Breheny Craig R, Fox Victoria, Tamborini Alice, O'Halloran Conor, Robertson Elise, Cazzini Paola, Birn-Jeffery Daniela, Henkin Julia, Schwartz Tobias, Scase Tim, Powell Roger, Gunn-Moore Danièlle
Hospital for Small Animals, Royal (Dick) School of Veterinary Studies and The Roslin Institute, University of Edinburgh, Edinburgh, UK.
VRCC, Laindon, UK.
JFMS Open Rep. 2017 Jul 11;3(2):2055116917717191. doi: 10.1177/2055116917717191. eCollection 2017 Jul-Dec.
This case series discusses novel characteristics identified in two cases of cowpox. One presented with upper airway signs, and was identified to have a focal laryngeal lesion. The other had central neurological signs at the terminal stages, with intracytoplasmic inclusion bodies identified within the cerebral hemispheres on histopathology.
Currently, cowpox would be an unlikely consideration in patients with neurological signs or upper respiratory noise. These cases both document novel presentations of cowpox infection, which clinicians should be aware of and consider as differential diagnoses in patients with these atypical presentations.
本病例系列讨论了在两例牛痘病例中发现的新特征。一例出现上呼吸道症状，经鉴定有局灶性喉部病变。另一例在终末期出现中枢神经系统症状，组织病理学检查发现大脑半球内有胞浆内包涵体。
目前，对于有神经系统症状或上呼吸道杂音的患者，牛痘不太可能被考虑为病因。这两例病例均记录了牛痘感染的新表现，临床医生应予以关注，并将其作为这些非典型表现患者的鉴别诊断考虑因素。
