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一例猫慢性龈口炎的诊治

Diagnosis and treatment of a cat chronic gingivostomatitis

  • 摘要: 1只3.5岁的家养短毛猫因口腔炎症复发而就诊,患猫精神不振、食欲下降、流涎、口臭且吞咽困难,体格检查发现牙龈、颊黏膜、上腭、舌部和咽部均有严重的溃疡和增生,在患猫舌下发现肿物,并有齿根残留。为了对该猫所患疾病进行诊治,采用X射线对齿根残留进行检查,同时进行手术摘除患猫舌下肿物,对摘除的肿物进行了组织病理学分析。与此同时,通过血常规和血液生化指标检查评估了患猫的基本体况,采用RT-PCR/PCR方法筛查了猫口炎相关的常见病原。结果表明:经X射线检查确定了齿根残留的状况后,手术摘除了患猫舌下肿物同时拔除了残留的牙根,根据口腔病症和肿物的组织病理学检查结果确诊该猫患有猫慢性龈口炎。血常规结果提示,患猫存在炎症和轻度贫血。病原筛查检测到了与慢性龈口炎相关的猫免疫缺陷病毒和猫杯状病毒。术后配合使用抗生素和干扰素,患猫临床症状得到显著缓解。但是术后18个月患猫龈口炎复发,此时病原筛查仅发现猫免疫缺陷病毒呈阳性。由此推测,猫免疫缺陷病毒引起的免疫抑制是该病例发生慢性龈口炎的主要原因。说明对反复发作的猫慢性龈口炎,需注意筛查相关的感染性病原,以便给予患猫适宜的日常护理。

     

    Abstract: A 3.5-year-old domestic shorthair cat presented to the doctor due to recurrence of oral inflammation, which suffered from depression, anorexia, ptyalism, halitosis and dysphagia. Physical examination revealed severe ulcers and hyperplasia in the gums, buccal mucosa, upper jaw, tongue, and pharynx; a mass was found under the tongue of the cat with residual tooth roots. In order to diagnose and treat the cat’s disease, X-rays were used to check the residual tooth roots. At the same time, surgery was performed to remove the cat’s sublingual mass, and histopathological analysis was performed on the removed mass. Meanwhile, the basic body condition of the cat was evaluated through blood routine and blood biochemical indexes examination, and the common pathogens related to cat stomatitis were screened by RT-PCR/PCR method. The results showed that after the X-ray examination confirmed the condition of the residual tooth root, the cat was surgically removed the sublingual mass and the residual tooth root was removed; according to the oral symptoms and the histopathological test results of the mass confirmed that the cat had chronic gingivostomatitis. Routine blood results suggest that the cat had inflammation and mild anemia. Pathogen screening detected Feline immunodeficiency virus and Feline calicivirus associated with chronic gingivostomatitis. With the use of antibiotics and interferon after the operation, the clinical symptoms of the cat were significantly alleviated. However, the gingivostomatitis recurred in the cat 18 months after the operation. At this time, the pathogen screening only found that the Feline immunodeficiency virus was positive. It was speculated that immunosuppression caused by Feline immunodeficiency virus was the main cause of chronic gingivostomatitis in this case. The results suggested that for recurrent cat chronic gingivostomatitis, attention should be paid to screening for related infectious pathogens in order to give the cats appropriate daily care.

     

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