Abstract. Although a fast and reliable fluorescent antibody (FA) test for rabies diagnosis is available, ideally the diagnostic procedure requires fresh or frozen brain tissues. In some instances (and particularly for retrospective studies), fresh or frozen tissues may not be available. In such cases, immunohistochemical tests may be utilized. Because such tests have been used only in a limited number of cases, their diagnostic reliability has not been thoroughly evaluated. This study documents the results of a streptavidin-biotin complex (ABC) immunoperoxidase test on formalin-fixed, paraffin-embedded brain tissues of domestic and wild animals that were positive on FA test for rabies prior to fixation. Thirty-nine of 40 rabies cases were positive with the ABC technique. Based on these preliminary results, the ABC technique appears reliable. However, more corroborative test results are needed before the ABC method can be used as a routine diagnostic procedure, especially with field samples and negative controls.The eastern USA is enzootic for raccoon (Procyon lotor) rabies. 1 Within this area, the disease is compartmentalized in wildlife and on many occasions has spilled over into the domestic animal population. 7 The fluorescent antibody (FA) test for rabies diagnosis is a fast and reliable laboratory test. 6 However, one disadvantage is that ideally the diagnostic procedure requires unfixed (fresh or frozen) brain tissue.the ABC technique for rabies antigen detection has not been used routinely, its reliability as a diagnostic test has not been documented. Therefore, the following study was conducted to correct this deficiency. The validity of the ABC technique for diagnosis of rabies was tested on a variety of domestic and wild animals that were previously found to be positive for rabies by the FA test. Recently, the Laboratory of Large Animal Pathology (University of Pennsylvania) was confronted with 2 instances where rabies was suspected in animals, but unfixed tissue samples were unavailable. In the first case, a puppy had bitten a child; because the dog was unvaccinated and was from a rabies-enzootic area, it was euthanized. The referring veterinarian removed the brain from the carcass and placed it in formalin. In the second case, a neurologically impaired cat from a nonenzootic area was euthanized and necropsied, and tissues were fixed in formalin for histopathology. Microscopic examination revealed an extensive nonsuppurative meningoencephalitis, and rabies was considered as a differential diagnosis. In both cases, only formalin-fixed tissues were available.
Materials and methodsSeveral methods have been previously described for the detection of rabies antigen in formalin-fixed, paraffin-embedded tissue sections. 2-5,9,12 An immunoperoxidase method utilizing the streptavidin-biotin complex (ABC) has been used for a retrospective survey of rabies in equine necropsy cases 7 and for documenting the distribution of lesions and rabies antigen in tissues of raccoons that had contracted the disease. 8 Because...