Brachelente Chiara, Wiener Dominique, Malik Yasminda, Huessy Daniela
Institute of Animal Pathology, Vetsuisse Faculty, University of Bern, Switzerland.
Vet Dermatol. 2007 Dec;18(6):432-8. doi: 10.1111/j.1365-3164.2007.00624.x.
A 4-year-old, neutered female, domestic shorthair cat admitted to the animal hospital for recurrent constipation presumed to be due to post-traumatic injuries, went into shock with signs including fever and ataxia followed by stupor. On the fifth day of hospitalization, the cat developed severe, diffuse oedema of the ventral abdomen with multifocal to coalescing erythematous areas and small vesicle formation. The results of bacteriological cultures of liver, spleen and kidney specimens led to the diagnosis of Acinetobacter baumannii sepsis. Histopathological findings of skin samples taken during necropsy showed an extensive epidermal and dermal necrosis with septic vasculitis and numerous intralesional gram-negative bacteria. Detection of the bla(OXA-51-like) gene specific for A. baumannii by PCR, performed retrospectively on samples of the deep layers of the skin, confirmed the presence of A. baumannii also in the cutaneous lesions. To our knowledge this is the first report of a necrotizing fasciitis with septic shock in a cat caused by A. baumannii.
一只4岁已绝育的雌性家养短毛猫因疑似创伤后损伤导致反复便秘而被送往动物医院,随后出现休克,症状包括发热和共济失调,继而昏迷。住院第五天,该猫腹侧腹部出现严重弥漫性水肿,伴有多灶性至融合性红斑区域及小水疱形成。肝、脾和肾标本的细菌培养结果确诊为鲍曼不动杆菌败血症。尸检时采集的皮肤样本的组织病理学检查结果显示,表皮和真皮广泛坏死,伴有败血性血管炎,病灶内有大量革兰氏阴性菌。通过对皮肤深层样本进行回顾性PCR检测,发现了鲍曼不动杆菌特有的bla(OXA-51-like)基因,证实皮肤病变中也存在鲍曼不动杆菌。据我们所知,这是首例由鲍曼不动杆菌引起的猫坏死性筋膜炎伴败血性休克的报告。