一例猫系统性隐球菌病的诊治  

Diagnosis and treatment of systemic cryptococcosis in a cat

作　　者：林梓杰 闫中山 佘源武 董军[2] LIN Zijie;YAN Zhongshan;SHE Yuanwu;DONG Jun(Ainuo Baisi Animal Hospital,Guangzhou 510000,China;College of Veterinary Medicine,China Agricultural University,Beijing 100193,China)

机构地区：[1]爱诺百思动物医院,广州510000 [2]中国农业大学动物医学院,北京100193

出　　处：《黑龙江畜牧兽医》2022年第2期88-91,139,共5页Heilongjiang Animal Science And veterinary Medicine

摘　　要：1只4岁未绝育短毛公猫因食欲减退、嗜睡而就诊,采用病史调查、临床检查、血液学检查、影像学检查、细胞学检查、眼底检查和血清抗原凝集试验进行初步筛查诊断,并根据诊断结果进行治疗。结果表明:该猫诊断为系统性隐球菌感染,原发部位为额窦,并导致脑膜脑炎,表现相关神经症状。给予氟康唑治疗后该猫恢复良好,治疗后一年内未见复发。说明猫隐球菌病在临床诊断中具有一定难度,在进行系统性排查确诊后,精准及时地治疗会改善该病的预后。A four-year-old non-neutered shorthair male cat presented to the doctor due to loss of appetite and lethargy, and medical history, clinical examination, hematological examination, imaging examination, cytological examination, ophthalmic examination and serum antigen agglutination test were used to carry out preliminary screening and diagnosis, and the treatment was performed based on the diagnosis results. The results showed that the cat was diagnosed as a systemic Cryptococcus infection, the primary site was frontal sinns and caused meningoencephalitis with related neurological symptoms. The cat recovered well after fluconazole treatment, and there was no recurrence within one year after treatment. The results suggested that the clinical diagnosis of feline cryptococcosis was difficult;after a systematic diagnosis was made, accurate and timely treatment would improve the prognosis of the disease.

关 键 词：猫 隐球菌 系统性真菌感染 脑膜脑炎 核磁共振检查 血清学检查 

分 类 号：S855.4[农业科学—临床兽医学]