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犬隐球菌病和中毒性表皮坏死松解症的管理

Management of cryptococcosis and toxic epidermal necrolysis in a dog.

作者信息

Panciera D L, Bevier D

机构信息

Department of Medical Sciences, School of Veterinary Medicine, University of Wisconsin, Madison 53706.

出版信息

J Am Vet Med Assoc. 1987 Nov 1;191(9):1125-7.

PMID:3693034
Abstract

Generalized cryptococcosis with CNS involvement was diagnosed in a 3-year-old spayed German Shorthaired Pointer. Clinical findings included Horner's syndrome, generalized lymphadenopathy, temporal muscle atrophy, and chorioretinitis. Toxic epidermal necrolysis resulted after 19 days of treatment with 5-fluorocytosine and amphotericin B. After discontinuation of the 5-fluorocytosine and amphotericin B and treatment with cephradine and ketoconazole, the toxic epidermal necrolysis resolved. Treatment was completed without further complication by using amphotericin B and ketoconazole concurrently.

摘要

一只3岁已绝育的德国短毛指示犬被诊断为伴有中枢神经系统受累的播散性隐球菌病。临床症状包括霍纳综合征、全身淋巴结病、颞肌萎缩和脉络膜视网膜炎。在用5-氟胞嘧啶和两性霉素B治疗19天后出现了中毒性表皮坏死松解症。停用5-氟胞嘧啶和两性霉素B并使用头孢拉定和酮康唑治疗后,中毒性表皮坏死松解症得以缓解。通过同时使用两性霉素B和酮康唑完成治疗,未出现进一步并发症。

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