of heartworm infection confirmed by necropsy was 35.6% (58/163). In the 105 dogs without heartworms, specificity remained unchanged at 100% both before and after heat treatment despite confirmed infections with A. reconditum, Ancylostoma caninum, Ancylostoma brasiliense, Trichuris vulpis, Toxocara canis, Dipylidium caninum, Spirometra mansonoides, Macracanthorynchus ingens, Cystoisospora sp., Giardia sp., and Sarcocystis sp.

Conclusions: These findings suggest that the use of heat treatment improves sensitivity of heartworm tests and is unlikely to cause false positive antigen results due to Acanthocheilonema reconditum, intestinal helminths, and protozoal parasites in dogs.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7821529PMC
http://dx.doi.org/10.1186/s13071-020-04573-6DOI Listing

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