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救援犬中的新发感染源:一例报告

Emerging source of infection - in rescue dogs: a case report.

作者信息

Mentula Silja, Karkamo Veera, Skrzypczak Teresa, Seppänen Jaana, Hyyryläinen Hanne-Leena, Haanperä Marjo, Soini Hanna

机构信息

Department of Health Security, Finnish National Institute for Health and Welfare, Helsinki, Finland.

Veterinary Bacteriology and Pathology Unit, Finnish Food Authority, Helsinki, Finland.

出版信息

Access Microbiol. 2020 Sep 7;2(11):acmi000168. doi: 10.1099/acmi.0.000168. eCollection 2020.

Abstract

Rescue dog activity is a heavily increasing form of dog charity. Imported homeless dogs represent a reservoir of zoonotic diseases putting owners, veterinarians and pathologists repeatedly at risk. The clinical signs of tuberculosis in a dog are non-specific and diagnosis is often delayed or dismissed. We present a case of 9 months of possible exposure at home and definite exposure at laparotomy and autopsy to intestinal tuberculosis in a family dog imported from Romania to Finland. Persistent gastrointestinal symptoms started 2 years after the import. Abdominal pain, diarrhoea and vomiting proceeded and led to spontaneous death. was identified in the liver, lymph nodes and intestine at autopsy. Exposed persons were notified and follow-up was provided, and no further infections were identified within 12 months of follow-up. The heavily increasing import of companion animals presents unexpected public health risks, such as prolonged exposure to tuberculosis, of which the general public is not aware. The dramatic consequences and high costs of tuberculosis could be reduced through accessible information of the risks of imported animals to both the general public and veterinarians, in addition to availability of rapid diagnostics and proper personal protection.

摘要

救援犬活动是一种日益盛行的犬类慈善形式。进口的流浪狗是人畜共患疾病的传染源,使主人、兽医和病理学家反复面临风险。犬类结核病的临床症状不具有特异性,诊断往往延迟或被忽视。我们报告一例从罗马尼亚进口到芬兰的家养犬病例,该犬在家中可能接触结核杆菌长达9个月,在剖腹术和尸检时确诊接触肠道结核杆菌。进口两年后开始出现持续的胃肠道症状。腹痛、腹泻和呕吐持续存在并导致自然死亡。尸检时在肝脏、淋巴结和肠道中发现了结核杆菌。已通知接触者并进行随访,随访12个月内未发现进一步感染。伴侣动物进口量的大幅增加带来了意想不到的公共卫生风险,例如长期接触结核病,而公众对此并不知晓。除了提供快速诊断方法和适当的个人防护措施外,通过向公众和兽医提供有关进口动物风险的易获取信息,可以降低结核病的严重后果和高昂成本。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b21/7717481/cb89b6ec909b/acmi-2-168-g001.jpg

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