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对提交给三个兽医诊断实验室的山羊脑部病变进行的回顾性研究。

A retrospective study of brain lesions in goats submitted to three veterinary diagnostic laboratories.

作者信息

Allen Andrew L, Goupil Brad A, Valentine Beth A

机构信息

Department of Veterinary Pathology and Prairie Diagnostic Services Inc., Western College of Veterinary Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.

出版信息

J Vet Diagn Invest. 2013 Jul;25(4):482-9. doi: 10.1177/1040638713493627. Epub 2013 Jun 21.

Abstract

A retrospective study of brain lesions in goats was conducted to identify the range of lesions and diseases recognized and to make recommendations regarding the best tissues to examine and tests to conduct in order to maximize the likelihood of making a definitive diagnosis in goats that may have had clinical signs referable to the brain. One hundred thirty-nine goats with a brain lesion were identified. The most common lesion, in 52.5% of the goats, was suppurative inflammation. Approximately two-thirds of these goats had encephalitic listeriosis. Other goats were found to have suppurative inflammation in association with septicemia, pituitary abscesses, dehorning injury, and otitis. Thirty goats (21.6%) were diagnosed with polioencephalomalacia. Twenty-one goats (15.1%) were diagnosed with nonsuppurative inflammation. In more than half of these goats, no definitive diagnosis was made, while 8 were infected with Caprine arthritis encephalitis virus and 1 with Rabies virus. However, few goats were tested for rabies. Based on these findings, it is recommended that, in addition to appropriate handling of the brain, the head should be examined with attention paid to the sella turcica and the temporal bones for evidence of a pituitary abscess and otitis, respectively. Histologic examination should include multiple areas of the brain, including the brainstem, for lesions of encephalic listeriosis; the cerebral cortex, for lesions of polioencephalomalacia; and the hippocampus, for Negri bodies associated with Rabies virus infection. Consideration should be given to collecting samples of other tissues including, but not limited to, the spinal cord and liver for ancillary testing if warranted.

摘要

对山羊脑部病变进行了一项回顾性研究,以确定所识别的病变和疾病范围,并就最佳检查组织和检测方法提出建议,以便在可能出现脑部相关临床症状的山羊中最大程度地提高做出明确诊断的可能性。共识别出139只患有脑部病变的山羊。最常见的病变是化脓性炎症,占52.5%的山羊。其中约三分之二的山羊患有脑型李氏杆菌病。其他山羊的化脓性炎症与败血症、垂体脓肿、去角损伤和中耳炎有关。30只山羊(21.6%)被诊断为脑软化症。21只山羊(15.1%)被诊断为非化脓性炎症。在这些山羊中,超过一半未做出明确诊断,而8只感染了山羊关节炎脑炎病毒,1只感染了狂犬病病毒。然而,很少有山羊接受狂犬病检测。基于这些发现,建议除了对脑部进行适当处理外,还应检查头部,分别注意蝶鞍和颞骨,以寻找垂体脓肿和中耳炎的证据。组织学检查应包括脑部的多个区域,包括脑干,以寻找脑型李氏杆菌病的病变;大脑皮层,以寻找脑软化症的病变;以及海马体,以寻找与狂犬病病毒感染相关的内基小体。如有必要,应考虑采集其他组织样本,包括但不限于脊髓和肝脏,用于辅助检测。

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