Salmon poisoning disease in dogs: clinical presentation, diagnosis and treatment.

Adriana Pereira Furtado, Hannah Cohen, Aditi Handa, Jane Wardrop, Cleverson de Souza
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Abstract

Salmon poisoning disease (SPD) is caused by a rickettsial organism, Neorickettsia helminthoeca, that is carried by the trematode Nanophyetus salmincola, which encysts in freshwater fish, most commonly salmonids. We reported two dogs from the United States West Coast that had similar clinical signs, hematologic and biochemistry findings. They were both diagnosed with salmon poisoning disease. Lymph node cytology showed morula formation, suggestive of N. helminthoeca organisms in macrophages, while the parasitological fecal test found ova of N. salmincola. The dogs were treated early and showed complete remission of clinical signs within a few days. Lymph node cytology and fecal parasitology are quick and low-cost tests that can be performed whenever SPD is suspected. SPD should be considered as a differential diagnosis for a canine patient with clinical signs of vomiting, diarrhea, lethargy, and lymphadenomegaly; laboratory findings of thrombocytopenia and hypoalbuminemia; and potential exposure to raw fish from the West Coast of the US or Southern Brazil. The earlier the diagnosis and treatment, the greater the chance of survival.

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犬鲑鱼中毒:临床表现、诊断与治疗。
鲑鱼中毒病(SPD)是由一种立克次体有机体——新立克氏体(neorickertsia helminthoeca)引起的,这种有机体是由吸虫携带的,它在淡水鱼(最常见的是鲑科)体内形成囊体。我们报告了两只来自美国西海岸的狗,它们有相似的临床症状、血液学和生物化学发现。他们都被诊断为鲑鱼中毒。淋巴结细胞学检查显示桑葚胚形成,提示巨噬细胞中存在奈索菌,而寄生虫学粪便检查发现奈索菌卵。这些狗在早期接受治疗,几天内临床症状完全缓解。淋巴结细胞学和粪便寄生虫学是快速和低成本的测试,可以在怀疑SPD时进行。当犬患者出现呕吐、腹泻、嗜睡和淋巴肿大等临床症状时,SPD应被视为鉴别诊断;血小板减少症和低白蛋白血症的实验室检查结果以及可能接触到来自美国西海岸或巴西南部的生鱼。越早诊断和治疗,生存的机会越大。
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