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Persistent feline coronavirus infection in a cat with cardiac and gastrointestinal signs 一只猫持续感染猫冠状病毒并伴有心脏和胃肠道症状
Pub Date : 2024-05-02 DOI: 10.12968/coan.2023.0054
Beth N. Licitra, Ximena A. Olarte‐Castillo, Gary R Whit-taker
Feline coronavirus infection causes feline infectious peritonitis in a subset of cats, but can also result in persistent infection. The tissue reservoirs of feline coronavirus and the role of viral persistence in pathogenesis are poorly understood. This study aimed to identify sites of feline coronavirus persistence in a naturally infected cat, identify disease correlates and characterise within-host viral evolution. The study followed a 5-year-old Bengal cat for 6 years and collected non-invasive samples, including faeces and conjunctival, oropharyngeal and saliva swabs. At 11-years-old, the patient was euthanised as a result of respiratory distress, and tissue samples were collected. The authors used hybridisation capture and next-generation sequencing methodologies focused on the feline coronavirus S gene, along with RNA in-situ hybridisation. During the study, the patient was diagnosed with inflammatory bowel disease, alimentary small cell lymphoma, chronic rhinitis and mitral valve regurgitation. Feline coronavirus was detected in the nasal cavity, intestine, faeces and conjunctiva in 2017, and in the intestine, faeces and heart in 2022. Sequence analysis showed that the virus adapted to tissue reservoirs over time. This study identifies potential feline coronavirus reservoirs. The relationship of persistent feline coronavirus infection to chronic conditions warrants further investigation.
猫冠状病毒感染会导致部分猫感染性腹膜炎,但也可能导致持续感染。人们对猫冠状病毒的组织库和病毒持续存在在发病机制中的作用知之甚少。本研究旨在确定猫冠状病毒在自然感染猫体内的持续存在部位、疾病相关因素以及宿主内病毒进化的特征。该研究对一只 5 岁的孟加拉猫进行了长达 6 年的跟踪观察,并采集了非侵入性样本,包括粪便、结膜、口咽和唾液拭子。11 岁时,患者因呼吸困难安乐死,研究人员收集了组织样本。作者采用杂交捕获和下一代测序方法,重点检测猫冠状病毒 S 基因,并进行了 RNA 原位杂交。研究期间,患者被诊断出患有炎症性肠病、消化道小细胞淋巴瘤、慢性鼻炎和二尖瓣反流。2017 年在鼻腔、肠道、粪便和结膜中检测到猫冠状病毒,2022 年在肠道、粪便和心脏中检测到该病毒。序列分析表明,随着时间的推移,病毒适应了组织库。这项研究确定了潜在的猫冠状病毒储库。猫冠状病毒持续感染与慢性疾病的关系值得进一步研究。
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引用次数: 0
A surgical approach to the rabbit patient: part 1 兔病人的手术方法:第一部分
Pub Date : 2024-05-02 DOI: 10.12968/coan.2024.0003.1
S. Miles
Rabbit surgery, as well as owner expectations, are constantly evolving and increasing. It is essential that the unique anatomical and physiological differences between rabbits and more frequently seen mammalian patients are fully understood before undertaking any surgery. All patients should undergo a full clinical examination and be stabilised before surgery where possible. All essential equipment should be ready at hand. It is important to optimise patient and surgeon positioning, as well as to use appropriately sized suture material, haemostasis, magnification and lighting to improve surgical technique, regardless of the procedure or organ system being operated on. This first of two articles discussing rabbit surgery takes the reader through pre-operative essentials for rabbits, as well as skin, nasal, oral, ophthalmological and aural surgery in rabbits.
兔外科手术以及兔主人的期望值都在不断发展和提高。在进行任何手术之前,必须充分了解兔子与常见的哺乳动物患者之间独特的解剖和生理差异。所有患者都应接受全面的临床检查,并尽可能在手术前稳定病情。所有必要设备都应准备就绪。重要的是要优化患者和外科医生的定位,以及使用适当大小的缝合材料、止血、放大镜和照明,以提高手术技术,无论手术过程或手术器官系统如何。本文是讨论兔子外科手术的两篇文章中的第一篇,将向读者介绍兔子的术前要点,以及兔子的皮肤、鼻腔、口腔、眼科和耳科手术。
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引用次数: 0
Selecting appropriate diets for management of chronic enteropathies 选择合适的饮食治疗慢性肠病
Pub Date : 2024-04-02 DOI: 10.12968/coan.2023.0071
Laura Gaylord, Katie Tolbert
Gastrointestinal signs including inappetence, vomiting, diarrhoea and weight loss that persist for more than 3 weeks are described as chronic enteropathy. Chronic enteropathies are further classified as food-responsive enteropathy, antimicrobial-responsive enteropathy, immunosuppressant-responsive enteropathy and non-responsive enteropathy. Diagnosis of each type of enteropathy relies on the exclusion of other causes, along with the response to various therapeutic interventions including diet trials, use of therapies directed towards the microbiome and/or immunosuppressant medications. Chronic inflammatory enteropathy is a diagnosis based on the chronicity of clinical signs while inflammatory bowel disease can only be confirmed by obtaining tissue biopsy demonstrating histopathological evidence of intestinal mucosal inflammation. Diet may play a role in the pathogenesis of chronic enteropathies, but it is critical to the management of these patients. Since between 50% and 66% of cases are food responsive, diet trials are essential in the management of these patients. The selection of appropriate therapeutic diets relies on thorough patient nutritional assessment, detailed dietary history (including both historical diets and current diet) and inventory of feeding management practices and the patient's environment.
胃肠道症状包括食欲不振、呕吐、腹泻和体重减轻,持续时间超过 3 周,称为慢性肠病。慢性肠病又分为食物反应性肠病、抗菌药反应性肠病、免疫抑制剂反应性肠病和非反应性肠病。每种肠病的诊断都依赖于排除其他病因,以及对各种治疗干预措施的反应,包括饮食试验、使用针对微生物组的疗法和/或免疫抑制剂药物。慢性炎症性肠病的诊断依据是临床症状的慢性化,而炎症性肠病只有通过组织活检显示肠粘膜炎症的组织病理学证据才能确诊。饮食可能在慢性肠病的发病机制中起一定作用,但对这些患者的治疗至关重要。由于 50%-66%的病例对食物有反应,因此饮食试验对这些患者的治疗至关重要。选择合适的治疗饮食需要对患者进行全面的营养评估、详细的饮食史(包括历史饮食和当前饮食)以及对喂养管理方法和患者所处环境进行清查。
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引用次数: 0
Canine separation-related problems: Part 4: first steps in resolving owner absent problems 与犬类分离有关的问题:第 4 部分:解决主人不在身边问题的第一步
Pub Date : 2024-04-02 DOI: 10.12968/coan.2023.0035
C. Hargrave
‘Canine separation-related problems’ cover a range of behavioural presentations that occur while a dog is separated from its carer. These problems can result from activity in an array of emotional networks and can be motivated by various factors within the dog's environment and social relationships. Given the broad range of factors that are associated with separation-related problems, assisting carers in supporting their dogs as they develop the capacity to cope during carer absence can be complex, exhausting and time consuming for both the rehabilitation team and carer. Yet, supporting carers as they create an underlying sense of safety for their dog is a common requirement that is critical to all rehabilitation plans. For some dogs, an improved sense of coping and safety may be all that is required to enable the dog to progress to spending time independently of their owner.
犬只分离相关问题 "包括犬只与照料者分离时出现的一系列行为表现。这些问题可能是一系列情感网络活动的结果,也可能是由狗的环境和社会关系中的各种因素引起的。鉴于与分离相关问题有关的因素范围很广,协助照顾者支持他们的爱犬在照顾者不在时发展应对能力,对于康复团队和照顾者来说都可能是复杂、疲惫和耗时的。然而,支持照护者为其爱犬创造潜在的安全感是所有康复计划的共同要求,也是所有康复计划的关键所在。对于某些狗狗来说,提高应对能力和安全感可能就是让狗狗能够独立于主人的全部要求。
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引用次数: 0
Canine septic arthritis 犬化脓性关节炎
Pub Date : 2024-04-02 DOI: 10.12968/coan.2024.0001
Philippa Wells, Paul Aldridge
Septic arthritis is an important cause of lameness in a broad age range of patients. Diagnosis is based on a combination of the clinical presentation, arthrocentesis sampling and exclusion of alternative causes of lameness. In-house cytology can likely provide a presumptive diagnosis and enable treatment initiation while awaiting a culture result. Although there is poor evidence for treatment recommendations, the prognosis is likely good with prompt treatment. However, clinicians should make owners aware that there is a risk of recurrence and there may be a limited recovery in patients with pre-existing osteoarthritis.
化脓性关节炎是导致各年龄段患者跛行的一个重要原因。诊断需要结合临床表现、关节穿刺取样和排除其他跛行原因。内部细胞学检查可提供推定诊断,并在等待培养结果期间开始治疗。虽然治疗建议的证据不足,但如果治疗及时,预后可能会很好。不过,临床医生应让马主意识到,该病有复发的风险,而且对于已有骨关节炎的患者来说,康复的可能性有限。
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引用次数: 0
Hyperammonaemia in cats 猫的高氨血症
Pub Date : 2024-04-02 DOI: 10.12968/coan.2023.0056
Cynthia RL Webster
Ammonia is an important nitrogen source required for amino acid, protein and nucleic acid synthesis. In addition, it plays an essential role in the kidney's maintenance of acid–base balance. However, high concentrations of ammonia are cytotoxic and clinical signs primarily reflect neurotoxicity. The body detoxifies ammonia through the urea cycle in the liver or by consuming ammonia in the conversion of glutamate to glutamine in the liver, brain and muscle tissue. The most common cause of hyperammonaemia in cats is congenital portosystemic shunting. Additional causes include cobalamin or arginine deficiency, disruption of the urea cycle by congenital enzyme deficiencies or acute liver failure, excessive muscle activity, infections with urease-producing bacteria, kidney disease and multiple acquired portosystemic shunts.
氨是氨基酸、蛋白质和核酸合成所需的重要氮源。此外,它还在肾脏维持酸碱平衡方面发挥着重要作用。然而,高浓度的氨具有细胞毒性,临床症状主要反映神经毒性。人体通过肝脏中的尿素循环或在肝脏、大脑和肌肉组织中将谷氨酸转化为谷氨酰胺的过程中消耗氨来对氨进行解毒。猫高氨血症最常见的原因是先天性门静脉分流。其他原因包括钴胺素或精氨酸缺乏、先天性酶缺乏或急性肝功能衰竭导致尿素循环紊乱、肌肉活动过度、感染产生尿素酶的细菌、肾脏疾病和多发性后天性门静脉分流。
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引用次数: 0
New legislation set to improve the safety and welfare of cats in England 新立法将改善英格兰猫咪的安全和福利
Pub Date : 2024-03-02 DOI: 10.12968/coan.2024.0015
Tammie O'Leary
From 10 June 2024, all owned cats in England must be microchipped with correct registration details by law.
从 2024 年 6 月 10 日起,英格兰所有饲养的猫都必须植入芯片,并依法登记正确的详细信息。
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引用次数: 0
Is it time to re-evaluate anti-parasitic use in companion animals? 是时候重新评估伴侣动物中抗寄生虫药物的使用了吗?
Pub Date : 2024-03-02 DOI: 10.12968/coan.2023.0067
Grace Mulcahy
Anti-parasitics are very frequently used in companion animals for both prevention and treatment of parasites. When compared with practices related to parasite control in farmed animals, strategic, risk-based use of anti-parasitics in pet dogs and cats instead of precautionary and calendar-based treatment, is not a mainstream approach. Evidence of growing drug resistance in parasites of these hosts and a realisation of the potential adverse environmental consequences of anti-parasitics used in pets provide reasons to re-evaluate the use of anti-parasitics in companion animals. In order to achieve this, consultation and dialogue with industry stakeholders, as well as animal owners, is required.
伴侣动物经常使用抗寄生虫药物来预防和治疗寄生虫。与养殖动物的寄生虫控制方法相比,在宠物狗和宠物猫中战略性地、基于风险的使用抗寄生虫药物,而不是预防性的和基于日历的治疗,并不是一种主流方法。有证据表明,这些宿主寄生虫的抗药性越来越强,而且人们意识到宠物使用抗寄生虫药物可能会对环境造成不利影响,因此有理由对伴侣动物使用抗寄生虫药物进行重新评估。为此,需要与行业利益相关者以及动物主人进行协商和对话。
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引用次数: 0
Current insights into feline osteoarthritis 目前对猫骨关节炎的认识
Pub Date : 2024-03-02 DOI: 10.12968/coan.2023.0070
Martha Cannon
Osteoarthritis is a painful condition which affects the majority of older cats but is often not recognised because of differences in the ways that affected cats exhibit the signs of chronic joint pain compared to dogs. There are also inherent challenges to the physical examination of cats which add to the difficulty of reaching a diagnosis, including the small size of their appendicular joints and a reluctance to allow manipulation and palpation of painful joints. Furthermore, even when osteoarthritis is identified, it is frequently not treated or is not treated effectively, in part as a result of concerns regarding adverse effects and costs of treatment as well as the practical difficulties of daily dosing with medication. Understanding the gait and behaviour changes that are characteristic of osteoarthritis is a key part of the diagnostic process and is more sensitive than radiography in identifying the presence of the disease. Once the condition has been diagnosed, a wide range of well-tolerated treatment options exist, allowing a multi-modal treatment approach to be adopted and tailored to the needs of the cat and the owner, which will deliver effective pain management in an affordable way and will not become a daily stressor to either party.
骨关节炎是一种疼痛性疾病,影响着大多数老年猫,但由于患病猫表现出的慢性关节疼痛症状与狗不同,因此常常不被发现。此外,猫的体格检查也存在固有的困难,包括猫的附属关节较小,不愿意对疼痛的关节进行操作和触诊,这些都增加了诊断的难度。此外,即使发现了骨关节炎,也常常得不到治疗或治疗效果不佳,部分原因是担心不良反应和治疗费用,以及日常用药的实际困难。了解骨关节炎特有的步态和行为变化是诊断过程中的一个关键环节,在确定疾病的存在方面,步态和行为变化比射线照相更为敏感。一旦病情得到确诊,就可以采用多种耐受性良好的治疗方案,根据猫咪和主人的需求量身定制多模式治疗方法,以经济实惠的方式有效控制疼痛,而且不会对双方造成日常压力。
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引用次数: 0
A stormy start to 2024 2024 年的开端风雨飘摇
Pub Date : 2024-03-02 DOI: 10.12968/coan.2024.0016
Gillian Davies
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引用次数: 0
期刊
Companion Animal
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