Boland Lara, Beatty Julia
Faculty of Veterinary Science, Valentine Charlton Cat Centre, School of Life and Environmental Sciences, The University of Sydney, 65 Parramatta Road, Sydney, New South Wales 2006, Australia.
Faculty of Veterinary Science, Valentine Charlton Cat Centre, School of Life and Environmental Sciences, The University of Sydney, 65 Parramatta Road, Sydney, New South Wales 2006, Australia.
Vet Clin North Am Small Anim Pract. 2017 May;47(3):703-724. doi: 10.1016/j.cvsm.2016.11.015. Epub 2017 Jan 6.
Cholangitis is common in felines, including neutrophilic, lymphocytic, and chronic cholangitis (liver fluke). History, physical examination, laboratory testing, and abdominal ultrasound support a diagnosis. Diagnosis using hepatic histopathology and/or bile analysis is ideal but not always practical. Neutrophilic cholangitis is associated with bacterial cholecystitis, pancreatitis, and inflammatory bowel disease. The typical presentation is a short illness with lethargy, inappetence, pyrexia, and jaundice. Lymphocytic cholangitis, suspected to be immune-mediated, can have a prolonged clinical course with weight loss and ascites as the predominant features. The prevalence of liver fluke infestation in cats varies worldwide and clinical manifestations are uncommonly reported.
胆管炎在猫科动物中很常见，包括嗜中性粒细胞性、淋巴细胞性和慢性胆管炎（肝吸虫）。病史、体格检查、实验室检查和腹部超声有助于诊断。使用肝脏组织病理学和/或胆汁分析进行诊断是理想的，但并不总是可行的。嗜中性粒细胞性胆管炎与细菌性胆囊炎、胰腺炎和炎症性肠病有关。典型表现为病程较短，伴有嗜睡、食欲不振、发热和黄疸。淋巴细胞性胆管炎被怀疑是免疫介导的，可能有较长的临床病程，以体重减轻和腹水为主要特征。猫肝吸虫感染的患病率在全球范围内各不相同，临床表现鲜有报道。
