Overduin L M, van den Bogaard A E
Veterinaire Specialisten Oisterwijk.
Tijdschr Diergeneeskd. 1997 Jan 1;122(1):7-9.
In a 2-year-old Bernese Mountain dog the diagnosis of Lyme borreliosis was made, using the criteria that are mentioned in the literature: seropositivity in the presence of the typical clinical symptoms, with infestation of ticks in the history. The usual therapy of amoxycillin or tetracyclines was inadequate and did not resolve the clinical symptoms, possibly as a result of a combination of initial corticosteroid therapy, the clinical presentation of the disease (mainly meningitis), and a presumed immuno-incompetence often seen in this breed. Intravenous treatment with amoxycillin finally led to total cure of the disease. Lyme borreliosis recurred half a year later, presumably as a result of a new tick infestation. A review of the literature on Lyme borreliosis in humans and dogs is presented. The fact that Lyme borreliosis in dogs in the Netherlands has not been diagnosed often and has not been reported before may be due to differences in approach to human and canine patients with fever.
在一只2岁的伯恩山犬身上确诊了莱姆病,诊断依据是文献中提到的标准:出现典型临床症状时血清呈阳性,且有蜱虫叮咬史。常用的阿莫西林或四环素治疗效果不佳,未能缓解临床症状,这可能是由于初始使用皮质类固醇治疗、疾病的临床表现(主要是脑膜炎)以及该品种犬常见的免疫功能不全共同作用的结果。静脉注射阿莫西林最终使疾病完全治愈。半年后莱姆病复发,推测是由于再次被蜱虫叮咬。本文对人类和犬类莱姆病的文献进行了综述。荷兰犬类莱姆病确诊病例不多且此前未见报道,这一情况可能是由于对发热的人类和犬类患者采取的诊疗方法不同所致。