8岁阿拉伯马habronemasis(马夏疮)

Diba Forouzanpour, Golara Ostovari, Mehrdad Mashhadi, Hossein Dehghani, A. Hajimohammadi
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摘要

马Habronemiasis,马夏季疮,由马Habronemiasis幼虫引起,常见于热带和亚热带气候。家蝇、面蝇和马厩蝇传播病原线虫幼虫。皮肤色素病是马中最常见的色素病。皮肤线虫病与幼虫在不能完成其生命周期的地方沉积有关。幼虫的沉积与局部过敏有关。Habronema幼虫可引起眼前感染,导致结膜炎、睑缘炎或皮炎。病例报告:一匹8岁雄性阿拉伯马被转介到伊朗设拉子设拉子大学兽医临床医院大型动物医学部门,有眼前区和后肢伤口史。右眼眼部检查发现大量粘液化脓性分泌物,眼睑痉挛和化脓。肉芽肿性肿瘤直径1.8 cm,可见于内眦睑结膜。根据病史和临床症状,确定皮肤病变为线虫病。治疗包括泼尼松龙减量片30天,伊维菌素口服一剂,外用土霉素软膏7天,氯霉素曲安奈德滴眼液7天。由于病变对治疗方案的积极反应,诊断得到证实。结论:眼色素病是色素病的常见形式。死幼虫的沉淀会引起过敏反应。治疗方法包括使用皮质类固醇来减少与炎症相关的组织增生,使用抗生素软膏来预防第二次细菌感染,使用抗组胺剂来预防组胺介导的瘙痒和过敏情况,以及使用口服抗蠕虫剂来杀死胃中的成虫。目前的研究作者认为,控制苍蝇对预防线虫病至关重要。
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Habronemiasis (Equine Summer Sore) in an 8-year-old Arab Horse
Introduction: Habronemiasis, equine summer sore, is caused by habronema larvae, commonly in tropical and subtropical climates. House flies, face flies, and stable flies transmit the pathogenic nematode larvae. Cutaneous habronemiais is the most common form of habronemiasis in horses. Cutaneous habronemiais is associated with the deposition of larvae in areas where they cannot complete their life cycle. Deposition of larvae is related to local hypersensitivity. Habronema larvae could cause preocular infectious resulting in conjunctivitis, blepharitis, or dermatitis.   Case report: An eight-year-old male Arabian horse was referred to the Large Animal Medicine Unit, Veterinary Clinical hospital, Shiraz University, Shiraz, Iran, with a history of wounds on the preocular region and hind limbs. The right eye's ocular examination revealed abundant mucopurulent discharge, blepharospasm, and chemosis. The granulomatous tumor had a diameter of 1.8 cm and was evident on the palpebral conjunctiva of the medial canthus. The skin lesion was identified as habronemiasis based on the history, clinical symptoms. Treatment includes prednisolone tab with reducing dosage for 30 days, an oral dose of Ivermectin, topical oxytetracycline ointment for seven days, chloramphenicol and triamcinolone eye drop for seven days. The diagnosis was confirmed due to the positive reaction of the lesions to treatment protocol. Conclusion: Ocular habronemiasis is the common form of habronemiasis. Deposing of dead larva causes a hypersensitivity reaction. Treatments include corticosteroid to reduce inflammation-association tissue proliferation, antibiotic ointment for prevention of second bacterial infection, an antihistamine for the prevention of histamine-mediated pruritic and allergic conditions, and oral antihelminth for the killing of adult form in the stomach. The current study authors suggest fly control is essential in preventing habronemiasis.
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