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家猫脑膜脑炎:3 例感染病例及文献复习。

Meningoencephalomyelitis in domestic cats: 3 cases of infection and literature review.

机构信息

Department of Veterinary Pathology, Faculty of Veterinary Medicine, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil.

Louisiana Animal Disease Diagnostic Laboratory, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA, USA.

出版信息

J Vet Diagn Invest. 2021 Nov;33(6):1156-1162. doi: 10.1177/10406387211034484. Epub 2021 Jul 23.

Abstract

Neurologic diseases are common in domestic cats, and infectious agents are suspected to be the primary cause in 30-45% of cases. Among infectious etiologies, those of bacterial origin are only sporadically characterized in the literature, with few of these reports correlating gross and histologic findings with confirmatory bacteriologic identification. Here, we describe bacterial meningitis and meningoencephalomyelitis associated with in 3 domestic cats. Purulent exudate expanding the cerebral meninges was grossly evident in 2 of the cases. In all 3 cases, histologic changes included multifocal suppurative-to-necrosuppurative meningitis and/or meningoencephalomyelitis of variable severity. Intralesional colonies of gram-negative, short rod-shaped to coccobacillary bacteria were evident histologically in only 1 case. was confirmed by routine bacteriologic culture in all cases. Based on our cases, we hypothesize that the upper respiratory system serves as the main portal of entry for , leading to invasion of the central nervous system and possible systemic hematogenous dissemination. A case series of meningoencephalomyelitis associated with infection in cats has not been reported previously, to our knowledge. We also review briefly other causes of meningoencephalomyelitis in cats.

摘要

神经疾病在宠物猫中较为常见,有 30%-45%的病例疑似由感染因子引起。在感染性病因中,细菌性病因在文献中仅零星报道,其中很少有报道将大体和组织学发现与确认的细菌学鉴定相关联。在这里,我们描述了 3 只家猫的细菌性脑膜炎和脑膜脑炎。在 2 个病例中,肉眼可见脓性渗出物扩张脑膜。在所有 3 个病例中,组织学变化包括局灶性化脓性至坏死化脓性脑膜炎和/或脑膜脑炎,严重程度不一。仅在 1 个病例中组织学上可见革兰氏阴性、短杆状至短棒状细菌的腔内菌落。所有病例均通过常规细菌培养得到证实。基于我们的病例,我们假设上呼吸道是 的主要入口,导致中枢神经系统入侵和可能的全身血源性播散。据我们所知,以前没有报道过与 感染相关的脑膜脑炎的猫病例系列。我们还简要回顾了猫脑膜脑炎的其他原因。

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