Histopathological and clinical characterization of dermatopathy associated with toxic shock‐like syndrome in dogs
Notice bibliographique
Résumé
Toxic shock syndrome (TSS) in humans is a systemic disease caused by the release of bacterial toxins with superantigen activity. Most cases in humans are related to production of toxic shock syndrome toxin‐1 (TSST‐1) by strains of Staphylococcus aureus . Clinically, they manifest with high fever, hypotension, diarrhoea, myalgia, skin rash and oedema, often progressing to desquamation of the skin. External or internal infections may be the origin. In dogs, the most common bacterial organism isolated from cases of bacterial pyoderma is Staphylococcus intermedius . This bacterium has also been shown to produce exotoxins, including TSST‐1. Retrospectively, 11 dogs with clinical presentations and histopathological lesions closely resembling TSS in humans were evaluated. The animals ranged in age from 1.5 to 13 years, with a mean of 4.65 years. No sex predisposition was found. The breeds represented in the study were varied, including small breeds (pug, Boston terrier) and large breeds (golden retriever, Labrador retriever). The most common clinical presentation was multicentric to generalized cutaneous erythema ( n = 10) and oedema ( n = 7), in some cases with vesicles ( n = 4) and pustules ( n = 3) evolving to ulcers ( n = 3). The extremities, ears and ventrum were frequently involved. Systemic signs were invariably present. Mild anaemia ( n = 8), hypoalbuminaemia ( n = 8), depression ( n = 8) and neutrophilia ( n = 7) were the most consistent abnormalities. Fever ( n = 5) and thombocytopenia ( n = 5) were also observed. Complete clinical history was not obtained in two cases that were compatible with this condition on histopathological exam. In general, there was a good response to systemic treatment with cephalexin ( n = 4); in cases for which early antibiotic therapy was not instituted, the outcome was usually fatal( n = 5). In the only case cultured, pustular lesions yielded a mixed population of coagulase‐positive Staphylococcus spp. and Pseudomonas spp. Histologically, the most characteristic pattern was superficial dermatitis with epidermal neutrophilic exocytosis and necrotic (apoptotic) keratinocytes, often with neutrophilic satellitosis. The lesions evolved to panepidermal necrosis with ulceration in some dogs, a phenomenon unrelated to the final outcome. The pathogenesis of the skin lesions in human cases of TSS seems to be related to the nonspecific stimulation of lymphocytes by the bacterial superantigen and the release of high levels of cytokines, specifically TNFα. Until further characterization of the process is obtained, biopsies with features of neutrophilic exocytosis and apoptosis should warrant consideration of TSS, and immediate antibiotic treatment (cephalexin) should be instituted to prevent potential fatal progression of the disease. Funding: Self‐funded.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,001 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,001 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».