A Case of Cryptococcosis Caused by Cryptococcus gattii in a Captive Queensland Koala(Phascolarctos cinereus adustus)

K. Hanaki, E. Shimokawa, Koji Nakasuji, Y. Fujii, T. Miyazawa, K. Makimura
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Abstract

We report the case of cryptococcosis caused by Cryptococcus gattii in a Queensland koala(Phascolarctos cinereus adustus) that died despite receiving an oral treatment of itraconazole and an inhalation of amphotericin B. Although the lesion caused by C. gattii was localized in the maxilla, a lateral nasal swelling and a pustular mass in the muzzle were also observed. Pseudomonas aeruginosa and Klebsiella pneumoniae infections were diagnosed in the liver, lungs, urogenital sinus, vertebral canal, and psoas. Immunosuppression by the koala retrovirus(KoRV) was suggested to be associated with the mixed infection because the koala tested positive for KoRV.
一只圈养昆士兰无尾熊(Phascolarctos cinereus adusus)由加蒂隐球菌引起的隐球菌病1例
我们报告了一例由加蒂隐球菌引起的昆士兰考拉(Phascolarctos cinereus adusstus)的隐球菌病,尽管接受了伊曲康唑口服治疗和两性霉素b。尽管加蒂隐球菌引起的病变局限于上颌骨,但也观察到鼻外侧肿胀和口部脓疱肿块。肝、肺、泌尿生殖道、椎管和腰肌均有铜绿假单胞菌和肺炎克雷伯菌感染。考拉逆转录病毒(KoRV)的免疫抑制可能与混合感染有关,因为考拉逆转录病毒检测呈阳性。
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