https://scholars.lib.ntu.edu.tw/handle/123456789/605987
標題: | Disseminated candidiasis and candidemia caused by candida palmioleophila in a green sea turtle (Chelonia mydas) | 作者: | Wang W.-L Sun P.-L Kao C.-F Li W.-T Cheng I.-J Yu P.-H. PIN-HUAN YU |
關鍵字: | Candida palmioleophila;Candidemia;Central venous catheter;Chelonia mydas;Disseminated candidiasis;Green sea turtle;albumin;amikacin;butorphanol;butorphanol tartrate;ciprofloxacin;cotrimoxazole;dexmedetomidine;Elongation factor 1 alpha 1 protein;elongation factor 1alpha;itraconazole;ketamine;large subunit ribosomal RNA;meloxicam;meropenem;metronidazole;midazolam;piperacillin;praziquantel;propofol;RNA polymerase II large subunit protein;unclassified drug;animal tissue;antifungal activity;antifungal susceptibility;Article;autopsy;Candida;candidiasis;carapace;Chelonia;computer assisted tomography;Enterococcus faecalis;female;histopathology;hospitalization;Klebsiella pneumoniae;Morganella morganii;nonhuman;physical examination;radiography;Shewanella putrefaciens | 公開日期: | 2021 | 卷: | 11 | 期: | 12 | 來源出版物: | Animals | 摘要: | A sub-adult green sea turtle (Chelonia mydas) was rescued and treated for carapace and plastron shell fractures. The turtle was kept dry-docked for the first 2 months with a placement of a long-term jugular central venous catheter (CVC). Pain management, aggressive antibiotic and anthelmintic therapy, fluid therapy, force feeding, and wound debridement were provided to manage the shell fractures and control bacteremia. Human albumin was administered to treat severe hypoalbuminemia. On day 59, small budding yeasts were noted on the blood smears. Candidemia was confirmed by blood culture, as the yeasts were identified as Candida palmioleophila by the molecular multi-locus identification method. The CVC was removed, and the patient was treated with itraconazole. Although the carapace and plastron wounds had epithelized by 5.5 months after the rescue, the turtle died unexpectedly by 7.5 months. The postmortem examination revealed numerous necrogranulomas with intralesional yeasts, morphologically compatible with Candida spp., in joints, bones, brain, and lungs, suggestive of disseminated candidiasis. We describe a rare case of candidemia in the veterinary field. To our knowledge, this is the first report of candidiasis caused by C. palmioleophila in a reptile. The present results should improve veterinary medical care and, therefore, enhance the conservation of endangered sea turtle species. ? 2021 by the authors. Licensee MDPI, Basel, Switzerland. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85120634902&doi=10.3390%2fani11123480&partnerID=40&md5=732067b42de915e401c5e0ec7f825ebf https://scholars.lib.ntu.edu.tw/handle/123456789/605987 |
ISSN: | 20762615 | DOI: | 10.3390/ani11123480 |
顯示於: | 獸醫學系 |
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