Veterinary
World, Vol.2 (2): 74-78 REVIEW
Advances in Diagnosis of Rabies
Ph.D.
Scholar, Department of Veterinary Pathology,
Karnataka
Veterinary, Animal and Fisheries Science University
Veterinary
College, Hebbal, Bangalore-24.
Abstract
Rabies
is a major zoonosis for which diagnostic techniques have been standardised
internationally. Laboratory techniques are preferably conducted on central
nervous system (CNS) tissue removed from the cranium. Agent identification is
preferably done using the fluorescent antibody test. A drop of purified
immunoglobulin previously conjugated with fluorescein isothiocyanate is added
to an acetone-fixed brain tissue smear, preferably made from several parts of
the brain, including the hippocampus, cerebellum and medulla oblongata. For a
large number of samples, as in an epidemiological survey, the immunoenzyme
technique can provide rapid results (the rapid rabies enzyme immunodiagnosis).
FAT provides a reliable diagnosis in 98-100% of cases for all genotypes if a
potent conjugate is used, while RREID detects only genotype 1 virus. Infected
neuronal cells have been demonstrated by histological tests and these
procedures will reveal aggregates of viral material (the Negri bodies) in the cytoplasm
of neurones. However, the sensitivity of histological techniques is much less
than that of immunological methods, especially if there has been some autolysis
of the specimen. Consequently, histological techniques can no longer be
recommended. As a single negative test on fresh material does not rule out the
possibility of infection, inoculation tests, or other tests, should be carried
out simultaneously. Newborn or 3-4-week-old mice are inoculated intracerebrally
with a pool of several CNS tissues, including the brain stem, and then kept
under observation for 28 days. For any mouse that dies between 5 and 28 days,
the cause of death should be confirmed by FAT. Alternatively, a monolayer
culture of susceptible cells is inoculated with the same material as used for
mice. FAT carried out after appropriate incubation will demonstrate the
presence or absence of viral antigen. Wherever possible, virus isolation in
cell culture should replace mouse inoculation tests. The identification of the
agent can be supplemented in specialised laboratories by identifying any
variant virus strains through the use of monoclonal antibodies, specific
nucleic acid probes, or the polymerase chain reaction followed by DNA
sequencing of genomic areas. Such techniques can distinguish between field and
vaccine strains, and possibly identify the geographical origin of the field
strains. Virus neutralisation assays in cell cultures are the prescribed tests
for international trade.
Keywords: Rabies,
Zoonosis, Diagnosis, ELISA, CNS, DNA, Virus, Negri bodies.