细菌性心内膜炎（花菜样心内膜炎）Bacterial Endocarditis （Vegetative Endocarditis）Prepared by: Dr. Terry Hunt Translated by Dr. Fu Xiaoping 病因/发病机理Cause & Pathogenesis心脏瓣膜组织被感染Infection of the valvular tissue of the heart通过循环系统（菌血症）途径感染 Infection occurs by hematogenus route （bacteremia）导致心脏瓣膜闭锁不全Distortion of the valves can result in heart insufficiencyEmboli shed from the valve lesions may shower to other organs危险因素Risk Factors菌血症与乳腺炎、子宫炎、腐蹄病或其它感染有关Bacteremia associated with mastitis, metritis, foot rot or other infection 临床症状Clinical FindingsMay show signs of exercise intoleranceMay be moderate, intermittent feverMay progress to signs of Congestive Heart FailureMay show signs of exercise intoleranceMay be moderate, intermittent feverMay progress to signs of Congestive Heart FailureMay show signs of exercise intoleranceMay be moderate, intermittent feverMay progress to signs of Congestive Heart Failure表现出运动不耐受性症状中度、间隙性发热发展为充血性心力衰竭 腹水、颈静脉充盈、静脉水肿、心音低沉、失重和腹泻Ascites, engorged jugulars, ventral edema, heart murmur, weight loss and diarrheaDiagnosisClinical signsDiagnosisClinical signsDiagnosisClinical signs诊断临床症状Differential DiagnosisPericarditisAltitude sicknessEnzootic bovine leucosisDifferential DiagnosisPericarditisAltitude sicknessEnzootic bovine leucosis鉴别诊断心包炎高空缺氧病地方性牛白细胞组织增生病实验室和病理学诊断Laboratory and Pathology贫血和白细胞增多Anemia and leukocytosis死后剖解心脏瓣膜损伤 Post-mortem - vegetative lesion on valve of heartT reatment 死后剖解心脏瓣膜损伤 Post-mortem - vegetative lesion on valve of heartT reatmentT reatmentT reatment治疗J治疗反应不良，尤其是充血性心力衰竭（CHF）Poor response to treatment especially with CHF可能的话屠宰Salvage for slaughter if possible预后情况Prognosis不良Poor后遗症肾炎栓塞性肺炎预防零散发生SequelaePylonephrilisEmbolic pneumoniaPrevention & ControlSporadic occurrence