Eo. Engvall et al., A 16S RIBOSOMAL-RNA-BASED PCR ASSAY FOR DETECTION AND IDENTIFICATION OF GRANULOCYTIC EHRLICHIA SPECIES IN DOGS, HORSES, AND CATTLE, Journal of clinical microbiology, 34(9), 1996, pp. 2170-2174
A PCR-based assay was developed for detecting DNA of granulocytic ehrl
ichiae in blood samples front dogs, horses, and cattle, Primers were d
esigned from 16S rRNA sequence information to specifically amplify DNA
from a newly identified Swedish Ehrlichia species, The 16S rRNA nucle
otide sequence of this Swedish species differs in only two and three p
ositions from the sequences of Ehrlichia phagocytophila and Ehrlichia
equi, respectively, which were also amplified by this PCR system, For
evaluation, PCR results were compared with microscopic examination of
stained blood smears for the detection of granulocytes containing ehrl
ichiae (morulae). Thirty-four of 36 microscopically positive samples w
ere also positive by PCR, and 6 microscopically negative samples were
negative by PCR as well, Six samples, in which morulae-like structures
had been seen, were negative by PCR, also at a lower annealing temper
ature and when a reamplification of the first PCR products was perform
ed, The identities of the PCR products from some canine and equine iso
lates were verified by direct DNA sequencing and were found to be iden
tical with the Ehrlichia sequence found in these animal species that h
ad been obtained earlier, The sequences of a segment of approximately
600 nucleotides from two bovine isolates were identical to that of E,
phagocytophila, whereas the sequence of another bovine isolate differe
d in two positions from that of E. phagocytophila and in three positio
ns from the sequences of the canine and equine isolates, Serum samples
were analyzed by indirect fluorescent-antibody testing. Seventy-three
percent of the animals which were positive by microscopy and PCR also
had positive antibody titers, However, it was not possible to rely on
a single serological result for diagnosis of present infection. It wa
s, therefore, concluded that PCR was the most reliable method, useful
in the clinical laboratory for specific and early diagnosis of granulo
cytic ehrlichiosis in animals.