一例猫瘟继发中耳炎的诊断与治疗  

Diagnosis and treatment of a case of otitis media secondary to feline panleukopenia

作　　者：臧谦 陈思秋 麦嘉迅 曹嫦妤 李欣然 陆英杰 ZANG Qian;CHEN Siqiu;MAI Jiaxun;CAO Changyu;LI Xinran;LU Yingjie(College of Life Science and Engineering,Foshan University,Foshan 528225,China;Leader Animal Hospital,Guangzhou 510220,China;Veterinary Teaching Hospital,Foshan University,Foshan 528225,China)

机构地区：[1]佛山科学技术学院生命科学与工程学院,广东佛山528225 [2]立德动物医院,广州510220 [3]佛山科学技术学院附属教学动物医院,广东佛山528225

出　　处：《黑龙江畜牧兽医》2024年第6期80-84,共5页Heilongjiang Animal Science And veterinary Medicine

基　　金：广东省本科高校在线开放课程思政建设重点课题(2022ZXC465)。

摘　　要：体重为1.8 kg的4月龄布偶猫,雌性,就诊期间出现高热、排软便、打喷嚏、咳嗽等症状,经血常规检查、猫细小病毒(Feline panleukopenia virus, FPV)检测确诊为猫瘟,遂进行抗菌消炎、抗病毒感染、对症治疗、支持治疗。患猫在治疗第2天出现叫声嘶哑,左眼眼睑反射缺失伴有瞬膜凸起、偏头等神经症状,第3天主动少量进食,体温恢复正常,第5天精神、食欲、粪便形态恢复正常并出院。出院后第7天,面神经麻痹、偏头等前庭神经受损症状仍未消失,经电子计算机断层扫描(CT)检查确诊为慢性中耳炎、内耳炎,口服恩诺沙星保守治疗4周后瞬膜凸起、偏头等神经症状完全消失,行走姿势恢复正常。说明本病例为猫瘟继发中耳炎,恩诺沙星对治疗猫中耳炎具有良好的效果。A 4-month-old female Ragdoll cat weighing 1.8 kg presented with high fever, defecate stool, sneezing, and coughing during the consultation period. The diagnosis of feline distemper was confirmed by routine blood test and Feline panleukopenia virus(FPV) test, and the cat was treated with antimicrobial anti-inflammatory, antiviral, symptomatic, and supportive therapies. On the 2nd day of treatment, the affected cat showed hoarse purring, absence of eyelid reflex in the left eye with transient membrane bulge, head deviation and other neurological symptoms;on the 3rd day, it took the initiative to eat a small amount of food, and the body temperature returned to normal;on the 5th day, the spirit, appetite, and fecal pattern returned to normal, and it was discharged from the hospital. On the 7th day after discharge, symptoms of vestibular nerve damage such as facial nerve paralysis and head deviation had not disappeared, and chronic otitis media and otitis media were diagnosed by computed tomography(CT) scanning;after 4 weeks of oral enrofloxacin treatment, neurological symptoms such as bulging of the third eyelid prominent and deviation of the head disappeared completely, and the walking posture returned to normal. The results suggested that this case was a case of otitis media secondary to feline panleukopenia, and enrofloxacin was effective in the treatment of otitis media in cats.

关 键 词：猫瘟 中耳炎 瞬膜凸起 外周神经 继发感染 

分 类 号：S858.293[农业科学—临床兽医学]