Kulendra E, Halfacree Z, Goggs R, Dennis S, Summers B, Lamb C R, Brockman D
Department of Veterinary Clinical Sciences, The Royal Veterinary College, North Mymms, Herts AL9 7TA.
J Small Anim Pract. 2010 May;51(5):271-4. doi: 10.1111/j.1748-5827.2009.00904.x. Epub 2010 Mar 1.
A two-year-old female German shepherd dog was presented with chronic cough and haemoptysis. Thoracic radiographs revealed a thin-walled cavitary lesion within a consolidated left cranial lung lobe. Bronchoalveolar lavage confirmed a concurrent bacterial infection; however, despite antibiotic and anthelmintic therapy the clinical signs failed to resolve. A left cranial lung lobectomy was performed. Histopathology and fungal culture confirmed the presence of Aspergillus fumigatus. The necrotic cavity had features compatible with a bronchial origin, possibly a form of cystic bronchiectasis, arising either as a congenital anomaly or acquired secondary to infection. Surgery provided resolution of clinical signs for just over a year before the dog deteriorated again and was subsequently euthanised. Necropsy was declined by the owners. This case report presents a unique presentation in which the predominant clinical sign was coughing due to pulmonary involvement. Aspergillus fumigatus was isolated from the left cranial lung lobe.
一只两岁的雌性德国牧羊犬出现慢性咳嗽和咯血症状。胸部X光片显示左肺上叶实变区内有一个薄壁空洞性病变。支气管肺泡灌洗证实同时存在细菌感染;然而,尽管进行了抗生素和驱虫治疗,临床症状仍未缓解。遂进行了左肺上叶切除术。组织病理学和真菌培养证实存在烟曲霉。坏死腔具有与支气管起源相符的特征,可能是一种囊性支气管扩张形式,要么是先天性异常,要么是继发于感染后获得性的。手术使临床症状缓解了一年多,之后狗狗病情再次恶化,随后实施了安乐死。主人拒绝进行尸检。本病例报告呈现了一种独特的表现,即主要临床症状是由于肺部受累引起的咳嗽。从左肺上叶分离出了烟曲霉。