猫孢子丝菌病:动物和人类的临床症状和预防措施

Pubvet Pub Date : 2024-05-10 DOI:10.31533/pubvet.v18n05e1591
Jaqueline Lemon Teixeira Rocha, Maria Gabriela Xavier de Oliveira
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引用次数: 0

摘要

孢子丝菌病是由孢子丝菌(Sporothrix sp)引起的一种真菌病,它存在于植物、树木和土壤中,与腐烂的植物残骸有关。该病可影响多种生物,尤其是猫科动物,而猫科动物又是孢子丝菌病传染给人类的主要媒介。孢子丝菌病是通过受伤的皮肤与被真菌污染的表面接触,或被患病动物抓伤或咬伤而感染的。除皮肤表现外,孢子丝菌病还可发生于皮外,影响肺、淋巴结、肝、脾和肾等多个器官。该病没有预防疫苗,只能使用具有广谱抗真菌活性的合成杀真菌剂进行治疗。孢子丝菌病被认为是兽医学中最重要的真菌病之一,也是一种诊断不足的人畜共患疾病,主要原因是缺乏控制和预防措施,从而导致公众缺乏认识。伯南布哥州、里约热内卢州以及圣保罗州、米纳斯吉拉斯州、巴伊亚州、北里奥格兰德州和帕拉伊巴州的一些城市强制要求通报病例。自 2020 年 12 月 1 日起,圣保罗市开始强制要求通报猫狗孢子丝虫病病例。本综述旨在强调,孢子丝菌病是一种新出现的人畜共患病,在巴西诊断不足。有必要开展信息和宣传活动,以强化治疗的重要性和治愈的可能性,并采取与公共卫生计划相关的有效教育措施来控制人类和动物孢子丝虫病。开展负责任的宠物饲养宣传活动,强调绝育和限制宠物上街的重要性,对于控制该疾病的流行至关重要。兽医在指导监护人方面发挥着根本性的作用,他们强调,缺乏治疗不仅会给患病动物带来巨大痛苦,还会助长疾病的传播,包括向人类传播。
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Esporotricose felina: Sinais clínicos e prevenção em animais e humanos
Sporotrichosis is a mycosis caused by the fungus Sporothrix sp, which is found in plants, trees, and soil, associated with decomposing plant remains. The disease can affect various species, especially felines which, in turn, are the main transmitters of sporotrichosis to humans. Infection by Sporothrix sp. occurs through contact between injured skin and surfaces contaminated with the fungus, or scratching or biting by diseased animals. In addition to the skin manifestation, sporotrichosis can also occur in extracutaneous form, affecting multiple organs such as the lungs, lymph nodes, liver, spleen and kidneys. There is no preventive vaccine for the disease and it is treated with synthetic fungistatic agents with a broad spectrum of antifungal activity. Sporotrichosis is considered one of the most relevant mycoses in veterinary medicine and an underdiagnosed zoonosis, mainly due to the lack of control and prevention initiatives, which consequently leads to a lack of public awareness. In the states of Pernambuco, Rio de Janeiro and in some cities in states of São Paulo, Minas Gerais Bahia, Rio Grande do Norte and Paraíba have compulsory notification of cases. Since December 1, 2020, the notification of sporotrichosis in dogs and cats has become mandatory in the city of São Paulo. The purpose of this review is to emphasize that sporotrichosis is an emerging zoonosis that is underdiagnosed in Brazil. Information and publicity campaigns are needed to reinforce the importance of treatment and the potential for a cure, as well as effective educational measures related to public health programs for the control of human and animal sporotrichosis. Responsible pet ownership campaigns, which emphasize the importance of neutering and restricting street access, are of paramount importance for the epidemiological control of the disease. Veterinarians have a fundamental role to play in guiding the guardian, emphasizing that the lack of treatment, in addition to causing great suffering to the affected animal, can contribute to the spread of the disease, including to humans.
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