犬巴贝斯虫影响下犬肾脏病变与微循环毛细血管层的发病关系

IF 0.5 Q4 BIOLOGY Regulatory Mechanisms in Biosystems Pub Date : 2023-02-09 DOI:10.15421/022306
O. Dubova, D. Feshchenko, V. Yevstafieva, V. Melnychuk, A. Dubovyi
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引用次数: 0

摘要

在犬巴贝斯虫病中,由于止血系统的刺激和微血管血栓形成的发展,毛细血管网络受到特别强烈的影响。休克现象和弥散性血管内凝血综合征可引起动物急性肾衰竭甚至死亡。进行了临床、实验室(血液学、生化、凝血学、血流动力学、酶免疫测定)方法的研究。患有巴贝斯虫病的狗有发热、贫血、血红蛋白尿、血液学上确定的贫血、全身性炎症、血栓形成状况。血流动力学参数决定了休克的状态,在动力学上休克是失代偿的和不可逆的。患病犬血液中出现的异千细胞表明其体内存在明显的代谢紊乱。凝血图显示弥散性血管内凝血综合征。肾病期间,综合征标志物有明显变化,有升高的趋势。此外,在病犬中发现尿毒症、高尿酸血症、高钾血症、低钠血症、高磷血症、肌酐血症,这是确定急性肾小球肾炎和进行性急性肾功能衰竭发展的可靠指标。根据对动物一般生化状况的研究,建立了急性肝炎和胰腺炎形式的肝病和一般中毒综合征。在我们的研究结果中:在急性自发性巴贝斯虫病期间,狗会发生肾病,其临床阶段有两个:血红蛋白尿和少尿/无尿。肾小球肾炎和急性肾衰竭发展的发病基础是对病原体影响的弥散性血管内凝血综合征,引起休克,形成休克的恶性循环。在这种情况下,肾脏衰竭增加,最终导致动物死亡。研究数据将有助于扩大对犬巴贝斯虫病发病机制的概念理解,并确定并发症在肾衰竭发展中的主导作用。
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Pathogenetic relationship between kidney pathologies and the microcirculatory capillary layer in dogs under the influence of Babesia canis
With babesiosis in dogs, the capillary network is especially strongly affected due to the stimulation of the hemostasis system and the development of thrombus formation in the microvasculature. Acute renal failure and even death of animals are caused by shock phenomena and the syndrome of disseminated intravascular coagulation. Clinical, laboratory (hematological, biochemical, coagulometric, hemodynamic, enzyme immunoassay) methods of research were conducted. Dogs with babesiosis have fever, anemia, and hemoglobinuria, hematologically established anemia, systemic inflammation, thrombotic condition. Hemodynamic parameters determine the state of shock, which in dynamics becomes decompensated and irreversible. The appearance of poikilocytes in the blood of sick dogs indicates significant metabolic disorders in their body. The coagulogram reveals the syndrome of disseminated intravascular coagulation. Syndrome markers significantly changed with a trend to increase during nephropathy. In addition, uremia, hyperuricemia, hyperkalemia, hyponatremia, hyperphosphatemia, creatininemia were found in the sick dogs, which are reliable indicators and determine the development of an acute form of glomerulonephritis and progressive acute renal failure. According to the study of the general biochemical status in animals, hepatopathy in the form of acute hepatitis and pancreatitis, and general intoxication syndrome were established. In our findings: during acute spontaneous babesiosis, dogs developed nephropathy, which has two clinical stages: hemoglobinuria and oliguria/anuria. The pathogenetic basis for the development of glomerulonephritis and acute renal failure is the syndrome of disseminated intravascular coagulation in response to the influence of a pathogen, which causes shock, forming a vicious circle of shock. Under such conditions, renal failure increases and eventually leads to the death of the animal. The studied data will contribute to the expansion of the conceptual understanding of the pathogenesis of canine babesiosis and determine the leading role of complications in the development of kidney failure.
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CiteScore
0.90
自引率
0.00%
发文量
25
审稿时长
10 weeks
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