Servicio de Enfermedades Infecciosas y Parasitarias en Animales de Compañía, Clínica Veterinaria Panda. Ciudad Autónoma de Buenos Aires, Argentina.
Universidad de Buenos Aires, Facultad de Ciencias Veterinarias, Cátedra de Enfermedades Infecciosas. Buenos Aires, Argentina.
Top Companion Anim Med. 2022 Nov-Dec;51:100698. doi: 10.1016/j.tcam.2022.100698. Epub 2022 Aug 17.
Environmental mycobacteria such as those from the Mycobacterium avium-intacellulare complex may cause disseminated and severe disease in dogs with genetic predisposition. A series of cases of 4 miniature schnauzers with nonspecific clinical signs and the diagnostic tests are described. Complementary means of diagnosis including complete blood count, biochemical serum analyses and fine needle aspiration cytology staining were performed. The bacteriological culture followed by PCR amplification of 1245 and 901 insertion sequences, allowed the identification of Mycobacterium avium subsp. hominissuis. This environmental Mycobacteria normally do not cause severe disease in dogs or other species, but when CARD-9 gene presents mutations, dogs may become extremely susceptible and disease is fast, disseminated, and fatal. Antibiotic therapy can be applied under veterinary consideration in specific situations, as treatment is usually applied for a long period of time. Although zoonotic risk is low as the Mycobacterium is environmental, contamination of the location may be high, and immunosuppressed animals and humans can develop infection as well. This report may aid clinical veterinarians in the diagnosis, treatment, and prognosis in similar cases of this breed and others with the genetic predisposition.
环境分枝杆菌,如鸟分枝杆菌复合群中的分枝杆菌,可能导致具有遗传易感性的犬发生播散性和严重疾病。描述了一系列具有非特异性临床症状和诊断测试的 4 只迷你雪纳瑞犬的病例。进行了补充诊断方法,包括全血细胞计数、生化血清分析和细针抽吸细胞学染色。细菌培养后,通过 1245 和 901 插入序列的 PCR 扩增,鉴定出鸟分枝杆菌亚种。这种环境分枝杆菌通常不会导致犬或其他物种发生严重疾病,但当 CARD-9 基因发生突变时,犬可能会变得非常易感,疾病迅速播散并致命。在兽医考虑的特定情况下可以应用抗生素治疗,因为治疗通常需要很长时间。尽管由于分枝杆菌是环境的,因此其动物传染风险较低,但免疫抑制的动物和人类也可能会感染。本报告可能有助于临床兽医在诊断、治疗和预后方面对该品种和其他具有遗传易感性的类似病例进行评估。