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Lab tests to detect Proliferative Enteritis evaluated

//19 Nov 2009
Two methods, an immunofluorescence assay (IFA) and fluorescent in-situ hybridization (FISH), were compared for their ability to detect Lawsonia intracellularis (the cause of porcine proliferative enteritis [PE]) in formalin-fixed samples of intestinal tissue.

IFA most sensitive
Of 69 intestinal samples with gross lesions of porcine proliferative enteritis, 63 were positive by both FISH and IFA, but six were positive only by IFA. This indicated that the sensitivity of FISH was 91% that of IFA. However, both methods had a specificity of 100%. Fifty normal porcine intestines were negative by both tests. 

Effects of autolysis
IFA was much less susceptible than FISH to the effects of autolysis. Thus, three of nine samples from pigs with PE were FISH-negative after being kept at 20°C for 4 days, and seven were FISH negative after 2 weeks; after 4 weeks at this temperature, however, six of the nine samples were still IFA positive. After being kept at 4°C for 12 weeks, the majority of samples (≥66%) were positive by both methods.
 
Reference
Detection of Lawsonia intracellularis in Formalin-fixed Porcine Intestinal Tissue Samples: Comparison of Immunofluorescence and In-situ Hybridization, and Evaluation of the Effects of Controlled Autolysis. Jensen et. al., Journal of Comparative Pathology, in Press.
 
Full article available from ScienceDirect
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