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猫的诱导性肉芽肿性结肠炎

-induced granulomatous colitis in a cat.

作者信息

Matsumoto Isao, Nakashima Ko, Morita Hajime, Kasahara Koichi, Kataoka Osamu, Uchida Kazuyuki

机构信息

Japan Small Animal Medical Center, Tokorozawa-shi, Saitama, Japan.

Laboratory of Veterinary Pathology, Graduate School of Agricultural and Life Sciences, The University of Tokyo, Tokyo, Japan.

出版信息

JFMS Open Rep. 2019 Mar 14;5(1):2055116919836537. doi: 10.1177/2055116919836537. eCollection 2019 Jan-Jun.

DOI:10.1177/2055116919836537
PMID:30899541
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6419258/
Abstract

CASE SUMMARY

A 10-year-old castrated male domestic shorthair cat presented with a 6 month history of diarrhoea that responded poorly to medical treatment. Ultrasonography revealed moderate thickening of the colonic wall (4.8 mm) and right colic and jejunal lymphadenomegalies. Endoscopic examination revealed partial circumferential narrowing of the transverse colon and friable colonic mucosa with multiple haemorrhagic regions. Histopathological and immunohistochemical examinations revealed a large number of phagocytosed by periodic acid-Schiff-positive macrophages. Bacterial culture also yielded enrofloxacin-sensitive . The cat was initially treated with prednisolone, which resulted in little improvement. Following histopathological examination and bacterial culture, treatment with enrofloxacin was commenced. Antibacterial therapy resulted in remission of the diarrhoea and an increase in body weight within 14 days.

RELEVANCE AND NOVEL INFORMATION

Granulomatous colitis (GC) or histiocytic ulcerative colitis has been rarely described in cats. There has only been one previously published case study involving a cat, and the aetiology remains largely unknown. The current article describes the regression of -related GC following antibacterial treatment in a cat. Clinical signs, histopathological appearance and response to enrofloxacin were similar to those in canine GC. The current findings suggest that also plays an important role in the development of feline GC.

摘要

病例摘要

一只10岁去势的雄性家猫出现腹泻6个月,药物治疗效果不佳。超声检查显示结肠壁中度增厚(4.8毫米),右结肠和空肠淋巴结肿大。内镜检查显示横结肠部分周向狭窄,结肠黏膜脆弱,有多个出血区域。组织病理学和免疫组织化学检查显示大量被高碘酸-希夫阳性巨噬细胞吞噬。细菌培养也产生了对恩诺沙星敏感的菌株。这只猫最初用泼尼松龙治疗,效果甚微。经过组织病理学检查和细菌培养后,开始用恩诺沙星治疗。抗菌治疗使腹泻缓解,体重在14天内增加。

相关性和新信息

肉芽肿性结肠炎(GC)或组织细胞性溃疡性结肠炎在猫中很少被描述。之前仅有一篇已发表的涉及猫的病例研究,病因在很大程度上仍不清楚。本文描述了一只猫在抗菌治疗后与[具体病因未提及]相关的GC的消退情况。临床症状、组织病理学表现和对恩诺沙星的反应与犬GC相似。目前的研究结果表明[具体病因未提及]在猫GC的发生中也起重要作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d802/6419258/7a872053a001/10.1177_2055116919836537-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d802/6419258/f8aadb6e7162/10.1177_2055116919836537-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d802/6419258/b27b5c4bba5b/10.1177_2055116919836537-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d802/6419258/5a496ff66698/10.1177_2055116919836537-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d802/6419258/6b08ab8a90de/10.1177_2055116919836537-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d802/6419258/7a5c4da8d93a/10.1177_2055116919836537-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d802/6419258/40fd15f96634/10.1177_2055116919836537-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d802/6419258/7a872053a001/10.1177_2055116919836537-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d802/6419258/f8aadb6e7162/10.1177_2055116919836537-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d802/6419258/b27b5c4bba5b/10.1177_2055116919836537-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d802/6419258/5a496ff66698/10.1177_2055116919836537-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d802/6419258/6b08ab8a90de/10.1177_2055116919836537-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d802/6419258/7a5c4da8d93a/10.1177_2055116919836537-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d802/6419258/40fd15f96634/10.1177_2055116919836537-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d802/6419258/7a872053a001/10.1177_2055116919836537-fig7.jpg

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本文引用的文献

1
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Innate Immun. 2017 Apr;23(3):228-239. doi: 10.1177/1753425916686170. Epub 2017 Jan 18.
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Histiocytic typhlocolitis in two colony Beagle dogs.两只比格犬群体中的组织细胞性盲结肠炎
Exp Toxicol Pathol. 2015 Feb;67(2):219-21. doi: 10.1016/j.etp.2014.10.004. Epub 2014 Nov 20.
3
Association between granulomatous colitis in French Bulldogs and invasive Escherichia coli and response to fluoroquinolone antimicrobials.
对一只猫的与[具体病因]相关的肉芽肿性结肠炎进行治疗后,重复结肠活检标本的组织病理学检查和培养。 (注:原文中“-associated”处信息缺失,需补充完整病因相关内容)
JFMS Open Rep. 2023 Jul 4;9(2):20551169231178442. doi: 10.1177/20551169231178442. eCollection 2023 Jul-Dec.
4
Adherent-invasive associated with granulomatous colitis and extraintestinal dissemination in a Sphynx cat.与肉芽肿性结肠炎和内脏外播散相关的黏附侵袭性。
Vet Pathol. 2023 May;60(3):336-340. doi: 10.1177/03009858231162204. Epub 2023 Mar 23.
法国斗牛犬肉芽肿性结肠炎与侵袭性大肠杆菌的关联以及对氟喹诺酮类抗菌药物的反应。
J Vet Intern Med. 2013 Jan-Feb;27(1):56-61. doi: 10.1111/jvim.12020. Epub 2012 Dec 3.
4
Adherent-invasive Escherichia coli phenotype displayed by intestinal pathogenic E. coli strains from cats, dogs, and swine.黏附侵袭性大肠埃希菌表型在来自猫、狗和猪的肠道致病性大肠埃希菌菌株中的表现。
Appl Environ Microbiol. 2011 Aug 15;77(16):5813-7. doi: 10.1128/AEM.02614-10. Epub 2011 Jun 24.
5
Granulomatous colitis of boxer dogs.拳师犬的肉芽肿性结肠炎
Vet Clin North Am Small Anim Pract. 2011 Mar;41(2):433-45. doi: 10.1016/j.cvsm.2011.01.003.
6
Antimicrobial resistance impacts clinical outcome of granulomatous colitis in boxer dogs.抗微生物药物耐药性会影响拳师犬肉芽肿性结肠炎的临床转归。
J Vet Intern Med. 2010 Jul-Aug;24(4):819-24. doi: 10.1111/j.1939-1676.2010.0527.x. Epub 2010 May 11.
7
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J Vet Intern Med. 2009 Sep-Oct;23(5):964-9. doi: 10.1111/j.1939-1676.2009.0363.x. Epub 2009 Aug 11.
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Adherent and invasive Escherichia coli is associated with granulomatous colitis in boxer dogs.黏附侵袭性大肠杆菌与拳师犬的肉芽肿性结肠炎有关。
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10
Histiocytic ulcerative colitis in a French bulldog.一只法国斗牛犬患组织细胞性溃疡性结肠炎。
J Vet Med Sci. 2003 Mar;65(3):431-3. doi: 10.1292/jvms.65.431.