Case Report: Systemic Candidiasis in a Captured Yellow-Headed Tortoise (Indotestudo elongate)

病例報告：野外捕捉黃頭陸龜之全身性念珠菌症

詹芳澤(Fang-Tse Chan) ； 宣詩玲(Shih-Ling Hsuan) ； 張仕杰(Shih-Chieh Chang) ； 林佩羿(Pet-I Lin) ； 王齡敏(Ling-Min Wang) ； 楊青玲(Ching-Ling Yang) ； 李維誠(Wei-Cheng Lee) ； 簡茂盛(Maw-Sheng Chien) ； 張文發(Wen-Fa Chang) ； 郭銘彰(Ming-Jang Kuo) ； 廖俊旺(Jiunn-Wang Liao)

《臺灣獸醫學雜誌》 37卷1期 (2011/03) Pp. 30-35

https://doi.org/10.7009/TVJ.201103.0030

摘要

病龜為野外捕捉之雌性黃頭陸龜(Indotestudo elongata)，因撕裂傷進行治療，不幸於2個月後發現死亡。剖檢發現病龜全身臟器皆散佈多發性、大小不一之黃白色結節，組織病理檢查為凝固樣肉芽腫壞死灶並有疑似酵母菌感染，壞死灶經抗酸染色及分枝桿菌(Mycobacterium tuberculosis)聚合酶鏈鎖反應均呈陰性反應，以化學組織染色法periodic Acid-Schiff及念珠菌之組織免疫化學染色法(Candida albicans primary antibody)染色結果均呈陽性反應。綜合以上結果，本病例為少見之陸龜全身性念珠菌症。

關鍵字

念珠菌症 ； 黃頭陸龜Indotestudo elongate ； 化膿性肉芽腫 ； 全身性

並列摘要

A free-living, female yellow-headed tortoise (Indotestudo elongate) was rescued and treated for a laceration wound without improvement, and the tortoise died after two months of treatment. At necropsy, in addition to the skin laceration, multiple whitish-to-yellowish nodules scattered on various visceral organs. The nodular lesions were characterized by coagulative necrosis and pyogranuloma with intralesional yeast-like organisms under microscopy. Necrotic nodules were stained using acid-fast staining and screened using polymerase chain reaction assay for Mycobacterium tuberculosis revealed negative results. The periodic acid Schiff (PAS) and immunohistochemistry (IHC) staining revealed positive results for Candida a/b/cans. Based on these analytical results, a case of rare systemic infection of candidiasis in a tortoise is reported.

並列關鍵字

Candidiasis ； Indotestudo elongate ； pyogranuloma ； systemic infection ； tortoise