Department of Medicine and Epidemiology, University of California Davis School of Veterinary Medicine, Davis, California, USA.
Lincoln Memorial University-College of Veterinary Medicine, Ewing, Virginia, USA.
J Vet Intern Med. 2021 May;35(3):1620-1625. doi: 10.1111/jvim.16110. Epub 2021 May 2.
Four, mature, client-owned goats were presented to referral hospitals for recurrent diarrhea despite treatment for intestinal parasitism. Common clinical findings included diarrhea, poor condition, neutrophilia, and hypoalbuminemia. Testing for common infectious causes of diarrhea in goats was negative. Ultrasonography and computed tomography in 2 cases was suggestive of enteritis, including thickened intestinal walls and fluid filled, dilated small intestines, respectively. Lymphoplasmacytic and eosinophilic enteritis (LEE) was ultimately diagnosed on intestinal biopsy histopathology based on the presence of small intestinal villous blunting and increased numbers of lymphocytes and eosinophils predominantly within the lamina propria. Numerous globule leukocytes were also noted on histopathology in 3 cases. All goats responded favorably to corticosteroid treatment with weight gain and resolution of diarrhea and clinicopathologic abnormalities. Relapses occurred, and complete cure was difficult to achieve. Reported in other species, this series describes the clinical presentation, diagnosis, and treatment of LEE in adult goats.
四头成熟、客户所有的山羊因肠道寄生虫感染治疗后仍反复出现腹泻而被送到转诊医院。常见的临床发现包括腹泻、不良状况、中性粒细胞增多和低白蛋白血症。对山羊常见腹泻的传染性原因的检测结果为阴性。在 2 例病例中,超声和计算机断层扫描提示肠炎,分别表现为肠壁增厚和充满液体、扩张的小肠。基于小肠绒毛变钝和固有层中淋巴细胞和嗜酸性粒细胞数量增加,最终在肠活检组织病理学上诊断为淋巴浆细胞性和嗜酸性肠炎(LEE)。在 3 例病例中还观察到组织病理学上有大量的球白细胞。所有山羊经皮质类固醇治疗后反应良好,体重增加,腹泻和临床病理异常得到缓解。但病情复发,难以完全治愈。本系列报告描述了成年山羊 LEE 的临床表现、诊断和治疗。