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与山羊肺部疾病相关的新型隐球菌分子型VGII感染

Cryptococcus gattii molecular type VGII infection associated with lung disease in a goat.

作者信息

da Silva Evelin Catarine, Guerra Juliana Mariotti, Torres Luciana Neves, Lacerda Alessandra Maria Dias, Gomes Raquel Gonçalves, Rodrigues Danilo Marin, Réssio Rodrigo Albergaria, Melville Priscilla Anne, Martin Camila Cecilia, Benesi Fernando José, de Sá Lílian Rose Marques, Cogliati Bruno

机构信息

Departamento de Patologia, Serviço de Patologia Animal - Hospital Veterinário (HOVET), Faculdade de Medicina Veterinária e Zootecnia da Universidade de São Paulo (FMVZ-USP), Av. Prof. Dr. Orlando Marques de Paiva 87, Cidade Universitária, São Paulo, SP, 05508-270, Brazil.

Instituto Adolfo Lutz (IAL) - Centro de Patologia, Av. Dr. Arnaldo, 351 - 7o. Andar - Sala 705 - Pacaembú, São Paulo, SP, 01246-000, Brazil.

出版信息

BMC Vet Res. 2017 Feb 7;13(1):41. doi: 10.1186/s12917-017-0950-6.

Abstract

BACKGROUND

Cryptococcus gattii-induced cryptococcosis is an emerging infectious disease of humans and animals with worldwide distribution and public health importance due to its significant morbidity and mortality rate. The present study aimed to report a case of pulmonary infection by C. gattii molecular type VGII in State of São Paulo, Brazil.

CASE PRESENTATION

A 5-year-old goat showing intermittent dry cough, ruminal tympany, anorexia, fever, tachycardia and tachypnea was presented for necropsy at the Veterinary Hospital of the School of Veterinary Medicine and Animal Sciences, São Paulo University, São Paulo, Brazil. Postmortem examination revealed numerous 2.0-6.0 cm diameter yellow gelatinous pulmonary masses. Tissues were evaluated by a combination of pathological, mycological, and molecular diagnostic techniques. Microscopically, pneumonia granulomatous, multifocal to coalescing, moderate, with many intralesional carminophilic yeasts was observed. The immunohistochemistry and mycological culture confirmed Cryptococcus spp. Internal transcribed spacers and orotidine monophosphate pyrophosphorylase nucleotide differentiation demonstrated that the isolate corresponds to the C. gattii VGII molecular subtype.

CONCLUSIONS

To our knowledge, this is the first report of a pulmonary infection in a goat linked to C. gattii molecular type VGII in Southeastern Brazil. Our findings emphasize the need for an active surveillance program for human and animal new infections to improve the current public health policies due to expansion of the epidemiological niche of this important microorganism.

摘要

背景

加氏隐球菌引起的隐球菌病是一种新出现的人和动物传染病,由于其较高的发病率和死亡率,在全球范围内分布且具有公共卫生重要性。本研究旨在报告巴西圣保罗州一例由加氏隐球菌分子型VGII引起的肺部感染病例。

病例介绍

一只5岁山羊出现间歇性干咳、瘤胃臌气、厌食、发热、心动过速和呼吸急促,被送到巴西圣保罗大学兽医学院和动物科学学院兽医医院进行尸检。尸检发现直径2.0 - 6.0厘米的大量黄色凝胶状肺部肿块。通过病理、真菌学和分子诊断技术相结合对组织进行评估。显微镜下观察到肉芽肿性肺炎,多灶性至融合性,中度,有许多病灶内嗜卡红酵母。免疫组织化学和真菌培养证实为隐球菌属。内部转录间隔区和乳清苷单磷酸焦磷酸化酶核苷酸分化表明该分离株对应于加氏隐球菌VGII分子亚型。

结论

据我们所知,这是巴西东南部首例与加氏隐球菌分子型VGII相关的山羊肺部感染报告。我们的研究结果强调,由于这种重要微生物的流行病学生态位扩大,需要开展针对人和动物新感染的积极监测计划,以改进当前的公共卫生政策。

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