肺炎克雷伯菌感染引起的普通狨猴群败血症和腹膜炎。

Harshan R Pisharath, Timothy K Cooper, Angela K Brice, Rachel E Cianciolo, Ashley L Pistorio, Lynn M Wachtman, Joseph L Mankowski, Christian E Newcomer
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摘要

一群50只普通狨猴中有6只在3周内死亡,主要发现为革兰氏阴性细菌败血症。其中四只动物死亡;另外两只是在奄奄一息的时候被发现的,尽管有临床干预,它们后来还是死亡了。6只狨猴中有5只的染色组织的血管中存在革兰氏阴性菌棒。三只狨猴也有严重的纤维蛋白化脓性腹膜炎。另外,一例腹膜炎的狨猴也有化脓性肠系膜淋巴结炎,在扩张的结肠隐窝内有大量革兰氏阴性菌棒。从3只狨猴的多个器官中分离出肺炎克雷伯菌。整个群落的临床评价发现4只狨猴出现厌食、鼻咽分泌物和腹泻。这些狨猴被立即用恩诺沙星治疗,它们反应良好。肺炎克雷伯菌不能从菌落动物的鼻腔或粪便样本中培养。由于该疾病的超急性性质,动物往往在出现临床症状之前死亡,抗生素很少有用。在这次暴发中,我们在普通狨猴中发现了克雷伯氏菌感染的两种主要形式:有菌血症和血管周围轻微炎症反应的过急性形式,以及有菌血症、纤维蛋白脓性腹膜炎和肠系膜淋巴结炎的慢性形式。
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Septicemia and peritonitis in a colony of common marmosets (Callithrix jacchus) secondary to Klebsiella pneumoniae infection.

Six common marmosets from a colony of 50 died over a period of 3 weeks, with the predominant finding of gram-negative bacterial septicemia. Four of these animals died peracutely; the other two were found when they were moribund, and they subsequently died despite clinical intervention. Gram-negative bacterial rods were present in the blood vessels of stained tissues from five of the six marmosets. Three marmosets also had severe fibrinopurulent peritonitis. In addition, one of the marmosets with peritonitis also had purulent mesenteric lymphadenitis with large colonies of gram-negative bacterial rods within dialated colonic crypts. Klebsiella pneumoniae was isolated from multiple organs in three of the marmosets. Clinical evaluation of the entire colony identified four marmosets with anorexia, nasopharyngeal discharge and diarrhea. These marmosets were treated with enrofloxacin immediately, and they responded well. K. pneumonia could not be cultured from nasal or fecal samples obtained from the colony animals. Because of the peracute nature of the disease, animals often die before exhibiting clinical symptoms, and antibiotics are seldom helpful. In this outbreak we saw both of the major forms of Klebsiella infection in common marmosets: the peracute form with bacteremia and minimal inflammatory reaction around blood vessels, and the chronic form with bacteremia, fibrinopurulent peritonitis, and mesenteric lymphadenitis.

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