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Edema and Tetraparesis in a Miniature Pig after Allogeneic Hematopoietic Cell Transplantation

机译:异基因造血细胞移植后小型猪的水肿和四肢瘫痪

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A3-mo-old,12-kg,intact,miniaturepigpresentedwithsevereneurologicsignsonday8afterhematopoieticcelltransplantation.ThispighadreceivedanimmunosuppressiveregimenbeforetransplantationthatincludedanantiCD3immunotoxinforT-celldepletion,100cGyoftotal-bodyirradiation,andcyclosporinefor45d.Thepigbeganexhibitingerythematouslesionsonposttransplantationday7.Healsodemonstratedincreasedconsciousproprioceptivedeficitsandrecumbencybutnormalmentation.Neurologicsignsworsenedoverseveraldays;thepigbecamelethargicbutremainedafebrile.Conjunctivalswellingdevelopedonposttransplantationday9,whichsubsequentlyspreadtotheanimal'shead,earsandhocksbyday10.Analgesicsweregivenforpain,andcyclosporinelevelsweredecreased.Despitethemeasurestaken,neurologicsignsprogressed.Giventheworseningsubcutaneousedemaandneurologicstatus,Escherichiacoliinfectionwassuspected,andtreatmentwithathird-generationcephalosporinwasinstituted.Theclinicalsignsresolvedwithin12hafterthestartofantibiotics.'Shiga-like'toxinfromE.colicancauseperacutetoxemiaandinduceataxia,paralysis,andrecumbency.Othercommonandpathognomonicfindingsincludeperiocularedemaandvariableedemainothersubcutaneousregions.Afecalsampledemonstratedanovergrowthofgram-negative,lactose-fermentingcolonies.Onthebasisoftheclinicalpresentation,exclusionofotherpotentialconditionscompatiblewithedemaandneurologicdiseases,physicalexamfindings,microbiologyandtheresolutionofsignsaftertherapy,thepigwasdiagnosedwithedemadisease.
机译:A3-月龄,12公斤,完好,miniaturepigpresentedwithsevereneurologicsignsonday8afterhematopoieticcelltransplantation.ThispighadreceivedanimmunosuppressiveregimenbeforetransplantationthatincludedanantiCD3immunotoxinforT-celldepletion,100cGyoftotal-bodyirradiation,andcyclosporinefor45d.Thepigbeganexhibitingerythematouslesionsonposttransplantationday7.Healsodemonstratedincreasedconsciousproprioceptivedeficitsandrecumbencybutnormalmentation.Neurologicsignsworsenedoverseveraldays; thepigbecamelethargicbutremainedafebrile.Conjunctivalswellingdevelopedonposttransplantationday9,whichsubsequentlyspreadtotheanimal'shead,earsandhocksbyday10.Analgesicsweregivenforpain,andcyclosporinelevelsweredecreased.Despitethemeasurestaken,neurologicsignsprogressed.Giventheworseningsubcutaneousedemaandneurologicstatus,怀疑是大肠杆菌感染,并开始使用第三代头孢菌素治疗。在抗生素开始使用后的12小时内,临床症状得以解决。大肠杆菌引起的“志贺氏样”毒素会引起急性缺氧,轻度充血,瘫痪和卧床。其他常见病原学发现包括眼周水肿和其他皮下区域变大。大便样本显示过高阴性,乳糖发酵菌,临床表现,临床意义,临床意义,临床研究结果与临床研究相吻合,不考虑其他可能的病因。

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