Tuberculosis joint infections in four domestic cats.

Tuberculosis joint infections in four domestic cats.
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DOI:
10.1177/2055116917719401
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发表时间:
2017-07
期刊:
JFMS open reports
影响因子:
--
通讯作者:
Gunn-Moore D
Gunn-Moore D
中科院分区:
其他
文献类型:
--
作者:
Lalor SM;Clarke S;Pink J;Parry A;Scurrell E;Fitzpatrick N;Watson F;O'Halloran C;Gunn-Moore D

文献摘要

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本文描述了四只患有关节相关结核病的猫的临床表现、诊断影像学结果和结果。这些猫年龄为 2-6 岁,具有免疫能力。 3 例结核病仅影响一个关节,而 1 例病例至少影响三个关节。两例由牛分枝杆菌引起,另外两例由田鼠分枝杆菌引起。放射学检查结果包括骨质溶解、骨膜反应和相关的软组织肿胀。两例被安乐死,两例对截肢和后续抗生素治疗反应良好。据我们所知,这是一系列患有关节相关结核病的猫的首次发表。尽管结核病并不常见,但仍需高度怀疑以避免延误诊断。该病例系列强调了将分枝杆菌疾病视为猫关节疾病鉴别诊断的重要性。
This paper describes the clinical presentation, diagnostic imaging findings and outcome in four cats with confirmed joint-associated tuberculosis. The cats were 2–6 years of age, and immune competent. Three cases had tuberculosis affecting only one joint, whereas one case had at least three joints affected. Two cases were caused by Mycobacterium bovis, and the other two were caused by Mycobacterium microti. Radiological findings included osteolysis, periosteal reaction and associated soft tissue swelling. Two cases were euthanased and two cases responded well to amputation and follow-on antibiotic therapy. To our knowledge, this is the first publication of a series of cats with joint-associated tuberculosis. Although tuberculosis is not common, a high degree of suspicion is needed to avoid delayed diagnosis. This case series highlights the importance of considering mycobacterial disease as a differential for joint disease in cats.