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Peer-reviewed veterinary case report

Detecting heartworm and filarioid infections in Costa Rican dogs

By Rojas, Alicia et al.·Published in Parasites & vectors·2015·View original on PubMed

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Original publication title: Detection of Dirofilaria immitis and other arthropod-borne filarioids by an HRM real-time qPCR, blood-concentrating techniques and a serological assay in dogs from Costa Rica.

Species:
dog

Plain-English summary

A group of dogs in Costa Rica were tested for heartworm (Dirofilaria immitis) and other related infections using different methods. About 15% of the dogs tested positive for heartworm, with a new testing method (HRM-qPCR) proving to be the most effective, detecting infections even at low levels. This method also identified another type of infection (Acanthocheilonema reconditum) in some dogs. The study highlighted that traditional tests might miss infections if the microfilarial levels are low. Overall, the HRM-qPCR method showed the best results for detecting these blood-borne parasites.

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Abstract

BACKGROUND: Canine filarioids are important nematodes transmitted to dogs by arthropods. Diagnosis of canine filariosis is accomplished by the microscopic identification of microfilariae, serology or PCR for filarial-DNA. The aim of this study was to evaluate a molecular assay for the detection of canine filariae in dog blood, to compare its performance to other diagnostic techniques, and to determine the relationship between microfilarial concentration and infection with other vector-borne pathogens. METHODS: Blood samples from 146 dogs from Costa Rica were subjected to the detection of canine filarioids by four different methods: the microhematocrit tube test (MCT), Knott's modified test, serology and a high resolution melt and quantitative real-time PCR (HRM-qPCR). Co-infection with other vector-borne pathogens was also evaluated. RESULTS: Fifteen percent of the dogs were positive to Dirofilaria immitis by at least one of the methods. The HRM-qPCR produced distinctive melting plots for the different filarial worms and revealed that 11.6% of dogs were infected with Acanthocheilonema reconditum. The latter assay had a limit of detection of 2.4x10&#x207b;&#x2074; mf/&#x3bc;l and detected infections with lower microfilarial concentrations in comparison to the microscopic techniques and the serological assay. The MCT and Knott's test only detected dogs with D. immitis microfilaremias above 0.7 mf/&#x3bc;l. Nevertheless, there was a strong correlation between the microfilarial concentration obtained by the Knott's modified test and the HRM-qPCR (r = 0.906, p < 0.0001). Interestingly, one dog was found infected with Cercopithifilaria bainae infection. Moreover, no association was found between microfilaremia and co-infection and there was no significant difference in microfilarial concentration between dogs infected only with D. immitis and dogs co-infected with Ehrlichia canis, Anaplasma platys or Babesia vogeli. CONCLUSIONS: This is the first report of A. reconditum and C. bainae in Costa Rica and Central America. Among the evaluated diagnostic techniques, the HRM-qPCR showed the most sensitive and reliable performance in the detection of blood filaroids in comparison to the Knott's modified test, the MCT test and a serological assay.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/25851920/