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II Simpósio Internacional do Colégio Brasileiro de Endoscopia e Videocirurgia Veterinária 巴西内窥镜和兽医视频外科学院国际研讨会
IF 0.2 4区 农林科学 Q4 Veterinary Pub Date : 2023-02-05 DOI: 10.22456/1679-9216.129123
Anelise Bonilla Trindade-Gerardi, Pedro Paulo Maia Teixeira, Marco Augusto Machado Silva, Fabiana Azevedo Voorwald, F. Dalmolin
Mensagem da Comissão Organizadora O Colégio Brasileiro de Endoscopia e Videocirurgia Veterinária (CBEVV) é o órgão máximo das especialidades em endoscopia e videocirurgia, além de outras áreas de mínima invasão na medicina veterinária. O CBEVV abrange profissionais endoscopistas, cirurgiões e imaginologistas, assim como os clínicos que atuam em gastroenterologia, otorrinolaringologia, pneumologia, nefrologia, urologia, oncologia, neurologia, entre outros. O Colégio vem há anos sendo planejado em reuniões dos profissionais da área e nasceu oficialmente em 2019. Mesmo ainda com poucos anos de criação oficial, o CBEVV promove várias ações na área, como eventos mensais, nas Jornada de Palestras e Mesas Redondas do CBEVV, já realizou o "I Simpósio do CBEVV" e o "I Congresso Internacional do CBEVV" nos anos de 2020 e 2021 respectivamente. O II Simpósio Internacional do Colégio Brasileiro de Endoscopia e Videocirurgia Veterinária (CBEVV) foi o primeiro evento presencial do CBEVV, com transmissão simultânea online, via plataforma Zoom, para todo os participantes, realizado na sede da UFAPE, no período de 17 a 19 de novembro de 2022, na cidade de São Paulo, SP, Brasil o qual agregou palestras com diferentes temas e palestrantes de altíssimo nível nacional e internacional além de apresentação de trabalhos (na forma de miniconferências e de pôsteres). Esse encontro marcou o retorno às atividades presenciais do Colégio e a comissão organizadora agradece a todos os participantes por tornarem o II Simpósio Internacional do CBEVV um dos maiores da área. Desejamos a todos, ótima leitura e esperamos encontrá-los brevemente em nosso próximo evento. Comissão organizadora: Pedro Paulo Maia Teixeira, Maurício Veloso Brun, Marco Augusto Machado Silva, Anelise Bonilla Trindade-Gerardi, Fabíola Dalmolin, Fabiana Azevedo Voorwald, Luís Cláudio Lopes Correia da Silva, León Simões Pinto Fontaine, Renato Leite Leonardo, Luísa Pucci Bueno Borges, José Pedro Herrera Reis Filho, Rogério Akio Nishimaru, Giovanna Bergozza Casagrande, Thiago da Silva Cardoso, Luis Gustavo e Silva Novais, Gabriela Melo Alves dos Santos, Pedro Yuri Erlacher, Beatriz Ibrahim Miranda Antunes & Adriana Ferreira e Ferreira
巴西内窥镜和兽医视频外科学院(CBEVV)是内窥镜和视频外科专业的最高机构,以及兽医医学中其他入侵最小的领域。CBEVV包括专业的内窥镜医生、外科医生和影像学家,以及在胃肠病学、耳鼻喉科、肺科、肾病学、泌尿科、肿瘤学、神经学等领域工作的临床医生。多年来,该学院一直在该领域的专业人士会议上进行规划,并于2019年正式诞生。尽管正式成立仍有几年时间,但CBEVV在该领域开展了多项活动,如每月的活动、CBEVV的讲座和圆桌会议,并分别在2020年和2021年举办了“第一届CBEVV研讨会”和“第一届CBEVV国际大会”。巴西的内窥镜和寄宿学校的二次国际研讨会Videocirurgia兽医(CBEVV)是一分之一CBEVV的体力活动,同时传输网络平台,通过放大、对所有参与者在UFAPE总部举行,在2022年11月17日至19日期间,在圣保罗,高层,除了展示作品(以小型会议和海报的形式)外,巴西还聚集了不同主题的讲座和国家和国际级别的演讲者。这次会议标志着学院重返课堂活动,组委会感谢所有与会者使第二届CBEVV国际研讨会成为该领域规模最大的研讨会之一。我们希望每个人都喜欢阅读,并希望很快在我们的下一次活动中见到你。组委会:佩德罗(玛雅··维罗索Brun马可·席尔瓦用斧Anelise Bonilla三一-Gerardi,她Dalmolin,法比安娜不是Voorwald路易斯·克劳迪斯·达席尔瓦,带(马尔科·方丹画,雷纳托牛奶赫瑞·约瑟夫·佩德罗,路易丝·博格斯璞琪好国王的儿子罗杰Akio Nishimaru乔凡娜Bergozza芬迪的路易斯·卡多佐Gustavo和蒂亚戈·席尔瓦Novais,加德梅洛。阿尔维斯的圣徒彼得·尤里ErlacherBeatriz Ibrahim Miranda Antunes & Adriana Ferreira & Ferreira
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引用次数: 0
Antiparkinsoniano no tratamento de sequelas neurológicas por cinomose 抗帕金森药治疗犬瘟热神经后遗症
IF 0.2 4区 农林科学 Q4 Veterinary Pub Date : 2023-01-22 DOI: 10.22456/1679-9216.125848
Mariana Almeida Oliveira, Pedro Henrique Ronchi, Gabriel Henrique Dufloth Gutschow, Malcon Andrei Martinez-Pereira
Introdução: Danos neurológicos decorrentes da cinomose são um desafio para os veterinários, devido ocasionarem sequelas clinicas que influenciam na qualidade de vida dos pacientes. O tratamento destas sequelas deve buscar promover a resolução ou diminuição dos efeitos deletérios que impedem a independência do paciente. Assim, o presente relato tem como objetivo descrever a ação da medicação antiparkinsoniana (levodopa associada à carbidopa) administrada a três pacientes caninos que apresentaram sequelas neurológicas decorrentes da cinomose. Casos: Três cães: um macho, sem raça definida, 9 meses de idade, um macho Shih Tzu, com 6 meses de idade e uma fêmea sem raça definida, com 8 anos de idade, foram encaminhados para atendimento neurológico por apresentarem danos neurológicos após o acometimento da cinomose. O Cão 1 apresentou mioclonia severa, falta de propriocepção, diminuição do tônus muscular e paralisia em ambos os membros pélvicos (MP), associada a uma acentuada cifose toracolombar, enquanto o Cão 2 apresentou mioclonia em MP, perda proprioceptiva em membro torácico (MT) e PL, ausência de reflexo de retirada em MT e MP, diminuição do tônus muscular em MP e aumento em MT, já o Cão 3 apresentou mioclonia intensa, ausência de propriocepção, diminuição do tônus muscular e paresia de MP. Todos os pacientes foram tratados com medicação antiparkinsoniana (levodopa 250mg + carbidopa 25mg) nas dosagens: O cão 1 recebeu um comprimido comercialmente disponível, via oral, uma vez ao dia por 30 dias, enquanto os cães 2 e 3 tiveram doses calculadas por extrapolação alométrica, sendo 0,25 mg animal de levodopa e 0,025 mg animal de carbidopa, e 1 mg paciente de levodopa e 0,1 mg paciente de carbidopa por 30 dias, respectivamente. 30 dias após o início do tratamento todos foram reavaliados e apresentaram melhora dos sinais motores, sendo mantido o tratamento. No retorno seguinte, 30 dias, o Cão 1 apresentou melhora significativa, porém, o Cão 2 passou a apresentar crises epilépticas e nistagmo que foram tratados, enquanto o Cão 3 não retornou. Como o Cão 1 apresentou melhor prognóstico, o tratamento foi mantido por um ano, sendo a frequência alterada de 24x24h para 48x48h após 30 dias e 72x72h após mais 30 dias. Infelizmente, o cão 2 teve um agravamento da condição epilética e morreu, enquanto o cão 3 morreu por atropelamento. Discussão: Os casos relatados são incomuns, pois não existem informações sobre o uso de antiparksonianos para tratamento de danos neurológicos ocasionados pela cinomose. Embora existam terapias emergentes, como o uso de células-tronco mesenquimais, que podem reduzir essas sequelas, o acesso ainda é restrito a poucos profissionais. Assim, o uso de medicamentos para doenças desmielinizantes, como os antiparkinsonianos, pode ser uma alternativa. De fato, os três pacientes relatados apresentaram recuperação dos danos motores e sensoriais observados, o que corrobora com a possibilidade de um novo tratamento com antiparkinsonianos ou outro
引言:犬瘟热引起的神经损伤对兽医来说是一个挑战,因为它会导致影响患者生活质量的临床后遗症。这些后遗症的治疗应寻求促进解决或减少阻碍患者独立性的有害影响。因此,本报告旨在描述三名因犬瘟热而出现神经后遗症的犬患者服用抗帕金森病药物(左旋多巴与卡比多巴联合用药)的作用。病例:三只狗:一只雄性,无明确品种,9个月大,一只雄性西施,6个月大和一只雌性,无明确种类,8岁,因患犬瘟热后出现神经损伤而被转诊至神经护理。犬1表现为严重的肌阵挛,本体感觉缺乏,肌肉张力下降,双骨盆肢体瘫痪(MP),伴有明显的胸腰椎后凸,而犬2表现为MP肌阵挛,胸肢体本体感觉丧失(MT)和PL,MT和MP缺乏戒断反射,MP肌肉张力下降和MT增加,所有患者均接受抗帕金森病药物治疗(左旋多巴250mg+卡比多巴25mg),剂量为:狗1接受市售片剂,口服,每日一次,持续30天,每日一次达30天,每天一次达30天。而狗2和3的剂量通过异速推断计算,分别为0.25mg左旋多巴动物和0.025mg卡比多巴动物,以及1mg左旋多巴患者和0.1mg卡比多巴患者30天。治疗开始后30天,所有患者都进行了重新评估,并显示出运动体征的改善,并维持治疗。在接下来的30天返回时,狗1表现出显著的改善,然而,狗2开始出现癫痫发作和眼球震颤,而狗3没有返回。由于狗1的预后较好,治疗持续了一年,30天后频率从24x24h变为48x48h,30天后为72x72h。不幸的是,第二只狗的癫痫情况恶化并死亡,而第三只狗则死于肇事逃逸。讨论:报告的病例并不常见,因为没有关于使用抗帕金森病药物治疗犬瘟热引起的神经损伤的信息。尽管有一些新兴的治疗方法,如使用间充质干细胞,可以减少这些后遗症,但仍仅限于少数专业人员。因此,使用药物治疗脱髓鞘疾病,如抗帕金森病,可能是一种替代方案。事实上,报告的三名患者表现出运动和感觉损伤的恢复,这证实了用抗帕金森病或其他药物治疗脱髓鞘疾病的新疗法的可能性。
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引用次数: 0
Treatment of Canine Idiopathic Epilepsy - Clinical Picture after Drug Interaction 犬特发性癫痫的治疗-药物相互作用后的临床图片
IF 0.2 4区 农林科学 Q4 Veterinary Pub Date : 2022-07-22 DOI: 10.22456/1679-9216.121607
D. Ribeiro, Amanda Perini Leite, Gabriela Rotatori Alvim, Lara Garcia Costa, Zayra Siqueira Chagas, Ana Karla de Lima Silva, A. Pereira, R. Nogueira
Background: The large number of diseases demand perennial development of the pharmaceutical industry. The drug-testing phase is essential to make them available safely. Awareness of pharmacological properties, adverse effects and drug interactions is required. Drug interactions are common in veterinary medicine and should be avoided. At times, epileptic seizures require polydrug therapy, predisposing patients to drug interactions. The interaction between carbamazepine and phenobarbital reported in the literature is an example. The aim of this paper is to report a clinical picture of drug interaction in the treatment of idiopathic epilepsy.Case: A 1-year-old Border Collie male dog, was admitted at the Veterinary Hospital of the Federal University of Lavras in post-ictal. The tutor reported that a year ago the animal had epileptic seizures and clusters with intervals of 21 to 25 days. Despite the continued use of previously prescribed phenobarbital (7.4 mg/kg, v.o., BID, until new recommendations) and carbamazepine (7.5 mg/kg, v.o., BID, until new recommendations), seizure control was not achieved. The physical examination indicated, tachypnea, ptialism, mydriasis, intense fatigue, and alienation from the environment. The patient did not respond to the threat-reflex test. Blood count, hepatic and renal blood chemistry, serum electrolyte (potassium, sodium, calcium and phosphorus), and phenobarbital dosages were requested. Based on the animal's history, breed characteristics, and alterations in the physical examination associated with normal results in complementary exams, idiopathic epilepsy was diagnosed. After analyzing the case, it was observed that the inefficiency in the control of seizures was possibly due to the drug interaction between phenobarbital and carbamazepine. Carbamazepine and phenobarbital reciprocally reduce their half-lives. To confirm the raised hypothesis, the serum concentration of carbamazepine was gradually reduced through weaning from its dose administered to the patient. Serial dosage of the concentration of phenobarbital in the bloodstream was performed. As a result, the serum phenobarbital, previously dosed at a concentration of 13.3 mg/dL with concomitant administration of carbamazepine, increased to 22 mg/dL 40 days after the beginning of weaning from carbamazepine (T0), and then to 36 mg/dL 100 days after T0. There was an increase in the concentration of phenobarbital in the bloodstream while the serum concentration of carbamazepine declined. The patient spaced out his seizures to every 50 to 60 days with phenobarbital monotherapy at a dose of 6 mg/kg.Discussion: Efficient control of clusters, such as the reduction of seizures by 50%, was only possible due to the meticulous perception of the possible interaction reported in medicine. Carbamazepine and phenobarbital are P450 isoenzyme inducers. The concomitant administration of both drugs potentiated the action of isoenzymes in the hepatic microsomal system, which l
背景:大量的疾病需要医药行业的长期发展。药物测试阶段对安全提供药物至关重要。需要了解药理特性、不良反应和药物相互作用。药物相互作用在兽医学中很常见,应该避免。有时,癫痫发作需要多种药物治疗,使患者容易发生药物相互作用。文献中报道的卡马西平和苯巴比妥之间的相互作用就是一个例子。本文的目的是报道药物相互作用治疗特发性癫痫的临床情况。病例:一只1岁大的边境牧羊犬,在发作后入住拉夫拉斯联邦大学兽医医院。导师报告说,一年前,这只动物出现了癫痫发作,发作间隔为21至25天。尽管继续使用先前处方的苯巴比妥(7.4 mg/kg,v.o.,BID,直到新的建议)和卡马西平(7.5 mg/kg,v.o.,BID直到新的推荐),但癫痫发作并未得到控制。体格检查显示,呼吸急促、嗜睡、散瞳、剧烈疲劳和脱离环境。患者对威胁反射测试没有反应。要求提供血液计数、肝肾血液化学、血清电解质(钾、钠、钙和磷)和苯巴比妥剂量。根据动物的病史、品种特征以及与补充检查正常结果相关的体检变化,诊断为特发性癫痫。在分析该病例后,观察到癫痫发作控制效率低下可能是由于苯巴比妥和卡马西平之间的药物相互作用。卡马西平和苯巴比妥相互作用可缩短它们的半衰期。为了证实提出的假设,卡马西平的血清浓度在患者断奶后逐渐降低。对血液中苯巴比妥的浓度进行了连续剂量测定。结果,先前以13.3 mg/dL的浓度给药并伴随卡马西平给药的血清苯巴比妥在开始从卡马西平断奶40天后(T0)增加到22 mg/dL,然后在T0后100天增加到36 mg/dL。血液中苯巴比妥的浓度增加,而卡马西平的血清浓度下降。患者每50至60天用6 mg/kg剂量的苯巴比妥单药治疗一次癫痫发作。讨论:有效控制集群,例如将癫痫发作减少50%,是因为对医学上报道的可能相互作用有着细致的认识。卡马西平和苯巴比妥是P450同工酶的诱导剂。两种药物的同时给药增强了肝微粒体系统中同工酶的作用,从而加速了药物的代谢过程。停用卡马西平后,即减少卡马西平对P450酶系统同工酶的作用,苯巴比妥的浓度标准化为36mg/dL。这样的浓度在文献中报道的参考范围内:25 mg/dL至35 mg/dL的血清苯巴比妥用于治疗效果。因此,实现了对剧烈危机的控制。仅因停用卡马西平而导致苯巴比妥浓度增加,即使在减少动物每日服用的巴比妥类药物剂量后,也有助于证明这些药物之间存在相互作用。值得注意的是,先前对药理学特性的了解、对患者病史的仔细研究以及导师的合作对于循证兽医的治疗成功和实践至关重要。关键词:药物相互作用;卡马西平;苯巴比妥;P450酶。Título:犬癫痫发作-四年期药物治疗。描述:interação medicamentosa,卡马西平,非诺比尔,恩齐马P450。
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引用次数: 0
Intraocular Lymphoma in Dogs - Findings of Contrast Enhanced Ultrasound and ARFI Elastography 犬眼内淋巴瘤——超声造影和ARFI弹性成像结果
IF 0.2 4区 农林科学 Q4 Veterinary Pub Date : 2022-05-04 DOI: 10.22456/1679-9216.121902
G. M. Madruga, Igor Cezar Kniphoff da Cruz, R. K. Carneiro, Marcus Antônio Rossi Feliciano, Marjury Cristina Maronez, R. Uscategui, Thais Guimarães Morato Abreu, E. Perlmann
Background: Ocular lymphoma can affect the iris, conjunctiva, choroid, and retina and is mostly associated with multicentric disease. Elastography is an ultrasound technique that provides noninvasive, pain-free assessment of tissue stiffness. It has the ability to assess subtle changes throughout the organ as well as focal lesions. Microbubble contrast ultrasound enables the detection of incipient vascular flows, which are difficult to detect using traditional ultrasound methods. This study aimed to describe acoustic radiation force impulse (ARFI) elastography and microbubble contrast ultrasound findings in the eyes of two dogs diagnosed with intraocular T-cell lymphoma.Cases: Case 1. Physical examination revealed an exophytic mass in the left eye. Schirmer test revealed a secretion of 22 mm/min. Negative threat reflex, glare, direct pupillary light reflex, and consensual response were also noted. Biomicroscopy revealed hyperplasia of the third eyelid, overlapping with the affected eye. When the membrane was removed, moderate conjunctival hyperemia, mucoid secretion, and buphthalmia were observed. In addition, significant corneal edema was present, making it impossible to visualize the anterior chamber and perform fundus examination. The intraocular pressure, as measured with a rebound tonometer, was 39 mmHg. B-mode ultrasonography identified amorphous, hyperechoic, and heterogeneous structures throughout the anterior chamber, iris, and ciliary body. The elastogram showed that the mass had greenish tones and intermediate stiffness, and the mean SWV of the ciliary body and iris was 2 m/s. Contrast-enhanced ultrasound (CEUS) revealed vascularization of the neoformation region, with wash-in, peak, and wash-out values of 9.89 s, 24.56 s, and 107.87 s, respectively. Case 2. On physical examination, a change in the shape of the right pupil was observed. Schirmer test revealed a secretion of 20 mm/min, with negative threat, glare, and pupillary reflexes to direct and consensual light. Biomicroscopy revealed neoformation from 7 am to 11 am in the sclera, retina, and choroid complex, concomitant with dyscoria and conjunctival hyperemia. The intraocular pressure, as measured by rebound tonometry, was 33 mmHg. Fundoscopy revealed a mass in the temporal region and focal retinal detachment. No changes were observed in the contralateral eye. B-mode ultrasound revealed an increase in volume in the temporal region of the iris, ciliary body, and choroid with diffuse heterogeneity and partial retinal detachment. Elastographic examination revealed shades of green and yellow compatible with increased tissue stiffness. On quantitative examination, the mean SWVs of the ciliary body and iris were 3.14 m/s. On CEUS, the neoformation region presented wash-in, peak, and wash-out values of 8.67 s, 22.33 s, and 80.20 s.Discussion: B-mode ultrasonography established the tumor extent and evaluated echogenicity, verifying the involved ocular structures. The examination playe
背景:眼部淋巴瘤可累及虹膜、结膜、脉络膜和视网膜,且多与多中心疾病相关。弹性成像是一种超声技术,提供无创、无痛的组织刚度评估。它有能力评估整个器官的细微变化以及局灶性病变。微泡超声造影能够检测到早期血管流动,这是传统超声方法难以检测到的。本研究旨在描述两只被诊断为眼内t细胞淋巴瘤的狗的眼睛的声辐射力脉冲(ARFI)弹性成像和微泡造影剂超声检查结果。案例:案例1。体检发现左眼有外生性肿块。Schirmer试验显示分泌量为22 mm/min。负面威胁反射,眩光,直接瞳孔光反射和共识反应也被注意到。生物显微镜检查显示第三眼睑增生,与患眼重叠。去膜后,观察到中度结膜充血、粘液分泌、眼黄。此外,存在明显的角膜水肿,使得无法看到前房和进行眼底检查。用回弹眼压计测得眼压为39mmhg。b超检查发现无定形、高回声和非均匀结构遍及前房、虹膜和睫状体。弹性图显示,肿块呈偏绿色,刚度中等,纤毛体和虹膜的平均SWV为2 m/s。超声造影显示新生区血管化,洗入值为9.89 s,峰值值为24.56 s,洗出值为107.87 s。例2。在体格检查中,观察到右瞳孔形状的改变。Schirmer试验显示分泌量为20 mm/min,对直射光和自愿光的威胁、眩光和瞳孔反射均为阴性。生物显微镜检查显示,上午7点至11点,巩膜、视网膜和脉络膜复合体出现新生物,并伴有血氧障碍和结膜充血。反跳眼压计测眼压为33 mmHg。眼底镜检查显示颞区肿块和局灶性视网膜脱离。对侧眼未见改变。b超显示虹膜、睫状体和脉络膜颞区体积增加,弥漫性不均一性和部分视网膜脱离。弹性图检查显示绿色和黄色阴影与组织刚度增加相一致。经定量检测,纤毛体和虹膜的平均swv为3.14 m/s。超声造影显示,新生区域的洗入、峰值和洗出值分别为8.67 s、22.33 s和80.20 s。讨论:b超确定肿瘤范围,评价回声性,证实受累的眼部结构。检查在诊断和临床治疗中起着重要的作用。ARFI弹性成像可以检测微小的组织变化,帮助更可靠地定义结节和肿块,此外还可以验证组织刚度。在这两只狗中,有可能在定性和定量上验证肿块比相邻组织表现出更大的刚性。在以往的研究中,发现人类皮肤和乳腺淋巴瘤在弹性成像上比邻近组织更坚硬。在弹性图上观察到的刚性和异质性的增加可以用t细胞淋巴瘤中基质的髓外相互作用来解释。肿瘤生长依赖于血液供应,在这些病例中使用超声造影评估。此外,睫状体对比剂填充时间比正常犬长。关键词:眼,外科,影像诊断,疼痛,兽医眼科,肿瘤。Título:眼内膜瘤 -眼内膜瘤-眼内膜瘤-眼内膜瘤-眼内膜瘤-眼内膜瘤-眼内膜瘤-眼内膜瘤-眼内膜瘤-眼内膜瘤-眼内膜瘤-眼内膜瘤-眼内膜瘤-眼内膜瘤-眼内膜瘤-眼内膜瘤-眼内膜瘤-眼内膜瘤-眼内膜瘤-眼内膜瘤-眼内膜瘤-眼内膜瘤。
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引用次数: 0
Haw’s Syndrome Associated with Giardiasis in a Cat 猫贾第虫病相关的haws综合征
IF 0.2 4区 农林科学 Q4 Veterinary Pub Date : 2022-05-03 DOI: 10.22456/1679-9216.118829
Agnes Prieto Mendoça, Thaíz Furtado Silva, Reiner Silveira de Moraes, A. V. Amaral, D. G. S. Ramos
Background: Haw’s syndrome results in bilateral projection of the third eyelid, which is caused by a dysfunction of the sympathetic innervation in the region, not accompanied by other ocular changes. It has been mostly seen in cats, under 2-year-old and, it usually shows an acute presentation. It is believed that the disorder may be self-limiting, but several infectious etiologies have been proposed, together with diarrhea. The aim of the study was to report a case of a 2-year-old mixed breed male feline, castrated and diagnosed with Haw’s syndrome, associated with an infectious condition given the presence of Giardia sp.Case: A 2-year-old male, mixed-breed cat and orchiectomized, was admitted and treated at the Veterinary Hospital of the Federal University of Jataí. In the anamnesis, the owner complained that the cat had had pasty brown diarrhea for 4 days and a projection of the third eyelid. He emphasized that the animal used to have some episodes of diarrhea sporadically and the last deworming was carried out 3 months ago from that day. He reported contact with other random street and outdoorcats. On the physical examination, bilateral projection of the third eyelid was observed without any other visible alteration. The third eyelid projection was responsive to the mydriatic and adrenergic [phenylephrine 10%] eye drops instillation test. Complete blood count and serum biochemical evaluation of creatinine, alkaline phosphatase (ALP) and alanine aminotransferase (ALT) concentrations were performed. In addition, abdominal ultrasound and parasitological examination of feces were requested. Complete blood count showed eosinophilia and serum biochemical evaluations were within reference values. The coproparasitological examination detected Giardia sp. On the ultrasound, no significant changes were observed. The recommended treatment was anthelmintic [fenbendazole 50 mg/kg, SID, for 5 days]. However, one week later, the coproparasitological examination still showed Giardia sp. Given this scenario, the chosen treatment was the use of nitazoxanide [25 mg/kg, BID, for 7 days]. Therefore, the patient presented emesis and the treatment with nitazoxanide had to be suspended. Thus, metronidazole [25 mg/kg, BID, for 7 days] was prescribed, in addition to the environmental disinfection and daily litter box cleaning, all performed with quaternary ammonia. After 1 week of treatment with metronidazole, the patient’s clinical improvement and reversal of the third eyelid projection were observed.Discussion: This case proved to be consistent with the data found in the literature, in which cats younger than 2-year-old are affected by Haw’s syndrome and may present concomitant diarrhea. On the physical examination, the parameters evaluated were within normal reference for the cat species and the bilateral projection of the third eyelid was the only alteration found in the patient. The prognosis for the patient with Haw’s syndrome and concomitant giardiasis is favora
背景:Haw综合征导致第三眼睑双侧突出,这是由该区域交感神经支配功能障碍引起的,不伴有其他眼部变化。它主要出现在2岁以下的猫身上,通常表现为急性发作。据信,这种疾病可能是自限性的,但已经提出了几种感染性病因,以及腹泻。该研究的目的是报告一例2岁的混合品种雄性猫科动物,被阉割并诊断为Haw综合征,与贾第鞭毛虫属的感染性疾病有关。在回忆中,主人抱怨这只猫已经有4天的糊状棕色腹泻和第三眼睑突出。他强调,这只动物过去偶尔会腹泻,最后一次驱虫是在3个月前进行的。他报告说,他与其他随意的街头流浪者和户外流浪者有过接触。在体格检查中,观察到第三眼睑的双侧投影,没有任何其他可见的变化。第三次眼睑投射对散瞳和肾上腺素(10%苯肾上腺素)滴眼液滴注试验有反应。对肌酐、碱性磷酸酶(ALP)和丙氨酸氨基转移酶(ALT)浓度进行全血计数和血清生化评估。此外,还要求进行腹部超声波检查和粪便寄生虫学检查。全血细胞计数显示嗜酸性粒细胞增多,血清生化评估在参考值范围内。共寄生虫学检查检测到贾第鞭毛虫。超声检查未观察到明显变化。推荐的治疗方法是驱虫[芬苯达唑50 mg/kg,SID,持续5天]。然而,一周后,共寄生虫学检查仍然显示贾第鞭毛虫。在这种情况下,选择的治疗方法是使用硝唑嗪[25mg/kg,BID,持续7天]。因此,患者出现呕吐,硝唑嗪的治疗不得不暂停。因此,除了环境消毒和每日清洁垃圾箱外,还开了甲硝唑[25mg/kg,BID,持续7天],所有这些都是用季氨进行的。甲硝唑治疗1周后,观察患者第三次眼睑突出的临床改善和逆转。讨论:该病例被证明与文献中发现的数据一致,在文献中,2岁以下的猫受到Haw综合征的影响,并可能伴有腹泻。在体检中,评估的参数在猫种的正常参考范围内,第三眼睑的双侧投影是患者唯一发现的变化。Haw综合征合并贾第鞭毛虫病患者的预后是有利的,只要对肠道感染进行短暂的治疗,以防止肠寄生虫病的长期性。显然需要更多的研究来解释Haw综合征的病理学,从而澄清这种疾病的真正原因。由于该综合征大多是一种自限性疾病,因此不需要使用局部眼部药物进行干预。然而,如果出现伴随的疾病、感染或潜在原因,必须正确治疗。在腹泻的情况下,需要注意通过粪检评估进行粪便检查。关键词:猫;腹泻;肠道寄生虫病;nict膜。
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引用次数: 1
Malignant Alveolar Neoplasm in a 10-Month-Old French Bulldog 一只10个月大的法国斗牛犬的恶性肺泡肿瘤
IF 0.2 4区 农林科学 Q4 Veterinary Pub Date : 2022-04-27 DOI: 10.22456/1679-9216.120837
M. L. Ferreira, Plínio de Araújo Oliveira Neto, Raul Rousso Filho, Bruna Guedes De Carvalho, P. C. Silva, Valéria Duarte Reis Da Costa, M. V. Alves da Silva, F. A. Filho
Background: Malignant tumors are the main cause of death or euthanasia in animals. The oral cavity ranking fourth in number of occurrences. Epidemiological studies with dogs suggest that canine cancer kills 40-50% of individuals aged over 10 years. In view of the interest of academics and professionals in the healthcare of dogs and cats, this paper reports the case of a 10-month-old bitch, which, despite being a young animal, was affected alveolar rhabdomyosarcoma of abrupt evolution.Case: A 10-month-old French Bulldog bitch, weighing 10 kg, was referred to a veterinary hospital in the city of Rio de Janeiro for care. It had a history of mouth bleeding, after chewing a solid mineral material, edema in the region of the right maxilla, and protusion of the gland of the third eyelid. As the clinical examination also revealed a fracture of the maxillary canine, anti-inflammatory and antibiotics were prescribed, to be administered by the owner once a day for 7 days. During the next clinical examination, carried out one week later, an edema was found in the right region of the mouth, which proved difficult to examine. As the patient had already eaten, an appointment was made for the following day for an intervention int he operating room, where the animal could be anesthetized for better observation of the effected region. Blood was collected for hemogram, urea, creatinine, alkaline phosphatase, ALT, and GGT, and an 8 h food fasting and a 4 h water fasting were recommended. On that date, once the dog had been taken to the operating room, was administered the pre anesthesia, in addition to anesthetic induction and manutention. Upon examining the oral cavity, several loose molars were found on the right side, in addition to a tumoral aspect of the gum; thus, it was decided to collect a small sample of the tumoral mass for histopathology. The surgical specimen was placed in a formalin solution and sent to the laboratory for histopathological processing and diagnosis. One week later, the tumor mass was larger and the edema in the right region of the mouth was much larger than on the day of the procedure. Thus, a computerized tomography was requested to further investigate the alterations that had occurred in such a short time. Due to the results of the histopathology and the CT, an immunohistochemical test was suggested which determined the cell profile and morphology and confirmed the diagnosis of alveolar rhabdomyosarcoma according to clinical suspicion. The animal remained in the veterinary hospital for a further 48 h, during which the clinical condition worsened, with the animal suffering heavy bleeding. As the patient was no longer capable of oral intake of food or water, the decision was made with the consent of the owners to induce a painless death to alleviate the suffering of the animal. However, the owners did not authorize a necropsy.Discussion: Veterinary physicians should be conscious of the treatment of serious illnesses that will not resul
背景:恶性肿瘤是导致动物死亡或安乐死的主要原因。口腔在发病次数上排名第四。对狗的流行病学研究表明,狗癌症导致40-50%的10岁以上的人死亡。鉴于学术界和专业人士对猫狗保健的兴趣,本文报道了一只10个月大的母狗的病例,尽管它是一只年轻的动物,但它受到了突然进化的肺泡横纹肌肉瘤的影响。病例:一只10个月大的法国斗牛犬母犬,体重10公斤,被送往里约热内卢市的一家兽医医院接受治疗。它有咀嚼固体矿物质后口腔出血、右上颌骨水肿和第三眼睑腺体突起的病史。由于临床检查还显示上颌骨犬只骨折,因此开了抗炎药和抗生素,由主人每天给药一次,持续7天。在一周后进行的下一次临床检查中,口腔右侧发现水肿,难以检查。由于患者已经进食,预约第二天在手术室进行干预,在那里可以对动物进行麻醉,以便更好地观察受影响的区域。采集血液进行血象、尿素、肌酸酐、碱性磷酸酶、ALT和GGT检查,建议禁食8小时和禁食4小时。那天,狗被带到手术室后,除了麻醉诱导和手法外,还进行了预麻醉。在检查口腔时,在右侧发现了几个松动的臼齿,此外还有牙龈的肿瘤;因此,决定采集肿瘤肿块的小样本进行组织病理学检查。将手术标本放入福尔马林溶液中,送往实验室进行组织病理学处理和诊断。一周后,肿瘤肿块更大,口腔右侧区域的水肿比手术当天大得多。因此,要求进行计算机断层扫描,以进一步调查在如此短的时间内发生的变化。根据组织病理学和CT的结果,建议进行免疫组织化学检测,以确定细胞形态和细胞形态,并根据临床怀疑,确认肺泡横纹肌肉瘤的诊断。该动物在兽医医院又呆了48小时,在此期间,临床情况恶化,动物大出血。由于患者不再能够口服食物或水,在征得主人同意的情况下,决定诱导无痛死亡,以减轻动物的痛苦。然而,所有者没有授权进行尸检。讨论:兽医应该意识到治疗对患者没有好处的严重疾病。他们应该知道何时停止治疗,以免给动物及其主人带来进一步的痛苦。许多旨在治疗严重恶性肿瘤的干预措施不会提高生活质量或显著延长患者的生存期,也不能证明它们所带来的痛苦是合理的。在这种情况下,无痛死亡仍然是最好的选择。关键词:癌症,恶性肿瘤,肺泡横纹肌肉瘤,口腔。
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引用次数: 0
Intracranial Meningioma in a Dog - Treatment with Radiotherapy 犬颅内脑膜瘤的放射治疗
IF 0.2 4区 农林科学 Q4 Veterinary Pub Date : 2022-04-27 DOI: 10.22456/1679-9216.121063
D. C. Araujo, S. Cunha, R. F. Schamall, J. I. Fernandes
Background: The most common primary brain neoplasm is meningioma. Dolichocephalic breeds are predisposed and there is no sexual predilection. Clinical signs depend on the location and size of the tumor and have a progressive course. Primary treatement includes surgery, radiotherapy or both.  This study aimed to describe the treatment of a dog with suspected intracranial meningioma with definitive radiotherapy, which resulted in significant clinical improvement and prolonged survival.Case: A 9-year-old Shetland Shepherd bitch was diagnosed with a head tilt to the left side that progressed over a few weeks. She previously received corticosteroid therapy, which resulted a clinical improvement that worsened after treatment was discontinued. Computed tomography revealed an extra-axial brain mass in the caudal fossa, lateralized to the right, well-delimited, and measuring approximately 1.5 × 1.4 × 1.7 cm, suggestive of intracranial meningioma. The patient was treated with radiotherapy using Cobalt-60 equipment, with 18 daily fractions of 2.5 Gy at a total dose of 45 Gy using parallel and opposite technique fields. A new tomography performed 30 days after treatment showed a remission of 85% of the initial brain mass measuring approximately 0.9 × 1.0 × 0.5 cm, as well as complete resolution of the clinical signs initially presented. After 14 months, the patient presented with signs of lethargy and ataxia and was medicated with hydroxyurea at a dose of 50 mg/kg 3 times a week and corticosteroid therapy. However, the patient’s neurological condition deteriorated, and she was subjected to reirradiation using the same protocol used previously, which resulted in clinical improvement and a 54% reduction in tumor volume on magnetic resonance. As a late side effect, only permanent alopecia in the irradiated region was observed. The patient died of disease 330 days after the second course of radiotherapy, with a total survival time of 1087 days.Discussion: Meningiomas are extra-axial neoplasms of the central nervous system that grow inside the dura mater. The literature shows that meningiomas are more common in dolichocephalic races with a mean age of 9 years, which supports our findings. Meningiomas most commonly affect the cortical thalamus and cerebellopontine region in dogs, which are normally associated with vestibular symptoms, as seen in this case. Diencephalic damage can result in vestibular signals since the thalamus functions as a relay station for vestibular afferent stimuli that are relayed to the cerebral cortex. In addition to the vestibular syndrome, common clinical signs associated with meningiomas in dogs include seizures, behavioral changes, and walking in circles, which are frequently misinterpreted due to tumor-induced side effects, such as cerebral edema, obstructive hydrocephalus, and cerebral hernia. Advanced imaging techniques should be used to diagnose intracranial neoplasms. In this case, computed tomography was critical for diagnosis
背景:脑膜瘤是最常见的原发性脑肿瘤。多头品种易患,没有性偏好。临床症状取决于肿瘤的位置和大小,并有一个渐进的过程。主要治疗包括手术、放射治疗或两者兼而有之。本研究旨在描述对疑似颅内脑膜瘤的狗进行明确放疗的治疗,结果显着改善了临床效果并延长了生存期。案例:一只9岁的设得兰牧羊犬母狗被诊断出头部向左倾斜,这种情况持续了几周。她以前接受过皮质类固醇治疗,导致临床改善,治疗停止后恶化。计算机断层扫描显示尾侧窝脑轴外肿块,向右偏侧,边界清楚,尺寸约为1.5 × 1.4 × 1.7 cm,提示颅内脑膜瘤。患者使用钴-60设备进行放射治疗,每日18次2.5 Gy,总剂量为45 Gy,采用平行和相反的技术场。治疗后30天进行的新断层扫描显示,最初的脑肿块(约0.9 × 1.0 × 0.5 cm)缓解了85%,并且最初出现的临床症状完全消失。14个月后,患者出现嗜睡和共济失调症状,给予羟基脲50 mg/kg剂量,每周3次,同时给予皮质类固醇治疗。然而,患者的神经系统状况恶化,她接受了先前使用的相同方案的再照射,导致临床改善,磁共振显示肿瘤体积缩小54%。作为一个晚期的副作用,只有永久性脱发在照射区域被观察到。患者在第二期放疗后330天因病死亡,总生存时间1087天。讨论:脑膜瘤是生长在硬脑膜内的中枢神经系统轴外肿瘤。文献显示,脑膜瘤在平均年龄为9岁的多头畸形种族中更为常见,这支持了我们的研究结果。脑膜瘤最常影响狗的丘脑皮质区和桥小脑区,通常与前庭症状相关,如本例所示。间脑损伤可导致前庭信号,因为丘脑作为前庭传入刺激的中继站,将前庭传入刺激传递到大脑皮层。除了前庭综合征外,与犬脑膜瘤相关的常见临床症状还包括癫痫发作、行为改变和绕圈行走,这些症状经常被误解为肿瘤引起的副作用,如脑水肿、阻塞性脑积水和脑疝。诊断颅内肿瘤应采用先进的影像学技术。在这种情况下,计算机断层扫描对诊断和治疗计划至关重要。脑膜瘤的治疗可包括姑息措施、手术和放射治疗。据文献报道,放疗作为单一治疗可以改善生活质量,减少临床症状,中位生存时间约为250-536天。羟基脲可作为一种治疗选择,在不能手术的情况下,并为患者的临床限制,在放疗期间进行连续麻醉。其最严重的副作用是进行性骨髓抑制。它可以引起暂时的部分肿瘤缓解和临床症状的改善。如前所述,放射治疗是治疗犬颅内脑膜瘤的一种有效的主要治疗选择,可显著改善神经学临床症状,副作用轻微。关键词:狗,中枢神经系统,放疗,再放疗,肿瘤学。Título:颅内脑膜瘤,脑脊膜瘤,脑脊膜瘤,放射治疗,脑脊膜瘤,脑脊膜瘤,脑脊膜瘤,放射治疗,脑脊膜瘤,放射治疗,脑脊膜瘤,脑脊膜瘤,放射治疗,脑脊膜瘤,脑脊膜瘤,放射治疗,脑脊膜瘤。
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引用次数: 0
Primary Urethral Carcinoma in a Bitch - Multimodal Treatment 母狗原发性尿道癌-多模式治疗
IF 0.2 4区 农林科学 Q4 Veterinary Pub Date : 2022-04-27 DOI: 10.22456/1679-9216.120514
Felipe Noleto de Paiva, B. Ferrari, Michelle Lussac Silva, Lizandra de Fátima Brandão Torquato, Max Ferreira De Andrade, M. Fernandes, T. S. Costa, J. I. Fernandes
Background: Urethral tumors are uncommon in canines, represented predominantly by transitional cell carcinoma, marked by aggressive behavior associated with short life expectancy. Definitive diagnosis is achieved by histopathological analysis. Surgery associated with chemotherapy is the main therapeutic alternative. The aim of this paper is to report a case of primary transitional cell carcinoma of the urethra in a bitch, submitted to surgical treatment associated with conventional adjuvant chemotherapy and metronomic chemotherapy, achieving survival of 21 months, to date.Case: A 12-year-old bitch mixed breed was admitted at the Veterinary Hospital of Federal Rural University of Rio de Janeiro (UFRRJ), manifesting hematuria and urinary incontinence for one month. Physical examination indicated that vital parameters were within normal limits. Laboratory tests of blood count and serum biochemistry, urinalysis, culture, urinary antibiogram, and abdominal ultrasound were performed. The ultrasound image suggested a neoplastic urethral process. Because of the suspicion of neoplasm, a thoracic X-ray was performed, showing no evidence of metastasis. Computed tomography (CT) of the abdominal region was performed, revealing an expansive lesion in the urethra with loss of definition of the walls and urethral lumen extending to the level of the pelvic floor, measuring about 2.9 x 1.4 x 1.2 cm. After pre-anesthetic exams, the animal underwent resection and surgical anastomosis of the affected urethral region. The sectioned tissue was sent for histopathological analysis, with diagnosis of transitional cell carcinoma. Adjuvant chemotherapy was performed using carboplatin at a dose of 250 mg/m², intravenously, every 21 days for 6 sessions. After completing the protocol, abdominal ultrasonography was performed again, which showed a cicatricial process in the urethral region of the surgical excision, with no sign of tumor recurrence. A metronomic chemotherapy protocol was then started with cyclophosphamide at a dose of 15 mg/m², daily for 6 months, with periodic oncological follow-up. At the end of the period, the animal remained under periodic follow-up with ultrasound exams performed at 2-month intervals, and has been free from recurrence for 21 months until now.Discussion: Urethral neoplasms account for 0.5 - 2% of all canine tumors, and are represented mostly by transitional cell carcinomas. Clinical signs of urinary obstruction and hematuria are the most common, as reported in the patient in question. The definitive diagnosis is by histopathological examination. However, imaging tests such as computed tomography are important in the initial investigation and surgical planning. The indicated treatment is surgical resection of the mass with subsequent adjuvant chemotherapy or radiotherapy. The chemotherapy protocol associating cisplatin and piroxicam can achieve remission rates of 70%, but this association has a high nephrotoxic effect. In the present case, c
背景:尿道肿瘤在犬类中并不常见,主要表现为移行细胞癌,其特征是攻击性行为,且预期寿命短。最终诊断是通过组织病理学分析。手术联合化疗是主要的治疗选择。本文报告1例母狗原发性尿道移行细胞癌,经手术治疗,伴常规辅助化疗及节律化疗,存活21个月。病例:一只12岁的混血母狗在里约热内卢联邦农村大学兽医院(UFRRJ)住院,表现为血尿和尿失禁一个月。体格检查显示重要参数在正常范围内。进行了血球计数和血清生化、尿液分析、培养、尿抗菌谱和腹部超声等实验室检查。超声提示肿瘤性尿道突。由于怀疑为肿瘤,行胸片检查,未见转移迹象。腹部计算机断层扫描(CT)显示尿道扩张病变,尿道壁和尿道管腔模糊,延伸至盆底,尺寸约为2.9 x 1.4 x 1.2 cm。在麻醉前检查后,动物接受了受影响尿道区域的切除和手术吻合。切片组织送组织病理分析,诊断为移行细胞癌。辅助化疗使用卡铂,剂量为250 mg/m²,静脉注射,每21天进行6次。完成方案后再次行腹部超声检查,发现手术切除的尿道区有瘢痕化过程,未见肿瘤复发迹象。然后以环磷酰胺15mg /m²的剂量开始节律化疗方案,每日6个月,并定期进行肿瘤随访。期间结束后,动物仍定期随访,每2个月进行一次超声检查,至今已有21个月无复发。讨论:尿道肿瘤占犬所有肿瘤的0.5 - 2%,以移行细胞癌为主。尿路梗阻和血尿的临床症状是最常见的,正如所报道的病人。最终的诊断是通过组织病理学检查。然而,影像学检查,如计算机断层扫描是重要的初步调查和手术计划。适应症的治疗是手术切除肿块并辅以化疗或放疗。联合顺铂和吡罗昔康的化疗方案可以达到70%的缓解率,但这种联合有很高的肾毒性作用。在本病例中,顺铂被卡铂取代,以减少化疗的肾毒性作用。在常规化疗方案结束时,使用环磷酰胺的节拍法方案作为维持治疗。在尿道区移行细胞癌的病例中,获得的生存时间比文献中描述的要长。因此,采用手术联合常规和节奏化疗的多模式治疗是犬尿道癌的一种选择。关键词:犬,尿道肿瘤,手术,化疗。Título:输尿管癌primário迟发性肿瘤-多模式治疗描述:犬,输尿管瘤变,神经痛,畸形。
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引用次数: 0
Stephanofilariasis in Holstein Cows - Diagnostic Approach In Southern Brazil 荷斯坦奶牛的斯蒂芬丝虫病-巴西南部的诊断方法
IF 0.2 4区 农林科学 Q4 Veterinary Pub Date : 2022-04-23 DOI: 10.22456/1679-9216.118203
Janez Matos, Samoel Ricardo Maldaner, L. Gruchouskei, Luciana Machado, F. Zuliani, A. M. B. Cavalca, C. E. F. Alves, F. Elias
Background: Stephanofilariasis is a parasitic disease caused by the nematode Stephanofilaria spp., considered a zoonotic disease, that affects several species, mainly dairy cattle. The condition causes chronic ulcerative dermatitis, due to the mechanical action of the parasite on the hair follicles and dermal papillae. The recommended diagnostic method is histopathological examination, but alternative methods have been studied for the detection of the agent since it does not demonstrate good results. There is no specific treatment, however, the use of organophosphates is recommended.  The objective of this work is to report an outbreak of stephanofilariasis with unusual lesions in cattle from a dairy cattle farm in the city of Boa Vista do Buricá, RS, Brazil, as well as to demonstrate an alternative method for the diagnosis of the disease.Cases: We prospectively evaluated 15 Holstein cows, aged between 1 and 10-year-old whose data and materials for diagnosis, were provided by the property owner. The outbreak occurred in the summer, in a period of greater rainfall, affecting cows of different ages and totaling 48% of the herd. These showed ulcerative lesions on the skin of the groin, limbs and interdigital regions, and less frequently in the udder. The samples were obtained through tissue biopsy and scraped from the lesions, being packed in 10% formaldehyde for fixation. Afterward, the formaldehyde was centrifuged at 800 g for 5 min, which consisted of analyzing the sediment through optical microscopy and without staining, aiming at the direct search of the agent. The tissues, on the other hand, underwent routine processing and stained with Hematoxylin and Eosin. Histopathological analysis did not reveal Stephanofilaria sp. subjects in morphological analysis and revealed acanthosis, spongiosis, ulcers and fibrosis in the analyzed tissue. The examination of direct research with formaldehyde proved to be efficient, and fast. In the direct examination of the agent, structures similar to filarial and compatible with Stephanofilaria sp. in all samples. Thus, the present study demonstrated that filariasis can present in the form of outbreaks and with unusual injuries. The examination of direct research with formaldehyde, proved to be efficient and fast.Discussion: Semi-confined and confined animals may have a higher occurrence of strephanofilariasis, since the parasite needs humid and warm environments to proliferate and that, the proliferation of stephanophilariasis vectors is intensified in environments with low sunlight, high temperatures, high humidity, and low cleaning frequency. The city of Boa Vista do Buricá, where the outbreak occurred, reached a minimum average temperature of 18.5ºC and an average of 29ºC, with an average rainfall of 120.5 mm. Cutaneous lesions have been seen in animals from 1 to 10 years of age and no racial predisposition, age, or blackout stage is reported. The histological diagnosis, although mentioned as a form of diagn
背景:Stephanofilasis是一种由线虫Stephanofillaia spp.引起的寄生虫病,被认为是一种人畜共患疾病,影响多个物种,主要是奶牛。由于寄生虫对毛囊和毛乳头的机械作用,这种情况会导致慢性溃疡性皮炎。推荐的诊断方法是组织病理学检查,但已经研究了检测该药物的替代方法,因为它没有显示出良好的结果。没有具体的治疗方法,但建议使用有机磷酸酯。这项工作的目的是报告巴西RS州博阿维斯塔-多布里卡市一家奶牛场爆发的牛身上有异常病变的继丝虫病,并证明诊断该疾病的替代方法。病例:我们前瞻性评估了15头荷斯坦奶牛,年龄在1至10岁之间,其诊断数据和材料由业主提供。疫情发生在夏季,当时降雨量较大,影响了不同年龄的奶牛,占牛群总数的48%。这些显示腹股沟、四肢和指间区域的皮肤有溃疡性病变,而乳房的溃疡性病变频率较低。样品通过组织活检获得,并从病变处刮取,用10%甲醛包装固定。然后,将甲醛以800g离心5分钟,包括通过光学显微镜分析沉积物,不染色,目的是直接搜索试剂。另一方面,对组织进行常规处理,并用苏木精和曙红染色。组织病理学分析未显示Stephanofilaria sp.受试者在形态学分析中,并在分析的组织中显示棘皮病、海绵状血管病、溃疡和纤维化。对甲醛直接研究的检查被证明是有效和快速的。在药剂的直接检查中,所有样品中的结构与丝虫相似,并与Stephanofilaria sp.相容。因此,本研究表明,丝虫病可以以暴发和异常伤害的形式出现。直接研究甲醛的检查,证明是有效和快速的。讨论:半密闭和密闭动物可能会更容易发生链球菌性疟病,因为寄生虫需要潮湿和温暖的环境才能繁殖,而在低阳光、高温、高湿度和低清洁频率的环境中,亲草病媒介的增殖会加剧。疫情发生地博阿维斯塔-多布里卡市的最低平均气温为18.5ºC,平均气温为29ºC,降雨量为120.5毫米。在1至10岁的动物身上发现了皮肤损伤,没有种族倾向、年龄或停电阶段的报告。组织学诊断虽然被称为一种诊断形式,但在发现组织中的寄生虫方面效率较低,也被用作诊断、用盐水直接检查药剂以及用Romanoswsky方法染色的病变印象。然而,在这份报告中,甲醛被证明是一种新的选择,与盐水一样有效。关键词:丝虫病,苍蝇,线虫,奶牛,人畜共患疾病,直接检查,泌乳溃疡。
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引用次数: 0
Mediastinal Lymphoma in a Cat with Feline Leukemia Virus Mediastinal Lymphoma in a Cat with Feline Leukemia Virus 猫白血病病毒感染猫的纵隔淋巴瘤
IF 0.2 4区 农林科学 Q4 Veterinary Pub Date : 2022-04-23 DOI: 10.22456/1679-9216.119979
Luana Baptista De Azevedo, Bruna Bertin Fenner, S. Dalegrave, Camilla Federizzi Vedana, Letícia Ângela Tomazzoni Toigo, Natali Gabriela Gauer, E. C. De Oliveira
Background: Mediastinal lymphoma occurs at a high incidence in cats positive for feline leukemia virus (FeLV). It is a malignant lymphocytic neoplasm that may trigger clinical signs such as dyspnea, apathy, regurgitation, and weight loss. The objective of this work is to report a case of mediastinal lymphoma associated with FeLV in a cat, and describe the clinical, pathological, diagnostic, and therapeutic aspects that can help the diagnosis and treatment of this disease.Case: A 3-year-old male neutered cat weighing 4.6 kg, positive for FeLV, and with a history of dyspnea and hyporexia was referred to a private veterinary clinic in the city of Caxias do Sul, RS, Brazil. The only alteration found at the clinical examination was a muffled sound during lung auscultation. Radiographs of the thorax revealed the presence of pleural effusion; after drainage of the fluid, a mass located in the mediastinal area became radiographically observable. An analysis of the effusion fluid showed high cellularity characterized by a markedly pleomorphic population of individual round cells consistent with lymphocytes. Small lymphocytes with a high nucleus:cytoplasm ratio, round nucleus, condensed chromatin, and inconspicuous nucleoli were observed, along with medium and large lymphocytes. The medium and large lymphocytes were characterized by a variably increased nucleus:cytoplasm ratio and a scant to moderate cytoplasm exhibiting moderate to intense basophilia and, occasionally, vacuoles. The nuclei were round, idented, or irregular; most of them were located eccentrically and contained coarse to finely granular chromatin. Nucleoli varied from single to multiple, round to angular, and central to peripheral and prominent. Macronucleoli and marked anisonucleosis were also observed, as well as binucleated cells and rare multinucleated cells. The conclusion was that it was a case of neoplastic effusion caused by a lymphoma. After an appointment with an oncologist, a chemotherapy protocol was established. The treatment of choice was CHOP, a combination of cyclophosphamide (20 mg/kg orally), doxorubicin (1 mg/kg intravenously), vincristine (0.5 mg/m2 intravenously), and prednisolone with a regressive dose starting at 2 mg/kg. The patient underwent 4 rounds of chemotherapy, and received a maintenance treatment thereafter. The patient’s condition remained stable for 390 days without relevant clinical or hematological alterations.Discussion: The diagnosis of mediastinal lymphoma was established by associating clinical finings, laboratory exams, and radiographic findings. Exams of utmost importance to reach this diagnosis were the thoracic radiography, which revealed the presence of a mass in the thorax, and the cytopathological analysis of the effusion fluid, as round cell neoplasms are easily dissociated. Young cats are the group most affected by FeLV, and mediastinal lymphoma is considered the most prevalent type of lymphoma in this species. The most common clinical sig
背景:纵隔淋巴瘤在猫白血病病毒(FeLV)阳性的猫中发病率很高。它是一种恶性淋巴细胞肿瘤,可引起呼吸困难、精神淡漠、反流和体重减轻等临床症状。本研究的目的是报道一例猫纵隔淋巴瘤伴FeLV的病例,并描述其临床、病理、诊断和治疗方面的情况,以帮助该病的诊断和治疗。病例:一只体重4.6 kg的3岁雄性绝育猫,FeLV呈阳性,有呼吸困难和缺氧史,被转诊到巴西南卡西亚斯市的一家私人兽医诊所。临床检查中发现的唯一改变是肺听诊时的杂音。胸部x线片显示胸腔积液;引流液体后,位于纵隔区域的肿块在影像学上可见。对渗出液的分析显示高细胞性,其特征是明显多形性的单个圆形细胞群,与淋巴细胞一致。淋巴细胞小,核质比高,核圆,染色质浓缩,核仁不明显,中、大淋巴细胞可见。中淋巴细胞和大淋巴细胞的特点是核与细胞质比例不同程度地增加,少量到中等的细胞质表现出中度到强烈的嗜碱性,偶尔出现液泡。细胞核圆形、有锯齿状或不规则;它们大多位于偏心位置,含有粗至细粒状的染色质。核仁从单个到多个,圆形到角状,从中心到周围和突出。可见大核仁和明显的异核细胞增多,双核细胞和罕见的多核细胞。结论:这是一例淋巴瘤引起的肿瘤积液。在与肿瘤学家预约后,制定了化疗方案。治疗的选择是CHOP,环磷酰胺(口服20mg /kg),阿霉素(静脉注射1mg /kg),长春新碱(静脉注射0.5 mg/m2)和强的松龙的组合,开始剂量为2mg /kg。患者化疗4轮,术后给予维持治疗。患者病情稳定390天,无相关临床或血液学改变。讨论:纵膈淋巴瘤的诊断是通过临床表现、实验室检查和影像学表现来确定的。对这种诊断最重要的检查是胸部x线片,它显示了胸部肿块的存在,以及积液的细胞病理学分析,因为圆形细胞肿瘤很容易分离。幼猫是受FeLV影响最大的群体,纵膈淋巴瘤被认为是该物种中最常见的淋巴瘤类型。最常见的临床症状是呼吸困难;然而,也可能出现其他症状,如冷漠、体重减轻、反流(由于食道受压)和霍纳综合征(由于胸椎交感神经受压)。这种疾病用化疗治疗,CHOP常被用作化疗方案。这种疾病的预后研究表明,较长时间的良好治疗反应表明,在纵隔淋巴瘤病例中,正确的诊断以及果断的方法和导师的合作是必不可少的。关键词:猫,肿瘤,病毒,纵隔,积液。Título:纵隔淋巴结肿大vírus da猫白血病;诊断:淋巴结肿大,vírus,纵隔淋巴结肿大,efus
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