Himsworth C G, Hill J E, Huang Y, Waters E H, Wobeser G A
Department of Veterinary Pathology, Western College of Veterinary Medicine, 52 Campus Drive, Saskatoon, Saskatchewan, S7N 5B4, Canada.
Vet Pathol. 2009 Mar;46(2):269-72. doi: 10.1354/vp.46-2-269.
Severe destructive polyarthropathy with fibrillation and erosion of articular cartilage, deformation of articular surfaces, and proliferation of periarticular soft tissue was diagnosed in 5 bovine fetuses aborted in the last trimester. There was involvement of a single coxofemoral joint in 2 fetuses, both elbows, and a stifle in 1, both stifles and tarsal joints in another, and, in the most severely affected fetus, both hips, stifles, and shoulders as well as 1 carpus. In affected joints, the articular cartilage was irregularly reduced in thickness and contained fibrovascular tissue and, in some cases, inflammatory cells and fibrin. Four of 5 fetuses had microscopic placentitis; all had mild lymphoplasmacytic conjunctivitis. Ureaplasma spp. was identified in 4 cases by polymerase chain reaction or culture. Fetal arthropathy and Ureaplasma diversum-associated joint pathology have not been previously reported in the veterinary literature; however, other Ureaplasma spp. are known to cause reproductive disease and arthritis in humans.
在妊娠晚期流产的5头牛胎儿中,诊断出严重的破坏性多关节病,伴有关节软骨的纤维蛋白形成和侵蚀、关节面变形以及关节周围软组织增生。2头胎儿的单个股关节受累,1头胎儿的双肘和一个膝关节受累,另一头胎儿的双膝关节和跗关节受累,在受影响最严重的胎儿中,双髋关节、膝关节和肩关节以及1个腕关节受累。在受影响的关节中,关节软骨厚度不规则减少,含有纤维血管组织,在某些情况下还含有炎性细胞和纤维蛋白。5头胎儿中有4头有显微镜下的胎盘炎;所有胎儿均有轻度淋巴细胞浆细胞性结膜炎。通过聚合酶链反应或培养在4例中鉴定出脲原体属。胎儿关节病和与解脲脲原体相关的关节病理学在兽医文献中此前尚未见报道;然而,已知其他脲原体属可导致人类的生殖疾病和关节炎。