Perez Cristina, Fujii Yoko, Fauls Megan, Hummel James, Breitschwerdt Edward
Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC, USA.
J Am Anim Hosp Assoc. 2011 Mar-Apr;47(2):133-7. doi: 10.5326/JAAHA-MS-5616. Epub 2011 Feb 10.
A 12 yr old Dalmatian was referred for evaluation of acute lethargy, fever, neurologic signs, and a recently ausculted heart murmur. Echocardiography in combination with blood cultures resulted in a diagnosis of nonhospital-acquired Serratia marcescens bacteremia and aortic valve endocarditis. Despite early diagnosis and aggressive therapy, the dog failed to respond to antimicrobials and died within 6 hr after admission. Necropsy findings included aortic valve endocarditis, septicemia, and diffuse thromboembolic disease. There was no history of pre-existing underlying disease or immunosuppressive therapy, and the dog had not been hospitalized before referral.
一只12岁的达尔马提亚犬因急性嗜睡、发热、神经症状以及近期听诊发现心脏杂音而前来接受评估。超声心动图检查结合血培养诊断为非医院获得性粘质沙雷氏菌败血症和主动脉瓣心内膜炎。尽管早期诊断并进行了积极治疗,但这只狗对抗菌药物没有反应,入院后6小时内死亡。尸检结果包括主动脉瓣心内膜炎、败血症和弥漫性血栓栓塞性疾病。该犬既往无潜在疾病或免疫抑制治疗史,转诊前也未住院治疗。