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犬肺泡型棘球蚴病;临床和组织学检查结果分析及多房棘球绦虫的分子鉴定

Alveolar echinococcosis in a dog; analysis of clinical and histological findings and molecular identification of Echinococcus multilocularis.

作者信息

Antolová Daniela, Víchová Bronislava, Jarošová Júlia, Gál Viliam, Bajužík Branislav

机构信息

Institute of Parasitology SAS, Hlinkova 3, 040 01, Košice, Slovakia.

Alpha Medical Pathology, Ružinovská 6, 826 06, Bratislava, Slovakia.

出版信息

Acta Parasitol. 2018 Sep 25;63(3):486-494. doi: 10.1515/ap-2018-0058.

Abstract

Echinococcus multilocularis is a zoonotic tapeworm of medical and veterinary importance that occasionally infects accidental intermediate hosts causing severe disease or even death. In dogs, alveolar echinococcosis has been reported mainly in central Europe and Canada. The paper presents clinical, biochemical and histological signs of alveolar echinococcosis in a dog from Slovakia and the results of mitochondrial nad1 gene analysis. In 2016, 11-years old Siberian husky female suffering from inappetence was presented to the Veterinary Clinic in Žilina. Biochemical blood examination and blood count showed only minor changes, but abdominal ultrasonography showed the hepatomegaly and the presence of nonhomogeneous hypodense lobulated formation in the left liver lobe. Histological and molecular examinations of excided tissue confirmed the diagnosis of alveolar echinococcosis of the liver. BLAST analysis of E. multilocularis nad1 gene revealed that the nucleotide sequence did not exactly match the previously identified M1 (AJ237639) and/or M2 genotype (AJ237640). In total, two single nucleotide polymorphisms (SNPs) occurred within overlapping region of nad1 gene. In the discussion, clinical and laboratory findings of the infection in other dog patients are compared and the possibilities of diagnosis and therapy of the disease are discussed.

摘要

多房棘球绦虫是一种具有医学和兽医学重要性的人畜共患绦虫,偶尔会感染意外中间宿主,导致严重疾病甚至死亡。在犬类中,肺泡型棘球蚴病主要在中欧和加拿大有报道。本文介绍了一只来自斯洛伐克的犬肺泡型棘球蚴病的临床、生化和组织学特征,以及线粒体nad1基因分析结果。2016年,一只11岁的雌性西伯利亚哈士奇因食欲不振被送到日利纳的兽医诊所。血液生化检查和血常规检查仅显示轻微变化,但腹部超声检查显示肝脏肿大,左肝叶存在不均匀的低密度分叶状结构。对切除组织的组织学和分子检查证实了肝脏肺泡型棘球蚴病的诊断。多房棘球绦虫nad1基因的BLAST分析表明,核苷酸序列与先前鉴定的M1(AJ237639)和/或M2基因型(AJ237640)不完全匹配。在nad1基因的重叠区域总共出现了两个单核苷酸多态性(SNP)。在讨论中,比较了其他犬类患者感染的临床和实验室检查结果,并讨论了该疾病的诊断和治疗可能性。

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