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家养雪貂(Mustela putorius furo)感染婴儿利什曼原虫(Leishmania infantum)所致临床利什曼病的治疗和随访。

Treatment and follow-up of a domestic ferret (Mustela putorius furo) with clinical leishmaniosis caused by Leishmania infantum.

机构信息

Menescalia Veterinary Clinic, Ismael Merlo Actor, 5, 46020, Valencia, Spain; Clinical Immunology Laboratory, Veterinary Faculty, University of Zaragoza, Miguel Servet 177, 50013 Zaragoza, Spain.

Clinical Immunology Laboratory, Veterinary Faculty, University of Zaragoza, Miguel Servet 177, 50013 Zaragoza, Spain; Department of Pharmacology and Physiology, Veterinary Faculty, University of Zaragoza, Miguel Servet 177, 50013 Zaragoza, Spain.

出版信息

Vet Parasitol Reg Stud Reports. 2020 Jul;21:100423. doi: 10.1016/j.vprsr.2020.100423. Epub 2020 Jun 14.

Abstract

Leishmania infantum infection including treatment and follow up in domestic animals other than dogs and cats has not been described at this moment. This article describes the anti-Leishmania treatment and follow-up of a ferret (Mustela putorius furo) with leishmaniosis. A combined therapeutic protocol established for the patient, not yet approved for ferrets, was a combination of meglumine antimoniate plus allopurinol. A follow-up was established monthly during the first year in order to monitor the health condition of the patient. Six months after commencing allopurinol therapy, xanthine crystalluria was observed in urine sediment with no other urine alterations detected by urine analysis. The ferret worsened progressively with diarrhoea and weight loss after cohabiting with another ferret diagnosed with cryptosporidiosis. Cryptosporidium parvum was isolated in faecal samples from the patient detected by three different methods including Ziehl-Neelsen staining, a qualitative test to detection of C. parvum antigens and finally a specific molecular analysis to characterize the species. To the best of the authors´ knowledge, this is the first report providing information about anti-Leishmania protocol therapy used and follow-up in a domestic ferret with clinical leishmaniosis. Veterinarians practicing in endemic areas should be aware of this infection in ferrets at risk and their susceptibility especially when immunosuppressive conditions are present.

摘要

目前尚未描述除犬和猫以外的其他家畜的利什曼原虫感染包括治疗和随访情况。本文描述了一只雪貂(Mustela putorius furo)利什曼病的抗利什曼虫治疗和随访情况。为该患者制定的联合治疗方案尚未获得批准用于雪貂,该方案是两性霉素 B 联合别嘌醇。在第一年中每月进行一次随访,以监测患者的健康状况。开始使用别嘌醇治疗 6 个月后,尿液沉渣中观察到黄嘌呤结晶尿,但尿液分析未检测到其他尿液改变。在与另一只患有隐孢子虫病的雪貂同居后,这只雪貂病情逐渐恶化,出现腹泻和体重减轻。从患者粪便样本中通过三种不同方法(包括齐-尼染色、检测隐孢子虫抗原的定性检测以及最后对种属进行特异性分子分析)分离出微小隐孢子虫。据作者所知,这是首次报道在患有临床利什曼病的家养雪貂中提供有关抗利什曼虫方案治疗和随访的信息。在流行地区行医的兽医应注意到处于风险中的雪貂感染和易感性,特别是在存在免疫抑制的情况下。

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