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犬中枢神经系统神经炎性疾病:2008-2019 年 207 例回顾性研究。

Neuroinflammatory diseases of the central nervous system of dogs: A retrospective study of 207 cases (2008-2019).

机构信息

Athens Veterinary Diagnostic Laboratory (Rissi), Department of Pathology (Elbert), University of Georgia, College of Veterinary Medicine, Athens, Georgia; Antech Diagnostics, Fountain Valley, California (Yau).

出版信息

Can Vet J. 2022 Feb;63(2):178-186.

Abstract

In this study we describe 207 cases of neuroinflammatory diseases of the central nervous system (CNS) in dogs autopsied at the Athens Veterinary Diagnostic Laboratory (University of Georgia, United States) from 2008 to 2019. Idiopathic and infectious diseases were diagnosed in 111 cases (53.6%) and 96 cases (46.4%), respectively. Idiopathic diseases consisted of granulomatous meningoencephalomyelitis ( = 42; 37.8% of idiopathic cases), nonspecific lymphoplasmacytic meningoencephalomyelitis ( = 39; 35.1%), necrotizing meningoencephalomyelitis ( = 22; 19.8%), presumed steroid-responsive meningitis-arteritis ( = 6; 5.4%), and necrotizing leukoencephalitis ( = 2; 1.8%). Infectious diseases consisted of bacterial infections ( = 49; 51% of infectious cases), viral infections ( = 39; 40.6%), fungal infections ( = 5; 5.2%), and parasitic infections ( = 3; 3.1%). Our study provides an overview of the most frequent neuroinflammatory diseases of the CNS of dogs in our diagnostic routine; indicates that a comprehensive diagnostic approach, including a thorough evaluation of the pathology findings and ancillary laboratory testing results, is important for an adequate diagnosis of neurologic diseases in dogs; and underscores the problems associated with the variability in tissue sample collection methods among cases. The great number of nonspecific lymphoplasmacytic meningoencephalitis also highlights the need for development of molecular laboratory tests to identify potential infectious agents in these cases.

摘要

在这项研究中,我们描述了 207 例在 2008 年至 2019 年期间在雅典兽医诊断实验室(美国佐治亚大学)进行尸检的中枢神经系统(CNS)神经炎症性疾病的犬病例。分别诊断出特发性和感染性疾病 111 例(53.6%)和 96 例(46.4%)。特发性疾病包括肉芽肿性脑膜脑炎(=42;特发性病例的 37.8%)、非特异性淋巴浆细胞性脑膜脑炎(=39;35.1%)、坏死性脑膜脑炎(=22;19.8%)、假定的类固醇反应性脑膜炎-动脉炎(=6;5.4%)和坏死性脑脊髓炎(=2;1.8%)。感染性疾病包括细菌感染(=49;感染病例的 51%)、病毒感染(=39;40.6%)、真菌感染(=5;5.2%)和寄生虫感染(=3;3.1%)。我们的研究提供了我们诊断常规中犬最常见的中枢神经系统神经炎症性疾病的概述;表明,全面的诊断方法,包括对病理学发现和辅助实验室检测结果的彻底评估,对于犬神经系统疾病的充分诊断很重要;并强调了与病例之间组织样本采集方法的可变性相关的问题。大量非特异性淋巴浆细胞性脑膜脑炎也突出表明需要开发分子实验室检测方法,以识别这些病例中的潜在感染因子。

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