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. 2006 Oct;47(10):993-8.

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

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

Colleen Duncan et al. Can Vet J. 2006 Oct.

Abstract

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.

Caractéristiques cliniques et prédicteurs de mortalité lors d’infections à Cryptococcus gattii chez des chiens et des chats du sud ouest de la Colombie Britannique. Depuis 1999, Cryptococcus gattii est devenu un pathogène important tant chez les humains que chez les animaux du sud ouest de la Colombie Britannique. Historiquement reconnu pour être localisé en zones tropicales et subtropicales, C. gattii a posé de nouveaux défis diagnostiques et thérapeutiques aux vétérinaires pra‐ticiens travaillant dans cette région identifiée récemment comme endémique. Les rapports cliniques de cryptococcoses causées par C. gattii diagnostiquées entre janvier 1999 et décembre 2003 sont compris dans cette série de cas. Les principaux symptômes de la maladie concernaient les systèmes respiratoire et nerveux central. Une analyse de survie multifactorielle a révélé que le seul prédicteur important de mortalité était la présence de signes du système nerveux central à la présentation ou au cours du traite‐ment. Les taux de mortalité étaient élevés chez les 2 espèces. De futures recherches pour de meilleurs traitements sont nécessaires

(Traduit par Docteur André Blouin)

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Figures

Figure 1
Figure 1
Cumulative survival for cats and dogs combines with and without central nervous system (CNS) signs.

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