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犬类感染的治疗

Treatment of Infections in Dogs.

作者信息

Kaempfle Melanie, Hartmann Katrin, Bergmann Michèle

机构信息

LMU Small Animal Clinic, Centre for Clinical Veterinary Medicine, LMU Munich, 80539 Munich, Germany.

出版信息

Microorganisms. 2025 Apr 29;13(5):1018. doi: 10.3390/microorganisms13051018.

DOI:10.3390/microorganisms13051018
PMID:40431191
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12113943/
Abstract

Dogs are reservoir hosts of the zoonotic parasite , the causative agent of canine leishmaniosis. Antiparasitic drugs that are commonly used in dogs include allopurinol, miltefosine, and meglumine antimoniate. Treatment success is characterized by an improvement of disease signs, reduction in parasite load, as well as prevention of relapse. However, despite treatment, infections in dogs can usually not be cleared and often lead to (recurrent) signs of disease. Since most of the drugs used in dogs are also applied in human medicine, the prevention of treatment-induced drug-resistant strains is a major one-health concern. This review article provides an overview of current treatment options for -infected dogs with allopurinol, meglumine antimoniate, and miltefosine, related adverse effects, and drug resistance potential.

摘要

狗是一种人畜共患寄生虫的储存宿主,这种寄生虫是犬利什曼病的病原体。犬类常用的抗寄生虫药物包括别嘌呤醇、米替福新和葡甲胺锑酸盐。治疗成功的特征是疾病症状改善、寄生虫负荷降低以及预防复发。然而,尽管进行了治疗,犬类感染通常无法清除,并且常常导致(反复出现的)疾病症状。由于犬类使用的大多数药物也应用于人类医学,预防治疗引起的耐药菌株是一个主要的“同一健康”问题。这篇综述文章概述了使用别嘌呤醇、葡甲胺锑酸盐和米替福新治疗感染犬的当前治疗选择、相关不良反应以及耐药潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5980/12113943/429e76d04e82/microorganisms-13-01018-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5980/12113943/00d450112b0e/microorganisms-13-01018-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5980/12113943/429e76d04e82/microorganisms-13-01018-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5980/12113943/00d450112b0e/microorganisms-13-01018-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5980/12113943/429e76d04e82/microorganisms-13-01018-g002.jpg

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1
Treatment of Infections in Dogs.犬类感染的治疗
Microorganisms. 2025 Apr 29;13(5):1018. doi: 10.3390/microorganisms13051018.
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本文引用的文献

1
Oleylphosphocholine versus Miltefosine for Canine Leishmaniasis.油酰磷胆碱与米替福新治疗犬利什曼病的对比
Am J Trop Med Hyg. 2025 Feb 4;112(4):753-760. doi: 10.4269/ajtmh.24-0622. Print 2025 Apr 2.
2
Antibody dynamics in dogs submitted to different canine visceral leishmaniasis treatment protocols.接受不同犬内脏利什曼病治疗方案的犬的抗体动态变化。
Rev Bras Parasitol Vet. 2025 Jan 13;34(1):e014824. doi: 10.1590/S1984-29612025001. eCollection 2025.
3
Clinical, histopathological and parasitological follow-up of dogs naturally infected by Leishmania infantum before and after miltefosine treatment and associated therapies.
婴儿利什曼原虫自然感染犬在接受米替福新治疗及相关治疗前后的临床、组织病理学和寄生虫学随访
PLoS One. 2025 Jan 9;20(1):e0313167. doi: 10.1371/journal.pone.0313167. eCollection 2025.
4
Progress in antileishmanial drugs: Mechanisms, challenges, and prospects.抗利什曼原虫药物的进展:作用机制、挑战与前景
PLoS Negl Trop Dis. 2025 Jan 3;19(1):e0012735. doi: 10.1371/journal.pntd.0012735. eCollection 2025 Jan.
5
Is pancreatitis associated with meglumine antimoniate treatment for canine leishmaniosis? A multicentric prospective study.葡甲胺锑酸盐治疗犬利什曼病会引发胰腺炎吗?一项多中心前瞻性研究。
Parasit Vectors. 2024 Dec 23;17(1):532. doi: 10.1186/s13071-024-06617-7.
6
Treatment of Canine Leishmaniasis with Meglumine Antimoniate: A Clinical Study of Tolerability and Efficacy.葡甲胺锑酸盐治疗犬利什曼病:耐受性和疗效的临床研究
Animals (Basel). 2024 Aug 1;14(15):2244. doi: 10.3390/ani14152244.
7
Owners' experiences of administering meglumine antimoniate injections to dogs with leishmaniosis: An online questionnaire study.狗利什曼病患者主人给狗注射氨苯砜的体验:一项在线问卷调查研究。
Vet Rec. 2024 Jun 1;194(11):e4089. doi: 10.1002/vetr.4089. Epub 2024 May 29.
8
Unmasking the Mechanism behind Miltefosine: Revealing the Disruption of Intracellular Ca Homeostasis as a Rational Therapeutic Target in Leishmaniasis and Chagas Disease.揭示米替福新背后的机制:揭示细胞内钙稳态的破坏作为利什曼病和恰加斯病合理的治疗靶点。
Biomolecules. 2024 Mar 27;14(4):406. doi: 10.3390/biom14040406.
9
Re-emergence of human leishmaniasis in northern Italy, 2004 to 2022: a retrospective analysis.2004年至2022年意大利北部人类利什曼病的再度出现:一项回顾性分析
Euro Surveill. 2024 Jan;29(4). doi: 10.2807/1560-7917.ES.2024.29.4.2300190.
10
High Performance Liquid Chromatography Analysis and Description of Purine Content of Diets Suitable for Dogs with Infection during Allopurinol Treatment-A Pilot Trial.别嘌醇治疗期间适合感染犬的日粮嘌呤含量的高效液相色谱分析与描述——一项初步试验
Animals (Basel). 2023 Sep 29;13(19):3060. doi: 10.3390/ani13193060.