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猫传染性真菌病:不同诊断方法在皮肤和皮肤外病变中的特征表现。

Feline sporotrichosis: Characterization of cutaneous and extracutaneous lesions using different diagnostic methods.

机构信息

Pathology Sector and MULTILAB, Department of Clinic and Surgery, Veterinary School, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.

Departamento de Medicina Veterinária Preventiva, Veterinary School, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.

出版信息

Vet Pathol. 2024 Mar;61(2):221-231. doi: 10.1177/03009858231189448. Epub 2023 Jul 29.

Abstract

Sporotrichosis is a mycotic infection of the cutaneous and subcutaneous tissues caused by spp. that can also cause extracutaneous manifestations. This study aimed to characterize cutaneous and extracutaneous sporotrichosis lesions in cats. Over 1 year, 102 cats rescued by the Zoonoses Control Center of Belo Horizonte, Brazil, euthanized with clinical suspicion of feline sporotrichosis were evaluated. After euthanasia, the animals were evaluated by macroscopic, cytological, histopathological, and immunohistochemistry (IHC) examinations; fungal culture; and polymerase chain reaction (PCR). infection was identified by at least one diagnostic technique in all cats (n = 102) evaluated by postmortem examination, including 26/28 cases (93%) evaluated by IHC, 66/90 cases (73%) evaluated by cytology, 70/102 cases (68.6%) evaluated by histopathology, and 62/74 cases (84%) evaluated by fungal culture. Two cats had positive results only by fungal culture. Cytology and histopathology examinations were effective in diagnosing sporotrichosis, although IHC was needed to confirm the diagnosis in cats with low fungal loads. was confirmed by the sequencing of 3 samples. Skin lesions were characterized mainly by pyogranulomatous to granulomatous dermatitis (frequently with subcutaneous inflammation) with different intensities of spp. yeast. Extracutaneous findings associated with sporotrichosis included rhinitis or rhinosinusitis, lymphadenitis, pneumonia, meningitis, periorchitis, conjunctivitis, and glossitis. Extracutaneous infections were observed in 74/102 cases, and a possible association between the chronicity of the disease and the higher pathogenicity of this fungal species in cats requires further investigation.

摘要

孢子丝菌病是一种由 spp. 引起的皮肤和皮下组织真菌感染,也可引起皮肤外表现。本研究旨在描述猫的皮肤和皮肤外孢子丝菌病病变。在巴西贝洛奥里藏特的动物传染病控制中心,在一年多的时间里,对 102 只因临床怀疑患有猫孢子丝菌病而被安乐死的获救猫进行了评估。安乐死后,对动物进行了宏观、细胞学、组织病理学和免疫组织化学(IHC)检查;真菌培养;聚合酶链反应(PCR)。通过尸检评估,所有 102 只猫(n = 102)均通过至少一种诊断技术鉴定为 感染,包括 26/28 例(93%)通过 IHC 评估、66/90 例(73%)通过细胞学评估、70/102 例(68.6%)通过组织病理学评估和 62/74 例(84%)通过真菌培养评估。有两例仅通过真菌培养获得阳性结果。细胞学和组织病理学检查对孢子丝菌病的诊断有效,尽管对于真菌负荷低的猫需要通过 IHC 来确认诊断。通过对 3 个样本的测序证实了 。皮肤病变主要表现为化脓性至肉芽肿性皮炎(常伴有皮下炎症),伴有不同强度的 spp. 酵母。与孢子丝菌病相关的皮肤外发现包括鼻炎或鼻窦炎、淋巴结炎、肺炎、脑膜炎、附睾炎、结膜炎和舌炎。在 102 例中有 74 例观察到皮肤外感染,这种真菌在猫中慢性疾病的可能性和更高的致病性之间可能存在关联,需要进一步研究。

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