Backel Katherine, Cain Christine
Department of Clinical Sciences and Advanced Medicine, University of Pennsylvania, School of Veterinary Medicine, 3900 Spruce Street, Philadelphia, PA 19104, USA.
J Feline Med Surg. 2017 Nov;19(11):1149-1165. doi: 10.1177/1098612X17735764.
Practical relevance: Infectious disease in feline patients often presents a diagnostic challenge. This article reviews the most relevant viral, bacterial and protozoal diseases and their cutaneous manifestations. Many of the diseases discussed have overlapping presentations or may mimic more common noninfectious disease processes. The purpose of the article is to reinforce knowledge of common and uncommon infectious diseases, help practitioners identify possible infectious dermatoses, create a comprehensive and prioritized differential list, and provide guidance for the diagnosis of these diseases. A working knowledge of these clinical syndromes is important if what is thought to be a case of a common disease does not respond to conventional management.
This review is aimed at veterinarians who treat cats and especially those with an interest in feline dermatology. Tables are included to allow the reader to formulate a concise list of differential diagnoses for clinically similar presentations. The diagnostic approach to a case of ulcerative facial dermatitis is reviewed in a Case Notes quiz. Evidence base: This article includes up-to-date information regarding dermatologic manifestations of less commonly encountered feline cutaneous infectious diseases. Information has been drawn from the published, peer-reviewed literature and the most recent textbook chapters with a particular aim of describing and differentiating clinical lesions and the diagnostic approach to cutaneous disease, especially in unusual cases.
实际相关性:猫科动物患者的传染病常常带来诊断挑战。本文回顾了最相关的病毒、细菌和原生动物疾病及其皮肤表现。所讨论的许多疾病表现重叠,或可能类似于更常见的非传染性疾病过程。本文的目的是强化对常见和不常见传染病的认识,帮助从业者识别可能的感染性皮肤病,创建一份全面且按优先级排列的鉴别诊断清单,并为这些疾病的诊断提供指导。如果被认为是常见疾病的病例对传统治疗无反应,那么对这些临床综合征的实用知识就很重要。
本综述针对治疗猫科动物的兽医,尤其是那些对猫科皮肤病感兴趣的兽医。文中包含表格,以便读者为临床相似表现制定一份简明的鉴别诊断清单。在“病例笔记”测验中回顾了溃疡性面部皮炎病例的诊断方法。证据基础:本文包含了有关较少见的猫科皮肤传染病皮肤表现的最新信息。信息取自已发表的、经过同行评审的文献以及最新的教科书章节,特别旨在描述和区分临床病变以及皮肤病的诊断方法,尤其是在不寻常的病例中。