Unusual presentations of feline cowpox.
Unusual presentations of feline cowpox.
复制标题
猫科动物牛痘的异常表现。
DOI：
10.1136/vr.i5767
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发表时间：
2016
期刊：
影响因子：
--
通讯作者：
O'Halloran C
中科院分区：
文献类型：
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作者：
O'Halloran C
在isaid（国际伴侣动物传染病学会）最近的一次会议上，一些临床医生和作者注意到，这些病例中出现的皮肤损伤的严重程度明显不典型。病例表现为大面积局灶性皮肤坏死（痂）和/或广泛红斑和水肿（图1）。这种表现与通常的临床症状不一致，小的，界限清楚的溃疡性皮肤病变（图2），可自行消退。已知FPxV还与许多猫的严重肺炎有关1。除了从业人员提交组织样本进行组织学检查的数量增加外，样本外观也比平时严重得多（图3）。这些更致命的表现在英国各地都有记录，在遥远的爱丁堡和布里斯托尔的实践中也有确诊病例。重要的是，同事们要意识到这些变化，因为虽然FPxV很少见，但它可以感染业主，导致潜在的危及生命的感染1,2。FPxV病例往往在每年的秋季达到高峰，因为这是水库宿主数量（田鼠、田鼠和林鼠）最多的时候，而今年的天气适合啮齿动物数量的增加。顺便说一句，这也得到了猫肺虫病例数量类似增加的支持
At a recent meeting of ISCAID (International Society for Companion Animal Infectious Diseases) it was noted by several clinicians, as well as the authors, that the severity of presenting skin lesions in a number of these cases was markedly atypical. Cases appear to be presenting with large areas of focal dermal necrosis (eschars) and/or extensive erythema and oedema (Figure 1). This presentation is not concordant with the usual clinical signs of small, well demarcated ulcerated skin lesions (Figure 2), which spontaneously resolve1. FPxV is also known to be associated with severe pneumonia in a number of cats1. As well as an increase in the number of tissue samples being submitted by practitioners for histological examination, the sample appearance is also much more severe than usual (Figure 3). These more virulent presentations have been documented across the UK, with cases confirmed in practices as distant as Edinburgh and Bristol.It is important that colleagues are aware of these changes because, whilst rare, FPxV can infect owners resulting in a potentially life threatening infection1, 2. FPxV cases tend to peak in the autumn, annually, as this is when the reservoir host numbers (bank voles, field voles and wood mice) are at their greatest and this year the weather has been appropriate for a boon in rodent numbers1. Incidentally, this is also supported by a similar increase in the number of feline lungworm cases (being