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山羊干酪性淋巴结炎的X线和计算机断层扫描表现

Radiographic and computed tomographic appearance of caseous lymphadenitis in a goat.

作者信息

Vilaplana Grosso Federico, Tinkler Stacy, Sola Mario, Miller Margaret, Heng Hock Gan

机构信息

Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Purdue University, West Lafayette, IN, 47907.

Department of Comparative Pathobiology, College of Veterinary Medicine, Purdue University, West Lafayette, IN, 47907.

出版信息

Vet Radiol Ultrasound. 2020 Jan;61(1):E6-E11. doi: 10.1111/vru.12613. Epub 2018 Mar 15.

Abstract

A 2-year-old Boer doe was presented with respiratory distress and severe inspiratory dyspnea. Cervical and thoracic radiographs revealed a marked retropharyngeal soft tissue mass effect, several mineralized pharyngeal and retropharyngeal structures, and a pulmonary mass. Computed tomography (CT) revealed a severely enlarged right medial retropharyngeal lymph node, which caused laryngeal compression, leading to upper airway obstruction. Multiple cervical and thoracic lymph nodes, and the pulmonary mass had an irregular layered/laminated pattern of mineralization. Imaging findings were consistent with caseous lymphadenitis, and further confirmed with culture, necropsy, and histopathology. This is the first report of CT appearance of caseous lymphadenitis in a goat.

摘要

一只2岁的布尔山羊母羊出现呼吸窘迫和严重的吸气性呼吸困难。颈部和胸部X光片显示咽后软组织有明显肿块效应,多个咽部和咽后结构矿化,以及肺部有肿块。计算机断层扫描(CT)显示右内侧咽后淋巴结严重肿大,导致喉部受压,引起上呼吸道梗阻。多个颈部和胸部淋巴结以及肺部肿块有不规则的分层/层状矿化模式。影像学表现与干酪性淋巴结炎相符,并通过培养、尸检和组织病理学进一步证实。这是山羊干酪性淋巴结炎CT表现的首例报告。

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