犬毛癣菌引起的肩关节骨关节感染

VCOT Open Pub Date : 2021-07-01 DOI:10.1055/s-0041-1735842
Julien Alexandre Feline, J. Cabassu
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摘要

摘要一只10岁的拉布拉多寻回犬因慢性右肩疼痛而持续跛行,对各种疼痛管理治疗无反应。x光片显示关节有严重退行性改变的迹象。滑液分析不能诊断。基于计算机断层扫描和临床症状怀疑脓毒性关节炎。关节镜检查允许关节探查、组织活检和大量的关节灌洗。通过抗菌培养和关节镜检查标本的组织学分析,发现了毛癣菌的增殖。开始口服灰黄霉素治疗。两个月后,参考兽医决定中断治疗后,阴性的滑膜培养,尽管持续跛行。在跗骨上也出现疼痛后,选择了安乐死;尸体解剖没有得到主人的授权。感染的来源尚不清楚,因为该患者没有皮肤损伤,其免疫状况尚不清楚。然而,在没有皮肤损伤的健康犬中也有皮肤癣的报道。据作者所知,这是第一个报告骨关节感染与皮肤病的狗。
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Osteoarticular Infection of the Shoulder Joint Due to Trichophyton Spp. in a Dog
Abstract A 10-year-old Labrador Retriever was referred for persistent lameness due to chronic right shoulder pain, unresponsive to various pain management therapies. Radiographs indicated signs of severe degenerative changes in the joint. Synovial fluid analysis was not diagnostic. Septic arthritis was suspected based on computed tomography and clinical signs. Arthroscopy allowed joint exploration, tissue biopsies, and copious joint lavage. Trichophyton spp. proliferation was identified on antimicrobial culture and histological analysis on samples obtained during arthroscopy. Oral griseofulvin therapy was initiated. Two months later, the referring veterinarian decided to interrupt the treatment after a negative synovial culture despite persistent lameness. Euthanasia was elected upon after pain also appeared on the tarsus; a post-mortem exam was not authorized by the owner. The origin of the infection remains unclear as this patient had no skin lesions and its immunological status was unknown. However, dermatophytosis has been reported in healthy dogs without skin lesions. To the author's knowledge, this is the first report of an osteoarticular infection with a dermatophyte in a dog.
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