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病例报告:胃肠线虫普通圆线虫作为驴蹄脓肿的病因

Case report: The gastrointestinal nematode Strongylus vulgaris as a cause of hoof abscess in a donkey.

作者信息

Stahel Lina, Bigler Naomi Ana, Grimm Felix, Schnyder Manuela, Oehm Andreas W

机构信息

Pferdeklinik Moosweid, Moosweidstrasse 7, Obfelden, 8912, Switzerland.

Institute of Parasitology, Vetsuisse Faculty, University of Zurich, Winterthurerstrasse 266a, Zurich, 8057, Switzerland.

出版信息

BMC Vet Res. 2025 Jul 10;21(1):454. doi: 10.1186/s12917-025-04492-7.

Abstract

BACKGROUND

Gastrointestinal helminths of the Strongylus genus can be very pathogenic in equids mainly because of migratory larval and subadult stages invading arteries of the mesenterium. However, the extraintestinal, aberrant presence of these stages has been observed.

CASE PRESENTATION

A 19-year-old male donkey presented with severe lameness in the right front limb. After unsuccessful hoof wraps, diagnostic imaging was performed. Removal of the sole horn led to the discovery of a sizeable abscess containing a single nematode. The helminth was removed and parasitologically examined. The abscess was treated with surgical drainage, wound care, and medicinal fly larvae. Anthelmintic treatment with oral ivermectin (200 µg/kg body weight) was initiated. Parasitological follow-up examinations were conducted two weeks afterwards and at seven and ten months after initial diagnosis. The nematode was identified as adult female specimen of Strongylus vulgaris. Coproscopic examination of the animal and four herd mates confirmed the presence of S. vulgaris in the group. The hoof abscess healed within two months and lameness completely resolved. All parasitological follow-up examination demonstrated anthelmintic efficacy and absence of S. vulgaris, indicating sustained parasite control.

CONCLUSIONS

This case represents the first report of ectopic occurrence of S. vulgaris causing a hoof abscess inducing lameness in a donkey. The healing of the abscess was without complications as soon as the source of the condition was removed.

摘要

背景

圆线虫属的胃肠道蠕虫对马属动物可能具有很强的致病性,主要是因为迁移性幼虫和未成熟成虫阶段会侵入肠系膜动脉。然而,已经观察到这些阶段在肠外的异常存在情况。

病例报告

一头19岁的雄性驴右前肢严重跛行。蹄部包扎治疗无效后,进行了诊断性影像学检查。切除蹄底角质后发现一个含有单条线虫的大脓肿。取出该蠕虫并进行了寄生虫学检查。脓肿通过手术引流、伤口护理和药用蝇蛆进行治疗。开始口服伊维菌素(200 μg/kg体重)进行驱虫治疗。在初次诊断后的两周、七个月和十个月进行了寄生虫学随访检查。该线虫被鉴定为普通圆线虫的成年雌性标本。对该动物及其四个同群伙伴进行的粪便检查证实该群体中存在普通圆线虫。蹄部脓肿在两个月内愈合,跛行完全消失。所有寄生虫学随访检查均显示驱虫效果良好且无普通圆线虫,表明寄生虫得到持续控制。

结论

本病例代表了普通圆线虫异位发生导致驴蹄部脓肿并引起跛行的首例报告。一旦去除病因,脓肿愈合且无并发症。

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