Rocha Vivianne Cambuí Figueiredo, Figueiredo Salomão Cambuí de, Rosales Cesar Alejandro Rodriguez, Porto Camila Dias, Sequeira Julio Lopes, Neto José Soares Ferreira, Paes Antônio Carlos, Salgado Vanessa Riesz
Universidade de São Paulo (USP), Faculdade de Medicina Veterinária e Zootecnia (FMVZ), São Paulo, SP, Brazil.
Instituto Federal de Educação, Ciência e Tecnologia da Paraíba (IFPB), Faculdade de Medicina Veterinária, Sousa, PB, Brazil.
Braz J Microbiol. 2017 Jan-Mar;48(1):109-112. doi: 10.1016/j.bjm.2016.09.001. Epub 2016 Oct 3.
Tuberculosis (TB) is a chronic disease caused by bacteria belonging to the Mycobacterium tuberculosis complex (MtbC). This disease rarely affects dogs. Canine infections are usually caused by M. tuberculosis. Mycobacterium bovis infections are rare in dogs and associated with consumption of raw milk or contaminated products. Here, we report a Boxer dog who had a M. bovis infection and was admitted to a Brazilian veterinary hospital with a presumptive diagnosis of chronic ehrlichiosis. Despite receiving treatment for chronic ehrlichiosis, it progressed to death. TB was diagnosed during post-mortem examinations using histopathological analysis. Ziehl-Neelsen staining revealed acid-fast bacilli in the kidneys, liver, mesentery, and a mass adhered to the liver. Further, PCR-restriction analysis was performed to identify mycobacteria in the samples. A restriction profile compatible with MtbC was found in the lungs. In addition, PCR-based MtbC typing deletions at different loci of chromosome 9 enabled the identification of M. bovis in the lungs. Therefore, it is very essential to perform differential diagnosis of TB in dogs with non-specific clinical signs and who do not respond to treatment, particularly those who had been in contact with TB-infected cattle or owners. Further, we highlight the use of molecular methods for the identification of bacilli, improving the diagnosis and aiding epidemiological studies.
结核病(TB)是一种由结核分枝杆菌复合群(MtbC)细菌引起的慢性疾病。这种疾病很少感染犬类。犬类感染通常由结核分枝杆菌引起。牛分枝杆菌感染在犬类中罕见,与饮用生牛奶或食用受污染产品有关。在此,我们报告一只拳师犬感染了牛分枝杆菌,并因疑似慢性埃立克体病被收治入一家巴西兽医医院。尽管接受了慢性埃立克体病的治疗,但病情仍进展至死亡。在尸检过程中通过组织病理学分析诊断出结核病。萋-尼氏染色显示在肾脏、肝脏、肠系膜以及附着于肝脏的一个肿块中存在抗酸杆菌。此外,进行了聚合酶链反应-限制性分析以鉴定样本中的分枝杆菌。在肺部发现了与MtbC相符的限制性图谱。另外,基于聚合酶链反应的9号染色体不同位点的MtbC分型缺失能够鉴定出肺部的牛分枝杆菌。因此,对于具有非特异性临床症状且对治疗无反应的犬类,尤其是那些曾接触过感染结核病的牛或主人的犬类,进行结核病的鉴别诊断非常重要。此外,我们强调使用分子方法鉴定杆菌,以改善诊断并辅助流行病学研究。