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须毛癣菌复合群:美国中部地区 64 例犬只回顾性研究(1997-2020 年)。

Trichophyton mentagrophytes complex: A retrospective study of 64 dogs from the Central United States (1997-2020).

机构信息

Department of Veterinary Clinical Sciences, Iowa State University, Ames, Iowa, USA.

Department of Veterinary Clinical Medicine, University of Illinois, Urbana, Illinois, USA.

出版信息

Vet Dermatol. 2023 Aug;34(4):310-317. doi: 10.1111/vde.13160. Epub 2023 Mar 27.

Abstract

BACKGROUND

There are limited clinical studies evaluating the Trichophyton mentagrophytes complex, with most reports confined to small case studies. Additionally, the studies are dated and provide limited information on response to newer or currently available therapies.

HYPOTHESIS/OBJECTIVES: The aim of the study was to determine if there is a breed prevalence, lesion distribution and seasonality associated with the T. mentagrophytes complex for dogs evaluated in the central United States. An additional aim of the study was to evaluate response to therapies because there are minimal data available on clinical response with newer systemic antifungal drugs.

ANIMALS

A total of 64 canine medical records were evaluated that had a previous diagnosis of T. mentagrophytes complex infection.

MATERIALS AND METHODS

A retrospective study of medical records to evaluate signalment, time of onset of clinical signs, clinical presentation and therapeutic management.

RESULTS

A higher incidence of T. mentagrophytes complex infection was observed in the American Kennel Club (AKC) Sporting group (43%) and Terrier group (20%). A seasonal influence was noted, with the onset of clinical signs being highest in October. Lesions most often affected the muzzle (48%), followed by the head excluding the pinnae (21%). Ketoconazole, itraconazole and terbinafine appeared equivalent as systemic therapeutic options to treat T. mentagrophytes complex infections.

CONCLUSIONS AND CLINICAL RELEVANCE

This study identified patterns in breeds, seasonality and lesion distribution for the T. mentagrophytes complex in dogs from the central United States. Additionally, the study found several reasonable and reliable treatment options for systemic therapy.

摘要

背景

目前评估须毛癣菌复合群的临床研究有限,大多数报告仅限于小型病例研究。此外,这些研究的时间久远,并且提供的关于新的或当前可用疗法的反应的信息有限。

假设/目的:本研究旨在确定在美国中部评估的犬只中,是否存在与须毛癣菌复合群相关的品种流行率、病变分布和季节性。本研究的另一个目的是评估治疗反应,因为关于新型系统抗真菌药物的临床反应数据很少。

动物

共评估了 64 份犬的医疗记录,这些记录之前被诊断为须毛癣菌复合群感染。

材料和方法

对病历进行回顾性研究,以评估品种、临床症状发作时间、临床表现和治疗管理。

结果

在美国养犬俱乐部(AKC)运动组(43%)和梗犬组(20%)中观察到须毛癣菌复合群感染的发病率较高。注意到季节性影响,临床症状的发作在 10 月最高。病变最常影响口鼻部(48%),其次是头部(21%)但不包括耳尖。酮康唑、伊曲康唑和特比萘芬作为治疗须毛癣菌复合群感染的系统治疗选择似乎同样有效。

结论和临床相关性

本研究确定了来自美国中部犬的须毛癣菌复合群在品种、季节性和病变分布方面的模式。此外,该研究还发现了几种合理且可靠的系统治疗选择。

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