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首页> 外文期刊>The Internet journal of veterinary medicine >Laryngeal Leeches Causing Exercise Intolerance, Respiratory Distress and Hemoptysis In A Hunting Dog
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Laryngeal Leeches Causing Exercise Intolerance, Respiratory Distress and Hemoptysis In A Hunting Dog

机译：喉Lee引起狩猎犬运动不耐，呼吸窘迫和咯血

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A five-year-old, entire male, mixed breed dog, used for hunting was referred for assessment of exercise intolerance, cough, and hemoptysis of 1 week duration. Initial oral and radiographic examinations of the neck and throat suggested upper respiratory tract obstruction. Deep oral examination under injectable, general anesthesia with aid of laryngoscope and tongue depressors revealed the presence of 2 leeches attached to the lateral wall of the larynx. The leeches were carefully removed using long alligator forceps. Following recovery from anesthesia, the dog's breathing seemed more comfortable. One week later, the owner reported that the dog returned to hunting without any respiratory problems. Laryngeal leeches should be considered in the differential diagnoses of upper respiratory tract obstruction and exercise intolerance in hunting dogs. In addition, the leeches can be easily removed under short-term, injectable anesthesia without the need for endotracheal intubation. Introduction Leeches, a hermaphroditic, blood-sucking parasite- are rarely reported in humans and animals as a cause of respiratory problems. Leeches belong to the phylum Annelida, class Hirudinea, order Rhynchobdellida (White, 1998). They vary in color, length, and shape. They may be black, brightly colored, or mottled. They can range in length from a few millimeters to many centimeters. They are cylindrical or leaf-like in shape, depending on the contraction of their bodies (Lent et al., 1988, El-Awad and Patil, 1990, White, 1998). They live in stagnant water in ponds and lakes. In humanbeings, leeches as a foreign body and parasite in the respiratory tract have been reported in the Mediterranean countries, in Africa, Asia and Europe (Gerlach and Gerlach, 1975, White, 1998). In animals, leeches infesting the nasal cavity were reported in one camel in Iraq (Al-Ani and Al-Shareef, 1995). This is the first case report of leeches in the laryngeal area of a dog causing respiratory distress, exercise intolerance and hemoptysis. Case Report A 5-year-old, 45-kg, mixed breed, intact male dog was presented to the Veterinary Health Center (VHC) at the Faculty of Veterinary Medicine, Jordan University of Science and Technology, Jordan with 1 week history of exercise intolerance, respiratory distress at rest that exaggerate with exercise, coughing, and hemoptysis. The dog was purchased by his owner 1 week earlier with an unknown vaccination and deworming history. The dog had been used by his previous owner for hunting in a rural area where ponds of stagnant water are abundant. At presentation the dog was in a good body condition with obvious respiratory distress. The dog was suffering from continuous, soft cough, and inspiratory dyspnea suggestive of possible upper respiratory tract obstruction. The temperature and heart rate of the dog were within normal limits. There were no clinical sings suggestive of pulmonary or cardiovascular disease based on the initial examination using stethoscope. A complete blood cell count (CBC) and serum biochemical profile was performed. The CBC revealed a mild normocytic, normochromic, anemia and slight neutrophilic leukocytosis (Table 1). The biochemical profile was within normal limits (Table 2).
机译：一只五岁的雄性全犬种用于狩猎，被评估为运动不耐症，咳嗽和持续1周的咯血。颈部和喉咙的初步口腔和影像学检查提示上呼吸道阻塞。在喉镜和压舌器的辅助下，在可注射的全身麻醉下进行深层口腔检查，发现在喉侧壁上有2个水lee附着。用长的鳄鱼钳小心地除去水。从麻醉中恢复后，狗的呼吸似乎更加舒适。一周后，主人报告这只狗恢复了狩猎，没有任何呼吸问题。在对猎狗的上呼吸道梗阻和运动不耐受进行鉴别诊断时，应考虑使用喉水。此外，可以在短期，可注射的麻醉下轻松去除水，而无需进行气管插管。引言水Lee是一种雌雄同体，吸血的寄生虫，在人类和动物中很少报道其为呼吸系统疾病的原因。水ches属于An科的类，属水Rh科（Rhynchobdellida）（怀特，1998年）。它们的颜色，长度和形状各不相同。它们可能是黑色的，颜色鲜艳的或有斑点的。它们的长度范围可以从几毫米到几厘米。它们的形状为圆柱状或叶状，具体取决于它们的身体收缩情况（Lent等，1988; El-Awad和Patil，1990; White，1998）。他们生活在池塘和湖泊停滞的水中。在人类中，地中海国家，非洲，亚洲和欧洲已经报道了水作为异物和呼吸道中的寄生虫（Gerlach和Gerlach，1975; White，1998）。在动物中，据报道在伊拉克的一只骆驼中有侵扰鼻腔的水lee（Al-Ani和Al-Shareef，1995年）。这是狗喉部水引起呼吸窘迫，运动不耐症和咯血的第一例病例报告。病例报告约旦科学技术大学兽医学院的兽医保健中心（VHC）将一只5岁，体重45公斤，混合品种完整的公狗送给了约旦，进行了1周的锻炼不宽容，休息时呼吸窘迫会随着运动，咳嗽和咯血而加剧。这只狗是由其主人在1周前购买的，疫苗接种和驱虫史未知。这只狗被他的前任主人用来在一个池塘里积水的农村地区打猎。介绍时，该犬身体状况良好，有明显的呼吸窘迫。这只狗患有连续性，软性咳嗽和吸气式呼吸困难，提示可能存在上呼吸道阻塞。狗的体温和心率均在正常范围内。根据使用听诊器的初步检查，没有临床证据表明存在肺或心血管疾病。进行了完整的血细胞计数（CBC）和血清生化分析。 CBC显示轻度正常血红细胞，正常血红细胞性贫血和轻度中性白细胞增多（表1）。生化特征在正常范围内（表2）。

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