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犬利什曼病的化疗:犬的临床状况及利什曼原虫传播风险

Canine leishmaniasis chemotherapy: dog's clinical condition and risk of Leishmania transmission.

作者信息

João A, Pereira M A, Cortes S, Santos-Gomes G M

机构信息

Unidade de Leishmanioses e Centro de Malária e Outras Doenças Tropicais, Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, Rua da Junqueira 96, 1349-008 Lisboa, Portugal.

出版信息

J Vet Med A Physiol Pathol Clin Med. 2006 Dec;53(10):540-5. doi: 10.1111/j.1439-0442.2006.00869.x.

Abstract

The aim of this study was to investigate whether treatment against canine leishmaniasis reduced the presence of Leishmania in the healthy skin of dogs, affecting the capacity of parasite transmission. A total of 37 dogs from an endemic region of leishmaniasis were studied. Thirteen symptomatic animals revealed parasites in the bone marrow and eight had also in the skin. Five of the 22 dogs that had been treated with meglumine antimoniate alone, meglumine antimoniate or trifluralin followed by allopurinol or just with allopurinol had the parasite in bone marrow but none showed Leishmania in the skin. One dog that was treated only with aminosidine was polisymptomatic and had parasites in bone marrow and skin. The different treatments used in this study did not completely eliminate the parasite allowing relapses to occur when the treatment is discontinued, but the use of meglumine antimoniate or allopurinol, alone or combined may improve dogs clinical condition and reduce or eliminate the parasite from the skin decreasing the probability of Leishmania transmission.

摘要

本研究的目的是调查针对犬利什曼病的治疗是否能减少犬健康皮肤中利什曼原虫的存在,从而影响寄生虫传播能力。对来自利什曼病流行地区的37只犬进行了研究。13只出现症状的动物在骨髓中发现了寄生虫,其中8只在皮肤中也发现了寄生虫。在22只仅用葡甲胺锑酸盐、葡甲胺锑酸盐或氟乐灵治疗后再用别嘌呤醇治疗,或仅用别嘌呤醇治疗的犬中,有5只在骨髓中发现了寄生虫,但没有一只在皮肤中发现利什曼原虫。1只仅用氨苯脒治疗的犬出现多种症状,在骨髓和皮肤中均发现了寄生虫。本研究中使用的不同治疗方法并不能完全消除寄生虫,停药后会复发,但单独或联合使用葡甲胺锑酸盐或别嘌呤醇可能会改善犬的临床状况,并减少或消除皮肤中的寄生虫,降低利什曼原虫传播的可能性。

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