兽医师猫传染病专题-中文fall delta english

Clinical临床病 Somali索马里10months10个母History

3weeksago,severalkittensinthedevelopedparvovirosisthedayvaccination(some3周之前，注 之后的一天，一窝的几只小猫现细DeltaherselfhadvomitingandDelta 和发since3weeks:continuouslossof自从3周：持续的体重减since4days:depressed,apathetic,fever自从4天：沉郁，淡漠，发热（40.3摄氏度generalpractitionerdiagnosed全科医生诊断高胆红素血pretreatment:antibiotics,pain之前治疗：抗生素，止疼

bearing:breedinganimal,accesstoanoutdoorforeigncountry:breedingexhibitioninAustria,CzechRepublic,Switzerland(EuropeanChampion!) 的猫展（欧洲冠军lastheat:2weeksago,sofarno上一 ：2周之前，目前为止没vaccination:免疫：RCPinweek8,12,16FeLVinweek12,16Physicalexaminationbodytemperature:39,5bodycondition:tense,distendedotherwiseReferenceredbloodcells红细x5-5.5-0.30–x200–x5–x0–-x1.5–-banded-杆状核粒细x0–-seg.-分叶核粒细x3–-0x0–0x0–remarks备0-0-0-AP00--0-2300-0-0-0-0-ReferenceBilirubin胆红0-NH30-SBA胆汁0-Cholesterol胆固1.8–甘油三0.57–55-Albumin白蛋25-Urea5-Creatinine肌0-Glucose葡萄4-Fructosamine果糖0-Remarks备P1.0–110–145–K3.5–2.1–12.5–0.7–urinalysis尿ReferenceSample样--55---Glucose----------+-spec.尿1.001–SedimentErys0-furtherdiagnostics进一步诊severeascites(infiltratedwithhypoechogeniccorpuscularhyperechogenicregionsinthegeneral整个腹部有高回声区域（肠系膜 seemstobehighlyenlargedlymphnodesinthemiddleregionof 抽吸/腹Referencespec.Leucocytes白细xErythrocytes红胞xLDH乳酸脱酶Glucose葡萄Creatinine肌Cholesterol胆固甘油三totalprotein总蛋AlbuminBilirubin胆红furtherdiagnostics进一步诊cytologieoftheascites腹水细胞manynuclearcellsrationeutrophils:macrophages=about-中性粒细胞：巨噬细胞=大约someneutrophilswithdegenerated-一些中性粒细胞有退行性变化alotofactivated-很多活化的巨噬occasionallyeosinophils,smalllymphocytesandmast-偶尔有嗜酸性粒细胞，小淋巴细胞和肥=>exsudate,pyogranulomatousfurtherdiagnostics进一步诊Rivalta‘stestof furtherdiagnostics进一步诊immunofluorescenceofthe腹水免疫荧光染 -antigeninmacrophages: furtherdiagnostics进一步诊 clear,yellowfluidenlargedliverwithspottedresiduesontheslightlymodifiededematousextremlyenlargedintestinallymph furtherdiagnostics进一步诊cytologyofthesurfaceoftheliver:notintestinallymphnodes:not ：没有特异furtherdiagnostics进一步诊Histology :highly腹膜：变异很liver:multifocalfibrinous-purulentmultifocal肝脏：多灶纤维-化脓 ，多灶性中性粒细胞-粒细胞浸润，多灶坏pancreas:multifocallymphocyticnumerousintravascular胰腺：多灶性淋巴细胞浸润，大量血管内嗜中性粒细spleen:purulent脾脏：化脓性脾intestinallymphnodes:severereactive肠道 ：严重的反应性增furtherdiagnostics进一步诊immunhistochemistry(different antigeninmacrophages: 抗原furtherdiagnostics进一步诊bacterialcultureoftheE.coli,enterococcussusceptibilitytestingsubmittedfurtherdiagnostics进一步诊susceptibilityAmoxicillin/clavulanicacid=>阿莫西林克拉维酸钾=>敏during术peritoneallavageoftheabdomenwithwarm用温热的NaCl进double-antibiotics(amoxicillin/clavulanicacid,after14days14discharged(withAmoxicillin/