Schroff Sandra, Schmidt Volker, Kiefer Ingmar, Krautwald-Junghanns Maria-Elisabeth, Pees Michael
Clinic for Birds and Reptiles, University of Leipzig, An den Tierkliniken 17, 04103 Leipzig, Germany.
J Zoo Wildl Med. 2010 Dec;41(4):721-4. doi: 10.1638/2009-0240.1.
An 11-yr-old Burmese python (Python molurus bivittatus) was presented with a history of respiratory symptoms. Computed tomography and an endoscopic examination of the left lung were performed and revealed severe pneumonia. Microbiologic examination of a tracheal wash sample and an endoscopy-guided sample from the lung confirmed infection with Salmonella enterica ssp. IV, Enterobacter cloacae, and Klebsiella pneumoniae. Computed tomographic examination demonstrated a hyperattenuated structure within the heart. Echocardiographic examination revealed a hyperechoic mass at the pulmonic valve as well as a dilated truncus pulmonalis. As therapy for pneumonia was ineffective, the snake was euthanized. Postmortem examination confirmed pneumonia and infective endocarditis of the pulmonic valve caused by septicemia with Salmonella enterica ssp. IV. Focal arteriosclerosis of the pulmonary trunk was also diagnosed. The case presented here demonstrates the possible connection between respiratory and cardiovascular diseases in snakes.
一条11岁的缅甸蟒（Python molurus bivittatus）出现了呼吸道症状。对其进行了计算机断层扫描和左肺内镜检查，结果显示患有严重肺炎。对气管冲洗样本和经内镜引导获取的肺样本进行微生物学检查，证实感染了肠炎沙门氏菌IV亚种、阴沟肠杆菌和肺炎克雷伯菌。计算机断层扫描检查显示心脏内有一个高密度结构。超声心动图检查发现肺动脉瓣处有一个高回声团块以及肺动脉干扩张。由于肺炎治疗无效，该蛇被实施安乐死。尸检证实存在由肠炎沙门氏菌IV亚种败血症引起的肺炎和肺动脉瓣感染性心内膜炎。还诊断出肺动脉干局灶性动脉硬化。本文所述病例表明了蛇类呼吸道疾病和心血管疾病之间可能存在的联系。
