Robeck T R, Dalton L M
Zoological Department, SeaWorld San Antonio, 10500 Sea World Drive, San Antonio, Texas 78251, USA.
J Zoo Wildl Med. 2002 Dec;33(4):356-66. doi: 10.1638/1042-7260(2002)033[0356:SVAAEZ]2.0.CO;2.
During a 10-yr period, a killer whale (Orcinus orca), two Pacific white-sided dolphins (Lagenorhynchus obliquidens), and two bottlenose dolphins (Tursiops truncatus), all housed at SeaWorld of Texas from 1991 to 2001, were infected with fungi from the class Zygomycetes. In four out of five cases, the fungi were identified as either Saksenaea vasiformis or Apophysomyces elegans. All fungi in the class Zygomycetes aggressively invade the vascular system. Death occurred within 23 days after the initial clinical signs. The primary site of infection involved the s.c. tissue and skeletal musculature. In one case, infection originated in the placenta and uterus of a periparturient animal. All cases exhibited systemic spread of the organisms, including two to the central nervous system. The fifth and most recent case, a bottlenose dolphin, was treated with liposomal nystatin, an antifungal formulation with reduced nephrotoxicity. This animal initially responded to therapy; however, 14 days after cessation of therapy, fungal growth reoccurred. Thus, the animal was euthanatized 39 days after the initial clinical signs. This drug represents a promising treatment option if combined with early disease detection and aggressive tissue resection.
在1991年至2001年期间,德克萨斯州海洋世界饲养的一头虎鲸(逆戟鲸)、两头太平洋白侧海豚(白腰斑纹海豚)和两头宽吻海豚均感染了接合菌纲真菌。在五例病例中,有四例的真菌被鉴定为瓦氏瓶霉或雅致放射毛霉。接合菌纲的所有真菌都会侵袭血管系统。在出现最初临床症状后的23天内死亡。感染的主要部位涉及皮下组织和骨骼肌。在一例病例中,感染起源于围产期动物的胎盘和子宫。所有病例均显示病原体的全身扩散,其中两例扩散至中枢神经系统。第五例也是最近的一例病例是一头宽吻海豚,用肾毒性较低的抗真菌制剂脂质体制霉菌素进行了治疗。这头动物最初对治疗有反应;然而,在治疗停止14天后,真菌再次生长。因此,这头动物在出现最初临床症状后的39天被实施安乐死。如果结合早期疾病检测和积极的组织切除,这种药物是一种很有前景的治疗选择。