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79  Laboratory Diagnosis of Infectious Diseases  847

               fungal organism itself, concentration of fungal elements   Molecular Testing
  VetBooks.ir  in the sample, sample integrity, culture requirements   diagnosis of fungal diseases in tissues or body fluids in
                                                                  Molecular  testing  is  less  commonly  employed  for  the
               of  the fungal agent, and expertise of the laboratory
                                                                  veterinary medicine as it is for bacterial, viral, and proto-
                 performing the culture.
                 Obtaining  and submitting the appropriate sample   zoal  diseases.  Molecular  techniques  are  the  same  as
               for  culture and providing the laboratory with detailed   reported for other infectious diseases and include con-
               history and clinical diagnosis are essential for a success-  ventional, nested, and real‐time PCR and sequencing.
               ful culture. Samples of urine, exudates, and body cavity   Common target genes are the 18S or 5.8S ribosomal gene
               fluids can be submitted in sterile serum collection tubes.   or internal transcribed spacer (ITS) regions of ribosomal
               Up to 10 mL of fluid is recommended. Samples of fresh   DNA. Fungal identification based on DNA sequencing is
               tissue from a lesion can be submitted in a sterile con-  not always definitive because results depend on whether
               tainer for culture.                                or not the DNA of the fungus in question has been previ-
                 Identification of fungal agents in cultures is time‐  ously sequenced and submitted to the genomic data-
               consuming. The culture has to grow and form charac-  bases. Therefore, fungal identification based on DNA
               teristic fruiting bodies, conidia, or arthrospores to   sequencing should include at least two DNA regions for
               allow morphologic identification of the fungus.    comparison.
               Microscopic morphology of fungal reproductive struc-  In contrast, PCR‐based methods are commonly used
               tures is the most useful criterion for identification. It is   to confirm identification of fungi culture in diagnostic
               strongly advised that fungal culture (other than for der-  laboratories. Commercial chemiluminescent‐labeled
               matophytosis) is performed in a reference diagnostic   DNA probes are available for some fungal agents such as
               laboratory.                                        Blastomyces, Coccidioides, and Histoplasma.


                 Further Reading


               Goldstein RE. Canine leptospirosis. Vet Clin North Am   detection and differentiation of wild‐type and vaccine
                 Small Anim Pract 2010; 40: 1091–101.               strains of canine distemper virus. Virol J 2010; 7: 86.
               Schulz BS, Strauch C, Mueller RS, Eichhorn W, Hartmann   Solano‐Gallego L, Baneth G. Diagnosis of protozoal and
                 K. Comparison of the prevalence of enteric viruses in   arthropod‐borne diseases. In: Villiers E, Ristic J,
                 healthy dogs and those with acute haemorrhagic     Blackwood L, eds. BSAVA Manual of Canine and Feline
                 diarrhoea by electron microscopy. J Small Anim Pract   Clinical Pathology. Gloucester, UK: BSAVA, 2016.
                 2008; 49: 84–8.                                  Solano‐Gallego L, Koutinas A, Miro G, et al. Directions for
               Si W, Zhou S, Wang Z, Cui SJ. A multiplex reverse    the diagnosis, clinical staging, treatment and prevention
                 transcription‐nested polymerase chain reaction for   of canine leishmaniosis. Vet Parasitol 2009; 165: 1–18.
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