The Royal Veterinary College Department of Veterinary Clinical Sciences, Hawkshead House Hawkshead Lane North Mymms, Hatfield, Hertfordshire AL9 7TA, United Kingdom (Guedra, Cortellini, Humm); The Royal Veterinary College, London NW1 0TU, United Kingdom (Guedra).
Can Vet J. 2021 Nov;62(11):1202-1206.
Tetanus can lead to respiratory complications, and the outcome of dogs affected by this disease is still largely unknown. This retrospective study aimed to evaluate the frequency and outcome of 53 dogs with tetanus and respiratory complications between February 2006 and January 2019. Medical records from dogs diagnosed with tetanus admitted to a referral teaching hospital were reviewed. Fifty-three dogs were diagnosed with tetanus and respiratory complications were observed in 26.4% (14/53) of dogs; 8 developed aspiration pneumonia (AP), 5 developed upper airway obstruction (UAO) and 1 dog developed both. A total of 5 AP dogs were mechanically ventilated. Three dogs with UAO had tracheostomy tubes placed. Dogs with respiratory complications had a poorer outcome, with only 14.3% (2/14) surviving to discharge, compared to 94.8% (37/39) for dogs with no respiratory complications. Respiratory complications such as AP and UAO were common in dogs with tetanus, and this was associated with a poorer outcome.
破伤风可导致呼吸并发症,且此类疾病患犬的预后仍很大程度上未知。本回顾性研究旨在评估 2006 年 2 月至 2019 年 1 月期间 53 例患有破伤风和呼吸并发症犬的频率和结局。回顾性分析了诊断为破伤风并收入转诊教学医院的犬只的病历。在 53 例确诊为破伤风的犬中,观察到 26.4%(14/53)的犬存在呼吸并发症;其中 8 例发生吸入性肺炎(AP),5 例发生上呼吸道梗阻(UAO),1 例同时发生两种疾病。共有 5 例 AP 犬接受了机械通气。3 例 UAO 犬行气管切开术。有呼吸并发症的犬预后较差,仅有 14.3%(2/14)存活至出院,而无呼吸并发症的犬的存活率为 94.8%(37/39)。AP 和 UAO 等呼吸并发症在破伤风患犬中较为常见,且与较差的预后相关。