在一匹曼加拉尔马查多骟马身上,由真菌感染引起的败血症相关性蹄叶炎

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摘要

阉割是马术中最常见的外科手术之一,潜在的并发症从轻微到危及生命不等。本文旨在报告一例睾丸炎引起败血症相关性蹄叶炎和急性肾衰竭(ARF)的曼格拉加-马查多(Mangalarga Marchador)骟马的临床和实验室特征、治疗和长期随访信息。一匹 5 岁的曼加拉加马查多骟马在农场接受开放式睾丸切除术 7 天后被转到医院治疗。体格检查发现其黏膜充血、脱水、心动过速、阴囊肿胀并伴有恶臭的浆液性分泌物、蹄温和数字脉搏振幅增大以及跛行。实验室检查结果包括中性粒细胞增多引起的白细胞增多症、低白蛋白血症、肌酐和尿素水平升高,以及尿液分析中细菌、白细胞和透明圆柱数量增加。经过三天的重症监护后,这匹马接受了全身麻醉,进行了鳞状切除术,并切除了受感染的精索残端。微生物检测发现了链球菌和耐多种细菌的大肠杆菌。本报告着重介绍了一匹曼加拉马查多公马因化脓性真菌炎而导致的不常见的阉割后并发症。此外,从微生物学角度分离出的多重耐药大肠杆菌菌株也引起了人们对在马场滥用抗生素的担忧。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Funiculitis causing sepsis-associated laminitis in a Mangalarga Marcha-dor gelding
Castration is one of the most common surgical procedures performed in equine practice, and potential complications may range from mild to life-threatening condi-tions. This paper aims to report clinical and la-boratory features, treatment, and long-term follow-up infor-mation in a case of fu-niculitis causing sepsis-associated laminitis and acute renal failure (ARF) in a Mangalarga Marchador gelding. A 5-years-old Mangalarga Marchador gelding was referred for hospital care after seven days of an open orchiectomy approach on farm-setting. Physical exami-nation revealed hypere-mic mucous mem-branes, dehydration, tachycardia, scrotal swelling with a foul-smelling serousangui-nous discharge, in-creased hoof tempera-ture and digital pulse amplitude, and lame-ness. Laboratory find-ings included leukocy-tosis by neutrophilia, hypoalbuminemia, high creatinine, and urea levels, and an increased number of bacteria, leukocytes, and hyaline cylinders on urine anal-ysis. After three days of intensive care, the horse underwent gen-eral anesthesia for scro-tal ablation and resec-tion of the infected spermatic cord stumps. Microbiological assays revealed Streptococcus spp. and a multi-resistant Escherichia coli. This report high-lights uncommon post-castration complications in a Mangalarga Marchador gelding as a consequence of septic funiculitis. Further-more, the microbiologi-cal isolation of a multi-resistant E. coli strain raises concerns about the indiscriminate use of antibiotics in equine practice.
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