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一只患有不动杆菌相关性脑炎后脑积水的犬急性失明。

Acute blindness in a dog with Acinetobacter-associated postencephalitic hydrocephalus.

作者信息

Kim Jung-Hyun, Jeon Ji-Hee, Park Kang-Hyo, Yoon Hun-Young, Kim Joon-Young

机构信息

Department of Veterinary Internal Medicine, Konkuk University Veterinary Medical Teaching Hospital, #120 Neungdong-ro, Gwangjin-gu, Seoul, 143-701, Korea.

Department of Veterinary Surgery, College of Veterinary Medicine, Konkuk University, #120 Neungdong-ro, Gwangjin-gu, Seoul, 143-701, Korea.

出版信息

J Vet Med Sci. 2017 Oct 20;79(10):1741-1745. doi: 10.1292/jvms.17-0075. Epub 2017 Aug 28.

Abstract

A 10-month-old male Welsh Corgi with a history of acute blindness underwent neuro-ophthalmological testing and magnetic resonance imaging (MRI). Vision testing revealed complete visual deficits but the electroretinograph and pupillary light reflex were normal in both eyes. The motor and sensory functions of the eyelids and eyes were also normal. The MRI revealed compression of the optic chiasm caused by severe ventriculomegaly in the lateral and third ventricles. Such lesions are associated with inflammatory stenotic lesions in the mesencephalic aqueduct. Moderate neutrophilic pleocytosis was observed during cerebrospinal fluid analysis and Acinetobacter lwoffii was isolated, leading to a diagnosis of Acinetobacter-positive obstructive hydrocephalus. This is the first reported case of culture-proven Acinetobacter-associated postencephalitic hydrocephalus with acute blindness in a dog.

摘要

一只10个月大、有急性失明病史的雄性威尔士柯基犬接受了神经眼科检查和磁共振成像(MRI)。视力测试显示完全失明,但双眼视网膜电图和瞳孔对光反射正常。眼睑和眼睛的运动及感觉功能也正常。MRI显示外侧脑室和第三脑室严重脑室扩大导致视交叉受压。此类病变与中脑导水管的炎性狭窄病变有关。脑脊液分析发现中度嗜中性粒细胞增多,并分离出洛菲不动杆菌,从而诊断为不动杆菌阳性梗阻性脑积水。这是首例经培养证实的犬不动杆菌相关性脑炎后脑积水伴急性失明的病例报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08ff/5658570/1bec46bf5e9a/jvms-79-1741-g001.jpg

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