한국임상수의학회지 (Journal of Veterinary Clinics)

  • 제26권6호
  • /
  • Pages.619-621
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  • 2009
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  • 1598-298X(pISSN)
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  • 2384-0749(eISSN)
한국임상수의학회 (The Korean Society of Veterinary Clinics)
권호 표지

자궁축농증 있는 개에서의 심한 백혈병성 반응

Extreme Leukemoid Reaction in a Dog with Pyometra

  • Han, Jae-Ik (Veterinary Medical Center, College of Veterinary Medicine, Chungbuk National University) ;
  • Jang, Hye-Jin (Veterinary Medical Center, College of Veterinary Medicine, Chungbuk National University) ;
  • Jun, Kwi-Ho (Su Animal Hospital) ;
  • Kang, Hyun-Gu (Veterinary Medical Center, College of Veterinary Medicine, Chungbuk National University) ;
  • Na, Ki-Jeong (Veterinary Medical Center, College of Veterinary Medicine, Chungbuk National University)
  • 발행 : 2009.12.31
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초록

개에서 백혈병성 반응은 흔하지는 않다. 이 것은 백혈구가 많이 증가하여 백혈병성 반응을 보이는 증례이다. 10년령의 암컷 말티즈로 화농성의 혈액섞인 질 분피물이 있었다. 전체혈구계산에서 백혈병성 반응($976\times10^9$ cells/l)을 나타내고 비 재생성 빈혈이 있었다. 혈액도말검사에서 증가된 백혈구는 호중구와 단핵구만 나타났다. 방사선 및 초음파검사에서 자궁은 확장되고 복합적인 액체가 차있는 것이 확인되었다. 자궁절제술 이후에 E. coli가 자궁내 액체로부터 분리되었다. 저자의 조사에 의하면 국소감염의 예에서 이와 같이 극도의 백혈병성 변화를 보이는 것은 처음이다.

Leukemoid reaction has been rarely encountered in dogs. This report describes a case of leukemoid reaction showing extremely elevated leukocyte count. A 10-year-old female Maltese dog was presented with purulent and bloody vaginal discharge. The CBC revealed severe leukemoid reaction ($976\times10^9$ cells/l, reference range 6 to $17\times10^9$ cells/ l) and mild non-regenerative anemia. On the blood smear, elevated leukocytes consist of numerous neutrophils and monocytes only. Radiographic and ultrasonographic examinations revealed generalized enlargement of the uterus, which was filled with a complex fluid. After ovariohysterectomy, Escherichia coli was isolated from the uterine fluid. To author's knowledge, it is the new record of extreme leukemoid reaction caused by local bacterial infection in dogs.

키워드

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