Klainbart Sigal, Mazaki-Tovi Michal, Auerbach Neomi, Aizenberg Itzhak, Bruchim Yaron, Dank Gillian, Lavy Eran, Aroch Itamar, Harrus Shimon
School of Veterinary Medicine, The Hebrew University of Jerusalem, P.O. Box 12, Rehovot 76100, Israel.
Vet J. 2007 Jan;173(1):209-14. doi: 10.1016/j.tvjl.2005.08.019. Epub 2005 Oct 24.
The records of five dogs diagnosed with spirocercosis-associated pyothorax were retrospectively reviewed. On admission, the most common clinical findings were weakness, anorexia, depression, dyspnoea and fever. All dogs had typical oesophageal Spirocerca lupi granulomas. Contrast thoracic radiography revealed contrast material leakage from the oesophagus into the pleural cavity in two dogs only. All dogs were medically treated with broad-spectrum antibiotics, repeated chest tube drainage and thoracic lavage, and four of the dogs were treated with doramectin. One dog was euthanased due to a concurrent non-related disease at the owners request while the remaining four survived. S. lupi infection should be included in the differential diagnoses of canine pyothorax in endemic areas. Conservative medical management of pyothorax with antihelmintic medication was shown to be effective in the treatment of S. lupi-associated pyothorax.
对五只被诊断为与旋尾线虫病相关的脓胸的犬只记录进行了回顾性研究。入院时，最常见的临床症状为虚弱、厌食、抑郁、呼吸困难和发热。所有犬只均有典型的食管狼旋尾线虫肉芽肿。对比剂胸部X光检查仅在两只犬中显示对比剂从食管漏入胸腔。所有犬只均接受了广谱抗生素、反复胸腔闭式引流和胸腔灌洗的药物治疗，其中四只犬还接受了多拉菌素治疗。一只犬因主人要求，因并发无关疾病而实施安乐死，其余四只存活。在流行地区，犬脓胸的鉴别诊断应包括狼旋尾线虫感染。结果表明，使用抗蠕虫药物对脓胸进行保守药物治疗对与狼旋尾线虫相关的脓胸有效。
