Wild animal

野生动物
  • 文章类型: Journal Article
    皮肤利什曼病(CL),一种被忽视的热带病,是也门主要的公共卫生问题,热带利什曼原虫被确定为主要病原体。本研究旨在调查也门西部高地CL流行区家畜和野生动物中利什曼原虫寄生虫的发生和分布。在也门西部的Utmah区进行了一项横断面研究。从122只家畜和野生动物中收集血液和皮肤刮擦标本,并使用内部转录间隔区1(ITS1)嵌套聚合酶链反应测试利什曼原虫DNA。对从本研究中的动物获得的20个热带乳杆菌序列和从GenBank检索的来自人类分离物(同时从同一研究区域收集)的34个序列进行系统发育分析。总的来说,在16.4%(20/122)的受检动物中检测到热带乳杆菌,包括11只山羊,两只狗,两只公牛,一头母牛,一头驴,一只兔子,一只老鼠和一只蝙蝠。检查的猫和羊都不是阳性的。将动物序列分为四种不同的热带乳杆菌单倍型,大多数动物(15/20)和人类(32/34)序列由一个显性单倍型/基因型组成。这些发现代表了也门西部不同种类的家养和野生动物中天然热带乳杆菌感染的第一个确证,这表明这些动物可能在也门的CL传播中起作用。因此,a需要采取“一个健康”方法,以便在流行人群中有效预防和控制这种破坏性疾病。
    Cutaneous leishmaniasis (CL), a neglected tropical disease, is a major public health concern in Yemen, with Leishmania tropica identified as the main causative agent. This study aims to investigate the occurrence and distribution of Leishmania parasites in domestic and wild animals in CL endemic areas in the western highlands of Yemen. A cross-sectional study was conducted in the Utmah District of western Yemen. Blood and skin scraping specimens were collected from 122 domestic and wild animals and tested for the Leishmania DNA using internal transcribed spacer 1 (ITS1) nested polymerase chain reaction. Phylogenetic analyses were performed on 20 L. tropica sequences obtained from animals in this study and 34 sequences from human isolates (collected concurrently from the same study area) retrieved from the GenBank. Overall, L. tropica was detected in 16.4% (20/122) of the examined animals, including 11 goats, two dogs, two bulls, one cow, one donkey, one rabbit, one rat and one bat. None of the examined cats and sheep was positive. The animal sequences were segregated into four different L. tropica haplotypes, with the majority of the animal (15/20) and human (32/34) sequences composed of one dominant haplotype/genotype. These findings represent the first confirmed evidence of natural L. tropica infections in different kinds of domestic and wild animals in western Yemen, suggesting these animals potentially have a role in the transmission of CL in Yemen. Therefore, a One Health approach is required for the effective prevention and control of this devastating disease among endemic populations.
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  • 文章类型: Case Reports
    尽管海龟作为高度濒危物种的状况岌岌可危,我们对他们的疾病的了解仍然有限。该病例报告提供了螺旋体病的详细病理学研究,对海龟构成重大威胁的血吸虫感染。这项回顾性研究检查了三例螺旋体感染的海龟,具体来说,搁浅在济州岛的绿海龟,韩国。3只螺旋体感染的绿海龟的死前检查显示非特异性临床症状;血液分析显示脱水,营养不良,和贫血。计算机断层扫描提供了对严重肺部和肺外表现的见解,包括关节区域中存在的质量。尸检一致显示严重的肺部病变和全身表现,组织病理学检查证实在各个器官中存在螺旋体卵。尽管海龟螺旋体病在全球流行,疾病严重程度因地区而异。本报告提供了东北亚海龟螺旋体病病理的详细证明。
    Despite the precarious state of marine turtles as a highly endangered species, our understanding of their diseases remains limited. This case report presents a detailed pathological investigation of spirorchiidiasis, a blood fluke infection that poses a substantial threat to marine turtles. This retrospective study examined three cases of spirorchiid-infected sea turtles, specifically, green sea turtles stranded on Jeju Island, South Korea. Premortem examination of the three spirorchiid-infected green sea turtles demonstrated nonspecific clinical symptoms; blood analysis revealed dehydration, malnutrition, and anemia. Computed tomography scans provided insights into severe pulmonary and extrapulmonary manifestations, including the mass present in the joint region. Post-mortem examinations consistently indicated severe lung lesions and systemic manifestations, with histopathological examination confirming the presence of spirorchiid ova across various organs. Despite the global prevalence of spirorchiidiasis in sea turtles, disease severity varies regionally. This report provides a detailed demonstration of the pathology of spirorchiidiasis in sea turtles from Northeast Asia.
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  • 文章类型: Journal Article
    印度以其复杂的生态系统和丰富的生物多样性而闻名。牛结核病(bTB)通常与牛分枝杆菌感染同义。野生动物中的结核病(TB)领域,由结核分枝杆菌复合生物体(MTBC)的成员诱导,在印度,经常被低估和低估。在此背景下,野生动物结核病(wTB)的实例已在圈养和自由漫游的动物中表现出来。造成动物WTB的来源可能是人类,动物,或环境因素,从而照亮了复杂的传输路径。WTB的诊断仍然是一个巨大的挑战,宿主和病原体中广泛的分类多样性的结果。从野生动物获取样本的固有并发症,缺乏标准化的诊断方案,对感染患病率的见解有限,和资源约束复合诊断。在这些之中,必须采用全面的“一个健康”范式,强调人类之间的相互联系,动物,和环境健康。认识到关键利益攸关方并促进部门间合作,以提供由熟练人员和先进基础设施驱动的增强诊断技术,在全面战略中发挥着关键作用。此外,利用疫苗接种工作有助于有效控制。国家WTB监测计划是基石,确保疾病管理的综合和整体方法。通过这次审查,我们深入研究印度WTB的现状,揭示其多方面的挑战,并进一步探索“一个健康”方法在这一动态努力中提供的多种策略。
    India is renowned for its complex megadiverse ecosystems and abundant biodiversity. Bovine tuberculosis (bTB) often remains synonymous with Mycobacterium bovis infection in cattle. The domain of tuberculosis (TB) among wild animals, induced by members of the Mycobacterium tuberculosis complex organisms (MTBC), is often underexplored and underreported in India. Within this context, instances of wild animal tuberculosis (wTB) have manifested across both captive and free-roaming animals. The sources contributing to wTB in animals can be human, animal, or environmental factors, thus illuminating the complex transmission pathways. The diagnosis of wTB continues to pose a formidable challenge, a consequence of the expansive taxonomic diversity in both the host and the pathogen. Complications inherent in acquiring samples from wildlife, the absence of standardized diagnostic protocols, limited insights into infection prevalence, and resource constraints compound diagnosis. Amidst these, adopting the comprehensive One Health paradigm surfaces as an imperative, accentuating the interconnectedness bridging human, animal, and environmental health. Recognizing key stakeholders and fostering intersectoral collaboration to provide enhanced diagnostic techniques driven by skilled personnel and advanced infrastructure play pivotal roles in a comprehensive strategy. Additionally, leveraging vaccination efforts contributes to effective control. A national wTB surveillance program is a cornerstone, ensuring an integrated and holistic approach to disease management. Through this review, we delve into the current landscape of wTB in India, unveiling its multifaceted challenges, and further explore the multifarious strategies that the One Health approach proffers in this dynamic endeavor.
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  • 文章类型: Journal Article
    小型哺乳动物,比如啮齿动物和泼妇,是人畜共患疾病的天然宿主,包括寄生原生动物.为了评估大韩民国(ROK)啮齿动物传播的寄生虫的风险,这项研究调查了寄生原生动物的状况,即锥虫,巴贝西亚,还有Theileria,在小型哺乳动物中。总的来说,使用PCR分析了来自小型哺乳动物的331份血液样品的寄生虫并进行了测序。样本对grosi锥虫(23.9%;n=79)和微巴贝斯虫(10%;n=33)呈阳性,但对Theileria无阳性。来自Seogwipo-si的小型哺乳动物显示出最高的T.grosi感染率(48.4%),而Gangneung-si地区的B.microti感染率最高(25.6%)。序列数据显示T.grosi属于AKHA菌株。B.microti的系统发育分析揭示了美国和神户基因型。在全国范围内检测到B.microtiUS型感染的小型哺乳动物,但是神户类型只在西格维波-si被检测到。据我们所知,这是首次全国性调查,证实了韩国小型哺乳动物中T.grosi和B.microti在物种水平上的感染,并确定了B.microti的神户类型。这些结果为这些寄生虫的进一步分子流行病学研究提供了有价值的信息。
    Small mammals, such as rodents and shrews, are natural reservoir hosts of zoonotic diseases, including parasitic protozoa. To assess the risk of rodent-borne parasitic protozoa in the Republic of Korea (ROK), this study investigated the status of parasitic protozoa, namely Trypanosoma, Babesia, and Theileria, in small mammals. In total, 331 blood samples from small mammals were analyzed for parasites using PCR and sequenced. Samples were positive for Trypanosoma grosi (23.9%; n = 79) and Babesia microti (10%; n = 33) but not Theileria. Small mammals from Seogwipo-si showed the highest infection rate of T. grosi (48.4%), while the highest B. microti infection rate was observed in those from Gangneung-si (25.6%). Sequence data revealed T. grosi to be of the AKHA strain. Phylogenetic analysis of B. microti revealed the US and Kobe genotypes. B. microti US-type-infected small mammals were detected throughout the country, but the Kobe type was only detected in Seogwipo-si. To our knowledge, this is the first nationwide survey that confirmed T. grosi and B. microti infections at the species level in small mammals in the ROK and identified the Kobe type of B. microti. These results provide valuable information for further molecular epidemiological studies on these parasites.
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  • 文章类型: Journal Article
    伯氏柯西氏菌是一种革兰氏阴性细菌,可引起人畜共患疾病Q热。野猪是C.burnetii的水库。本研究旨在确定与野猪伯氏梭菌感染相关的危险因素。我们分析了2021年6月至11月在韩国收集的975个野猪样本的数据。我们利用间接ELISA来检测针对伯氏梭菌的抗体。将样品光密度比阳性对照光密度值超过50%归类为阳性。我们收集了关于造林的数据,地形,天气,农业,以及采集样本区域的动物密度。连续变量分为三元组。我们进行了单变量逻辑回归分析,并在最终的多变量逻辑回归模型中包含p值<0.2的变量。在我们的多变量逻辑回归分析中,以确定野猪中C.burnetii感染的危险因素,我们使用前向选择方法根据变量的重要性顺序输入变量。我们使用连续变量或分类为三元组的变量进行了最终的多变量逻辑回归分析。伯氏梭菌的患病率为14.6%(n=142)。最高风速(3.92-8.24m/s)的位置与最低风速(1.45-3.25m/s)的位置相比,感染几率增加了59%(p=0.044)。最大风速每增加1米/秒,感染几率增加了24.1%(p=0.037)。与稻田比例最低的地区(0-1.5%)相比,每面积稻田比例最高的地区(8.3-45%)的感染几率增加了76%(p=0.011)。每增加1%的水田面积,感染几率增加了3.3%(p=0.003)。最大风速高和稻田比例高被确定为野猪中C.burnetii感染的重要危险因素。
    Coxiella burnetii is a Gram-negative bacterium that causes the zoonotic disease Q fever. Wild boars serve as reservoirs for C. burnetii. This study aimed to identify the risk factors associated with C. burnetii infection in wild boars. We analyzed the data from 975 wild boar samples collected from June to November 2021 in South Korea. We utilized the indirect ELISA to detect antibodies against C. burnetii. A sample optical density to positive-control optical density value exceeding 50% was classified as positive. We gathered data on the forestation, terrain, weather, agriculture, and animal density of the region where the samples were collected. Continuous variables were categorized into tertiles. We performed a univariate logistic regression analysis and included variables with a p-value < 0.2 in the final multivariable logistic regression model. In our multivariable logistic regression analysis to identify risk factors for C. burnetii infection in wild boars, we used a forward selection method to enter variables based on the order of their significance. We performed the final multivariable logistic regression analyses using either continuous variables or variables categorized into tertiles. The prevalence of C. burnetii was 14.6% (n=142). Locations with the highest maximum wind speeds (3.92-8.24 m/s) showed a 59% increase in infection odds compared to locations with the lowest speeds (1.45-3.25 m/s)(p=0.044). For each 1 m/s increase in maximum wind speed, infection odds increased by 24.1% (p=0.037). Regions with the highest percentage of paddy fields per area (8.3-45%) showed a 76% increase in infection odds compared to regions with the lowest percentage (0-1.5%)(p=0.011). For each 1% increase in the proportion of paddy fields per area, infection odds increased by 3.3% (p=0.003). High maximum wind speed and a high percentage of paddy field were identified as significant risk factors for C. burnetii infection in wild boars.
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  • 文章类型: Journal Article
    副结核病(约翰氏病)是一种影响家畜和野生反刍动物的全球流行的传染病,由鸟分枝杆菌亚种引起。副结核病(MAP)。该细菌在粪便中排泄,具有高环境抗性。新的动物卫生法(条例EU2016/429)关于传染性动物疾病,最近在整个欧盟生效,包括欧盟需要监测的疾病中的副结核病,列出了一些家养和野生牛科,子宫颈,和骆驼科作为潜在的储层。利用在Stelvio国家公园(意大利)进行的扑杀活动,这项研究调查了2018年至2022年间马鹿(Cervuselaphus)的MAP感染状况,并评估了个体变量和采样水平变量的MAP阳性概率.总共390名受试者进行了宏观检查和MAP测试,使用不同的诊断工具:IS900qPCR,文化,组织病理学,和血清学。通过至少一项测试发现其中23例MAP呈阳性,总体患病率为5.9%(95%CI4.0-8.7),That,分别,从第一个剔除季节的12.4%到2019-2020年和2021-2022年剔除季节的2.0%和2.1%。定量PCR在回盲瓣和肠系膜淋巴结中检测到的MAP阳性动物数量最高。研究结果表明,随着年龄的增长,MAP阳性的可能性增加,体重值较低的马鹿更有可能感染MAP。总的来说,没有临床副结核病和总体病变的迹象,以及低水平的脱落见证了阳性马鹿中疾病的早期阶段,并支持该人群副结核病状况的改善,正如多年来该病患病率下降所表明的那样。
    Paratuberculosis (Johne\'s disease) is a globally widespread infectious disease affecting domestic and wild ruminants, caused by Mycobacterium avium subsp. paratuberculosis (MAP). The bacterium is excreted in the feces and is characterized by high environmental resistance. The new Animal Health Law (Regulation EU 2016/429) on transmissible animal diseases, recently in force throughout the European Union, includes paratuberculosis within the diseases requiring surveillance in the EU, listing some domestic and wild Bovidae, Cervidae, and Camelidae as potential reservoirs. Taking advantage of a culling activity conducted in the Stelvio National Park (Italy), this study investigated MAP infection status of red deer (Cervus elaphus) between 2018 and 2022, and evaluated the probability of being MAP-positive with respect to individual and sampling-level variables. A total of 390 subjects were examined macroscopically and tested for MAP, using different diagnostic tools: IS900 qPCR, culture, histopathology, and serology. Twenty-three of them were found positive for MAP by at least one test, with an overall prevalence of 5.9% (95% CI 4.0-8.7), that, respectively, ranged from 12.4% in the first culling season to 2.0 and 2.1% in the 2019-2020 and 2021-2022 culling seasons. Quantitative PCR assay on ileocecal valve and mesenteric lymph nodes detected the highest number of MAP positive animals. The results of the study showed the increased probability of being MAP-positive with increasing age and that red deer with lower body mass values were more likely to be infected with MAP. Overall, the absence of signs of clinical paratuberculosis and gross lesions together with the low level of shedding witness early phases of the disease among the positive red deer and support an improvement of the paratuberculosis status of this population, as shown by the decreased prevalence of the disease over the years.
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  • 文章类型: Journal Article
    背景:由野生动物传播的传染病是对公众健康的主要威胁。这项研究旨在调查因未知原因而死亡的被拯救的野生动物作为传染因子的潜力。从2018年到2019年,121只死亡的野生动物(55只鸟类和66只哺乳动物)被纳入这项研究。所有野生动物在人为事件发生后在治疗期间死亡。在动物死亡之后,进行尸检和气管,肺,大肠(包括粪便),收集脾脏以确定死亡原因。使用从合并的组织和外周血样品中提取的核酸进行高通量筛选(HTS)定量聚合酶链反应(qPCR),旨在同时检测19种病原体,同时检测48个样品,一式两份。如果是积极的,对单个器官或血液样品进行单重实时PCR。
    结果:HTSqPCR显示空肠弯曲菌阳性结果(10/121,8.3%),弯曲杆菌(1/121,0.8%),支原体属。(78/121,64.5%),和疟原虫。(7/121,5.7%)。单重实时PCR证实在大肠中但在血液中未检测到空肠弯曲杆菌。大肠杆菌仅在大肠中检测到。支原体属。在所有器官中都被检测到,在大肠中比例最高,在血液中比例最低。疟原虫。在所有器官中也被检测到,器官之间的比例相似。
    结论:这项研究表明,野生动物可以成为感染因子的携带者,而不会出现任何临床症状。
    BACKGROUND: Infectious diseases transmitted by wild animals are major threats to public health. This study aimed to investigate the potential of rescued wild animals that died of unknown causes as reservoirs of infectious agents. From 2018 to 2019, 121 dead wild animals (55 birds and 66 mammals) were included in this study. All wild animals died during treatment after anthropogenic events. After deaths of animals, necropsies were performed and trachea, lungs, large intestine (including stool), and spleen were collected to determine causes of deaths. A high-throughput screening (HTS) quantitative polymerase chain reaction (qPCR) designed to detect 19 pathogens simultaneously against 48 samples in duplicate was performed using nucleic acids extracted from pooled tissues and peripheral blood samples. If positive, singleplex real-time PCR was performed for individual organs or blood samples.
    RESULTS: The HTS qPCR showed positive results for Campylobacter jejuni (10/121, 8.3%), Campylobacter coli (1/121, 0.8%), Mycoplasma spp. (78/121, 64.5%), and Plasmodium spp. (7/121, 5.7%). Singleplex real-time PCR confirmed that C. jejuni was detected in the large intestine but not in the blood. C. coli was only detected in the large intestine. Mycoplasma spp. were detected in all organs, having the highest proportion in the large intestine and lowest in the blood. Plasmodium spp. was also detected in all organs, with proportions being were similar among organs.
    CONCLUSIONS: This study shows that wild animals can become carriers of infectious agents without showing any clinical symptoms.
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  • 文章类型: Journal Article
    肠孢子虫在世界范围内被认为是人类和动物的微孢子虫物种。关于青藏高原地区青海湖周围牲畜和野生动物中E.bieneusi的患病率和基因型的报道有限,共享水源,草原,和高海拔恶劣的气候。在这项研究中,110只藏羊的粪便样本,128牦牛,227只野生鸟类,收集了青海湖周围的96只蓝羊(Pseudoisnayaur)和268只普zewalski瞪羚(Procapraprzewalskii),然后通过基于核糖体内部转录间隔区的PCR和测序分析检测E.bieneusi。其中,10份(9.09%)藏羊样本,五名(3.91%)来自牦牛,五只(2.20%)来自野生鸟类,一只(1.04%)来自野生蓝羊,两只(0.75%)来自普氏的瞪羚,对E.bieneusi呈阳性。在绵羊中,有9种E.bieneusi基因型,包括两种已知的基因型(BEB6和J),和七个新的基因型(命名为CHS18-CHS24)。从牦牛身上,确定了四种基因型,包括两个已知的基因型(BEB4和J)和两个新的基因型(命名为CHN15和CHN16)。在野生动物中,发现了八种基因型,包括五种不同的野生投标基因型,具有三种已知的基因型(EbpC,J和NCF2),两种新的基因型(命名为CHWB1和CHS24),和两种基因型来自普氏的瞪羚,一个已知的J基因型和一个新的基因型CHWPG1,一个新的基因型CHWBS1来自蓝羊。根据系统发育分析,5株分离株属于第1组,其余分离株属于第2组。本研究提供了青藏高原环青海湖地区驯养家畜和野生动物中比涅乌斯的流行病学报告和潜在危险因素的独特数据;这对于更好地了解青藏高原地区比涅乌斯的分子流行病学和人畜共患潜力具有重要意义。
    Enterocytozoon bieneusi is considered to be a microsporidial species of humans and animals in the worldwide. Limited data have been reported on the prevalence and genotypes of E. bieneusi in livestock and wild animals around Qinghai Lake in the Qinghai-Tibetan Plateau area, which shares water sources, grasslands, and harsh climate with high altitudes. In this study, fecal samples from 110 Tibetan sheep, 128 yaks, 227 wild birds, 96 blue sheep (Pseudois nayaur) and 268 Przewalski\'s gazelle (Procapra przewalskii) around Qinghai Lake were collected, and then tested for E. bieneusi by PCR and sequencing analysis based on the ribosomal internal transcribed spacer. Among them, ten (9.09%) samples from Tibetan sheep, five (3.91%) from yaks, five (2.20%) from wild birds, one (1.04%) from wild blue sheep and two (0.75%) from Przewalski\'s gazelle were positive for E. bieneusi. Among sheep, there were nine E. bieneusi genotypes, including two known genotypes (BEB6 and J), and seven novel genotypes (named CHS18-CHS24). From yaks, four genotypes were identified, including two known ones (BEB4 and J) and two novel genotypes (named CHN15 and CHN16). While in wild animals, eight genotypes were found, including five different genotypes from wild bids, with three known genotypes (EbpC, J and NCF2), two novel genotypes (named CHWB1 and CHS24), and two genotypes from Przewalski\'s gazelle, with one known genotype J and one novel genotype CHWPG1, and one novel genotype CHWBS1 from blue sheep. According to the phylogenetic analysis, five isolates belonged to group 1, and the others were clustered into group 2. This study provides unique data on the epidemiological reports and potential risk factors for E. bieneusi in both domesticated livestock and wild animals around Qinghai Lake in the Qinghai-Tibetan Plateau area; it is important to better understand the molecular epidemiology and zoonotic potential of E. bieneusi in the Qinghai-Tibetan Plateau area.
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  • 文章类型: Journal Article
    背景:动物疾病的准确诊断对其治疗至关重要,和影像学评估,如射线照片,计算机断层扫描(CT),磁共振成像(MRI)是实现这一目的的重要工具。然而,长尾大猩猩的正常骨骼和内部器官的横截面解剖图谱(Naemorheduscaudatus)尚未准备好诊断其疾病。
    目的:本研究的目的是使用CT和MRI创建大猩猩的解剖学图谱,这些成像技术尚未在韩国这种类型的野生动物中得到广泛研究。
    方法:研究人员使用CT和MRI创建了大猩猩解剖学图谱,并从头部选择了37个横截面,胸廓,腰椎,和大猩猩的骶骨部分产生平均横截面解剖图谱。
    结果:这项研究使用CT和MRI成功创建了大猩猩解剖学图谱。
    结论:地图集为大猩猩疾病的诊断提供了有价值的信息,这可以改善他们的待遇和福利。该研究强调了开发大猩猩的横截面解剖图谱以有效诊断和治疗其疾病的重要性。
    BACKGROUND: Accurate diagnosis of diseases in animals is crucial for their treatment, and imaging evaluations such as radiographs, computed tomography (CT), and magnetic resonance imaging (MRI) are important tools for this purpose. However, a cross-sectional anatomical atlas of normal skeletal and internal organs of long-tailed gorals (Naemorhedus caudatus) has not yet been prepared for diagnosing their diseases.
    OBJECTIVE: The objective of this study was to create an anatomical atlas of gorals using CT and MRI, which are imaging techniques that have not been extensively studied in this type of wild animal in Korea.
    METHODS: The researchers used CT and MRI to create an anatomical atlas of gorals, and selected 37 cross-sections from the head, thoracic, lumbar, and sacrum parts of gorals to produce an average cross-sectional anatomy atlas.
    RESULTS: This study successfully created an anatomical atlas of gorals using CT and MRI.
    CONCLUSIONS: The atlas provides valuable information for the diagnosis of diseases in gorals, which can improve their treatment and welfare. The study highlights the importance of developing cross-sectional anatomical atlases of gorals to diagnose and treat their diseases effectively.
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  • 文章类型: Journal Article
    有一些关于食蚁兽疾病的研究,但是关于这些动物的生殖损伤和肿瘤的报道很少。这是一例巨大食蚁兽(Myrmecophagatridactyla)转移性睾丸支持细胞肿瘤的首次报道。如血清生物化学所示,动物具有与肾功能受损相关的肾损伤。组织病理学和免疫组织化学检查为睾丸支持细胞肿瘤转移至肝脏提供了结论性诊断,肾脏和淋巴结。
    There are a few studies on diseases of anteaters, but reports on reproductive lesions and neoplasms of these animals are scarce. This is the first report of a case of metastatic Sertoli cell tumour in a giant anteater (Myrmecophaga tridactyla). The animal had renal lesions associated with impaired renal function as indicated by serum biochemistry. Histopathological and immunohistochemical examinations provided a conclusive diagnosis of Sertoli cell tumour with metastasis to the liver, kidneys and lymph nodes.
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