11岁杂交腊肠犬的急性单核细胞埃利希体病和支持细胞瘤

R. Mustapha, E. G. Emmanuel, M. Lawal, M. Abdurrahman, B. Umaru-Sule, S. Agbonika, A. Abodunrin, J. Sambo
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摘要

一只11岁的腊肠杂交狗被送到Zaria Ahmadu Bello大学兽医教学医院的小动物诊所,2天前发现食欲下降,三个月前发现睾丸肿大。临床诊断以食欲减退和睾丸肿大史为依据;体征表现为发热、蜱虫感染、眼粘膜充血、全身浅表淋巴结肿大、乳腺肿大、脱发、右睾丸萎缩、阴囊变色、可触肿块大而硬;全血细胞计数显示轻度贫血(PCV 34%,中性粒细胞(12.88 × 109/L)和带状细胞的存在(0.32 × 109/L);黄皮涂片显示外周血涂片中只有一个单核细胞存在胞浆内桑葚胚;采用elisa试剂盒(免疫层析)检测犬埃利希体抗体;血清雌二醇-17β (42.05 pg/mL)和抗勒氏杆菌激素(AMH);25.50 μg/mL)作为血清肿瘤标志物;阴囊横向和纵向超声显示弥漫性非均匀组织,睾丸回声增强;胸腹盆腔区域的x线表现显示正常的器官混浊,表明没有转移。手术切除后从肿瘤中提取组织样本并提交组织病理学检查。可见大的细胞质空泡,核仁稍有不规则。经证实为支持细胞瘤。病情得到了医学治疗,并通过手术切除肿瘤和阴囊消融。结果是成功的,病人在手术后24小时开始进食。
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Acute Canine Monocytic Ehrlichiosis and Sertoli Cell Tumour in an Eleven-‎Year-Old Dachshund Cross-Bred Dog
An eleven-year-old Dachshund cross-bred dog was presented to the Small Animal Clinic of Ahmadu Bello University Veterinary Teaching Hospital, Zaria, with complaints of reduced appetite noticed 2 days earlier, and an enlarged testis was noticed three months prior to presentation. Clinical diagnosis was based on history of reduced appetite and enlarged testis; physical findings such as pyrexia, tick infestation, congested ocular mucous membranes, generalized enlarged superficial lymph nodes, enlargement of the mammary glands, alopecia, atrophy of the right testis and discoloration of the scrotum with large, firm palpable mass; complete blood count revealed slight anaemia (PCV 34 %, neutrophilia (12.88 x 109/L) and presence of band cells (0.32 x 109/L); buffy coat smear  showed the presence of intracytoplasmic morulae in just one monocyte in the peripheral blood smear; Ehrlichia canis antibodies was detected in serum using  Ehrlichia test kit (immunochromatography); serum oestradiol-17β (42.05 pg/mL) and anti- Müllerian hormone (AMH; 25.50 μg/mL) were employed as serum tumour markers; transverse and longitudinal scrotal sonographs revealed diffuse non-homogenous tissues with increase in the echogenicity of the testicles; radiographic findings of thoraco-abdomino-pelvic regions revealed normal organ opacity indicating absence of metastases. Tissue samples were taken from the tumor following surgical excision and submitted for histopathology. The findings were large cytoplasmic vacuoles with slightly irregular nucleoli. It was confirmed to be sertoli cell tumor. The conditions were managed medically, and by surgical excision of the tumour and scrotal ablation. Outcome was successful, and patient started feeding 24 hours after the surgery.
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