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猫利什曼病致破坏性肉芽肿性鼻炎伴颅内蔓延的 CT 特征。

Computed tomographic features of destructive granulomatous rhinitis with intracranial extension secondary to leishmaniasis in a cat.

机构信息

Hospital Clínic Veterinari, Universitat Autònoma de Barcelona, 08193, Bellaterra, Barcelona, Spain.

Departament de Medicina i Cirurgia Animals, Facultat de Veterinària de la Universitat Autònoma de Barcelona, 08193, Bellaterra, Barcelona, Spain.

出版信息

Vet Radiol Ultrasound. 2020 Nov;61(6):E64-E68. doi: 10.1111/vru.12666. Epub 2018 Jul 11.

Abstract

A 5-year-old castrated male Domestic Shorthair cat presented for evaluation of chronic history of nasal discharge and nasal stridor. On computed tomography (CT), a destructive ill-defined mass of soft tissue attenuation was occupying the right nasal cavity and extending into the left nasal cavity, nasopharynx, and rostral cranial cavity. Histopathology of the rhinoscopically excised samples consisted with destructive granulomatous rhinitis secondary to Leishmania spp. Chronic granulomatous rhinitis with intracranial and nasopharyneal extension secondary to Leishmania spp. infection should be included as a differential diagnosis for a destructive nasal mass of soft tissue attenuation, especially in endemic regions for leishmaniasis.

摘要

一只 5 岁去势雄性家养短毛猫因慢性鼻腔分泌物和鼻呼吸困难而就诊。在计算机断层扫描(CT)上,一个破坏性的、边界不清的软组织衰减肿块占据了右侧鼻腔,并延伸至左侧鼻腔、鼻咽和颅前窝。经鼻内窥镜切除样本的组织病理学检查结果符合利什曼原虫引起的破坏性肉芽肿性鼻炎。利什曼原虫感染引起的慢性肉芽肿性鼻炎伴颅内和鼻咽延伸,应作为软组织衰减破坏性鼻肿块的鉴别诊断之一,尤其是在利什曼病流行地区。

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