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猫免疫缺陷病毒感染猫和猫白血病病毒感染猫的血液学及血清生物化学

Hematology and serum biochemistry of feline immunodeficiency virus-infected and feline leukemia virus-infected cats.

作者信息

Gleich S, Hartmann K

机构信息

Clinic of Small Animal Internal Medicine, Ludwig Maximilian University Munich, Munich, Germany.

出版信息

J Vet Intern Med. 2009 May-Jun;23(3):552-8. doi: 10.1111/j.1939-1676.2009.0303.x.

Abstract

BACKGROUND

Hematological and biochemical values in cats naturally infected by feline immunodeficiency virus (FIV) or feline leukemia virus (FeLV) are not completely documented.

OBJECTIVE

Report differences in laboratory values between FIV- or FeLV-infected and noninfected and between FIV- and FeLV-infected cats.

ANIMALS

Three thousand seven hundred and eighty client-owned cats tested for FIV and FeLV.

METHODS

Retrospective study. Evaluation of clinicopathologic changes in cats with defined FIV and FeLV status and for which laboratory data were available.

RESULTS

FIV-infected cats were more likely to be neutropenic (odds ratio [OR]=3.6, 95% confidence interval [95% CI] 2.1-6.2, P < .0001) and had lower serum activities of aspartate aminotransferase and glutamate dehydrogenase than control cats; serum total protein (8.1 +/- 1.1 versus 7.6 +/- 1.3 g/dL, P < .001) and gamma-globulin concentrations (2.2 +/- 1.1 versus 1.7 +/- 1.3 g/dL, P < .001) were higher than in uninfected cats. Compared with controls, FeLV-infected cats had a higher risk of anemia (OR = 3.8, 95% CI 2.4-6.0, P < .0001), thrombocytopenia (OR = 5.0, 95% CI 3.0-8.4, P < .0001), neutropenia (OR = 3.6, 95% CI 2.1-6.1, P < .0001), lymphocytosis (OR = 2.8, 95% CI 1.6-4.8, P= .0002), and lower erythrocyte counts (6.13 +/- 2.95 x 10(3) versus 8.72 +/- 2.18 x 10(3)/microL, P < .001), thrombocyte counts (253.591 +/- 171.841 x 10(3) versus 333.506 +/- 156.033 x 10(3)/microL, P < .001), hematocrit (28.72 +/- 12.86 versus 37.67 +/- 8.90%, P < .001), hemoglobin and creatinine concentration.

CONCLUSIONS AND CLINICAL IMPORTANCE

Hematologic abnormalities are common in FeLV-infected but not in FIV-infected cats. Clinicopathologic abnormalities are less frequent in FIV-infected cats and might reflect an unspecific immunologic response.

摘要

背景

猫自然感染猫免疫缺陷病毒(FIV)或猫白血病病毒(FeLV)后的血液学和生化指标尚未完全记录。

目的

报告FIV或FeLV感染猫与未感染猫之间以及FIV感染猫与FeLV感染猫之间实验室指标的差异。

动物

3780只接受FIV和FeLV检测的客户拥有的猫。

方法

回顾性研究。评估明确FIV和FeLV感染状态且有实验室数据的猫的临床病理变化。

结果

FIV感染猫更易出现中性粒细胞减少(优势比[OR]=3.6,95%置信区间[95%CI]2.1 - 6.2,P <.0001),且天冬氨酸转氨酶和谷氨酸脱氢酶的血清活性低于对照猫;血清总蛋白(8.1±1.1对7.6±1.3 g/dL,P <.001)和γ-球蛋白浓度(2.2±1.1对1.7±1.3 g/dL,P <.001)高于未感染猫。与对照组相比,FeLV感染猫患贫血(OR = 3.8,95%CI 2.4 - 6.0,P <.0001)、血小板减少(OR = 5.0,95%CI 3.0 - 8.4,P <.0001)、中性粒细胞减少(OR = 3.6,95%CI 2.1 - 6.1,P <.0001)、淋巴细胞增多(OR = 2.8,95%CI 1.6 - 4.8,P =.0002)的风险更高,且红细胞计数(6.13±2.95×10³对8.72±2.18×10³/μL,P <.001)、血小板计数(253.591±171.841×10³对333.506±156.033×10³/μL,P <.001)、血细胞比容(28.72±12.86对37.67±8.90%,P <.001)、血红蛋白和肌酐浓度更低。

结论及临床意义

血液学异常在FeLV感染猫中常见,但在FIV感染猫中不常见。FIV感染猫的临床病理异常较少见,可能反映了一种非特异性免疫反应。

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