疑似诺基诺诱导的恶化神经硬化症在狗中的恶化
Karen Marina Hernandez Guzman1, Kenneth Harkin2
1From Ryan Veterinary Hospital, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, Pennsylvania (K.M.H.G.); and.
Journal of the American Animal Hospital Association
|September 14, 2023
概括
诺基诺抗生素可能会使狗的肌痛性骨髓灰质炎 (MG) 恶化,导致虚弱增加. 停止服用这些药物导致一些患有MG的狗患者的情况有所改善.
科学领域:
- 兽医神经学 兽医神经学
- 药理学 药理学是指药理学的学科.
- 免疫学 免疫学 免疫学
背景情况:
- 狗的获得性肌痛性肌痛症 (MG) 呈现为焦点或普遍的软弱.
- 大食管是犬类MG最常见的焦点表现.
- 与诺基诺相关的MG恶化在人类身上有记录,但在狗身上没有.
研究的目的:
- 为了研究诺基诺的管理和狗的MG恶化之间的潜在联系.
- 描述用基诺治疗MG的狗的临床结果.
主要方法:
- 通过乙胆受体抗体测试 (1997-2021) 诊断出MG的46只狗的医疗记录的回顾性评估.
- 鉴定在诺基诺服药后经历MG恶化的狗.
主要成果:
- 六只狗在开始服用诺基诺后平均4.5天就出现了MG恶化 (从局部到普遍).
- 一只狗在诺基诺治疗后发展出了对pyridostigmine的耐药性.
- 诺基诺停止治疗 (单独或与pyridostigmine一起) 后36小时内出现改善.
- 三只狗因严重虚弱而被安乐死,一只狗因在诺基诺中呼吸停止而死亡.
结论:
- 诺基诺的使用可能会在敏感的狗中加速或恶化MG.
- 停止使用诺基诺可以导致犬类MG的临床改善.
- 需要进一步的研究来理解这种关联,并指导治疗决策.
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