한국임상수의학회지 (Journal of Veterinary Clinics)

  • 제25권2호
  • /
  • Pages.106-111
  • /
  • 2008
  • /
  • 1598-298X(pISSN)
  • /
  • 2384-0749(eISSN)
한국임상수의학회 (The Korean Society of Veterinary Clinics)
권호 표지

말티스견의 감염성 심내막염에 의한 우상성 이첨판 역류증

Vegetative Mitral Valvular Regurgitation Caused by Infective Endocarditis in a Maltese Dog

  • 최란 (강원대학교 수의(학부)대학 소동물 내과교실) ;
  • 남소정 (강원대학교 수의(학부)대학 소동물 내과교실) ;
  • 문형선 (강원대학교 수의(학부)대학 소동물 내과교실) ;
  • 이승곤 (강원대학교 수의(학부)대학 소동물 내과교실) ;
  • 현창백 (강원대학교 수의(학부)대학 소동물 내과교실)
  • Choi, Ran (Section of Small Animal Internal Medicine, School of Veterinary Medicine, Kangwon National University) ;
  • Nam, So-Jeong (Section of Small Animal Internal Medicine, School of Veterinary Medicine, Kangwon National University) ;
  • Moon, Hyeong-Sun (Section of Small Animal Internal Medicine, School of Veterinary Medicine, Kangwon National University) ;
  • Lee, Seung-Gon (Section of Small Animal Internal Medicine, School of Veterinary Medicine, Kangwon National University) ;
  • Hyun, Chang-Baig (Section of Small Animal Internal Medicine, School of Veterinary Medicine, Kangwon National University)
  • 발행 : 2008.04.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

3년령 말티즈 개(2.5Kg)가 갑작스런 심잡음, 의기소침, 식욕결핍으로 내원하였다. 혈액검사상에서 백혈구증가증과 함께 발열이 관찰되었으며 심장청진시 좌측 심첨부에서 VI/VI holosystolic murmurs가 청진되었다. 심전도에서 좌심실의 종대소견이 보였다. 진단방사선상에서 좌심방과 좌심실의 확장, 이첨판 판막의 증식이 보였으며, 이로 인해 이첨판의 역류가 관찰되었다. 이러한 임상증상과 검사 결과를 바탕으로, 본 증례는 감염성 심내막염에 의한 증식성 이첨판 역류증이라 진단하였다. 환자는 광범위 항생제, 이뇨제, 항혈전제로 치료하였다.

A 3-year-old intact female Maltese dog (2.5 kg of body weight) with the primary complaint of sudden onset of heart murmur, depression and anorexia was referred to the Veterinary Teaching Hospital of Kangwon National University. The dog was febrile with marked leukocytosis and left apical VI/VI holosystolic murmurs. The electrocardiogram implied the left ventricular enlargement. Diagnostic imaging studies revealed left atrial and ventricular dilation, severe vegetations on mitral valvular cusps with concurrent mitral regurgitation. Based on findings from clinical and diagnostic investigation, the case was diagnosed as vegetative mitral valvular regurgitation caused by infective endocarditis. The dog was successfully treated with broad spectrum antibiotics, diuretics, angiotensin converting enzyme inhibitor and antithrombotics.

키워드

참고문헌

  1. Barbarinia G, Barbaro G. Incidence of the involvement of the cardiovascular system in HIV infection. AIDS. 2003; 17 Suppl 1: S46-50 https://doi.org/10.1097/00002030-200304001-00007
  2. Bonagura JD, O'Grady MR, Herring DS. Echocardiography: principles of interpretation, Vet Clin North Am 1985; 15: 1177 https://doi.org/10.1016/S0195-5616(85)50364-2
  3. Breitschwerdt EB, Suksawat J, Chomel B, Hegarty BC. The immunologic response of dogs to Bartonella vinsonii subspecies berkhoffii antigens: as assessed by Western immunoblot analysis. J Vet Diagn Invest. 2003; 15: 349-354 https://doi.org/10.1177/104063870301500408
  4. Calvert CA, Greene CE, Hardie EM. Cardiovascular infections in dogs: epizootiology, clinical manifestations, and prognosis, J Am Vet Med Assoc 1985; 187: 612
  5. Calvert CA. Valvular bacterial endocarditis in the dog, J Am Vet Med Assoc 1982; 180: 1080
  6. Drazner FH. Bacterial endocarditis in the dog, Compend Cont Educ 1979; 1: 918-922
  7. El wood CM, Cobb MA, Stepien RL. Clinical and echocardiography findings in 10 dogs with vegetative bacterial endocarditis, J Small Anim Pract 1993; 34: 420-423 https://doi.org/10.1111/j.1748-5827.1993.tb03892.x
  8. Lombard CW, Buergelt CD. Vegetative bacterial endocarditis in dogs; echocardiographic diagnosis and clinical signs, J Small Anim Pract 1983; 24: 325-328 https://doi.org/10.1111/j.1748-5827.1983.tb00374.x
  9. Hirsh DC, Jang SS, Biberstein EL. Blood culture of the canine patient, J Am Vet Med Assoc 1984; 184: 175-178
  10. Hyun C. Valvular diseases: Infective endocarditis. In: Small Animal Cardiology, Seoul: Panmun-publishing, 2005: 201-206
  11. Kittleson MA. Infective endocarditis. In: Small animal cardiovascular medicine, Philadelphia:Mosby, 1998: 402-412
  12. Sisson D, Thomas WP. Endocarditis of the aortic valve in the dog, J Am Vet Med Assoc 1984; 184: 570-577
  13. Thomas WP. Update: Infective endocarditis. In: Kirk's current veterinary therapy, XI: small animal practice, Philadelphia: WB Saunders. 1992: 752-755