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犬闭塞性细支气管炎伴机化性肺炎

Constrictive Bronchiolitis Obliterans in a Dog.

作者信息

Wylie Stacey Lynn, Langlois Daniel, Carey Stephan, Nelson Nathan C, Williams Kurt J

机构信息

From NorthStar VETS, Robbinsville, New Jersey (S.L.W.); Department of Small Animal Clinical Sciences (D.L., S.C.), and Department of Pathobiology and Diagnostic Investigation (K.J.W.), College of Veterinary Medicine, Michigan State University, East Lansing, Michigan; and College of Veterinary Medicine, North Carolina State University, Raleigh, North Carolina (N.C.N.).

出版信息

J Am Anim Hosp Assoc. 2019 Mar/Apr;55(2):e55201. doi: 10.5326/JAAHA-MS-6821. Epub 2019 Jan 17.

Abstract

A 2 yr old, neutered male rottweiler was evaluated for a chronic cough that had acutely worsened. Computed tomographic examination revealed a diffuse alveolar pattern in the right, middle, and left cranial lung lobes. Aerated parenchymal tissue was not observed in the left cranial lung lobe, and both lobes were markedly decreased in volume. Lobectomy of the right middle and left cranial lung lobes was performed. Histopathologic examination of both lungs identified alveolar collapse associated with marked chronic bronchial and bronchiolar luminal concentric fibrosis leading to reduced airway lumen diameter and bronchiolar destruction. The clinical signs and airway pathology were consistent with constrictive bronchiolitis obliterans. The dog remained stable for over 2 yr with glucocorticoid therapy and intermittent antimicrobics. Although the polypoid form of bronchiolitis obliterans has been described in cattle and occasionally in dogs, constrictive bronchiolitis obliterans has not been reported previously in veterinary species.

摘要

一只2岁已绝育的雄性罗威纳犬因慢性咳嗽急性加重而接受评估。计算机断层扫描检查显示右肺、中肺和左肺头叶呈弥漫性肺泡模式。左肺头叶未观察到含气的实质组织,且两个肺叶体积均明显减小。对右肺中叶和左肺头叶进行了肺叶切除术。对双侧肺组织进行组织病理学检查,发现肺泡塌陷,并伴有明显的慢性支气管和细支气管管腔同心性纤维化,导致气道管腔直径减小和细支气管破坏。临床症状和气道病理学表现与闭塞性细支气管炎一致。该犬经糖皮质激素治疗和间歇性使用抗菌药物后,病情稳定超过2年。虽然牛中曾描述过息肉样闭塞性细支气管炎,犬中偶尔也有报道,但兽医领域此前尚未报道过闭塞性细支气管炎。

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