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To treat or not to treat?

机译：治疗还是不治疗?

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In a world of ever-increasing liability, the decision not to treat a patient comes less and less easily, even though both evidence-based medical and financial reasons may speak against treatment. Elephant haemorrhagic disease (EHD), associated with viraemia with elephant endotheliotropic viruses (EEHV), may kill within hours after onset of clinical signs. Here, the authors present a case, where a three-year-old female Asian elephant (Elephas maximus) developed viraemia with EEHV1 but was deliberatelyleft without antiviral treatment and survived without developing clinical signs. Considering the mostly fatal outcome of EHD, this decision may at first glance appear hazardous. However, the reasoning included knowledge about herpesviruses in general, past and present EEHV status of the individual, EEHV epidemiology within the herd as well as stress and costs involved in treatment. It is important to consider those parameters for each impeding case separately in order to assure the best welfare of theanimal.
机译：在一个不断增加的世界责任,决定不来治疗一个病人少不容易,虽然都以证据为基础的医疗和财务原因可能毁谤治疗。与病毒血症与大象有关endotheliotropic病毒(EEHV),可能杀死小时后出现临床症状。作者提出一个案例,一个三岁雌性亚洲象(Elephas马克西姆斯)与EEHV1但deliberatelyleft病毒血症没有抗病毒治疗也活不下去发展中临床症状。EHD致命的结果,这一决定可能一眼出现危险。包括了解疱疹病毒一般来说,过去和现在EEHV状态的群内个体,EEHV流行病学压力和成本参与治疗。重要的是要考虑这些参数每个阻碍例分别以保证最好的福利)。

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