Dultz Regina, Goldhammer Marc
Kleintierklinik Ludwigsburg-Oßweil.
Tierarztl Prax Ausg K Kleintiere Heimtiere. 2021 Oct;49(5):377-381. doi: 10.1055/a-1580-8386. Epub 2021 Oct 20.
Tick-borne encephalitis (TBE) is an infectious disease transmitted by ticks and rarely diagnosed in dogs. The diagnosis of a TBE virus infection in a living animal is based on the simultaneous presence of typical clinical-neurological signs, an acute and rapidly progressive course of the disease, the detection of TBE-specific antibodies (in the cerebrospinal fluid) or virus detection (in blood or cerebrospinal fluid), as well as the presence of pleocytosis in the cerebrospinal fluid. In the case described, the results of the performed tests led to the assumption of the presence of TBE. In addition to hyperthermia and central nervous disorders (ataxia, hyperaesthesia, seizures, changes in behavior) the classic symptoms of clinically overt TBE frequently include neck pain on flexion of the cervical spine. In the case described, a chronic form of the disease with a regeneration period of several months is documented. Treatment is based on symptomatic measures, as there is no specific therapy to date. In contrast to human medicine, there is no vaccine against TBE currently approved for use in the veterinary field. Therefore, tick prophylaxis is the only possibility to prevent TBE in dogs.
蜱传脑炎(TBE)是一种由蜱传播的传染病,在犬类中很少被诊断出来。活体动物感染TBE病毒的诊断依据包括典型的临床神经症状同时出现、疾病急性且快速进展、检测到(脑脊液中的)TBE特异性抗体或(血液或脑脊液中的)病毒、以及脑脊液中存在细胞增多现象。在所描述的病例中,所进行的检测结果使人推测存在TBE。除了体温过高和中枢神经紊乱(共济失调、感觉过敏、癫痫发作、行为改变)外,临床显性TBE的典型症状通常还包括颈椎屈曲时的颈部疼痛。在所描述的病例中,记录了一种病程长达数月的慢性疾病形式。由于目前尚无特效疗法,治疗以对症措施为基础。与人类医学不同,目前在兽医领域没有批准用于预防TBE的疫苗。因此,蜱虫预防是预防犬类TBE的唯一方法。