Borrás Pablo, Messina Fernando, Abrantes Rubén, Iachini Ricardo, Minatel Leonardo, Santiso Gabriela
Infectious Diseases and Parasitology Unit, Panda Veterinary Clinic, Buenos Aires, Argentina.
Mycology Unit, Francisco Javier Muñiz Infectious Diseases Hospital, Buenos Aires, Argentina.
JFMS Open Rep. 2022 Mar 8;8(1):20551169221077611. doi: 10.1177/20551169221077611. eCollection 2022 Jan-Jun.
A 10-year-old male neutered domestic shorthair cat from Quilmes (Province of Buenos Aires, Argentina) presented at the Infectious Diseases and Parasitology Unit with a hyperpigmented nodule of 5 cm diameter on the nasal plane with a small ulceration of more than 1 year's evolution. A scaly and hyperpigmented alopecic lesion of 3 cm in diameter was found on the lower edge of the tail. The patient was under immunosuppressive therapy with corticosteroids for lymphoplasmacytic duodenitis. Samples of the lesion present on the nasal plane were taken under a surgical procedure. In the wet mount preparations, pigmented irregular hyphae were observed. They developed dark colonies when cultured on Sabouraud medium. On micromorphology, structures compatible with species were identified. PCR and sequencing of (ITS1-5.8S-ITS2) confirmed as the etiologic agent. A therapeutic scheme that included a combination of itraconazole oral solution (1.5 mg/kg PO q12h) with terbinafine (30 mg/kg PO q24h) was indicated for a period of 10 months. The patient died of complications resulting from its underlying disease.
As far as the authors are aware, this is the first study to report as an etiologic agent of phaeohyphomycosis in cats. In this case study, the species was identified using molecular tests.
一只来自阿根廷布宜诺斯艾利斯省基尔梅斯的10岁已绝育家养短毛雄性猫,因患有直径5厘米的色素沉着结节且伴有小溃疡,病程超过1年,就诊于传染病与寄生虫学科室。在尾巴下缘发现一个直径3厘米的鳞屑状、色素沉着的脱毛病变。该患者因淋巴细胞浆细胞性十二指肠炎正在接受皮质类固醇免疫抑制治疗。在手术过程中采集了鼻平面上病变的样本。在湿片制备中,观察到色素沉着的不规则菌丝。在沙氏培养基上培养时,它们形成了深色菌落。在微观形态学上,鉴定出与该菌种相符的结构。对核糖体DNA内转录间隔区(ITS1-5.8S-ITS2)进行聚合酶链反应(PCR)和测序,确认该菌种为病原体。制定了一个治疗方案,包括口服伊曲康唑溶液(1.5毫克/千克,口服,每12小时一次)与特比萘芬(30毫克/千克,口服,每24小时一次)联合使用为期10个月。患者因基础疾病引发的并发症死亡。
据作者所知,这是首次报道该菌种作为猫皮肤着色真菌病病原体的研究。在本病例研究中,通过分子检测鉴定出该菌种。