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由感染引起的圈养沙羚慢性骨关节炎。

Chronic osteoarthritis caused by infection in a captive sand gazelle.

机构信息

Departments of Veterinary Biosciences, College of Veterinary Medicine, The Ohio State University, Columbus, OH, USA.

Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC, USA.

出版信息

J Vet Diagn Invest. 2024 Nov;36(6):816-822. doi: 10.1177/10406387241263329. Epub 2024 Aug 5.

Abstract

Osteoarthritis is a common cause of morbidity and mortality in geriatric gazelles. has been reported as a cause of systemic granulomas in cattle, but there are no descriptions of this bacteria infecting other species nor causing osteoarthritis, to our knowledge. An 8-y-old, castrated male, sand gazelle () was managed for chronic, intermittent, progressive osteoarthritis of the right tarsus. Serial biopsies revealed pyogranulomatous dermatitis with intralesional bacteria. Serial diagnostic imaging identified osseous and soft tissue proliferation with draining tracts. Treatments over 1 y included broad-spectrum antibiotics, anti-inflammatories, joint debridement, and infusion with platelet-rich plasma and stem cells. Despite therapy, lameness persisted, azotemia developed, and subsequently, the animal was euthanized. On postmortem examination, the periarticular tissue of the right tarsus was markedly expanded by pyogranulomas and fibrosis. Histologically, the synovium, joint capsule, and overlying soft tissues were markedly expanded by pyogranulomas and numerous gram-positive and acid-fast-negative filamentous bacteria surrounded by Splendore-Hoeppli material. Within the joint, there was regionally extensive cartilage ulceration, osteonecrosis, osteolysis, and pannus formation. PCR assay of affected formalin-fixed, paraffin-embedded tissue amplified segments of 16S rRNA and β subunit of bacterial RNA polymerase () genes with 99.7% and 95.6% identity to . This bacterium should be considered a differential for chronic pyogranulomatous osteoarthritis in gazelles.

摘要

骨关节炎是老年瞪羚发病率和死亡率的一个常见原因。据报道,这种细菌是牛全身肉芽肿的病因,但据我们所知,还没有关于这种细菌感染其他物种或导致骨关节炎的描述。一只 8 岁、去势的雄性沙瞪羚()因右跗关节慢性、间歇性、进行性骨关节炎而接受治疗。连续活检显示化脓性肉芽肿性皮炎伴病灶内细菌。连续的诊断性成像发现有骨和软组织增生,并伴有引流道。在 1 年多的时间里,该动物接受了包括广谱抗生素、消炎药、关节清创术、富含血小板的血浆和干细胞输注在内的多种治疗。尽管进行了治疗,但跛行仍持续存在,出现氮血症,随后该动物被安乐死。在尸检时,右跗关节的关节周围组织明显被化脓性肉芽肿和纤维化所扩大。组织学上,滑膜、关节囊和覆盖的软组织被化脓性肉芽肿和许多革兰氏阳性和抗酸阴性丝状细菌所扩大,这些细菌周围有 Splendore-Hoeppli 物质。在关节内,有区域性广泛的软骨溃疡、骨坏死、骨溶解和肉芽组织形成。受影响的福尔马林固定石蜡包埋组织的 PCR 检测扩增了 16S rRNA 和细菌 RNA 聚合酶()基因的β亚基片段,与 99.7%和 95.6%的同一性。这种细菌应被视为瞪羚慢性化脓性肉芽肿性骨关节炎的鉴别诊断。

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