一例来自非流行地区的犬链球菌肺炎：诊断挑战和成功的治疗结果

IF 1.3 Q3 MEDICINE, RESEARCH & EXPERIMENTAL

Medical Mycology Case Reports Pub Date : 2025-09-26 DOI:10.1016/j.mmcr.2025.100741

Kyle L. Granger Jr. , Benjamin H. Goldblatt , Powell T. Slinkard , Megan A. Stadler , Mei Lun Mui , Charles T. Talbot

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引用次数: 0

摘要

一只6岁的拉布拉多猎犬表现出发烧、咳嗽和呼吸困难。影像学显示进行性肺炎伴胸内淋巴结病变。初步检测结果为尿组织浆抗原阳性；真菌培养证实为螺旋芽孢菌。伊曲康唑改善，临床症状、c反应蛋白、影像学和抗原检查正常化。本病例强调了真菌抗原检测中交叉反应性的诊断挑战，并强调了真菌培养在明确诊断中的重要性。

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A case of Blastomyces helicus pneumonia in a dog from a non-endemic region: diagnostic challenges and successful treatment outcome

A 6-year-old Labrador Retriever presented with fever, cough, and labored breathing. Imaging revealed progressive pneumonia with intrathoracic lymphadenopathy. Initial testing yielded a positive Histoplasma urine antigen; however, fungal culture confirmed Blastomyces helicus. The dog improved on itraconazole, with normalization of clinical signs, C-reactive protein, imaging, and antigen tests. This case highlights diagnostic challenges of cross-reactivity in fungal antigen testing and emphasizes the importance of fungal culture in definitive diagnosis.

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来源期刊

Medical Mycology Case Reports MEDICINE, RESEARCH & EXPERIMENTAL-

CiteScore

4.00

自引率

0.00%

发文量

审稿时长

47 days