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15条蛇的增殖性骨关节炎和骨关节炎

Proliferative osteoarthritis and osteoarthrosis in 15 snakes.

作者信息

Isaza R, Garner M, Jacobson E

机构信息

Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville 32610, USA.

出版信息

J Zoo Wildl Med. 2000 Mar;31(1):20-7. doi: 10.1638/1042-7260(2000)031[0020:POAOIS]2.0.CO;2.

Abstract

Fifteen snakes representing seven species with segmental, proliferative osteoarthritis and osteoarthrosis of the spine were presented for examination. All the snakes were captive, privately owned, and fed domestic rodents. Physical examination, radiography, blood culture, bone culture, necropsy, and histopathology were performed on each snake. All the snakes had similar physical examination, radiologic, and necropsy findings. There were three histologic types of lesions: active bacterial osteoarthritis, predominantly noninflammatory osteoarthrosis with multifocal inflammation suggestive of chronic bacterial osteoarthritis, and noninflammatory lesions consistent with osteoarthrosis without evidence of inflammation or bacteria. These findings suggest that all these snakes represent a single disease process, bacterial infection of the vertebrae. The different histologic lesions observed in these snakes may be a continuum of lesions, from acute to chronic. Gram-negative bacteria were isolated from the blood or bone lesions of 8 of the 15 snakes. In six of these eight snakes, Salmonella species were isolated. Gram-positive bacteria (Streptococcus sp.) were isolated from two other snakes. Blood and bone culture results were well correlated, so blood culture may be effective for detecting active bacterial osteoarthritis.

摘要

15条代表7个物种的蛇因脊柱节段性、增殖性骨关节炎和骨关节炎前来接受检查。所有蛇均为人工饲养,归私人所有,以家养啮齿动物为食。对每条蛇都进行了体格检查、放射摄影、血培养、骨培养、尸检和组织病理学检查。所有蛇的体格检查、放射学和尸检结果相似。有三种组织学类型的病变:活动性细菌性骨关节炎、以多灶性炎症为主的非炎症性骨关节炎提示慢性细菌性骨关节炎、以及与骨关节炎一致的无炎症或细菌证据的非炎症性病变。这些发现表明,所有这些蛇代表单一疾病过程,即椎体细菌感染。在这些蛇中观察到的不同组织学病变可能是从急性到慢性的病变连续体。从15条蛇中的8条的血液或骨病变中分离出革兰氏阴性菌。在这8条蛇中的6条中,分离出沙门氏菌属。从另外两条蛇中分离出革兰氏阳性菌(链球菌属)。血培养和骨培养结果相关性良好,因此血培养可能对检测活动性细菌性骨关节炎有效。

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