Grooters A M, Couto C G, Andrews J M, Johnson S E, Kowalski J J, Esplin R B
Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus 43210-1089.
J Am Vet Med Assoc. 1995 Jan 15;206(2):200-2.
A 3-year-old female Basset Hound was examined because of fever and lameness of 2 months' duration. Physical examination revealed a small cranial abdominal mass, which had an ultrasonographic appearance of a large abdominal lymph node. Cytologic examination of an ultrasound-guided fine-needle aspirate of the mass revealed a few macrophages that contained numerous linear unstained structures consistent with mycobacteria. Intracellular acid-fast bacilli were identified in an aspirate that was stained with modified Ziehl-Neelsen. Exploratory laparotomy revealed wide-spread abdominal lymphadenopathy. Histologic examination of hepatic and lymph node biopsy specimens revealed chronic granulomatous hepatitis and lymphadenitis. Acid-fast organisms isolated after bacteriologic culturing of a mesenteric lymph node specimen were identified as Mycobacterium smegmatis. Because the prognosis was poor, the dog was euthanatized.
一只3岁雌性巴吉度猎犬因持续2个月的发热和跛行接受检查。体格检查发现腹部头侧有一个小肿块,超声检查显示为一个大的腹部淋巴结。对该肿块进行超声引导下细针穿刺抽吸的细胞学检查发现,有一些巨噬细胞含有大量与分枝杆菌相符的线性未染色结构。在经改良齐尔-尼尔森染色的抽吸物中鉴定出细胞内抗酸杆菌。剖腹探查发现广泛的腹部淋巴结病。肝和淋巴结活检标本的组织学检查显示为慢性肉芽肿性肝炎和淋巴结炎。经肠系膜淋巴结标本细菌培养后分离出的抗酸菌被鉴定为耻垢分枝杆菌。由于预后不良,该犬被实施安乐死。