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一只宠物雪貂由 引起的分枝杆菌病:关于人畜共患病传播被忽视风险的病例报告

Mycobacteriosis in a Pet Ferret () Caused by : A Case Report on Neglected Risk of Zoonotic Transmission.

作者信息

Mihaljević Željko, Reil Irena, Habuš Josipa, Štritof Zrinka, Naletilić Šimun, Jurkić Krsteska Gabrijela, Kovač Tajna, Zdelar-Tuk Maja, Duvnjak Sanja, Špičić Silvio

机构信息

Croatian Veterinary Institute, Savska Cesta 143, 10000 Zagreb, Croatia.

Faculty of Veterinary Medicine, University of Zagreb, Heinzelova 55, 10000 Zagreb, Croatia.

出版信息

Pathogens. 2024 Apr 16;13(4):328. doi: 10.3390/pathogens13040328.

DOI:10.3390/pathogens13040328
PMID:38668283
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11054065/
Abstract

Ferrets are highly susceptible to a wide range of mycobacteria, mainly , , and . Therefore, ferrets pose a risk of transmission of mycobacteriosis, especially zoonotically relevant tuberculosis. The aim of this study was to describe the findings of mycobacteriosis in a pet ferret and emphasize its zoonotic potential. A pet ferret had a history of weight loss, apathy, hyporexia, and hair loss. Abdominal ultrasound revealed splenomegaly with two solid masses and cystic lesions of the liver. Fine-needle aspiration cytology revealed numerous acid-fast bacilli in epithelioid cells, thus leading to the suspicion of mycobacterial infection. Because of its poor general condition, the ferret was euthanized. Necropsy examination revealed generalized granulomatous lymphadenitis, pneumonia, myocarditis, splenitis, and hepatitis. Histologically, in all organs, there were multifocal to coalescing areas of inflammatory infiltration composed of epithelioid macrophages, a low number of lymphocytes, and plasma cells, without necrosis nor multinucleated giant cells. Ziehl-Neelsen staining detected the presence of numerous (multibacillary) acid-fast bacteria, which were PCR-typed as . This is the first study showing the antimicrobial susceptibility testing of in veterinary medicine, describing the resistance to doxycycline. Overall, our results could facilitate further diagnosis and provide guidelines for the treatment protocols for such infections.

摘要

雪貂对多种分枝杆菌高度易感,主要是 、 和 。因此,雪貂存在传播分枝杆菌病的风险,尤其是具有人畜共患病相关性的结核病。本研究的目的是描述一只宠物雪貂的分枝杆菌病的检查结果,并强调其人畜共患病潜力。一只宠物雪貂有体重减轻、冷漠、食欲减退和脱毛的病史。腹部超声显示脾脏肿大,有两个实性肿块以及肝脏的囊性病变。细针穿刺细胞学检查发现上皮样细胞中有大量抗酸杆菌,因此怀疑有分枝杆菌感染。由于其总体状况较差,该雪貂被实施安乐死。尸检发现全身性肉芽肿性淋巴结炎、肺炎、心肌炎、脾炎和肝炎。组织学上,在所有器官中,都有由上皮样巨噬细胞、少量淋巴细胞和浆细胞组成的多灶性至融合性炎症浸润区域,无坏死也无多核巨细胞。齐-尼氏染色检测到大量(多菌型)抗酸菌的存在,经聚合酶链反应分型为 。这是第一项在兽医学中展示对 进行药敏试验的研究,描述了对强力霉素的耐药性。总体而言,我们的结果有助于进一步诊断,并为此类感染的治疗方案提供指导。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0234/11054065/1baafc828955/pathogens-13-00328-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0234/11054065/9ccb8fb21686/pathogens-13-00328-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0234/11054065/6d6343b66581/pathogens-13-00328-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0234/11054065/dc1ead8bb0a1/pathogens-13-00328-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0234/11054065/3a903937da9d/pathogens-13-00328-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0234/11054065/1baafc828955/pathogens-13-00328-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0234/11054065/9ccb8fb21686/pathogens-13-00328-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0234/11054065/6d6343b66581/pathogens-13-00328-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0234/11054065/dc1ead8bb0a1/pathogens-13-00328-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0234/11054065/3a903937da9d/pathogens-13-00328-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0234/11054065/1baafc828955/pathogens-13-00328-g005.jpg

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本文引用的文献

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Tuberculosis (Edinb). 2023 Mar;139:102304. doi: 10.1016/j.tube.2023.102304. Epub 2023 Jan 6.
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Clinical outcomes in Mycobacterium xenopi versus Mycobacterium avium complex pulmonary disease: A retrospective matched cohort study.分枝杆菌感染与分枝杆菌复合群肺病的临床结局比较:一项回顾性匹配队列研究。
Respir Med. 2020 Jun;167:105967. doi: 10.1016/j.rmed.2020.105967. Epub 2020 Apr 15.
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A Retrospective Study of 17 Cases of Mycobacteriosis in Domestic Ferrets ( between 2005 and 2013.
2005年至2013年间17例家养雪貂分枝杆菌病的回顾性研究
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Tuberculosis in a pet ferret (Mustela putorius furo).一只宠物雪貂(白鼬)身上的结核病。
Tierarztl Prax Ausg K Kleintiere Heimtiere. 2020 Feb;48(1):50-55. doi: 10.1055/a-1069-6630. Epub 2020 Feb 14.
5
Identification of Mycobacterium genavense natural infection in a domestic ferret.家雪貂中日内瓦分枝杆菌自然感染的鉴定
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Transmission of to a pet albino ferret () from a domestic aquarium.从家庭水族箱将(病原体)传播给一只宠物白化雪貂()。 (注:原文括号处内容缺失完整信息)
Vet Rec. 2017 Aug 3. doi: 10.1136/vr.104250.
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