التهاب گوش میانی در گوساله: مقاله مروری
محورهای موضوعی : علوم بالینی دامپزشکی
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کلید واژه: ﮔﻮﺳﺎﻟﻪ, اﻟﺘﻬﺎب ﮔﻮش ﻣﯿﺎﻧﯽ, ﺳﺒﺐ ﺷﻨﺎﺳﯽ, ﻧﺸﺎﻧﻪﻫﺎي ﺑﺎﻟﯿﻨﯽ, درﻣﺎن و ﮐﻨﺘﺮل .,
چکیده مقاله :
التهاب گوش میانی در بسیاری از دامها به ویژه گونة گاو رخ میدهد. عمدهترین عوامل مسبب التهاب گوش میانی در گوسالهها باکتریها هستند. التهاب گوش میانی میتواند به صورت تک گیر ویا همه گیری رخ دهد. سن و تغذیه از شیر دو فاکتور خطر مهم برای وقوع التهاب گوش میانی در گوسالهها هستند. باکتریهای مسبب التهاب گوش میانی از سه طریق به گوش میانی میرسند: 1. از طریق کانال گوش خارجی 2. از طریق شیپور استاش و حلق 3. از طریق خون (هماتوژن). نشانههای بالینی شامل افسردگی، تب، کماشتهایی و ترشحات چرکی از گوش مبتلا، چرخش سر، افتادگی گوش و علائم مربوط به درگیری عصب زوج هفت و هشت (عصب صورت، و عصب دهلیزی-حلزونی) هستند. تشخیص بالینی التهاب گوش میانی در گوساله بر اساس وجود نشانههایی مانند اختلال عملکرد عصب صورت و عصب دهلیزی-حلزونی، ترشحات از گوش، تب و ریزش اشک انجام میشود، با این حال برای تایید تشخیص نیاز به روشهای تشخیصی دیگری مانند رادیوگرافی، توموگرافی کامپیوتری و تیمپانوسنتز است. توموگرافی کامپیوتری، استاندارد طلایی برای تشخیص التهاب گوش میانی است. از آنجایی که عمدة موارد التهاب گوش میانی در گوسالههای شیری در اثر گونههای مایکوپلاسما رخ میدهد، بهتر است از آنتی بیوتیکهایی مانند تتراسایکلینها، فلورفنیکل، ماکرولیدها و فلوروکینولونها در موارد حاد بیماری استفاده شود و برای پیشگیری باید گاوهای دفع کنندة مایکوپلاسماها در شیر حذف شوند یا شیر آنها به مصرف گوسالهها نرسد و یا پاستوریزه شود. عوامل مختلفی در بروز این بیماری دخالت دارند که همین امر پیشگیری، کنترل و درمان آن را با چالش همراه کرده است. هدف از انجام این مطالعه بازنگری مقالات علمی مرتبط با التهاب گوش میانی در گوساله و بررسی سبب شناسی، همهگیریشناسی، بیماریزایی، نشانههای بالینی، تشخیص، درمان و کنترل این بیماری است.
Otitis media (inflammation of the middle ear) occurs in several animal species, especially cattle. Bacterial infection is the main cause of otitis media in calves. Sporadic otitis media is mostly reported in calves. However, it can also occur as the outbreaks in calves. Age and milk feeding are two important risk factors for otitis media in calves. There are three routes of entry for bacteria: 1. Through the external ear canal 2. Through the eustachian tube 3. Through hematogenous way. Clinical signs include depression, fever, anorexia, ear discharge, ear drooping, and symptoms related to the involvement of the Ⅶ and Ⅷ (facial and vestibulocochlear) nerves. Clinical diagnosis of otitis media in calves is based on the presence of symptoms such as facial and vestibulocochlear nerve dysfunction, ear discharge, fever, and ocular discharge. However, other diagnostic methods such as radiography, computed tomography (CT scan) and tympanocentesis are needed to confirm the diagnosis. CT scan is the gold standard for diagnosing otitis media. Since most cases of otitis media in calves are caused by Mycoplasma species, tetracyclines, florfenicol, macrolides or fluoroquinolones are favored. For prevention of otitis media in calves, cows excreting mycoplasmas in milk should be culled or their milk should not be consumed by calves or should be pasteurized. In general, otitis media is one of the important diseases of calves that can occur as outbreaks. Treatment, control, and prevention of the otitis media could be difficult, as different factors are associated with the disease. The purpose of this study was to review the scientific articles related to otitis media in calves focusing on the etiology, epidemiology, pathogenesis, clinical signs, diagnosis, treatment, and control of the disease.
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