Johansen M V, Monrad J, Christensen N O, Lindberg R
Danish Bilharziasis Laboratory, Charlottenlund, Denmark.
J Comp Pathol. 1996 Jul;115(1):1-11. doi: 10.1016/s0021-9975(96)80023-5.
Schistosoma bovis-infected goats were treated with praziquantel (60 mg/kg) and killed for examination 1, 7 or 28 days later. Infected non-treated goats and parasite-free, treated or non-treated goats were included for comparison. The gross pathological changes seen in the infected non-treated groups were mild to moderate. The liver appeared discoloured and moderately enlarged. The intestinal lesions were most prominent in the small intestines, which showed catarrhal inflammation with numerous tiny corpuscles beneath the luminal surface. The mesenteric lymph nodes were slightly to moderately enlarged. In contrast, on macroscopical examination, the infected treated groups invariably showed pronounced liver changes and marked enlargement of the lymph nodes, whereas the lesions in the intestines were comparatively slight. Histological lesions related to dead worms were seen in the livers of all treated animals. These lesions included pronounced inflammatory cellular infiltrates, thrombophlebitis, necrosis and periportal fibrosis, still severe 4 weeks after treatment. In the intestines, the deposition of new eggs with little cellular reaction had almost completely ceased 1 week after treatment. Four weeks after treatment, only a very few egg-associated lesions were noted in the intestines. The presence of severe lesions attributable to dead worms in the liver indicates the need for caution when treating animals with high worm loads or concomitant liver disease.
用吡喹酮(60毫克/千克)治疗感染牛血吸虫的山羊,并在1、7或28天后宰杀进行检查。纳入未治疗的感染山羊以及无寄生虫、经治疗或未经治疗的山羊作为对照。未治疗的感染组所见的大体病理变化为轻度至中度。肝脏颜色改变且中度肿大。肠道病变在小肠最为明显,表现为卡他性炎症,管腔表面下方有许多微小颗粒。肠系膜淋巴结轻度至中度肿大。相比之下,在宏观检查中,经治疗的感染组总是显示出明显的肝脏变化和淋巴结明显肿大,而肠道病变相对较轻。在所有经治疗动物的肝脏中均可见与死虫相关的组织学病变。这些病变包括明显的炎性细胞浸润、血栓性静脉炎、坏死和门周纤维化,治疗后4周仍很严重。在肠道中,治疗1周后新卵的沉积几乎完全停止,且细胞反应轻微。治疗4周后,在肠道中仅发现极少数与卵相关的病变。肝脏中存在由死虫引起的严重病变表明,在治疗虫负荷高或伴有肝病的动物时需要谨慎。