Diagnosis and Therapy of a case of Canine Leptospirosis

犬鉤端螺旋體－病例之診斷和治療

張溫嵐(Wen-Lan Chang) ； 潘銘正(Ming-Jeng Pan) ； 蘇蕙莉(Whey-Li Su)

《中華民國獸醫學會雜誌》 21卷5期 (1995/10) Pp. 261-267

https://doi.org/10.7009/JTCSVS.199510.0261

摘要

一隻1歲大混種，重13.5公斤的雌犬，因嘔吐、下痢、嚴重黃疸及食慾廢絕等症狀出現而就醫。血液相及血液生化檢查顯示其白血球數過高及肝腎功能衰竭，初步診斷可能是鉤端螺旋體感染。根據細菌分離、顯微鏡凝集試驗以及聚合酶鏈反應的結果，確定其為鉤端螺旋體感染。在治療方面，我們採用支持療法以及二階段抗生素治療法。經過5個星期的治療後，成功地治癒該犬，並且有效地避免其轉變為帶原狀態。

關鍵字

犬鉤端螺旋體症 ； 病原性鉤端螺旋體

並列摘要

A one-year-old female crossbreed dog weighing 13.5kg was admitted with a 3-day history of vomiting, diarrhea, severe icterus, and anorexia. The results of haematologic and plasma biochemical examinations revealed significant leukocytosis and hepatorenal failure. According to the history and c1inical pathological data, tentative diagnosis of leptospirosis was made. Definitive diagnosis of Leptospira interrogans serovar icterohaemorrhagiae infection was achieved by the results of leptospiral isolation, microscopic agglutination test, and polymerase chain reaction. After having taken the supportive and two-phase antibiotic (first phase to terminate leptospiremia and second phase to eliminate the pathogens from kidney) therapy for five weeks, the dog was cured, and no leptospires shedding was noted.

並列關鍵字

Canine leptospirosis ； Leptospira interrogans