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Pharmacokinetics of Trimethoprim-Sulfamethoxazole in the Green Iguana (Iguana iguana) 甲氧苄啶-磺胺甲恶唑在绿鬣蜥体内的药动学
Pub Date : 2022-06-17 DOI: 10.5818/JHMS-D-21-00016
S. Kehoe, S. Divers, Joerg Mayer, Jessica R. Comolli, Shanese L. Jasper, Robert Arnold
Abstract A single 30 mg/kg dose of trimethoprim-sulfamethoxazole (TMS) was administered orally (n = 17) and intravenously (n = 13) in a crossover study design, with a 10 day washout period, to determine drug pharmacokinetics in healthy adult green iguanas (Iguana iguana). Blood samples were collected at 0 (pretreatment), 1, 2, 4, 8, 12, 24, 36, 48, 72, and 96 h after PO and IV drug administration, including a 6 h sample for the IV protocol. Plasma drug concentrations were determined by liquid chromatography–tandem mass spectrometry, and oral bioavailability of trimethoprim (>100%) and sulfamethoxazole (69.4%) were then established. Pharmacokinetic parameters were estimated using a two-stage, noncompartmental analysis of naïve-averaged data. Following the crossover study, a multidose drug trial was performed to determine steady-state nädir plasma drug concentrations. Green iguanas (n=10) were given 30 mg/kg TMS PO once daily for 7 days, with blood collected from each animal on the eighth day, 24 h after the final dose of TMS. Based on once daily oral dosing for 7 days, steady-state nädir drug concentrations of trimethoprim and sulfamethoxazole were 396 ± 116 and 5,290 ± 5,130 µg/l, which are below the minimum inhibitory concentrations breakpoints of TMS (≤2 µg per ml/38 µg per ml for susceptible organisms and ≥4 µg per ml/76 µg per ml for resistant organisms) for human isolates, per the Clinical and Laboratory Standards Institute. However, the ratio of trimethoprim:sulfamethoxazole remained greater than 1:40 up to 12 h after single oral dose exposure and at the 24 h sampling after multiple dosing at steady-state.
采用交叉试验设计,采用单剂量30 mg/kg的甲氧苄啶-磺胺甲恶唑(TMS),分别口服(n = 17)和静脉注射(n = 13),洗脱期10 d,测定健康成年绿鬣蜥(Iguana Iguana)体内的药代动力学。分别于PO和静脉给药后0(预处理)、1、2、4、8、12、24、36、48、72和96 h采集血样,其中静脉给药后6 h采集血样。采用液相色谱-串联质谱法测定血浆药物浓度,建立甲氧苄啶和磺胺甲恶唑的口服生物利用度(>100%)和口服生物利用度(69.4%)。使用naïve-averaged数据的两阶段非区隔分析来估计药代动力学参数。在交叉研究之后,进行了多剂量药物试验以确定稳态nädir血浆药物浓度。绿鬣蜥(n=10)每天给予30 mg/kg TMS PO 1次,连续7天,于TMS末次给药后第8天(24 h)采血。根据临床和实验室标准研究所的数据,基于每日一次口服给药7天,甲氧苄啶和磺胺甲新唑的稳态nädir药物浓度分别为396±116µg/l和5,290±5,130µg/l,低于TMS的最低抑制浓度断点(敏感菌≤2µg/ ml/38µg/ ml,耐药菌≥4µg/ ml/76µg/ ml)。然而,甲氧苄啶:磺胺甲恶唑的比例在单次口服给药后12 h和多次稳态给药后24 h仍大于1:40。
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引用次数: 0
Fentanyl Overdose after Cystic Ovarian Tumor Removal Surgery in a Hermaphrodite Green Anaconda (Eunectes murinus) 雌雄同体绿水蟒卵巢囊性肿瘤切除术后芬太尼过量
Pub Date : 2022-06-06 DOI: 10.5818/JHMS-D-21-00028
Lana Krol, F. Dunker
Abstract A 27-yr-old female green anaconda (Eunectes murinus) presented with coelomic distention in the posterior half of its body. On examination with imaging diagnostics, a fluid-filled cavity that seemed to be related to reproductive tissue was discovered. Diagnostics of this fluid confirmed cystic fluid, and a fine-needle aspirate of the mass determined that it was ovarian tissue. Ovariectomy and mass removal surgery was performed. During surgery, there was discovery of an additional unrecognized organ near the reproductive tract. Histopathology revealed an ovarian cystic neoplasm consistent with a granulosa cell tumor, and biopsy of the unknown structure was identified as a testis. Postoperatively, the green anaconda was administered fentanyl transdermal patches for analgesia and developed a severe adverse reaction, which improved after administration of the opioid reversal agent naltrexone. This is the first report of hermaphroditism in a snake as well as suspected negative side effects of transdermal fentanyl in a snake.
摘要一只27岁雌性绿水蟒(Eunectes murinus)表现为身体后半部体腔扩张。在影像学诊断检查中,发现了一个充满液体的腔,似乎与生殖组织有关。这种液体的诊断证实是囊性液体,细针抽吸肿块确定是卵巢组织。行卵巢切除术和肿块切除手术。在手术中,在生殖道附近发现了一个未被识别的器官。组织病理学显示卵巢囊性肿瘤与颗粒细胞瘤一致,活检发现未知结构为睾丸。术后给予芬太尼透皮贴片镇痛,绿水蟒出现严重不良反应,给予阿片类逆转剂纳曲酮后好转。这是第一次报道蛇的雌雄同体,以及怀疑芬太尼对蛇的透皮副作用。
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引用次数: 0
Capsule Reports 胶囊的报道
Pub Date : 2022-05-30 DOI: 10.5818/1529-9651-32.2.155
Louisa M. Asseo, Dvm Dabvp
Nine inland bearded dragons (Pogona vitticeps) were used in a randomized blinded placebo-controlled complete crossover design study. All animals were deemed healthy on physical examination, complete blood count, and blood chemistry evaluation. The animals were housed in glass aquaria at 25-278C (77–80.68F) with a basking spot of 348C (93.28F) and UVB light provided for 12 hours daily. Animals were experimentally dehydrated by administering 10 mg/kg furosemide subcutaneously every 12 h for 4 doses along with withholding water, food, and soaking for 48 h prior to administering fluids. An isotonic electrolyte solution was used as a control solution. 2.5% dextrose in the same isotonic electrolyte solution was administered either subcutaneously or intracoelomically as test solutions. Animals were sedated with 15 mg/kg alfaxalone subcutaneously in the axillary region prior to the trial. 20 ml/kg of each fluid was administered as described above for each trial with a 2-week washout period between trials. Blood was collected from the caudal tail vein prior to fluid administration and at time points 5, 15, 30, 60, and 240 minutes after fluid administration. Subcutaneous fluids were given in the laterodorsal region immediately caudal to the forelimb. Blood glucose was measured using whole blood. Intracoelomic fluids were given immediately lateral to midline with the animal in dorsal recumbency and with direct ultrasound guidance to avoid iatrogenic injury to coelomic structures. Mean baseline blood glucose was 143 mg/dL. The control fluid solution did not result in a change in blood glucose concentration. 2.5% dextrose solutions resulted in an increase in blood glucose concentrations by 60-100 mg/dL for both the intracoelomic group and the subcutaneous group. The intracoelomic group showed a more rapid increase in blood glucose concentration during the first 60 min when compared to the subcutaneous group, but by 60 min, no statistical difference was appreciated.
9只内陆胡须龙(Pogona vitticeps)被用于随机盲法安慰剂对照完全交叉设计研究。所有动物在体格检查、全血细胞计数和血液化学评估中都被认为是健康的。这些动物被安置在温度为25-278摄氏度(77 - 80.68华氏度)的玻璃水族箱里,在348摄氏度(93.28华氏度)的阳光下晒太阳,每天照射12小时。实验动物通过每12小时皮下注射10 mg/kg呋塞米进行脱水,共4次,同时在给药前停止水、食物和浸泡48小时。采用等渗电解质溶液作为对照溶液。在相同的等渗电解质溶液中加入2.5%葡萄糖作为试验溶液皮下或腹腔注射。试验前,动物腋窝皮下注射15mg /kg阿法梭龙镇静。每次试验按上述方法给予每种液体20 ml/kg,两次试验之间有2周的洗脱期。在给药前和给药后5、15、30、60和240分钟从尾尾静脉采血。在紧邻前肢尾侧的背侧区域进行皮下输液。用全血测量血糖。在超声直接引导下,背卧时立即向中线外侧注入腔内液体,以避免医源性损伤腔体结构。平均基线血糖为143 mg/dL。对照液溶液没有引起血糖浓度的变化。2.5%的葡萄糖溶液导致腹腔内组和皮下组的血糖浓度增加60-100 mg/dL。与皮下组相比,腹腔内组在前60分钟内血糖浓度升高更快,但到60分钟时,没有统计学差异。
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引用次数: 0
Infectious Agents of Reptiles and Amphibians: Peer-reviewed Publications, July–December 2021 爬行动物和两栖动物的传染性病原体:同行评审出版物,2021年7月- 12月
Pub Date : 2022-05-30 DOI: 10.5818/JHMS.32.2.102
R. Marschang, C. Pollock, J. Bogan, Silvana Schmidt-Ukaj
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{"title":"Infectious Agents of Reptiles and Amphibians: Peer-reviewed Publications, July–December 2021","authors":"R. Marschang, C. Pollock, J. Bogan, Silvana Schmidt-Ukaj","doi":"10.5818/JHMS.32.2.102","DOIUrl":"https://doi.org/10.5818/JHMS.32.2.102","url":null,"abstract":"Baggio F, Hetzel U, Nufer L, Kipar A, Hepojoki J. 2021. A subpopulation of arenavirus nucleoprotein localizes to mitochondria. Sci Rep, 11(1):21048. Blahove MR, Carter JR. 2021. Flavivirus persistence in wildlife populations. Viruses, 13(10):2099. Burkett-Cadena ND, Blosser EM, Loggins AA, Valente MC, Long MT, Campbell LP, Reeves LE, Bargielowski I, McCleery RA. 2021. Invasive Burmese pythons alter host use and virus infection in the vector of a zoonotic virus. Commun Biol, 4(1):804. Calle PP, Raphael BL, Lwin T, Ingerman KD, Perry A, Motkowicz B, Brown AT, Horne BD, Chang TY, Seah A, Platt SG, Platt K, Seimon TA. 2021. Burmese roofed turtle (Batagur trivittata) disease screening in Myanmar. J Zoo Wildl Med, 52(4):1270–1274. Celone M, Okech B, Han BA, Forshey BM, Anyamba A, Dunford J, Rutherford G, Mita-Mendoza NK, Estallo EL, Khouri R, de Siqueira IC, Pollett S. 2021. A systematic review and meta-analysis of the potential non-human animal reservoirs and arthropod vectors of the Mayaro virus. PLoS Negl Trop Dis, 15(12):e0010016. Frandsen HR, Wilson HM, Walker JS, Purvin CM, Dutton PH, Lacasella EL, Stacy BA, Whitmore L, Farrell JA, Duffy DJ, Shaver DJ. 2021. First olive ridley sea turtle (Lepidochelys olivacea) stranding in Texas, USA, and identification of a Chelonid alphaherpesvirus 5 (ChHV5) variant present in tumor tissue. Herpetol Rev, 52(3):492–499. Goodman RM, Carter ED, Miller DL. 2021. Influence of herbicide exposure and ranavirus infection on growth and survival of juvenile red-eared slider turtles (Trachemys scripta elegans). Viruses, 13(8):1440. Horie M. 2021. Identification of a novel filovirus in a common lancehead (Bothrops atrox (Linnaeus, 1758)). J Vet Med Sci, 83(9):1485–1488. Kvapil P, Račnik J, Kastelic M, Pittermannová P, AvšičZupanc T, Bártová E, Sedlák K. 2021. Detection of antibodies against tick-borne encephalitis virus and other flaviviruses in a zoological collection in Slovenia. Front Vet Sci, 8:688904. Leineweber C, Müller E, Marschang RE. 2021. Herpesviruses in captive chelonians in Europe between 2016 and 2020. Front Vet Sci, 8:733299. Loganathan AL, Palaniappan P, Subbiah VK. 2021. First evidence of chelonid herpesvirus 5 (ChHV5) infection in green turtles (Chelonia mydas) from Sabah, Borneo. Pathogens, 10(11):1404. Nieto-Claudin A, Esperón F, Apakupakul K, Peña I, Deem SL. 2021. Health assessments uncover novel viral sequences in five species of Galapagos tortoises. Transbound Emerg Dis. 2021 Nov 16. doi:10.1111/tbed. 14391. Oberhuber M, Schopf A, Hennrich AA, Santos-Mandujano R, Huhn AG, Seitz S, Riedel C, Conzelmann KK. 2021. Glycoproteins of predicted amphibian and reptile lyssaviruses can mediate infection of mammalian and reptile cells. Viruses, 13(9):1726. Page-Karjian A, Whitmore L, Stacy BA, Perrault JR, Farrell JA, Shaver DJ, Walker JS, Frandsen HR, Rantonen E, Harms CA, Norton TM, Innis C, Yetsko K, Duffy DJ. 2021. Fibropapillomatosis and Chelonid alphaherpesvirus 5 infection in Kemp’s Ridley sea turtles","PeriodicalId":16054,"journal":{"name":"Journal of Herpetological Medicine and Surgery","volume":"6 1","pages":"102 - 110"},"PeriodicalIF":0.0,"publicationDate":"2022-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79866946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Attitudes of Brazilian Veterinarians Towards Anesthesia and Pain Management in Reptiles 巴西兽医对爬行动物麻醉和疼痛管理的态度
Pub Date : 2022-05-30 DOI: 10.5818/JHMS-D-21-00017
V. Gris, M. Ferraro, Andressa Kotleski Lima, S. R. Gaido Cortopassi, A. Carregaro
Abstract Veterinarians' perceptions regarding anesthetics and pain management in reptiles are understudied. We conducted an internet-based survey of Brazilian practitioners to assess their knowledge and attitudes towards the use of anesthetics, as well as recognition and treatment of pain, in reptiles. The most commonly cited anesthesia-related complications were prolonged recovery periods and respiratory depression. Difficulty in recognizing pain was the main impeding factor for providing analgesics. Tramadol (88.2%) and meloxicam (97%) were the most commonly used analgesics, and ketamine (88.2%), midazolam (88.2%), and isoflurane (94.5%) were the most common anesthetic agents. In conscious patients, the assessment of pain was performed mainly by observation of behavioral changes. Only 32.7% of the respondents considered their knowledge of anesthesia and analgesia in reptiles to be adequate. More women than men considered their knowledge to be insufficient (P < 0.0068), whereas age of the practitioner had no effect. Nevertheless, all respondents believe that reptiles can feel pain, and 82% provide analgesia to most of their patients. Understanding the criteria, choice, and timing of drug administration, as well as opinions on pain and anesthesia, provides information on the current practices and might assist in targeting areas where more research and development is needed to ensure reptile welfare.
兽医对麻醉和爬行动物疼痛管理的看法尚未得到充分研究。我们对巴西从业人员进行了一项基于互联网的调查,以评估他们对麻醉使用的知识和态度,以及对爬行动物疼痛的识别和治疗。最常见的麻醉相关并发症是恢复期延长和呼吸抑制。难以识别疼痛是提供镇痛药的主要阻碍因素。曲马多(88.2%)和美洛昔康(97%)是最常用的镇痛药,氯胺酮(88.2%)、咪达唑仑(88.2%)和异氟醚(94.5%)是最常用的麻醉剂。在意识清醒的患者中,主要通过观察行为变化来评估疼痛。只有32.7%的受访者认为他们对爬行动物的麻醉和镇痛知识是足够的。女性比男性更多地认为自己的知识不足(P < 0.0068),而从业者的年龄没有影响。尽管如此,所有的受访者都认为爬行动物能感觉到疼痛,82%的人给大多数病人提供止痛药。了解给药的标准、选择和时间,以及对疼痛和麻醉的看法,可以提供有关当前实践的信息,并可能有助于确定需要更多研究和开发以确保爬行动物福利的领域。
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引用次数: 0
Spontaneous Echo Contrast in an Asymptomatic McDowell's Carpet Python (Morelia spilota mcdowelli) with Suspected Restrictive Cardiomyopathy 怀疑限制性心肌病的无症状麦克道尔氏地毯蟒蛇的自发回声造影
Pub Date : 2022-03-15 DOI: 10.5818/JHMS-D-21-00031
Clement Bercker, Clémence Hurtrel, L. Schilliger
Abstract A 9-yr-old female McDowell's carpet python (Morelia spilota mcdowelli) presented with an 8-month history of anorexia. A rostral subcutaneous abscess was diagnosed by cytology and surgical excision was elected. During ultrasound-guided cardiocentesis for preanesthetic blood work, severe right atrial dilation and hypokinesis, thickened and irregular atrio-ventricular valves, ventricular myocardial hyperechoic foci, and subjective ventricular hypokinesis were observed. Spontaneous echo contrast (SEC) was observed inside the right atrial cavity. Echocardiographic lesions were consistent with restrictive cardiomyopathy previously described in a case report involving the same subspecies, with additional concurrent thrombus formation. SEC has not been previously described in reptiles, and the presence of simultaneous SEC and restrictive cardiomyopathy suggests that it might be predictive of thrombus formation, as is the case in mammals. Following surgical excision of the rostral abscess, anorexia resolved, suggesting asymptomatic cardiopathy despite severe cardiac lesions. Further studies are needed to confirm the prevalence of cardiac diseases in reptiles and whether severe cardiac disease can be asymptomatic in captive snakes. Routine echocardiography in asymptomatic snakes with nonspecific signs is encouraged.
摘要1例9岁雌性麦克道尔地毯巨蟒(Morelia spilota mcdowelli)有8个月的厌食症病史。经细胞学诊断为吻侧皮下脓肿,选择手术切除。超声引导下穿刺进行麻醉前血液工作时,观察到严重的右心房扩张和低运动,房室瓣膜增厚和不规则,心室心肌高回声灶和主观性心室低运动。右心房腔内自发回声造影(SEC)。超声心动图病变与先前在同一亚种的病例报告中描述的限制性心肌病一致,并伴有额外的并发血栓形成。先前没有在爬行动物中描述过SEC,同时存在SEC和限制性心肌病表明它可能预示血栓形成,就像哺乳动物的情况一样。手术切除吻侧脓肿后,厌食症消失,提示无症状心脏病,尽管有严重的心脏病变。需要进一步的研究来证实爬行动物中心脏疾病的患病率,以及严重的心脏疾病是否可以在圈养的蛇中无症状。建议对无症状且无特异性体征的蛇类进行常规超声心动图检查。
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引用次数: 0
Feasibility, Gross Postmortem Results and Participant Perception of Oblique Prefemoral Ovariectomy in Red Eared Sliders (Trachemys scripta elegans) During a Teaching Workshop 在一次教学研讨会上,红耳滑梯斜向股前卵巢切除术的可行性、大体尸检结果和参与者感知
Pub Date : 2022-03-13 DOI: 10.5818/JHMS-D-21-00029
N. Di Girolamo, Kelsea A. Studer, R. Maranville, Marianne Caron, Glenda Murciano, M. Sellers, Ciro Cococcetta
Abstract The purpose of the present report is to describe feasibility and gross postmortem results of oblique prefemoral ovariectomy in red-eared sliders (Trachemys scripta elegans) performed by veterinarians in a teaching environment. Sixteen red-eared sliders were included in a teaching workshop. The turtles were anesthetized and placed in dorsolateral recumbency at an oblique 45-degree angle by use of folded towels. After prefemoral access to the celom and placement of a retractor with elastic bands, the ipsilateral follicles were exteriorized via gentle maneuvering with cotton tip applicators and excised after application of titanium clips and cautery with bipolar radiosurgery. On 14 of the 16 chelonians (87.5%) surgery was successfully completed. Of the two chelonians that did not have the surgical procedure completed, one had marked celomitis with adhesion of the ovaries to the liver and one had immature ovaries. At the end of the surgical procedures all chelonians were euthanized and postmortem was performed. The 14 chelonians that had surgery completed had no evident remaining ovarian tissue on gross postmortem. A survey completed by the attendants 9 mo after the workshop showed that a minority of the respondents (1/17) found the procedure difficult and that one of the seven respondents that performed the surgery after the workshop was not able to complete the procedure. This report indicates that oblique prefemoral ovariectomy in mature red-eared sliders can be effectively taught to veterinarians during a workshop, and that if the procedure is completed, the chances of leaving ovarian remnants are low.
摘要本报告的目的是描述兽医在教学环境下对红耳滑鼠(Trachemys scripta elegans)进行斜向股前卵巢切除术的可行性和大体尸检结果。16只红耳滑鼠被纳入教学车间。麻醉后,用折叠毛巾斜45度放置背外侧平卧。在股骨前进入细胞并放置有弹力带的牵开器后,用棉花尖涂抹器轻轻地将同侧卵泡取出,并在应用钛夹和双极放射外科烧灼后切除。16例中有14例(87.5%)成功完成手术。在没有完成手术的两只龟中,一只患有明显的肠系炎,伴有卵巢与肝脏的粘连,另一只卵巢不成熟。在手术结束时,所有的龟被安乐死并进行尸检。手术完成的14只龟在大体尸检上没有明显的卵巢组织残留。工作坊结束9个月后,一项由在场人员完成的调查显示,少数受访者(1/17)认为手术困难,在工作坊结束后进行手术的7名受访者中,有1人无法完成手术。本报告表明,成熟红耳滑鼠的斜股前卵巢切除术可以在研讨会上有效地教授给兽医,并且如果手术完成,留下卵巢残留物的机会很低。
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引用次数: 0
Molecular and Serological Detection of Leptospira spp. in Italian Tortoises (Testudo spp.) 意大利象龟钩端螺旋体的分子和血清学检测
Pub Date : 2022-03-13 DOI: 10.5818/JHMS-D-21-00038
M. L. Marenzoni, S. Bellucci, Oriana Raffaele, Maria Lorenza Corbucci, D. Marini, M. Biaggini, M. D'incau, F. Origgi, C. Corti, Trabalza-Marinucci Massimo
Abstract Leptospirosis is a worldwide zoonosis, characterized by a complex ecological cycle, including the environment, wild and domestic animals, and humans. It is also considered a water-borne infection. Although a solid body of data is available for more conventional hosts, limited information is available on neglected species such as reptiles, especially Testudinidae, both captive and free-ranging. Molecular and serological tests were performed to detect Leptospira spp. in Testudo spp. in Italy. Leptospiral DNA was detected using cloacal swabs collected from 116 individuals (54 free-ranging and 62 captive tortoises) by polymerase chain reaction (PCR). Unfortunately, because of the presence of PCR inhibitors, swabs from only 50 animals were eligible for analysis. A serological microagglutination test was performed on 121 Testudo spp. (7 free-ranging and 114 rescued tortoises). Sixteen individuals were tested using both assays, and the remainder were tested with one or the other. Ten out of 50 (20%) amplifiable cloacal swabs were positive for Leptospira DNA, the identity of which was confirmed by sequencing two amplicons. Two out of four repeatedly sampled animals only tested positive in the autumn. Seroprevalence was relatively low (0.8%, 1/121), at low titer (1:100). No positivity was recorded among free-ranging animals. Although these results do not provide a complete epidemiological snapshot of leptospirosis in chelonians, they suggest that tortoises are susceptible to pathogenic Leptospira. Further data are needed to determine the role of the captive environment as a possible predisposing factor and to assess the role of these reptiles in the ecology of leptospirosis.
钩端螺旋体病是一种世界性的人畜共患病,其特征是复杂的生态循环,包括环境、野生动物和家畜以及人类。它也被认为是一种水传播感染。虽然对于更传统的寄主有可靠的数据,但对于被忽视的物种,如爬行动物,特别是圈养和自由放养的绒尾动物,可获得的信息有限。采用分子和血清学方法对意大利的钩端螺旋体进行了检测。采用聚合酶链式反应(PCR)对116只散养陆龟(54只)和圈养陆龟(62只)进行钩端螺旋体DNA检测。不幸的是,由于PCR抑制剂的存在,只有50只动物的拭子符合分析条件。对121只散养陆龟(7只)和114只获救陆龟进行了血清学微凝集试验。16个人使用这两种方法进行测试,其余的人使用其中一种或另一种方法进行测试。50例(20%)可扩增的肛肠拭子中有10例钩端螺旋体DNA阳性,其身份通过测序两个扩增子得到证实。在被反复取样的四只动物中,有两只在秋季才被检测出呈阳性。血清阳性率相对较低(0.8%,1/121),低滴度(1:100)。在自由放养的动物中无阳性记录。虽然这些结果没有提供龟类钩端螺旋体病的完整流行病学快照,但它们表明乌龟对致病性钩端螺旋体易感。需要进一步的数据来确定圈养环境作为一个可能的诱发因素的作用,并评估这些爬行动物在钩端螺旋体病生态中的作用。
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引用次数: 1
In Memoriam for Drury Robb Reavill, DVM, Dip (Emeritus) ABVP, Dip ACVP 纪念德鲁里·罗伯·雷维尔,DVM,名誉副总裁,名誉副总裁
Pub Date : 2022-03-09 DOI: 10.5818/jhms.32.1.8
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引用次数: 0
Dual-Energy Computed Tomography for Diagnosis and Monitoring Attempted Medical Management of a Large Urate Urolith in a Desert Tortoise (Gopherus agassizii) 双能计算机断层扫描诊断和监测沙漠陆龟(Gopherus agassizii)大尿酸尿石的医学治疗
Pub Date : 2022-03-09 DOI: 10.5818/JHMS-S-20-00016.1
Jessica Eisenbarth, D. Gauntt, Anne E. Rivas
Abstract An estimated 29-yr-old male zoo-housed desert tortoise (Gopherus agassizii) presented for endoscopic liver biopsies as part of a diagnostic workup for recurrent, profound anemia and hypoalbuminemia. Suspected cystoliths were identified during endoscopy, but were not visible on conventional radiographs. Dual-energy computed tomography (DECT) imaging confirmed the presence of a large urate urolith filling the majority of the bladder. Because of the recent clinical illness, the tortoise was considered a poor surgical candidate. Medical management consisting of urinary alkalinization with potassium citrate, vibration therapy, and daily warm water soaks was elected. Following institution of medical therapies, the tortoise began passing pieces of urate stone that were 0.25–2.0 cm in diameter during daily soaks. A recheck DECT scan at 2 months indicated the urolith was approximately one third the initial size, suggesting medical therapy was effectively treating the urolith. Unfortunately, after 5 months of medical therapy, the stone had increased in size again on the follow-up DECT scan. This case report suggests that medical management may be a potential option for large urate cystoliths in desert tortoises, although more research is needed to further refine effective therapeutics for such cases. The use of DECT imaging was essential in this case because it enabled confirmation of stone presence, identification of urolith composition, and monitoring of response to therapy.
摘要一只29岁的雄性动物园圈养沙漠龟(Gopherus agassizii)作为复发性深度贫血和低白蛋白血症诊断检查的一部分,提出了内镜下肝脏活检。在内窥镜检查中发现疑似膀胱结石,但在常规x线片上不可见。双能计算机断层扫描(DECT)成像证实存在一个大的尿结石填充大部分膀胱。由于最近的临床疾病,乌龟被认为是一个不太好的手术候选人。选择了用柠檬酸钾碱化尿液、振动疗法和每日温水浸泡的医疗管理方法。在接受医学治疗后,乌龟开始在每天的浸泡中排出直径0.25-2.0厘米的尿酸结石。2个月时复查ct显示尿石大小约为最初的三分之一,表明药物治疗有效地治疗了尿石。不幸的是,经过5个月的药物治疗,结石在后续的DECT扫描中再次增大。本病例报告表明,医疗管理可能是沙漠象龟大尿酸囊结石的潜在选择,尽管需要更多的研究来进一步完善有效的治疗方法。在这种情况下,使用DECT成像是必不可少的,因为它可以确认结石的存在,识别尿石成分,并监测对治疗的反应。
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引用次数: 0
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Journal of Herpetological Medicine and Surgery
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