坦桑尼亚杂交一岁公犊的牛肾脏脂膜炎:病例报告

S. Masola
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摘要

目的:报告一例罕见的牛肾脏脂膜炎(BRL)病例,该病例是在尸检时偶然发现的。病例介绍:2023 年 6 月,坦桑尼亚姆贝亚市的一家奶牛场发现一头一岁大的雄性小牛在患病约一周后死亡。牛主人要求进行尸体解剖,以确定动物的死因。 尸体解剖显示,动物肝脏出现明显的大体病理变化,呈煮熟状,萎缩、松软,并有大块苍白的坏死灶。此外,两个形态正常的肾脏明显呈深蓝色。根据病史和大体病理结果,该动物被诊断死于急性肝炎。肾脏变色的鉴别诊断包括血色素沉着病、肾脏血色素沉着病、BRL和黑色素肾细胞癌(MRCC)。由于缺乏大体病理检查结果,特别是肝纤维化、苍白和肾脏中的肿瘤组织块,而这些分别是血色病、肾脏血丝病和 MRCC 的特征,因此在肾脏变色的可能病因中排除了血色病、肾脏血丝病和 MRCC;肾脏变色的病因被诊断为 BRL。讨论在这次尸检中,病史和大体病理结果表明,动物死亡的原因可能是急性肝衰竭,这是急性肝炎的后遗症之一。肾脏变色不被认为是导致动物死亡的原因,因为除了变色外,肾脏并没有大体病理变化。此外,迄今为止还没有关于牛的临床疾病与 BRL 有关的报告。然而,BRL 是一种重要的疾病,因为它会导致受影响的肾脏被认定为不适合人类食用。 结论本文报告的这例 BRL 病例是在尸体解剖时偶然发现的,与动物死亡无关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Bovine Renal Lipofuscinosis in a Tanzanian Crossbred Yearling Male Calf: A Case Report
Aim: To report a rare case of bovine renal lipofuscinosis (BRL) that was encountered incidentally at necropsy. Presentation of the Case: In June 2023 an yearling male calf was found dead in one of the dairy cattle farms in Mbeya city, Tanzania; after being sick for about a week. The owner requested a necropsy service to establish the cause of the death of the animal.  Necropsy revealed significant gross pathological changes in a liver that was cooked-like and shrunken, with flabby consistence and large pale necrotic foci. Furthermore, dark blue discoloration of both kidneys with normal morphology was evident. Based on the history and gross pathological findings, the animal was diagnosed to have died from acute hepatitis. Differential diagnosis for kidney discoloration included hemachromatosis, renal hemosiderosis, BRL, and melanotic renal cell carcinoma (MRCC). After ruling out hemachromatosis, renal hemosiderosis and MRCC in the list of possible causes of kidney discoloration based on the lack of gross pathological findings, particularly hepatic fibrosis, pallor, and a mass of tumor tissue in the kidneys that are characteristic of hemachromatosis, renal hemosiderosis and MRCC, respectively; the cause of kidney discoloration was diagnosed as BRL. Discussion: In this necropsy, the history and gross pathology suggested that the animal’s death could be attributed to acute liver failure, which is one of the sequelae of acute hepatitis. Kidney discoloration was not considered an attribute factor to the animal’s death because, with the exception of discoloration, the kidneys did not have gross pathological changes. Moreover, to date there has been no report of a clinical disease in cattle associated with BRL. However, BRL is an important disorder because it leads to condemnation of the affected kidneys as unfit for human consumption.   Conclusion: The case of BRL reported here was an incidental finding at necropsy, and is not associated with the death of the animal.
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