Haynes S M, Hodge P J, Tyrrell D, Abraham L A
Small Animal Medicine Department, University of Melbourne Veterinary Hospital, Werribee, Victoria, Australia.
Aust Vet J. 2012 Jan-Feb;90(1-2):34-8. doi: 10.1111/j.1751-0813.2011.00870.x.
Disseminated Scedosporium prolificans infection in a 1-year-old female spayed German Shepherd dog is described. Clinical signs were predominantly associated with fungal pyelonephritis and the organism was cultured from the urine. The dog was treated with itraconazole and later, terbinafine was added. Subsequent antifungal susceptibility testing of the isolate showed it to be resistant to all available antifungal drugs. The dog was euthanased because of acute abdominal haemorrhage and associated clinical deterioration. Postmortem examination revealed extensive pyogranulomas containing fungal organisms in the renal parenchyma, myocardium, bone marrow, skeletal muscle, liver, lung, spleen, multiple lymph nodes and pancreas.
描述了一只1岁绝育德国牧羊犬的播散性多育赛多孢菌感染。临床症状主要与真菌性肾盂肾炎有关,且从尿液中培养出了该病原体。这只狗先用伊曲康唑治疗,后来又加用了特比萘芬。对分离菌株进行的后续抗真菌药敏试验表明,它对所有可用的抗真菌药物均耐药。这只狗因急性腹腔出血及相关临床病情恶化而实施安乐死。尸检发现肾实质、心肌、骨髓、骨骼肌、肝脏、肺、脾、多个淋巴结和胰腺中有广泛的脓性肉芽肿,其中含有真菌。