Berry W L, Leisewitz A L
Department of Medicine, Faculty of Veterinary Science, University of Pretoria, South Africa.
J S Afr Vet Assoc. 1996 Dec;67(4):222-8.
Multifocal fungal (Aspergillus terreus) discospondylitis was diagnosed in 2 German shepherd dogs. In one dog, the aetiology was established by means of fluoroscopic-guided disc aspiration, cytology and culture of disc material and urine. Disseminated aspergillosis was confirmed at necropsy and A. terreus cultured from numerous organs in this dog. The aetiology in the other dog was not established until therapeutic failure forced surgical curettage of disc material from which the fungus was cultured. Ketoconazole therapy failed to effect an improvement, and at necropsy, disease was localised to the spinal column, with A. terreus cultured from the affected discs and associated vertebrae. Immunodeficiency was suspected in both cases. In the case of disseminated disease a reduced lymphocyte blastogenic response was demonstrated. Reduced IgA was shown in both cases. The German shepherd breed seems to be predisposed to Aspergillus infections and IgA deficiency.
在2只德国牧羊犬中诊断出多灶性真菌(土曲霉)椎间盘炎。在其中1只犬中,通过荧光镜引导下的椎间盘抽吸、椎间盘材料和尿液的细胞学检查及培养确定了病因。尸检时证实为播散性曲霉病,从这只犬的多个器官中培养出土曲霉。另1只犬的病因直到治疗失败后通过对培养出真菌的椎间盘材料进行手术刮除才得以确定。酮康唑治疗未能改善病情,尸检时,疾病局限于脊柱,从受影响的椎间盘和相关椎体中培养出土曲霉。两例均怀疑存在免疫缺陷。在播散性疾病的病例中,显示淋巴细胞增殖反应降低。两例均显示IgA降低。德国牧羊犬品种似乎易患曲霉感染和IgA缺乏症。