猫感染性心内膜炎临床病例分析。

Brazilian journal of veterinary medicine Pub Date : 2022-11-03 eCollection Date: 2022-01-01 DOI:10.29374/2527-2179.bjvm002322
Tatiana Vladimirovna Sereda, Marina Alekseevna Petrova, Ilya Vitalievich Popov, Igor Vitalievich Popov, Sergey Nikolaevich Kartashov, Alexey Mikhailovich Ermakov
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引用次数: 0

摘要

感染性心内膜炎(IE)是一种心内膜的传染性息肉病性溃疡性炎症,伴随着各种致病性和机会性病原体对心脏瓣膜和内皮的损害。主要是二尖瓣和主动脉瓣受累,三尖瓣受累较少。本研究的目的是报告两例猫的IE。由于该病在猫中的患病率较低,目前尚无明确的诊断算法,因此诊断搜索较为复杂。在这两种情况下,观察到心脏瓣膜装置的自主病变。在第一个临床病例中,由于病情进展迅速,我们很难诊断出疾病:最初的超声心动图结果是正常的,但48小时后,猫的病情变得更加严重,18小时后死亡。在第二个病例中,组织病理学检查证实了心内膜和心肌的感染性炎症过程,原因不明。然而,下呼吸道感染的存在和缺乏额外的实验室检查,如细菌血培养和PCR诊断,限制了我们提出关于IE起源和病因的假设。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Clinical cases of infectious endocarditis in cats.

Clinical cases of infectious endocarditis in cats.

Clinical cases of infectious endocarditis in cats.

Clinical cases of infectious endocarditis in cats.

Infectious endocarditis (IE) is a contagious polyposis ulcerative inflammation of the endocardium, accompanied by lesions of the heart valve apparatus and endothelium by various pathogenic and opportunistic pathogens. Mainly mitral and aortic valves are affected, less often - tricuspid valve. The purpose of this study was to report two cases of IE in cats. Due to the low prevalence of the disease in cats, there is no clear diagnostic algorithm, so the diagnostic search is complicated. In both cases, autonomic lesions of the heart valve apparatus were observed. In the first clinical case, we could hardly diagnose the disease because of its rapid progression: initial echocardiogram result was normal, but after 48 hours, the cat's condition became much worse, and 18 hours later, it died. In the second case, histopathological examination confirmed an infectious inflammatory process of the endocardium and myocardium of unclear genesis. However, the presence of lower respiratory tract infection and the absence of additional laboratory tests, such as bacterial blood culture and PCR diagnosis, limited us in proposing a hypothesis about the origin and etiology of IE.

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