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Streptococcal toxic shock syndrome in a captive kinkajou (Potos flavus)

机译:俘虏Kinkajou(Potos Flavus)的链球菌有毒休克综合征

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Background: A clinical diagnosis of streptococcal toxic shock syndrome requires isolation of streptococci from a normally sterile she, hypotension, and two or more of the following; evidence of hepatic or renal involvement, coagulopathy, acute respiratory distress, or extensive soft tissue necrosis. Case Description: An approximately 5-year-old intact, male, captive-raised kinkajou (Potos flavus) was evaluated for severe respiratory distress and obtunded mentation. On presentation, the kinkajou was nonresponsive, laterally recumbent, hypothermic, tachypneic, and had marked upper respiratory sounds. Thoracic radiograph findings included pneumothorax, most severe in the left hemithorax, and pulmonary atelectasis. Bloodwork revealed neutrophilia with a left shift, azotemia, thrombocytopenia, and liver enzyme elevations. On the blood smear, a low number of neutrophils exhibited phagocytized cocci bacteria indicative of bacteremia. The animal died shortly after presentation. Conclusions and Case Relevance: On necropsy, pneumothorax was confirmed, and the lungs were severely atelectatic with bullae. Histopathology revealed septic thrombi within pulmonary arteries and meningeal vessels. Streptococcus canis was cultured from lung samples and a Lancefield Group G Streptococcus was cultured from the blood. Oral swabs of one cagemate and one new individual acquired by the same owner both cultured S. canis. This report describes streptococcal toxic shock syndrome, previously unreported in kinkajous or any nondomestic species.
机译:背景:链球菌有毒休克综合征的临床诊断需要将链球菌分离在常不可症的SHE,低血压和两种以上;肝脏或肾脏受累,凝血病,急性呼吸窘迫或广泛的软组织坏死的证据。案例描述:为严重的呼吸窘迫和遭到抗议的决策,评估了大约5岁的雄性,饲养的Kinkajou(Potos Flavus)。在演讲中,Kinkajou是非反应性的,横向卧位,低温,Tachypneic,并标明了上呼吸声。胸部射线照相结果包括气胸,左侧血管痉挛最严重,肺部和肺部肺部。血液揭示中性粒细胞患者,左转,Zzotemia,血小板减少症和肝酶升高。在血液涂片上,较少数量的中性粒细胞表现出吞噬的Coccci细菌,指示菌血症。介绍后不久就死亡。结论和病例相关性:在尸检中,确认气胸,肺部严重愈合。组织病理学揭示了肺动脉和脑膜血管内的脓毒症血栓。从肺样品培养链球菌犬,并从血液中培养Lancefield组G链球菌。口头拭目以一身的一个星形牌和一个新的个人由同一所有者获得的培养的S. Canis。本报告描述了链球菌毒性休克综合征,以前在Kinkajous或任何非常规物种中进行了报告。

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