Section of Herd and Veterinary Public Health, UCD School of Agriculture, Food Science and Veterinary Medicine, University College Dublin, Belfield, Dublin 4, Ireland.
Ir Vet J. 2008 Aug 1;61(8):527-31. doi: 10.1186/2046-0481-61-8-527.
This case report describes tuberculosis (TB) due to infection with Mycobacterium bovis (M. bovis) in alpaca (Lama pacos) on a farm in Ireland. Two severely debilitated alpaca were presented to the University Veterinary Hospital, University College Dublin in November 2004. Bloods were taken, and haematology and biochemistry results were indicative of chronic infection. Radiological examination showed evidence of diffuse granulomatous pneumonia suggestive of tuberculosis. On necropsy there were granulomatous lesions present throughout many body organs including lung, liver, kidney, intestine as well on peritoneum and mesentery. Culture of acid-fast bacilli from lesions led to a diagnosis of tuberculosis due to M. bovis. The use of intradermal skin testing proved inefficient and unreliable for ante mortem diagnosis of tuberculosis in alpaca. Infection due to M. bovis should be considered among the differential diagnoses of debilitating diseases in alpaca, particularly those farmed in areas known to be traditional black spots for tuberculosis in cattle.
本病例报告描述了爱尔兰一个农场中感染牛分枝杆菌(M. bovis)导致的羊驼结核病(TB)。2004 年 11 月,两只严重虚弱的羊驼被送到都柏林大学兽医学院。采集了血液,并进行了血液学和生化学检查,结果提示慢性感染。放射学检查显示弥漫性肉芽肿性肺炎的证据,提示结核病。尸检时,在包括肺、肝、肾、肠在内的许多身体器官以及腹膜和肠系膜中都有肉芽肿性病变。从病变中培养出的抗酸杆菌导致了由 M. bovis 引起的结核病的诊断。皮内皮肤试验的使用对于羊驼结核病的生前诊断证明效率低下且不可靠。在已知是牛结核病传统黑区的地区养殖的羊驼,如果出现衰弱性疾病,应将牛分枝杆菌感染作为鉴别诊断之一。