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猫孢子丝菌病的治疗中断 - 147 例研究。

Treatment abandonment in feline sporotrichosis - study of 147 cases.

机构信息

Laboratório de Pesquisa Clínica em Dermatozoonoses em Animais Domésticos, Instituto de Pesquisa Clínica Evandro Chagas - Fundação Oswaldo Cruz (Fiocruz), RJ, Brazil.

出版信息

Zoonoses Public Health. 2013 Mar;60(2):149-53. doi: 10.1111/j.1863-2378.2012.01506.x. Epub 2012 Aug 17.

DOI:10.1111/j.1863-2378.2012.01506.x
PMID:22898261
Abstract

This study describes the epidemiological, clinical and mycological aspects of feline sporotrichosis cases attending the Laboratory of Clinical Research on Dermatozoonosis in Domestic Animals - Evandro Chagas Clinical Research Institute (LAPCLIN-DERMZOO/IPEC/FIOCRUZ), from 1998 to 2005. It was possible to get in contact with 147 (19.2%) cat owners. One hundred and thirteen (76.9%) cats were male, 117 (79.6%) had no defined race and 87 (59.2%) were sexually intact. The age ranged from 72 to 216 months (median = 108 months). Nineteen cats were reassessed: eleven (57.8%) were male, thirteen (36.8%) were breed and fifteen (47.3%) castrated. Fourteen (52.6%) animals lived at home and did not roamed the streets. Seven (36.8%) had normal clinical findings and negative mycological examination. Twelve (63.1%) cats had skin lesions compatible with sporotrichosis. Thirty-one (21%, n = 147) cats disappeared after abandoning treatment, 36 (24.5%, n = 147) were alive and 80 (54.4%, n = 147) had died. Causes of death informed by the owners were: sporotrichosis in 35 (43.7%, n = 80), accidental death in 27 (33.7%, n = 80) and other diseases in 18 (22.5%, n = 80). Withdrawal of treatment occurred mainly at the time of clinical improvement and may represent a serious obstacle to the control of sporotrichosis.

摘要

本研究描述了 1998 年至 2005 年期间,到临床动物皮肤病学研究实验室就诊的猫类孢子丝菌病病例的流行病学、临床和真菌学方面。共联系到 147 位(19.2%)猫主人。113 只(76.9%)猫为雄性,117 只(79.6%)未定义品种,87 只(59.2%)为未绝育。猫的年龄范围为 72 至 216 个月(中位数=108 个月)。有 19 只猫重新评估:11 只(57.8%)为雄性,13 只(36.8%)为品种,15 只(47.3%)为绝育。14 只(52.6%)动物生活在室内,不外出。7 只(36.8%)动物临床检查正常,真菌学检查阴性。12 只(63.1%)猫有皮肤病变符合孢子丝菌病。31 只(21%,n=147)猫在放弃治疗后消失,36 只(24.5%,n=147)仍存活,80 只(54.4%,n=147)死亡。主人报告的死亡原因包括:孢子丝菌病 35 例(43.7%,n=80)、意外死亡 27 例(33.7%,n=80)和其他疾病 18 例(22.5%,n=80)。治疗中断主要发生在临床改善时,这可能是孢子丝菌病控制的一个严重障碍。

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