Francoz David, Fecteau Gilles, Desrochers André, Fortin Madeleine
Département des sciences cliniques, Faculté de Médecine Vétérinaire, Université de Montréal, Saint-Hyacinthe, Québec.
Can Vet J. 2004 Aug;45(8):661-6.
Epidemiological data, clinical signs, complementary examination findings, antimicrobial treatments, and outcome were reviewed in 15 calves diagnosed with otitis media at the Centre hospitalier universitaire vétérinaire de l'Université de Montréal between 1987 and 2002. Age at presentation ranged from 2 to 18 weeks. A purulent ear discharge and epiphora were seen in 8/12 and 6/15 cases, respectively. Neurological signs observed were head tilt (13), eyelid ptosis (7), paresis/paralysis of the pinna (8), ataxia (2), strabismus (2), and convulsions (1). Concurrent pneumonia was frequently diagnosed (n = 11). A Mycoplasma sp. was the principal pathogen isolated from ear discharge; 6 out of 6 samples submitted were positive for mycoplasma. Tympanic bullae radiographs were considered abnormal in 12 out of 13 cases. Cerebrospinal fluid analysis was considered abnormal in 2 out of 5 cases. The antibiotic most commonly used was enrofloxacin (n = 7). Average treatment duration was 19.6 days. Four out of 8 treated animals for which follow-up information was available completely recovered. These results suggest that M. bovis is a major pathogen of otitis media in dairy calves and effective antimicrobial therapy should be of long duration.
回顾了1987年至2002年间在蒙特利尔大学兽医学院中心医院诊断为中耳炎的15头犊牛的流行病学数据、临床体征、辅助检查结果、抗菌治疗及预后情况。发病时年龄为2至18周。分别在8/12和6/15的病例中观察到脓性耳漏和流泪。观察到的神经学体征有头部倾斜(13例)、眼睑下垂(7例)、耳廓轻瘫/麻痹(8例)、共济失调(2例)、斜视(2例)和惊厥(1例)。常并发肺炎(n = 11)。支原体属是从耳漏中分离出的主要病原体;送检的6份样本中有6份支原体呈阳性。13例中有12例鼓室大造影显示异常。5例中有2例脑脊液分析显示异常。最常用的抗生素是恩诺沙星(n = 7)。平均治疗持续时间为19.6天。在有随访信息的8头接受治疗的动物中,4头完全康复。这些结果表明,牛支原体是奶牛犊中耳炎的主要病原体,有效的抗菌治疗应持续较长时间。