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在英国被诊断患有蜱传疾病的犬的临床表现、诊断调查、治疗方案和结果:76 例(2005-2019 年)。

Clinical presentation, diagnostic investigations, treatment protocols and outcomes of dogs diagnosed with tick-borne diseases living in the United Kingdom: 76 cases (2005-2019).

机构信息

Ryan Veterinary Hospital, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Small Animal Teaching Hospital, University of Liverpool, Neston, UK.

出版信息

J Small Anim Pract. 2023 Jun;64(6):392-400. doi: 10.1111/jsap.13592. Epub 2023 Feb 2.

Abstract

OBJECTIVES

To report the presence of tick-borne diseases in dogs living in the United Kingdom.

MATERIALS AND METHODS

Dogs with a final diagnosis of tick-borne diseases made between January 2005 and August 2019 at seven referral institutions in the United Kingdom were included in the study.

RESULTS

Seventy-six dogs were included: 25 were diagnosed with ehrlichiosis, 23 with babesiosis, eight with Lyme borreliosis and six with anaplasmosis. Fourteen dogs had co-infections with two or three pathogens. Except for those dogs with anaplasmosis and Lyme borreliosis, most dogs with tick-borne diseases had a history of travel to or from endemic countries. However, three dogs with ehrlichiosis, and one dog each infected with Babesia canis and Babesia vulpes did not have any history of travel. A variety of non-specific clinical signs and laboratory abnormalities were reported. Targeted treatment was successful at achieving clinical remission in 64 (84%) dogs.

CLINICAL SIGNIFICANCE

Even in non-endemic areas, veterinary surgeons should consider tick-borne diseases in dogs with compatible clinical presentation and laboratory findings and especially where there is a history of travel. As autochthonous transmission of tick-borne-pathogens does occur, an absence of travel should not rule out tick-borne diseases. Specific diagnostic testing is required to confirm infection, and this enables prompt targeted treatment and often a positive outcome.

摘要

目的

报告在英国生活的犬只中存在蜱传疾病。

材料和方法

本研究纳入了 2005 年 1 月至 2019 年 8 月在英国七家转诊机构确诊为蜱传疾病的犬。

结果

共纳入 76 只犬,其中 25 只被诊断为埃立克体病,23 只被诊断为巴贝斯虫病,8 只被诊断为莱姆病,6 只被诊断为无形体病。14 只犬同时感染两种或三种病原体。除了患有无形体病和莱姆病的犬只外,大多数患有蜱传疾病的犬只都有前往或来自流行地区的旅行史。然而,有 3 只埃立克体病犬和 1 只感染犬巴贝斯虫和狐狸巴贝斯虫的犬没有任何旅行史。报告了各种非特异性临床症状和实验室异常。在 64(84%)只犬中,针对性治疗成功实现了临床缓解。

临床意义

即使在非流行地区,兽医也应考虑具有相似临床表现和实验室发现的犬只是否患有蜱传疾病,特别是有旅行史的犬只。由于蜱传病原体的本地传播确实存在,没有旅行史不应排除蜱传疾病。需要进行特定的诊断检测以确认感染,这可以实现及时的靶向治疗和良好的预后。

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