Bovine tuberculosis is an important zoonotic disease transmissible through aerosols inhalation and the ingestion of contaminated milk and meat from cattle. Abattoirs in Ghana mainly depend on post-mortem examinations as means of diagnosing the presence of mycobacterium in meat (beef). A Ziehl-Neelsen microscopy was used to investigate the presence of Mycobacterium bovis as Acid-Fast Bacilli (AFBs) in beef samples from the Kumasi Metropolitan abattoir; thereby vetting post-mortem examinations at the abattoir. Lesioned lung tissues and calcified or puss-filled thoracic lymph nodes were collected at post-mortem as directed by an expert veterinarian. A total of 159 samples from 130 cattle (bulls and cows) were used in this study from April to July 2006. Ninety-five (i.e., 73.1%) of the 130 cattle sampled were positive for AFBs, whilst the remaining thirty-five (26.9%) were negative. Out of the total 159 individual samples specimen collected, 114 (71.7%) were found with AFBs. A total of 64 lung tissues and 95 lymph nodes were collected, respectively. Interestingly, 70.3% of the lung tissues were AFB-positive with 69 (72.6%) out of the 95 lymph nodes, also being positive. The ZN microscopy was effective in detecting the presence of mycobacteria, as 73.1% of the suspected samples were AFB-positive. It presupposes that, abattoir post-mortem examinations were also efficient however; the lapses of non-detection of asymptomatic carcasses could also pose a serious health risk to consumers. Also, lack of a functional on-site laboratory and a practical monitoring system was found to be unfavourable to the maintenance of meat quality. Detailed laboratory examinations (such as culture, PCR and other biochemical tests) to augment ZN microscopy is recommended for thorough detection of bovine tuberculosis.
BackgroundThe emergence of drug resistant strains of Mycobacterium tuberculosis complex has made the management of tuberculosis difficult. Also, Mycobacterium species has a peculiar cell wall, made of an impermeable complex structure rich in mycolate, making the lyses of its cell difficult. In order to apply a radio-labelled-probe based detection of mutations in selected genes leading to drug resistance, we concede that the evaluation and modifications of nucleic acid extraction protocols that are less sophisticated and less prone to contamination would be useful in the management of tuberculosis in a resource-constrained setting.FindingsThe average amount of nucleic acids was determined for different extraction treatments. High temperature treatment only, yielded the lowest amount of nucleic acids, i.e. 15.7 ± 3.2 μg. The average amount of nucleic acids obtained with the addition of TE and triton-X100, was 133.7 ± 8.9 μg, while that obtained with the addition of TE only, and TE and SDS were 68.4 ± 22.7 μg and 70.4 ± 20.3 μg respectively. Other treatments yielded 28.8 ± 6.7 μg, 32.5 ± 2.4 μg and 36.9 ± 15.5 μg. The average amount of nucleic acids obtained with high temperature treatment in TE, and that obtained by freezing prior to high temperature treatment, successfully amplified for the genes of interest (rpoB, KatG, rrs).ConclusionWe strongly recommend the use of 1× TE buffer, and freezing and heating for improved lysis of cultured M. tuberculosis, and therefore, as an effective method for the preparation of M. tuberculosis nucleic acid useful for PCR.
Despite its existence in Ghana, there is very little information on the extent or nature of bovine tuberculosis. This state of affairs may pose a serious public health threat through risks associated with the consumption of beef from infected cattle, dairy milk and other bovine products. A study to screen bovine carcasses with lesions suggestive of mycobacterial infection at necropsy in three selected abattoirs in Accra was conducted. A total of 2,886 cattle slaughtered in 3 abattoirs in the Greater Accra Region of Ghana between June and October, 2009 were examined at necropsy for lesions suggestive of bovine tuberculosis. Specimens taken from suspicious lesions were first subjected to Ziehl-Neelsen microscopy and then cultured on Löwenstein-Jensen media containing both pyruvate and glycerol. One hundred and fifty five (155) tissue samples were elicited from only lesions presenting with classical patho-morphological features consistent with bovine tuberculosis in organs found in 145 cattle. These results indicate that 5% (or 145/2886) of the cattle carcasses inspected at slaughter in the Accra region exhibited lesions suggestive of bovine tuberculosis and this poses a serious public health threat. Visual inspection at necropsy, provided done proficiently, could serve as the primary screening measure for beef contaminated with mycobacterial species in abattoirs in resource-poor settings. Microscopic examination, because of its revealed high specificity in this work may be employed, only as a supplementary test, in difficult cases.
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