Abou-Zahr Tariq, Carrasco Daniel Calvo, Dvm Naomi Shimizu, Forbes Neil A, Dutton Thomas A G, Froehlich Fiona, De Bellis Filippo
J Avian Med Surg. 2018 Mar;32(1):25-33. doi: 10.1647/2017-250.
We reviewed 11 cases of superficial chronic ulcerative dermatitis (SCUD) in psittacine birds that presented to an exotic animal practice over an 8-year period. African grey parrots ( Psittacus erithacus) were overrepresented, accounting for 55% of SCUD-affected birds. All affected birds were hand-reared pets and bonded strongly to their owners. In all cases, fungal culture results were negative. The most commonly cultured bacteria were Enterobacter cloacae (27%), followed by Escherichia coli, and Staphylococcus aureus (both 18%). An underlying cause of behavioral self-mutilation with secondary infection of dermatitis lesions by opportunistic bacteria was suspected in 10 of 11 cases. The axillae were the most common anatomic sites affected (45%). In two cases, more than one site was affected concurrently. Mean age of birds affected was 11.4 years. Two birds had suffered from SCUD previously, with 1 bird having suffered from 3 previous episodes and was euthanized as a result. All birds were treated with systemic antibiotics, topical antibacterial preparations, and systemic nonsteroidal anti-inflammatory drugs. A neck collar was applied in all cases. Median time to clinical resolution was 2 months (range, 1-21 months). Excluding the bird that was euthanized, all birds showed a positive response to treatment.
我们回顾了8年间就诊于一家外来动物诊所的11例鹦鹉浅表慢性溃疡性皮炎（SCUD）病例。非洲灰鹦鹉（Psittacus erithacus）的比例过高，占受SCUD影响鸟类的55%。所有患病鸟类均为人工饲养的宠物，且与主人关系密切。所有病例的真菌培养结果均为阴性。最常培养出的细菌是阴沟肠杆菌（27%），其次是大肠杆菌和金黄色葡萄球菌（均为18%）。11例中有10例怀疑存在行为性自残并继发机会性细菌引起的皮炎病变感染。腋窝是最常受影响的解剖部位（45%）。有2例同时有多个部位受影响。患病鸟类的平均年龄为11.4岁。有2只鸟之前患过SCUD，其中1只曾发作过3次，最终实施了安乐死。所有鸟类均接受了全身抗生素、局部抗菌制剂和全身非甾体抗炎药治疗。所有病例均使用了颈圈。临床症状消退的中位时间为2个月（范围为1 - 21个月）。除实施安乐死的那只鸟外，所有鸟类对治疗均有阳性反应。
