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新型隐球菌引起猫基底节 cryptococcal 肉芽肿:病例报告及文献复习。

Cryptococcal granulomas of basal ganglia due to Cryptococcus neoformans in a cat: a case report and literature review.

机构信息

Veterinary Medical Teaching Hospital, College of Veterinary Medicine, National Chung Hsing University, Taichung, Taiwan.

Department of Veterinary Medicine, College of Veterinary Medicine, National Chung Hsing University, Taichung, Taiwan.

出版信息

J Vet Med Sci. 2023 Mar 30;85(4):412-416. doi: 10.1292/jvms.22-0514. Epub 2023 Mar 14.

Abstract

A 3-year-old spayed female domestic short-haired cat presented with a head turning to the left, circling to the right, seizures, and opisthotonos for approximately one month. Neurological examination revealed a deficit in the postural reaction of the left limbs and visual abnormalities. Forensic computed tomography revealed a hyperattenuating round mass of 1.3 cm diameter with a hypoattenuating center in the right hemisphere. Histopathology showed multifocal granuloma lesions with the major mass mostly affecting the right basal ganglia. Cryptococcus neoformans variety grubii molecular type VNI/ST31 was isolated from the cryptococcal granulomas. This report highlights the epidemiological distribution and differential diagnosis of a feline central nervous system cryptococcosis caused by C. neoformans that occurred in an Asian country.

摘要

一只 3 岁已绝育的雌性家短毛猫出现了头部向左转、向右转、癫痫发作和角弓反张的症状,大约持续了一个月。神经学检查显示左侧肢体姿势反射缺陷和视觉异常。法医计算机断层扫描显示在右半球有一个直径为 1.3 厘米的高信号圆形肿块,中央信号较低。组织病理学显示多灶性肉芽肿病变,主要病变大部分影响右侧基底节。从隐球菌肉芽肿中分离出新型隐球菌变种 grubii 分子型 VNI/ST31。本报告强调了在亚洲国家发生的由新型隐球菌引起的猫中枢神经系统隐球菌病的流行病学分布和鉴别诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a61f/10139792/c11d496bc7d0/jvms-85-412-g001.jpg

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