Shank Alba Maria M, Dubielzig Richard D, Teixeira Leandro B C
IDEXX Laboratories, Inc., 3 Centennial Drive, North Grafton, MA, 508-887-7956, USA.
School of Veterinary Medicine, University of Wisconsin, 2015 Linden Drive, Madison, WI, 53706, USA.
Vet Ophthalmol. 2015 Sep;18(5):437-42. doi: 10.1111/vop.12239. Epub 2014 Dec 17.
To examine a series of 14 cases of canine ocular protothecosis from archived cases from the Comparative Ocular Pathology Laboratory of Wisconsin (COPLOW), and compare gross and histologic findings.
Archival records from COPLOW were searched for canine cases of ocular protothecosis. Fourteen cases that contained matching criteria were identified, and gross and histologic findings, and clinical records for each case were tabulated, examined, and compared (2001-2013).
Of the 14 cases identified, six had evidence of systemic disease, as per clinical history. Two of the 14 cases had Prototheca identified via cytology of ocular fluid or retinal exudate; in the remainder of cases, Prototheca identified via cytology of ocular fluid or retinal exudate in the remaining 12 cases, Prototheca was identified upon histologic examination of the submitted globe(s). Presenting ocular clinical signs were variable and nonspecific. Duration of ocular clinical signs varied from days to months. Fundoscopically, white membranes or plaques were identified on or around the retina in five cases. Retinal detachment was identified in 13 of the 14 submitted globes on gross examination following fixation and sectioning. The predominant histologic finding was granulomatous chorioretinitis with retinal detachment, with variable numbers of Prototheca within the inflammatory infiltrate.
Due to the nonspecific nature of the ocular signs, a diagnosis of protothecosis generally is not made until enucleation and histopathologic examination of the globe(s). Retinal detachment and blindness were common. Cytologic sampling of retinal plaques and exudate may provide a rapid way to identify Prototheca.
研究威斯康星比较眼病理实验室(COPLOW)存档病例中的14例犬眼原壁菌病,并比较大体和组织学检查结果。
在COPLOW的存档记录中搜索犬眼原壁菌病病例。确定了14例符合标准的病例,并将每个病例的大体和组织学检查结果以及临床记录制成表格,进行检查和比较(2001 - 2013年)。
在确定的14例病例中,根据临床病史,6例有全身疾病的证据。14例中的2例通过眼内液或视网膜渗出液的细胞学检查发现原壁菌;在其余12例病例中,通过眼内液或视网膜渗出液的细胞学检查未发现原壁菌,而是在提交的眼球组织学检查中发现了原壁菌。眼部临床表现多样且不具特异性。眼部临床症状持续时间从数天到数月不等。眼底检查时,5例在视网膜上或其周围发现白色膜或斑块。在固定和切片后的大体检查中,14个提交的眼球中有13个发现视网膜脱离。主要的组织学发现是肉芽肿性脉络膜视网膜炎伴视网膜脱离,炎症浸润内有数量不等的原壁菌。
由于眼部症状的非特异性,通常在眼球摘除并进行组织病理学检查后才能诊断原壁菌病。视网膜脱离和失明很常见。对视网膜斑块和渗出液进行细胞学采样可能是识别原壁菌的快速方法。