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[绵羊Q热、衣原体和弓形虫流产的鉴别病理形态学诊断]

[Differential pathomorphological diagnosis of Q fever and Chlamydia and Toxoplasma abortions in sheep].

作者信息

Neĭkov P, Genchev G G, Arnaudov D

出版信息

Vet Med Nauki. 1987;24(8):34-40.

PMID:3439024
Abstract

Morphologic differential diagnostic investigations were carried out with a total of 134 aborted sheep fetuses. The studies were coupled by the examination of 665 blood serum samples from sheep that were pregnant or had miscarried. Parallel bacteriologic studies were also carried out. Positive serologic results were obtained in 43.74 per cent of the cases (toxoplasmosis), 20.2% (chlamydial infection), and 14.4% (Q-fever). Gross lesions were found in 64 fetuses (toxoplasmosis), 18 (Q-fever), and 35 (chlamydial infection). Histologically, diagnostic value in chlamydial abortions had the lympho-histiocytic proliferations in the liver, adrenals, and kidneys. The mesenterial lymph nodes presented diffuse reticuloendothelial hyperplasia with gigantic cells of Langhans type. Microscopically, in the case of Q-fever the aborted fetuses showed lympho- histiocytic proliferations and nonreactive micronecroses in the liver, adrenals, lymph nodes, and kidneys; nonpurulent meningoencephalitis was also found. The histopathologic picture seen in the aborted fetuses in the case of toxoplasmic abortion presented characteristic diffuse glial proliferation, and glial nodes and necroses in the white matter of the cerebrum and the cerebellum. In the liver, kidneys, adrenals, and lymph nodes there were focal lymphoid-cell proliferations and micronecroses. Macroscopically, the fetal placenta showed pathognomonic gray-whitish nodules; histologically, in such cases there were pseudo-cysts and vast deposits of calcium salts.

摘要

对总共134只流产绵羊胎儿进行了形态学鉴别诊断研究。这些研究还结合了对665份来自怀孕或已流产绵羊的血清样本的检测。同时也进行了细菌学研究。在43.74%的病例中获得了阳性血清学结果(弓形虫病),20.2%(衣原体感染),以及14.4%(Q热)。在64只胎儿中发现了肉眼可见的病变(弓形虫病),18只(Q热),以及35只(衣原体感染)。组织学上,衣原体流产的诊断价值在于肝脏、肾上腺和肾脏中的淋巴细胞 - 组织细胞增生。肠系膜淋巴结呈现弥漫性网状内皮细胞增生以及朗汉斯型巨细胞。显微镜下,在Q热病例中,流产胎儿在肝脏、肾上腺、淋巴结和肾脏中表现出淋巴细胞 - 组织细胞增生和无反应性微坏死;还发现了非化脓性脑膜脑炎。弓形虫流产病例中流产胎儿的组织病理学表现为大脑和小脑白质中特征性的弥漫性胶质细胞增生、胶质结节和坏死。在肝脏、肾脏、肾上腺和淋巴结中存在局灶性淋巴细胞增生和微坏死。肉眼可见,胎儿胎盘呈现特征性的灰白色结节;组织学上,在这些病例中存在假囊肿和大量钙盐沉积。

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