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猫感染性心内膜炎的临床病例

Clinical cases of infectious endocarditis in cats.

作者信息

Sereda Tatiana Vladimirovna, Petrova Marina Alekseevna, Popov Ilya Vitalievich, Popov Igor Vitalievich, Kartashov Sergey Nikolaevich, Ermakov Alexey Mikhailovich

机构信息

Veterinarian (D.V.M.), PhD, Faculty "Bioengineering and Veterinary Medicine", Don State Technical University, Rostov-on-Don, Russia.

Undergraduate in Veterinary Medicine, Faculty "Bioengineering and Veterinary Medicine", Don State Technical University, Rostov-on-Don, Russia.

出版信息

Braz J Vet Med. 2022 Nov 3;44:e002322. doi: 10.29374/2527-2179.bjvm002322. eCollection 2022.

Abstract

Infectious endocarditis (IE) is a contagious polyposis ulcerative inflammation of the endocardium, accompanied by lesions of the heart valve apparatus and endothelium by various pathogenic and opportunistic pathogens. Mainly mitral and aortic valves are affected, less often - tricuspid valve. The purpose of this study was to report two cases of IE in cats. Due to the low prevalence of the disease in cats, there is no clear diagnostic algorithm, so the diagnostic search is complicated. In both cases, autonomic lesions of the heart valve apparatus were observed. In the first clinical case, we could hardly diagnose the disease because of its rapid progression: initial echocardiogram result was normal, but after 48 hours, the cat's condition became much worse, and 18 hours later, it died. In the second case, histopathological examination confirmed an infectious inflammatory process of the endocardium and myocardium of unclear genesis. However, the presence of lower respiratory tract infection and the absence of additional laboratory tests, such as bacterial blood culture and PCR diagnosis, limited us in proposing a hypothesis about the origin and etiology of IE.

摘要

感染性心内膜炎(IE)是一种传染性息肉溃疡性心内膜炎症,伴有各种致病性和机会性病原体引起的心脏瓣膜装置和内皮损伤。主要累及二尖瓣和主动脉瓣,三尖瓣较少受累。本研究的目的是报告两例猫感染性心内膜炎病例。由于该病在猫中的患病率较低,尚无明确的诊断算法,因此诊断搜索较为复杂。在这两例病例中,均观察到心脏瓣膜装置的自主性病变。在第一例临床病例中,由于疾病进展迅速,我们很难诊断:最初的超声心动图结果正常,但48小时后,猫的病情恶化,18小时后死亡。在第二例病例中,组织病理学检查证实了心内膜和心肌存在不明原因的感染性炎症过程。然而,下呼吸道感染的存在以及缺乏细菌血培养和PCR诊断等额外实验室检查,限制了我们对感染性心内膜炎的起源和病因提出假设。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcfb/9639234/6de4d9404d65/bjvm-44-e002322-g01.jpg

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