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病例报告:一例罕见的继发性全身性念珠菌病,为犬咬伤伤口并发症。

Case report: A rare secondary systemic candidiasis as a bite wound complication in a dog.

作者信息

Geum Yun-Joo, Han Hyun-Jung

机构信息

Department of Veterinary Emergency and Critical Care, College of Veterinary Medicine, Konkuk University, Seoul, Republic of Korea.

出版信息

Front Vet Sci. 2024 Oct 23;11:1418194. doi: 10.3389/fvets.2024.1418194. eCollection 2024.

DOI:10.3389/fvets.2024.1418194
PMID:39507221
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11539114/
Abstract

An 11-year-old, 4.8 kg, intact male mixed-breed dog was evaluated for a bite wound that had occurred a day prior to consultation. On examination, the patient exhibited signs of early to-late decompensatory shock, hemothorax, pneumothorax, and rib fractures. Initial shock management and resuscitation were performed. After several days of stabilization, exploratory thoracotomy, thoracic wall reconstruction, culture sampling, and antibiotic susceptibility tests were conducted. Empirical antimicrobial treatments were performed while pending culture results. Despite aggressive antimicrobial therapy, the patient had focal seizures and wound dehiscence, presumably due to the worsening of infection and inflammation. Necrotic tissues adjacent to the dehiscence were debrided, and the wound was opened. A previous analysis of wound and blood cultures identified , and itraconazole was initiated in accordance with the culture results. Successful treatment was achieved, and the wound was closed. The patient remained healthy after 2 months of monitoring. To the best of our knowledge, this was the first case report of systemic candidiasis in a dog secondary to a bite wound diagnosed via blood culture. Additionally, this case highlights successful treatment with itraconazole.

摘要

一只11岁、体重4.8千克的未绝育雄性混血犬因在就诊前一天发生咬伤而接受评估。检查时,该患者表现出早至晚期失代偿性休克、血胸、气胸和肋骨骨折的症状。进行了初始休克管理和复苏。在稳定数天后,进行了开胸探查、胸壁重建、培养采样和抗生素敏感性测试。在等待培养结果期间进行了经验性抗菌治疗。尽管进行了积极的抗菌治疗,但患者仍出现局灶性癫痫发作和伤口裂开,可能是由于感染和炎症恶化所致。对伤口裂开附近的坏死组织进行了清创,并开放了伤口。先前对伤口和血液培养的分析确定了病因,根据培养结果开始使用伊曲康唑。治疗取得成功,伤口闭合。经过2个月的监测,患者保持健康。据我们所知,这是首例通过血培养诊断的犬咬伤后继发系统性念珠菌病的病例报告。此外,该病例突出了伊曲康唑治疗的成功。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac16/11539114/d6cda9fc673f/fvets-11-1418194-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac16/11539114/ca52f33a8bff/fvets-11-1418194-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac16/11539114/194b3c7b267f/fvets-11-1418194-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac16/11539114/6069a3938f6f/fvets-11-1418194-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac16/11539114/d6cda9fc673f/fvets-11-1418194-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac16/11539114/ca52f33a8bff/fvets-11-1418194-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac16/11539114/194b3c7b267f/fvets-11-1418194-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac16/11539114/6069a3938f6f/fvets-11-1418194-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac16/11539114/d6cda9fc673f/fvets-11-1418194-g004.jpg

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