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Clinical characteristics and predictors of mortality for Cryptococcus gattii infection in dogs and cats of southwestern British Columbia

机译:不列颠哥伦比亚省西南部猫狗加蒂隐球菌感染的临床特征和死亡率预测指标

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摘要

Since 1999, Cryptococcus gattii has emerged as an important pathogen of humans and animals in southwestern British Columbia. Historically thought to be restricted to the tropics and subtropics, C. gattii has posed new diagnostic and treatment challenges to veterinary practitioners working within the recently identified endemic region. Clinical reports of canine and feline cryptococcosis caused by C. gattii diagnosed between January 1999 and December 2003 were included in this case series. The most common manifestations of disease were respiratory and central nervous system signs. Multivariate survival analysis revealed that the only significant predictor of mortality was the presence of central nervous system signs upon presentation or during therapy. Case fatality rates in both species were high. Further investigation into effective treatment regimes is warranted.
机译:自1999年以来,加提隐球菌已成为不列颠哥伦比亚省西南部人类和动物的重要病原体。从历史上讲,加蒂氏梭菌仅局限于热带和亚热带,给在最近发现的流行地区工作的兽医从业人员提出了新的诊断和治疗挑战。该病例系列包括1999年1月至2003年12月期间诊断出的由加迪丙酸杆菌引起的犬和猫隐球菌病的临床报告。该病最常见的表现是呼吸道和中枢神经系统体征。多变量生存分析表明,死亡率的唯一重要预测指标是就诊时或治疗过程中是否存在中枢神经系统体征。两种物种的病死率均很高。有必要进一步研究有效的治疗方案。

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