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赛马中与凝固酶阳性葡萄球菌相关的蜂窝织炎:9例(1975 - 1984年)

Cellulitis associated with coagulase-positive staphylococci in racehorses: nine cases (1975-1984).

作者信息

Markel M D, Wheat J D, Jang S S

出版信息

J Am Vet Med Assoc. 1986 Dec 15;189(12):1600-3.

PMID:3793602
Abstract

Nine Thoroughbred racehorses were admitted with cellulitis (of one or more limbs) associated with coagulase-positive staphylococci. The right hindlimb was affected in 4 horses, the right forelimb in 2, the left hindlimb in 1, and both hindlimbs in 2. Typical abnormalities included high values for rectal temperature (9 horses) and heart rate (5 horses), hyperfibrinogenemia (7 horses), leukocytosis (7 horses), and neutrophilia (6 horses). The staphylococcal isolants were speciated in 3 horses and classified as Staphylococcus aureus. Complications included skin loss (5 horses), laminitis of the affected limb (2 horses), laminitis of the contralateral limb (4 horses), osteomyelitis and sequestrum formation (2 horses), and bacteremia (1 horse). Five horses were euthanatized because of the severity of the complications, ie, laminitis in 4 horses and severe skin loss in 1 horse. The remaining 4 horses were discharged from the clinic. At follow-up evaluation (mean, 16.7 months), the swelling in 3 of the horses had completely resolved. One horse returned to racing; of 2 used for pleasure riding, one was mildly lame. The remaining horse was not lame, but was used for breeding because of persistent swelling of the affected limb.

摘要

9匹纯种赛马因与凝固酶阳性葡萄球菌相关的蜂窝织炎(一个或多个肢体)入院。4匹马右后肢受累,2匹马右前肢受累,1匹马左后肢受累,2匹马双后肢受累。典型异常包括直肠温度升高(9匹马)、心率加快(5匹马)、高纤维蛋白原血症(7匹马)、白细胞增多(7匹马)和中性粒细胞增多(6匹马)。3匹马的葡萄球菌分离株被鉴定为金黄色葡萄球菌。并发症包括皮肤缺失(5匹马)、患肢蹄叶炎(2匹马)、对侧肢蹄叶炎(4匹马)、骨髓炎和死骨形成(2匹马)以及菌血症(1匹马)。5匹马因并发症严重而实施安乐死,即4匹马患蹄叶炎,1匹马皮肤严重缺失。其余4匹马出院。在随访评估(平均16.7个月)时,3匹马的肿胀已完全消退。1匹马恢复比赛;在用于休闲骑乘的2匹马中,1匹马轻度跛行。其余那匹马不跛行,但由于患肢持续肿胀而用于繁殖。

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