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1.
Int J Syst Evol Microbiol ; 51(Pt 2): 413-418, 2001 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-11321087

RESUMO

Biochemical, serological and molecular genetic studies were performed on seven mycoplasma isolates that were recovered from the upper respiratory tract of clinically ill desert tortoises. The isolates were serologically related to each other but serologically distinct from previously described species. Unique mycoplasma species-specific 16S rRNA nucleotide sequences were found in the proposed type strain. The name Mycoplasma agassizii is proposed for these isolates. The type strain is PS6T (= ATCC 700616T) which caused upper respiratory tract disease (URTD) in experimentally infected tortoises.


Assuntos
Mycoplasma/classificação , Tartarugas/microbiologia , Animais , DNA Ribossômico/genética , Clima Desértico , Dados de Sequência Molecular , Mycoplasma/genética , Mycoplasma/isolamento & purificação , Mycoplasma/ultraestrutura , Nevada , RNA Ribossômico 16S/genética , Terminologia como Assunto
2.
J Clin Microbiol ; 39(1): 285-92, 2001 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-11136785

RESUMO

An epidemic of pneumonia with fibrinous polyserositis and multifocal arthritis emerged in captive American alligators (Alligator mississippiensis) in Florida, United States, in 1995. Mycoplasma alligatoris sp. nov. was cultured from multiple organs, peripheral blood, synovial fluid, and cerebrospinal fluid of affected alligators. In a subsequent experimental inoculation study, the Henle-Koch-Evans postulates were fulfilled for M. alligatoris as the etiological agent of fatal mycoplasmosis of alligators. That finding was remarkable because mycoplasmal disease is rarely fatal in animals. An enzyme-linked immunosorbent assay (ELISA) for the detection of antibodies produced by alligators in response to M. alligatoris exposure was developed by using plasma obtained from naturally infected alligators during the original epidemic. The assay was validated by using plasma obtained during an experimental dose-response study and applied to analyze plasma obtained from captive and wild crocodilian species. The ELISA reliably detected alligator seroconversion (P < 0.05) beginning 6 weeks after inoculation. The ELISA also detected seroconversion (P < 0.05) in the relatively closely related broad-nosed caiman Caiman latirostris and the relatively distantly related Siamese crocodile Crocodylus siamensis following experimental inoculation with M. alligatoris. The ELISA may be used to monitor exposure to the lethal pathogen M. alligatoris among captive, repatriated, and wild crocodilian species.


Assuntos
Jacarés e Crocodilos , Anticorpos Antibacterianos/sangue , Ensaio de Imunoadsorção Enzimática/métodos , Infecções por Mycoplasma/veterinária , Mycoplasma/imunologia , Jacarés e Crocodilos/imunologia , Criação de Animais Domésticos , Animais , Afinidade de Anticorpos , Especificidade de Anticorpos , Surtos de Doenças , Infecções por Mycoplasma/diagnóstico , Infecções por Mycoplasma/epidemiologia , Infecções por Mycoplasma/microbiologia
3.
J Wildl Dis ; 36(3): 423-35, 2000 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-10941726

RESUMO

Captive great egret (Ardea albus) nestlings were maintained as controls or were dosed with methylmercury chloride at low (0.5), and high doses (5 mg/kg, wet weight) in fish. Low dosed birds were given methylmercury at concentrations comparable to current exposure of wild birds in the Everglades (Florida, USA). When compared with controls, low dosed birds had lower packed cell volumes, dingy feathers, increased lymphocytic cuffing in a skin test, increased bone marrow cellularity, decreased bursal wall thickness, decreased thymic lobule size, fewer lymphoid aggregates in lung, increased perivascular edema in lung, and decreased phagocytized carbon in lung. High dosed birds became severely ataxic and had severe hematologic, neurologic, and histologic changes. The most severe lesions were in immune and nervous system tissues. By comparing responses in captive and wild birds, we found that sublethal effects of mercury were detected at lower levels in captive than in wild birds, probably due to the reduced sources of variation characteristic of the highly controlled laboratory study. Conversely, thresholds for more severe changes (death, disease) occurred at lower concentrations in wild birds than in captive birds, probably because wild birds were exposed to multiple stressors. Thus caution should be used in applying lowest observed effect levels between captive and wild studies.


Assuntos
Doenças das Aves/induzido quimicamente , Intoxicação por Mercúrio/veterinária , Compostos de Metilmercúrio/toxicidade , Análise de Variância , Animais , Doenças das Aves/imunologia , Doenças das Aves/patologia , Doenças das Aves/fisiopatologia , Aves , Contagem de Células Sanguíneas/veterinária , Proteínas Sanguíneas/efeitos dos fármacos , Medula Óssea/patologia , Cápsulas , Vírus da Encefalite Equina do Leste/imunologia , Feminino , Hematócrito/veterinária , Sistema Imunitário/patologia , Pulmão/patologia , Masculino , Intoxicação por Mercúrio/imunologia , Intoxicação por Mercúrio/patologia , Intoxicação por Mercúrio/fisiopatologia , Compostos de Metilmercúrio/administração & dosagem , Sistema Nervoso/patologia , Exame Neurológico/veterinária , Soroalbumina Bovina/imunologia , Vacinas Virais/imunologia
4.
J Wildl Dis ; 36(2): 272-83, 2000 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-10813609

RESUMO

Between August 1993 and September 1995, 24 gopher tortoises (Gopherus polyphemus) were received for pathological evaluations from various locations in Florida (USA). All tortoises were examined for clinical signs of upper respiratory tract disease (URTD) including nasal and ocular discharge, palpebral edema, and conjunctivitis. Of the 24 tortoises, 10 had current or previously observed clinical signs of URTD and 14 did not. A blood sample was drawn for detection of anti-mycoplasma antibodies by ELISA, and nasal lavage samples were collected for culture and detection of Mycoplasma agassizii gene sequences by polymerase chain reaction (PCR). Of the 14 clinically healthy tortoises, eight were sero-, culture- and PCR-negative, and six were seropositive for antibodies against M. agassizii. Of those six, five were culture- and/or PCR-positive for M. agassizii, and one was culture- and PCR-negative. Of the 10 ill tortoises, nine were seropositive by the ELISA and one was in the suspect range. Nine of the ill tortoises, including the suspect tortoise, were culture- and/or PCR-positive for M. agassizii, and one was culture- and PCR-negative. For histologic evaluation and discussion, the eight sero-, culture-, and PCR-negative tortoises were designated URTD-negative, and the other 16 were classified as URTD-positive. Histologic evaluation of the upper respiratory tract (URT) indicated the presence of mild to severe inflammatory, hyperplastic, or dysplastic changes in 14 URTD-positive tortoises. Seven of eight URTD-negative tortoises had normal appearing nasal cavities; one had mild inflammatory changes. Transmission electron microscopy revealed an organism consistent with Mycoplasma spp. on the nasal mucosal surface of tortoises with clinical signs and lesions of URTD. Additionally, gram-negative bacteria were isolated more frequently from the nasal cavities of URTD-positive tortoises than URTD-negative tortoises. Because clinical signs of URTD were never observed in six of the URTD-positive tortoises, we also conclude that subclinical URTD can occur in gopher tortoises.


Assuntos
Infecções por Mycoplasma/veterinária , Doenças Respiratórias/veterinária , Tartarugas , Animais , Anticorpos Antibacterianos/sangue , Ensaio de Imunoadsorção Enzimática/veterinária , Florida , Mycoplasma/genética , Mycoplasma/imunologia , Mycoplasma/isolamento & purificação , Mycoplasma/ultraestrutura , Infecções por Mycoplasma/patologia , Mucosa Nasal/microbiologia , Mucosa Nasal/ultraestrutura , Reação em Cadeia da Polimerase/veterinária , Doenças Respiratórias/microbiologia , Doenças Respiratórias/patologia
5.
J Zoo Wildl Med ; 31(3): 303-14, 2000 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-11237136

RESUMO

Nine of 74 American alligators (Alligator mississippiensis) from a captive Florida herd of 3-4-m-long, 200-350-kg, adult males greater than 30 yr of age died within a 10-day period during 1995. Nonspecific clinical signs included anorexia, lethargy, muscle weakness, paraparesis, bilateral white ocular discharge, and various degrees of periocular, facial, cervical, and limb edema. Pneumonia, pericarditis, and arthritis were found on postmortem evaluation of the spontaneously dead and euthanatized alligators. Rapidly growing mycoplasmas were identified by culture, and mycoplasma nucleotide sequences were identified by polymerase chain reaction testing of fresh lung and synovial fluid from an affected alligator. Culture of banked frozen lung from necropsy specimens and fresh lung and fresh synovial fluid from newly affected alligators confirmed the presence of a new mycoplasma species in seven of eight individuals. Oxytetracycline was administered, but related deaths continued for 6 mo until only 14 of the initial alligators remained. An enzyme-linked immunosorbent assay to detect antibody was developed, and the organism was transmitted experimentally to naive juvenile alligators, although the source of the organism, Mycoplasma sp. (ATCC 700619), has not been identified. The alligator isolate is a novel species in the mycoplasma family because its nucleotide sequence does not match those of over 75 characterized mycoplasma species. Such factors as population density, animal age, and mycoplasmal virulence likely contributed to the course of disease.


Assuntos
Jacarés e Crocodilos , Animais de Zoológico/microbiologia , Surtos de Doenças/veterinária , Infecções por Mycoplasma/veterinária , Mycoplasma/classificação , Doenças dos Animais/epidemiologia , Doenças dos Animais/mortalidade , Doenças dos Animais/transmissão , Animais , Células Cultivadas , Florida/epidemiologia , Pulmão/microbiologia , Pulmão/patologia , Masculino , Microscopia Eletrônica/veterinária , Morbidade , Infecções por Mycoplasma/epidemiologia , Infecções por Mycoplasma/mortalidade , Infecções por Mycoplasma/transmissão , Miocárdio/patologia , Membrana Sinovial/ultraestrutura
6.
J Wildl Dis ; 35(4): 716-27, 1999 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-10574531

RESUMO

Several factors have combined with an upper respiratory tract disease (URTD) to produce declines on some population numbers of desert tortoises (Gopherus agassizii) in the western USA. This study was designed to determine the seroepidemiology of URTD in a population of wild adult tortoises at the Desert Tortoise Research Natural Area (DTNA) study site in Kern County (California, USA). Prior to initiation of the study, there was a dramatic decline in the number of individuals in this population. At each individual time point, samples were obtained from 12 to 20 tortoises with radiotransmitters during winter, spring, summer, and fall from 1992 through 1995. During the course of the study, 35 animals were sampled at one or more times. Only 10 animals were available for consistent monitoring throughout the 4 yr period. Specific antibody (Ab) levels to Mycoplasma agassizii were determined for individual tortoises by an enzyme-linked immunosorbent assay (ELISA) test. Specific Ab levels were not influenced by the gender of the tortoise. Levels of Ab and distribution of ELISA+, ELISA- and suspect animals were not consistently affected by season within a single year or for a season among the study years. Significantly more tortoises presented with clinical signs in 1992 and 1995. The profile of ELISA+ animals with clinical signs shifted from 5% (1992) to 42% (1995). In 1992, 52% of tortoises lacked clinical signs and were ELISA-. In 1995, this category accounted for only 19% of tortoises. Based on the results of this study, we conclude that URTD was present in this population as evidenced by the presence of ELISA+ individual animals, and that the infectious agent is still present as evidenced by seroconversion of previously ELISA- animals during the course of the study. There is evidence to suggest that animals may remain ELISA+ without showing overt disease, a clinical pattern consistent with the chronic nature of most mycoplasmal infections. Further, there are trends suggesting that the clinical expression of disease may be cyclical. Continued monitoring of this population could provide valuable information concerning the spread of URTD in wild tortoise populations.


Assuntos
Anticorpos Antibacterianos/sangue , Infecções por Mycoplasma/veterinária , Mycoplasma/imunologia , Doenças Respiratórias/epidemiologia , Tartarugas , Animais , California/epidemiologia , Conservação dos Recursos Naturais , Clima Desértico , Ensaio de Imunoadsorção Enzimática/veterinária , Feminino , Masculino , Infecções por Mycoplasma/epidemiologia , Infecções por Mycoplasma/imunologia , Densidade Demográfica , Doenças Respiratórias/imunologia , Estações do Ano , Estudos Soroepidemiológicos , Fatores Sexuais
7.
Am J Vet Res ; 60(7): 826-31, 1999 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-10407474

RESUMO

OBJECTIVE: To investigate Mycoplasma agassizii-specific maternal antibodies in desert tortoise (Gopherus agassizii) hatchlings. SAMPLE POPULATION: Plasma from 43 captive-reared desert tortoise hatchlings. PROCEDURE: ELISA for M agassizii-specific antibodies was performed. Four hatchlings from 4 clutches of 3 M agassizii-seropositive females with chronic upper respiratory tract disease (URTD) were tested on the day of hatching (set 1), and 20 hatchlings from 4 clutches of 4 M agassizii-seropositive females with URTD and 19 hatchlings from 4 M agassizii-seronegative healthy females were tested at 4, 8, 12, and 29 months old (set 2). Immunoblot analysis was performed to determine immunoglobulin classes in yolk and plasma of hatchlings. To determine infection status of hatchlings, yolk, egg shell membranes (set 1), and nasal lavage fluid (sets 1 and 2) were examined for M agassizii by use of polymerase chain reaction. RESULTS: Yolk and hatchling plasma had significantly lower amounts of specific antibodies than did plasma from adult females. The IgG and IgM antibodies were transferred, but M agassizii-specific antibodies were of the IgG class. Hatchlings were not infected with mycoplasmas. Offspring of sick females had significantly higher specific antibody titers than did offspring of healthy females. Titers were still significantly different in 1-year-old hatchlings. CONCLUSIONS: Desert tortoise females transfer specific IgG and IgM antibodies to their offspring that are still detectable after 1 year. CLINICAL RELEVANCE: Infection with M agassizii may be misdiagnosed in hatchlings with persistent maternal antibodies. Passively acquired antibodies may have a role in pathogenesis of mycoplasma-induced respiratory tract disease and other diseases.


Assuntos
Anticorpos Antibacterianos/imunologia , Imunidade Materno-Adquirida/fisiologia , Infecções por Mycoplasma/imunologia , Mycoplasma/imunologia , RNA Ribossômico 16S/genética , Infecções Respiratórias/veterinária , Tartarugas/imunologia , Animais , Anticorpos Antibacterianos/sangue , Anticorpos Monoclonais , Western Blotting/veterinária , Primers do DNA/química , DNA Bacteriano/química , Eletroforese em Gel de Poliacrilamida/veterinária , Ensaio de Imunoadsorção Enzimática/veterinária , Feminino , Líquido da Lavagem Nasal/imunologia , Reação em Cadeia da Polimerase/veterinária , RNA Bacteriano/química , RNA Ribossômico 16S/química , Infecções Respiratórias/imunologia , Infecções Respiratórias/microbiologia , Estatísticas não Paramétricas , Tartarugas/microbiologia
8.
J Clin Microbiol ; 37(7): 2262-9, 1999 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-10364595

RESUMO

Upper respiratory tract disease (URTD) has been observed in a number of tortoise species, including the desert tortoise (Gopherus agassizii) and the gopher tortoise (Gopherus polyphemus). Clinical signs of URTD in gopher tortoises are similar to those in desert tortoises and include serous, mucoid, or purulent discharge from the nares, excessive tearing to purulent ocular discharge, conjunctivitis, and edema of the eyelids and ocular glands. The objectives of the present study were to determine if Mycoplasma agassizii was an etiologic agent of URTD in the gopher tortoise and to determine the clinical course of the experimental infection in a dose-response infection study. Tortoises were inoculated intranasally with 0.5 ml (0.25 ml/nostril) of either sterile SP4 broth (control group; n = 10) or 10(8) color-changing units (CCU) (total dose) of M. agassizii 723 (experimental infection group; n = 9). M. agassizii caused clinical signs compatible with those observed in tortoises with natural infections. Clinical signs of URTD were evident in seven of nine experimentally infected tortoises by 4 weeks postinfection (p.i.) and in eight of nine experimentally infected tortoises by 8 weeks p.i. In the dose-response experiments, tortoises were inoculated intranasally with a low (10(1) CCU; n = 6), medium (10(3) CCU; n = 6), or high (10(5) CCU; n = 5) dose of M. agassizii 723 or with sterile SP4 broth (n = 10). At all time points p.i. in both experiments, M. agassizii could be isolated from the nares of at least 50% of the tortoises. All of the experimentally infected tortoises seroconverted, and levels of antibody were statistically higher in infected animals than in control animals for all time points of >4 weeks p.i. (P < 0.0001). Control tortoises in both experiments did not show clinical signs, did not seroconvert, and did not have detectable M. agassizii by either culture or PCR at any point in the study. Histological lesions were compatible with those observed in tortoises with natural infections. The numbers of M. agassizii 723 did not influence the clinical expression of URTD or the antibody response, suggesting that the strain chosen for these studies was highly virulent. On the basis of the results of the transmission studies, we conclude that M. agassizii is an etiologic agent of URTD in the gopher tortoise.


Assuntos
Infecções por Mycoplasma/veterinária , Mycoplasma/isolamento & purificação , Infecções Respiratórias/veterinária , Animais , Anticorpos Antibacterianos/sangue , Ensaio de Imunoadsorção Enzimática , Mycoplasma/classificação , Mycoplasma/genética , Infecções por Mycoplasma/diagnóstico , Infecções por Mycoplasma/fisiopatologia , Mucosa Nasal/patologia , Reação em Cadeia da Polimerase , Polimorfismo de Fragmento de Restrição , Infecções Respiratórias/diagnóstico , Infecções Respiratórias/fisiopatologia , Especificidade da Espécie , Fatores de Tempo , Tartarugas
9.
J Wildl Dis ; 33(2): 261-6, 1997 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-9131556

RESUMO

Plasma samples collected in 1990 from free-ranging desert tortoises (Gopherus agassizii) with and without clinical signs of upper respiratory tract disease (URTD) from Las Vegas Valley, Clark County, Nevada (USA), were tested by enzyme-linked immunosorbent assay (ELISA) for antibodies to Mycoplasma agassizii, a causative agent of URTD. The relationship between clinical signs and ELISA test results was evaluated. Of the 144 tortoises tested, 45 (31%) had clinical signs while 72 (50%) were seropositive. Presence of clinical signs of URTD was positively related to positive ELISA results (P < 0.0001) regardless of sex or age of the animal. Eighty-four percent of animals with clinical signs tested seropositive. Mucous nasal discharge, the most severe and obvious of the clinical signs, was highly predictive for exposure to M. agassizii based on the ELISA. Ninety-three percent of tortoises with mucous nasal discharge tested seropositive. Serologic testing for M. agassizii antibodies supported clinical signs as useful indicators of URTD, but it also detected potential subclinical infection in 34 (34%) of 99 animals without clinical signs.


Assuntos
Anticorpos Antibacterianos/sangue , Infecções por Mycoplasma/veterinária , Mycoplasma/imunologia , Infecções Respiratórias/veterinária , Tartarugas , Animais , Ensaio de Imunoadsorção Enzimática/veterinária , Feminino , Masculino , Infecções por Mycoplasma/epidemiologia , Infecções por Mycoplasma/imunologia , Nevada/epidemiologia , Prevalência , Infecções Respiratórias/epidemiologia , Infecções Respiratórias/imunologia
10.
Int J Syst Bacteriol ; 45(2): 348-50, 1995 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-7537069

RESUMO

The nucleotide sequences of the 16S rRNA genes of two mycoplasmas, Mycoplasma agassizii (proposed sp. nov.) and Mycoplasma testudinis, isolated from tortoises were determined and used for taxonomic comparisons. Signature nucleotide sequence motifs and overall sequence similarities to other mollicutes positioned these mycoplasmas in the M. hyorhinis and M. pneumoniae phylogenetic groups, respectively. A third, previously unrecognized tortoise mycoplasma was detected by 16S rRNA gene amplification and sequence analysis and was positioned in the M. fermentans phylogenetic group. The 16S rRNA gene of Acholeplasma laidlawii was similarly detected in a tortoise isolate, showing that diverse mollicutes can share the same family of reptilian host.


Assuntos
DNA Bacteriano/genética , Mycoplasma/classificação , RNA Bacteriano/genética , RNA Ribossômico 16S/genética , Tartarugas/microbiologia , Animais , Sequência de Bases , Dados de Sequência Molecular , Mycoplasma/genética , Filogenia , Homologia de Sequência do Ácido Nucleico
11.
Infect Immun ; 62(10): 4580-6, 1994 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-7927724

RESUMO

The desert tortoise is listed by the United States government as a threatened species in part of its range. A major contributing factor in the decline of this animal has been the presence of an upper respiratory tract disease (URTD) which is characterized by a chronic disease which eventually leads to severe occlusion of the nares with viscous exudate and destruction of the respiratory epithelium. Electron microscopy of infected tissues demonstrated the presence of a mycoplasma-like organism attached to the respiratory surfaces. The mycoplasma was isolated and designated as a new species, with the proposed name Mycoplasma agassizii. The current study was designed to fulfill Koch's postulates and determine if M. agassizii was the etiologic agent of URTD. Clinically healthy animals with known antibody status were infused intranasally with pooled exudate (n = 8) from ill donor animals, with M. agassizii alone (n = 9) or in combination with Pasteurella testudinis (n = 8), with P. testudinis alone (n = 9), or with sterile broth (n = 12). The pooled exudate was culture positive for M. agassizii. Tortoises which received exudate or M. agassizii alone or in conjunction with P. testudinis were significantly more likely to develop clinical disease (P < 0.0004) than animals which received P. testudinis alone or the broth controls. Tortoises demonstrated a strong immune response to M. agassizii, and seroconversion was seen in all groups with clinical disease. M. agassizii was isolated from the upper respiratory tracts of clinically ill animals up to 6 months postinfection. On the basis of the results of these transmission studies, we conclude that M. agassizii is an etiologic agent of URTD in the desert tortoise.


Assuntos
Infecções por Mycoplasma/veterinária , Infecções Respiratórias/veterinária , Tartarugas , Animais , Anticorpos Antibacterianos/análise , Doença Crônica , Feminino , Masculino , Mycoplasma/imunologia , Infecções por Mycoplasma/etiologia , Infecções por Mycoplasma/patologia , Infecções Respiratórias/etiologia , Infecções Respiratórias/patologia
12.
J Clin Microbiol ; 31(6): 1454-60, 1993 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-8314986

RESUMO

Mycoplasma agassizii (proposed species novum) is the etiologic agent of an upper respiratory tract disease in the desert tortoise (Gopherus agassizii), which is threatened in most of its range. An enzyme-linked immunosorbent assay (ELISA) for the detection of M. agassizii-specific antibodies in desert tortoises was developed with a monoclonal antibody with specificity for desert tortoise immunoglobulin light chain. Plasma samples from one group of tortoises were tested immediately before and 1 month after challenge either with nasal exudate containing M. agassizii or with a purified preparation of M. agassizii. Plasma samples from a second group of known healthy and sick tortoises were also tested. In the first group, the ELISA detected seroconversion in individual tortoises following challenge with M. agassizii. In the second group, ELISA results were positively correlated with the health status of the tortoises, as determined by clinical and pathologic findings. In addition, the ELISA revealed that tortoise antimycoplasma antibodies were specific for M. agassizii when samples were assayed against M. agassizii, M. pulmonis, M. testudinis, and M. gallisepticum antigens. The observed direct correlation between the presence of nasal mucosal lesions and M. agassizii-specific antibodies proved that the ELISA reliably diagnosed M. agassizii infection in desert tortoises and advocates its use for monitoring M. agassizii-induced upper respiratory tract disease in free-ranging desert tortoises.


Assuntos
Anticorpos Antibacterianos/sangue , Infecções por Mycobacterium/veterinária , Mycobacterium/imunologia , Infecções Respiratórias/veterinária , Tartarugas/imunologia , Tartarugas/microbiologia , Animais , Anticorpos Monoclonais , Especificidade de Anticorpos , Surtos de Doenças/veterinária , Ensaio de Imunoadsorção Enzimática/métodos , Ensaio de Imunoadsorção Enzimática/estatística & dados numéricos , Mycobacterium/isolamento & purificação , Infecções por Mycobacterium/diagnóstico , Infecções por Mycobacterium/imunologia , Reprodutibilidade dos Testes , Infecções Respiratórias/diagnóstico , Infecções Respiratórias/imunologia
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