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[中欧地区犬利什曼病:对进口及旅行犬的回顾性调查与血清学研究]

[Canine leishmaniosis in Central Europe: retrospective survey and serological study of imported and travelling dogs].

作者信息

Mettler Maik, Grimm Felix, Naucke Torsten J, Maasjost Christiane, Deplazes Peter

机构信息

Institut für Parasitologie, Universität Zürich, Zürich, Schweiz.

出版信息

Berl Munch Tierarztl Wochenschr. 2005 Jan-Feb;118(1-2):37-44.

Abstract

Canine leishmaniosis is a common parasitic disease in Central Europe affecting dogs imported or returning from endemic countries around the Mediterranean basin. Through an internet discussion forum owners of dogs with suspected or proven leishmaniosis living in Central Europe (D, A, CH), were questioned about the dog's history. Additionally, serologic examinations of the dogs for anti-Leishmania antibodies (ELISA using antigen of promastigote stages) were offered to the participants. From February to October 2003, 291 dogs imported or returning from Southern Europe (Spain, Italy, Greece, Turkey, France, Malta, Portugal and others) were analysed. Serologically, 111 dogs (38%) were classified positive; 103 being imported and eight travelling dogs. The majority of seropositive dogs originated from Spain (67%). No significant correlation could be established between race, sex and age and the incidence of the disease. The clinical symptoms in the seropositive dogs varied widely and ranged from mild general symptoms to visceral manifestations with chronic renal failure. Skin disorders were found in 78% of the seropositive, symptomatic animals. In the country of origin or after import or return, 174 out of 291 dogs (60%) had been tested for the presence of anti-Leishmania antibodies by different immunofluorescence antibody tests (IFAT). Discrepancies between the ELISA and the various IFATs used were noted in 55 cases (32%), especially in cases of low IFAT titers. Most of the seropositive dogs (80%) had been treated against leishmaniosis. In 91% of these cases, Allopurinol as monotherapy or in combination with Glucantime had been used. For diagnostics and therapy, dog owners had spent an average of 1,100 euros (median 900 euros, maximum 5,800 euros).

摘要

犬利什曼病是中欧一种常见的寄生虫病,影响从地中海盆地流行国家进口或返回的犬类。通过一个互联网讨论论坛,对生活在中欧(德国、奥地利、瑞士)疑似或确诊患有利什曼病的犬只主人进行了犬只病史询问。此外,还为参与者提供了犬只抗利什曼原虫抗体的血清学检测(使用前鞭毛体阶段抗原的酶联免疫吸附测定)。2003年2月至10月,对291只从南欧(西班牙、意大利、希腊、土耳其、法国、马耳他、葡萄牙等)进口或返回的犬只进行了分析。血清学检测显示,111只犬(38%)呈阳性;其中103只为进口犬,8只为旅行犬。大多数血清阳性犬来自西班牙(67%)。在品种、性别和年龄与疾病发病率之间未发现显著相关性。血清阳性犬的临床症状差异很大,从轻微的全身症状到伴有慢性肾衰竭的内脏表现不等。在78%的血清阳性、有症状的动物中发现了皮肤疾病。在原产国或进口或返回后,291只犬中有174只(60%)通过不同的免疫荧光抗体试验(IFAT)检测了抗利什曼原虫抗体的存在。在55例(32%)中发现酶联免疫吸附测定(ELISA)与所使用的各种IFAT之间存在差异,特别是在IFAT滴度较低的情况下。大多数血清阳性犬(80%)接受了利什曼病治疗。在这些病例中,91%使用了别嘌呤醇作为单一疗法或与葡糖胺联合使用。为了诊断和治疗,犬主平均花费了1100欧元(中位数900欧元,最高5800欧元)。

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