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犬利什曼病的临床和病理体征与严重程度之间的关系。

Relationship between clinical and pathological signs and severity of canine leishmaniasis.

作者信息

Ribeiro Raul Rio, da Silva Sydnei Magno, Fulgêncio Gustavo de Oliveira, Michalick Marilene Suzan Marques, Frézard Frédéric Jean Georges

机构信息

Universidade Federal do Recôncavo da Bahia, Centro de Ciências Agrárias, Ambientais e Biológicas, Cruz das AlmasBA, Brasil.

出版信息

Rev Bras Parasitol Vet. 2013 Jul-Sep;22(3):373-8. doi: 10.1590/S1984-29612013000300009.

DOI:10.1590/S1984-29612013000300009
PMID:24142168
Abstract

Canine visceral leishmaniasis (CVL) is a zoonotic disease that presents variable clinical and laboratory aspects. The aims of this study were to identify the main biochemical/hematological status of dogs naturally infected with Leishmania (Leishmania) infantum and to associate theses parameters with clinical forms of CVL. Blood samples were analyzed from 51 dogs, 15 uninfected (control group) and 36 infected, which were classified clinically in three groups: asymptomatic (n=12), oligosymptomatic (n=12) and symptomatic (n=12). All the infected dogs showed lower albumin/globulin ratios (A-G ratio) than the limit of reference. The mean values of total protein, urea, α-globulin 2, globulin and A-G ratio of infected dogs were outside the reference interval and differed significantly from those of the controls. Anemia was detected only in groups that showed clinical signs of the disease, and a statistical analysis indicated a significantly higher frequency of lower eritrogram in these groups than in the asymptomatic group. In addition, a significant association was observed between anemia and the presence of the symptoms, with dogs displaying higher erythrogram values showing better clinical conditions. These results provide additional evidence that the clinical forms of CVL may reflect on the erythrogram status.

摘要

犬内脏利什曼病(CVL)是一种人畜共患病,其临床和实验室表现多样。本研究的目的是确定自然感染婴儿利什曼原虫(Leishmania infantum)的犬的主要生化/血液学状态,并将这些参数与CVL的临床形式相关联。对51只犬的血液样本进行了分析,其中15只未感染(对照组),36只感染,根据临床症状分为三组:无症状组(n = 12)、轻度症状组(n = 12)和有症状组(n = 12)。所有感染犬的白蛋白/球蛋白比值(A - G比值)均低于参考值范围。感染犬的总蛋白、尿素、α-球蛋白2、球蛋白和A - G比值的平均值超出参考区间,且与对照组有显著差异。仅在出现疾病临床症状的组中检测到贫血,统计分析表明,这些组中红细胞计数较低的频率显著高于无症状组。此外,观察到贫血与症状的出现之间存在显著关联,红细胞计数较高的犬临床状况较好。这些结果提供了额外的证据,表明CVL的临床形式可能反映红细胞计数状态。

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