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Pseudopterygium in a Rabbit - Treatment with Tracolinus 兔假性翼状胬肉的治疗
IF 0.2 4区 农林科学 Q4 Veterinary Pub Date : 2022-01-01 DOI: 10.22456/1679-9216.116675
Fernanda Iensen Farencena, C. Krebs, Giulia Brambila Girondi, Guilherme Rech Cassanego, L. Côrrea
Background: Pseudopterygium, also known as aberrant conjunctival growth, is poorly described in the literature, although it is known that this abnormality is uncommon and affects dwarf rabbits and their crossbreeds. The etiology of this disease is unknown, but there are hypotheses that the conjunctival growth cause may have its origins in immunological factors, inflammation, traumatic conditions, or cartilage dysplasias. Thus, this study reports the treatment efficacy applied in a rabbit, through the continuous use of tracolimus eye drops, after surgical procedure of conjunctival fold resection, as a way of controlling the pseudopterygium in rabbits.Case: This case report discusses the positive results from the surgical and therapeutic conduct of a clinical case attended by the Ophthalmology and Microsurgical Veterinary Service at the Hospital Veterinário Universitário (HVU) of the UFSM. The patient was a male rabbit, sterilized cunicle, approximately 2-year-old, crossed with a dwarf rabbit. The owner's main complaint was the change in the aspect of the left eye, with progressive worsening in the previous four weeks. In the ophthalmological examination, the animal did not present impaired vision or discomfort, however, a vascularized pink membrane was noted, which consisted of a fold of the bulbar conjunctiva, that grew centripetally and covered 90% of the cornea in 360 degrees. The diagnosis was confirmed through visual inspection and the patient's history. The eye alteration had a characteristic aspect, described as proliferation of the bulbar conjunctiva over the cornea, in a centripetal manner and without signs of inflammation. In addition, other ophthalmological alterations were ruled out during the patient's physical and specific examination. The patient was referred for anesthetic evaluation and, in addition, pre-surgical blood tests were performed, which were normal, according to the expected ranges for the species. Subsequently, the animal was submitted to surgical treatment, which consisted of dividing the exuberant conjunctiva, followed by three radial incisions in equal portions. Next, the conjunctival fold was completely incised to the edge of the limbus, without the need of sutures. Anterior lamellar keratectomy was performed on the portion where the membrane was attached to the cornea. For home care, tobramycin-based eye drops (QID, for 7 days) and 0.02% aqueous tacrolimus eye drops (BID - continuous use) were prescribed. The animal was reevaluated 7, 14, 30, 60, 120 and 180 days after surgical correction, and no recurrence of pseudopterygium was observed during the follow-up period. The prognosis of patients with pseudopterygium is reserved, as it is known that the disease may recur after surgical treatment. Therefore, the continuous use of the chosen immunomodulating eye drops was recommended as well as periodic follow-up of the patient.Discussion: In the current study, it was not possible to increase knowledge regarding about th
背景:假翼状胬肉,也被称为异常结膜生长,在文献中描述很少,尽管已知这种异常不常见,并影响矮兔及其杂交品种。这种疾病的病因尚不清楚,但有假设认为结膜生长的原因可能源于免疫因素、炎症、创伤条件或软骨发育不良。因此,本研究报道了在家兔结膜折叠切除手术后,通过持续使用tracolimus滴眼液来控制家兔假性翼状胬肉的治疗效果。病例:本病例报告讨论了联合fsm医院Veterinário Universitário (HVU)眼科和显微外科兽医服务处参加的一个临床病例的手术和治疗行为的积极结果。患者是一只雄性兔子,绝育圈,大约2岁,与一只矮兔杂交。患者的主要主诉是左眼外观的改变,在过去四周内逐渐恶化。在眼科检查中,动物没有出现视力受损或不适,然而,发现一层血管化的粉红色膜,由球结膜的褶皱组成,向心生长,360度覆盖90%的角膜。通过目视检查和患者病史确诊。眼睛的改变有一个特征性的方面,描述为球结膜在角膜上以向心方式增殖,没有炎症的迹象。此外,在患者的体格检查和特殊检查中排除了其他眼科改变。患者被转诊进行麻醉评估,此外,根据该物种的预期范围,进行了术前血液检查,结果正常。随后,动物被提交到手术治疗,其中包括分割旺盛的结膜,然后在三个相同部分的径向切口。接下来,结膜折叠完全切开到角膜缘边缘,不需要缝合。前板层角膜切除术是在角膜膜附着的部分进行的。对于家庭护理,给予妥布霉素滴眼液(QID,连续使用7天)和0.02%他克莫司滴眼液(BID -连续使用)。术后7天、14天、30天、60天、120天和180天对动物进行再评估,随访期间未见假性翼状胬肉复发。假性翼状胬肉患者的预后是保留的,因为已知该疾病可能在手术治疗后复发。因此,建议持续使用所选的免疫调节眼药水,并定期随访患者。讨论:在目前的研究中,不可能增加关于假性翼状胬肉病因学的知识。虽然这种情况并不严重,但它会导致部分视力受损和慢性不适。然而,与文献中描述的其他病例一致,本病例中兔子的视野保持不变。此外,没有发现患者不适的迹象。文献中描述的一些矫正假性翼状胬肉的手术技术,显示了膜的生长复发。建议使用免疫调节药物控制复发。本研究对tracolimus滴眼液的疗效进行了测试,并在术后很长一段时间内对患者进行了评价。使用免疫调节剂是辅助局部治疗控制假性翼状胬肉生长的一种选择,与矫正手术治疗相结合,已显示出积极的结果。关键词:结膜,异常,免疫调节剂,治疗,兔子。Título: Pseudopterígio em coelho -治疗com tracolimusdescription:结缔组织,异常,免疫调节,治疗,coelho。
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引用次数: 0
Nephrectomy in a Dog infected with Dioctophyma renale - Mato Grosso do Sul, Brazil 巴西南马托格罗索州一只感染肾二胞体瘤的狗的肾脏切除术
IF 0.2 4区 农林科学 Q4 Veterinary Pub Date : 2022-01-01 DOI: 10.22456/1679-9216.117799
M. R. Santos, Camila B do Nascimento, Júlia De Mendonça Favacho, Camila Maria Dos Santos, Miwa Fabiane Suzukawa, A. Favacho
Background: Dioctophymosis is caused by Dioctophyma renale, a parasite known as the giant kidney worm, that can parasitize the kidneys of domestic and wild animals. There are also reports of its occurrence in humans, thus revealing its zoonotic potential. In most cases, parasitized animals are asymptomatic. This parasite can cause atrophy or destroy the renal parenchyma, although ectopic locations may occur. The diagnosis is made through ultrasonography, based on the presence of eggs in the urine, visualization of the parasite, or during necropsy. Therefore, the aim of this work was to report the case of a young dog infected with D. renale and subjected to nephrectomy in the state of Mato Grosso do Sul, Brazil.Case: A 6-month-old bitch with a clinical suspicion of hydronephrosis in the right kidney was referred to the Veterinary Hospital of Anhanguera-Uniderp University in the city of Campo Grande, MS. A physical examination of the patient revealed an alteration in the urinary system.  An abdominal ultrasound, urinalysis, complete blood count (CBC) tests and biochemical profile were ordered. The erythrogram indicated erythrocytosis resulting from dehydration and loss of body fluids, while enzyme levels (creatinine, urea, alanine aminotransferase [ALT] and albumin) were within normal limits. The abdominal ultrasound showed the presence of a cylindrical and rounded structure characteristic of a nematode and in the right kidney, and loss of renal parenchyma typical of D. renale infection. A urinalysis then revealed the presence of helminth eggs, confirming the diagnosis. The owner was informed about the need for nephrectomy of the affected right kidney, which showed destruction of the renal parenchyma. One adult female and one adult male parasite were removed from inside the kidney, measuring approximately 50 cm and 35 cm in length. The patient was successfully treated, kept in hospital for observation, and returned two weeks later for reassessment of her renal function and removal of stitches. Discussion: Dioctophymosis is often diagnosed based on ultrasound and urine tests. These tests proved sufficient to diagnose parasitism by D. renale. However, the infection is usually discovered during necropsy.  D. renale is popularly known as the giant kidney worm, as it can reach up to 100 cm in length. In the present case, the female parasite was 50 cm long and the male was 35 cm. The patient presented parasitism very young, at just 6 months of age. The parasitic infection of the animal was attributed to the ingestion of water or food contaminated with an intermediate host, the aquatic annelid Lumbriculus variegatus. It is suggested that the ingestion of food or water contaminated with the infective stage of the parasite may have occurred at 2 months of age or younger, since the prepatent period is approximately 6 months. The parasite was found only in the patient’s right kidney. Hydronephrosis was reported in the patient and was caused by obstruction of
背景:双爪虫病是由肾双爪虫引起的,这是一种被称为巨型肾虫的寄生虫,可以寄生在家畜和野生动物的肾脏上。也有报告称其在人类中发生,从而揭示了其人畜共患的可能性。在大多数情况下,被寄生的动物是无症状的。这种寄生虫可引起肾实质萎缩或破坏,尽管可能发生异位。诊断是通过超声检查,根据尿液中卵的存在,寄生虫的可视化,或在尸检期间。因此,本研究的目的是报告巴西南马托格罗索州一只感染肾性肾病并接受肾切除术的幼犬的病例。病例:一只6个月大的母狗,临床怀疑右肾积水,被转诊到ms坎波格兰德市的Anhanguera-Uniderp大学兽医院,患者的体检显示泌尿系统改变。要求进行腹部超声、尿液分析、全血细胞计数(CBC)测试和生化分析。红血图显示由于脱水和体液流失导致的红细胞增多,而酶水平(肌酐、尿素、谷丙转氨酶和白蛋白)在正常范围内。腹部超声显示右肾出现线虫特征的圆柱形和圆形结构,肾脏实质丢失,这是肾性弓形虫感染的典型表现。随后的尿液分析显示存在蠕虫卵,证实了诊断。业主被告知需要对受影响的右肾进行肾切除术,结果显示肾实质已被破坏。从肾脏内取出一只成年雌性和一只成年雄性寄生虫,长度分别约为50厘米和35厘米。患者治疗成功后留院观察,两周后返回医院重新评估肾功能并拆线。讨论:双爪虫病通常根据超声和尿液检查诊断。这些试验证明足以诊断肾芽孢杆菌的寄生。然而,感染通常是在尸检中发现的。D. renale通常被称为巨型肾虫,因为它的长度可以达到100厘米。在本病例中,雌性寄生虫长50厘米,雄性寄生虫长35厘米。患者在很小的时候就出现了寄生虫病,只有6个月大。该动物的寄生虫感染是由于摄入了被一种中间宿主(水生环节动物斑蚓)污染的水或食物。据推测,被寄生虫感染期污染的食物或水可能发生在2个月或更小的时候,因为前潜伏期约为6个月。这种寄生虫只在病人的右肾中被发现。据报道,该患者肾积水是由成虫阻塞内尿道口引起的。在这种情况下,推荐的手术治疗是肾切除术,患者接受了手术,并成功康复。该病例发生在南马托格罗索州,与巴西其他州不同的是,该州没有家犬感染雷氏弓形虫的记录。因此,鉴于缺乏描述该寄生虫的流行病学数据、生物周期和诊断的明确记录,这可能会阻碍这种人畜共患疾病的预防和控制,我们强调开展新的研究的重要性。关键词:犬双爪虫,蠕虫,类线虫,巨肾虫,肾积水。描述:犬科线虫、蠕虫、线虫、巨型肾线虫、汗腺线虫。
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引用次数: 0
Short-term Heart Rate Variability Analysis in Healthy Dogs of Different Ages 不同年龄健康犬短期心率变异性分析
IF 0.2 4区 农林科学 Q4 Veterinary Pub Date : 2022-01-01 DOI: 10.22456/1679-9216.118578
Luciene Maria Martinello Romão, Amanda Sarita Cruz Aleixo, F. Romão, Mayra de Castro Ferreira Lima, M. Tsunemi, S. Chiacchio, M. Godoy, M. Lourenço
Background: The modulation of heart rate by autonomic nervous system may be evaluated by the heart rate variability (HRV), which illustrates the fluctuations between RR intervals. To evaluate this analysis, the intervals between 2 QRS complexes are measured. In general, high HRV values are expected in healthy individuals; otherwise, low values are indicative of organism dysfunction. Studies conducted in healthy humans show that HRV suffers reduction with ageing and that there is autonomic immaturity in neonates. The aim of this study was to describe the characteristic pattern of cardiac autonomic behavior in healthy dogs in different age groups through short-term HRV analysis.Materials, Methods & Results: A total of 87 healthy dogs were studied. HRV was analyzed in time and frequency domain, using Holter and heart rate monitor. It was observed that puppies (below one year old) presented a lower parasympathetic predominance and, consequently, lower HRV values on time domain (SDNN, PNN50% e RMSSD) compared to the other 2 groups and on frequency domain (LF, HF and LF/HF) compared to the adult animals group (between 1 and 7-year-old), which presented higher HRV values when compared to the other groups. Elderly dogs (over 8-year-old) exhibited a natural tendency to decrease cardiac parasympathetic HRV indexes.Discussion: The use of the HRV method as a prognostic index and as an arrhythmogenic marker for various canine heart diseases presents interesting perspectives. However, before it may be employed for these purposes, a better understanding should be established regarding the physiological behavior of autonomic cardiac modulation in different age groups to serve as a basis for future analyses. This study observed that puppies presented higher values for HR and, therefore, shorter RR intervals than the other groups (adult and elderly dogs), what was observed on Holter and heart rate monitor methods (HRM). There were significant differences between puppies and the other 2 groups (adults and elderly) for all time-domain variables using both methods (Holter and HRM methods). SDNN was significantly lower in puppies compared to adults and elderly dogs. In addition, both RMSSD and PNN50%, which were more reliable over shorter periods of time, also presented means and medians that were significantly lower in puppies. Regarding frequency-domain HRV parameters observed on Holter method, these indexes were decreased on the elderly group compared to adult dogs, which is a possible effect of aging. Also, puppies revealed lower frequency-domain HRV parameters on both methods when compared to adult dogs. The influence of age on HRV is possibly related to the stage of development of an individual, starting at conception up to the maturity in relation to the mechanisms that cause variations in HR. There are studies in humans that suggest a gradual increase in parasympathetic activity during childhood, followed by a steady decrease as aging occur. The present study
背景:自主神经系统对心率的调节可以通过心率变异性(HRV)来评价,HRV反映了RR间期的波动。为了评价这一分析,测量了两个QRS复合物之间的间隔。一般来说,健康人的HRV值较高;否则,低值表明机体功能障碍。在健康人身上进行的研究表明,HRV随着年龄的增长而减少,并且新生儿存在自主神经不成熟。本研究旨在通过短期HRV分析,描述不同年龄组健康犬心脏自主行为的特征模式。材料、方法与结果:选取健康犬87只。采用动态心电图和心率监测仪对HRV进行时域和频域分析。结果表明,幼犬(1岁以下)副交感神经优势较低,因此在时域(SDNN、PNN50%和RMSSD)和频域(LF、HF和LF/HF)上的HRV值均低于成年动物组(1 ~ 7岁),而成年动物组(1 ~ 7岁)的HRV值高于其他组。老年犬(8岁以上)表现出降低心脏副交感神经HRV指数的自然趋势。讨论:使用HRV方法作为各种犬心脏病的预后指标和心律失常标志物,提出了有趣的观点。然而,在将其用于这些目的之前,应该对不同年龄组的自主心脏调节的生理行为有更好的了解,以作为未来分析的基础。本研究发现,与其他组(成年犬和老年犬)相比,幼犬的HR值更高,因此RR间隔更短,这是通过霍尔特和心率监测方法(HRM)观察到的。使用两种方法(Holter和HRM方法),幼犬与其他两组(成人和老年人)在所有时域变量上均存在显著差异。与成年狗和老年狗相比,幼犬的SDNN明显较低。此外,在较短时间内更为可靠的RMSSD和PNN50%在幼犬中的平均值和中位数也明显较低。在Holter法观察到的HRV频域参数中,与成年犬相比,老年组的这些指标有所下降,这可能是衰老的影响。此外,与成年狗相比,幼犬在两种方法上都显示出更低的频域HRV参数。年龄对HRV的影响可能与个体的发育阶段有关,从受孕到成熟,这与导致HRV变化的机制有关。对人类的研究表明,副交感神经活动在儿童时期逐渐增加,随后随着年龄的增长而稳步下降。目前的研究在狗身上观察到了同样的模式。狗的交感神经系统和副交感神经系统之间的平衡受年龄的影响,这在短期内会改变HRV值。HRV方法的分析相对简单,无创评估心脏自主功能;此外,它还被广泛用于人类医学中,作为心源性猝死的风险指标。24小时HRV分析极具挑战性,因为它耗时、昂贵、延误诊断,并且有大量伪影;通过这种方式,制定了其短期分析的标准。关键词:心脏病学,自主神经系统,心率监测仪,动态心电图。
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引用次数: 0
Nasal Transmissible Venereal Tumor (TVT) in Dogs 犬鼻传染性性病肿瘤(TVT)
IF 0.2 4区 农林科学 Q4 Veterinary Pub Date : 2022-01-01 DOI: 10.22456/1679-9216.117791
F. Conte, A. Strack, A. L. Bastos-Pereira, M. L. Pereira
Background: Transmissible venereal tumors (TVT) are naturally occurring neoplasms that can be transmitted through copulation or cell transplantation. It is a disease that affects canines, has no preference for sex or breed, and generally noticed in the external genital apparatus. Extragenital occurrence may eventually be seen; however, nasal involvement has been described in only a few reports of studies conducted in Brazil. Therefore, the objective of this study is to report 3 cases of nasal TVT in dogs who were treated in 2 municipalities in the mountainous region of Santa Catarina, Brazil.Cases: This case report includes 3 male mixed-breed canines of age 3-13. Only 1 of the animals was castrated. As per the medical history, some points, such as an enlarged nasal region, sneezing, nasal discharge, and hoarseness, reported by the dogs’ respective owners were similar among all the dogs. Likewise, nosebleed was observed on physical examination in all the cases. The result of cytological examination was inconclusive only in 1 case. Rhinoscopy, incisional biopsy, and histopathological examination were then performed for achieving a definitive diagnosis. In the 2 cases wherein cytology gave conclusive results, the cytological smears showed changes suggestive of TVT, such as cells with eccentric nuclei and little cytoplasm, which had vacuoles inside them. In 2 cases, radiographic examinations of the skull were also performed. The images showed changes in bone radiopacity, conformation of trabeculae with areas of bone lysis and cell proliferation, and irregularity in the contour of the nasal bone. After TVT diagnosis was confirmed, chemotherapy was initiated using vincristine at a dose of 0.75 mg/m2 for 2 cases and 0.025 mg/kg for the remaining case. The number of chemotherapy sessions and duration of treatment until the resolution of lesions and clinical signs varied as per the differences in the patients’ blood counts performed prior to each session.Discussion: TVT occurs between 1 and 7 years of life. It occurs more frequently in sexually active animals and has no preference for breed. Of the 3 cases reported herein, only one of the patients was elderly. All the patients were male mixed-breed dogs, and only 1 of them was castrated. The implantation of neoplastic cells through natural mounts, licks, scratches, or bites of affected areas are the most widely accepted reasons for the transmission of this neoplasm. With regard to the nasal presentation described in the present report, it is hypothesized that the smelling or licking of the neoplastic areas by the animal may favor cell implantation, leading to the subsequent development of a tumor. Nasal TVT should be considered as a differential diagnosis for dogs with chronic symptoms of the upper respiratory tract, such as increased local volume, nasal discharge, nosebleed, and sneezing. These signs are consistent with those described in this report. Radiographic evaluation was performed in 2 cases and
背景:传染性性病肿瘤(TVT)是自然发生的肿瘤,可通过交配或细胞移植传播。这是一种影响犬类的疾病,没有性别或品种的偏好,通常在外部生殖器上发现。最终可以看到外阴发生;然而,仅在巴西进行的几项研究报告中描述了鼻腔受累。因此,本研究的目的是报告在巴西圣卡塔琳娜山区的2个城市接受治疗的3例犬鼻TVT病例。病例:本病例报告包括3只3-13岁的雄性杂交犬。只有1只动物被阉割。根据病史,狗各自主人报告的某些点,如鼻面积扩大、打喷嚏、流鼻涕和声音嘶哑,在所有狗中都是相似的。所有病例体格检查均有鼻出血。只有1例细胞学检查结果不确定。然后进行鼻镜检查,切口活检和组织病理学检查以获得明确的诊断。细胞学检查结果明确的2例,细胞学涂片显示提示TVT的改变,如细胞核偏心,胞质少,胞内可见空泡。2例同时行颅骨x线检查。图像显示骨不透明改变,骨小梁构象伴骨溶解和细胞增生区,鼻骨轮廓不规则。确诊TVT后,开始使用长春新碱化疗,2例剂量0.75 mg/m2,其余病例剂量0.025 mg/kg。化疗疗程的次数和治疗的持续时间,直到病变和临床症状的消退,根据每次治疗前患者血液计数的差异而变化。讨论:TVT发生在1 - 7岁之间。它更常发生在性活跃的动物身上,并且对品种没有偏好。本文报告的3例患者中,只有1例为老年人。所有患者均为雄性杂交犬,其中1只被阉割。肿瘤细胞通过自然附着、舔舐、划伤或咬伤植入患处是最被广泛接受的肿瘤传播原因。关于本报告中描述的鼻腔表现,假设动物闻到或舔舐肿瘤区域可能有利于细胞植入,导致随后的肿瘤发展。对于有上呼吸道慢性症状的犬,如局部体积增大、流鼻水、鼻出血和打喷嚏,应将鼻TVT视为鉴别诊断。这些迹象与本报告所描述的一致。我们对2例患者进行了影像学检查,均显示骨不透明和小梁构象的改变,以及肿瘤过程中常见的骨溶解和细胞增殖区域。可根据病史、临床症状和体格检查作出推定诊断。细胞学和组织病理学检查是证实方法;然而,很少使用,特别是当细胞学评估不能提供明确的诊断时。长春新碱抗肿瘤化疗是首选的治疗方案,在本报告中也被证明是有效的。虽然TVT通常影响狗的外生殖器,但在本文报道的病例中,它仅位于鼻腔区域。关键词:TVT,犬,鼻,长春新碱。Título:肿瘤venimacreo transmissível (TVT)鼻emc描述:TVT, c,鼻,长春新碱。
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引用次数: 1
West Nile Fever Virus Infection in Horses in São Paulo State, Brazil 巴西圣保罗州马感染西尼罗河热病毒
IF 0.2 4区 农林科学 Q4 Veterinary Pub Date : 2022-01-01 DOI: 10.22456/1679-9216.117796
R. F. Siqueira, Viviane Soares Hansen, M. Martins, M. Leal, E. Bondan
Background: The West Nile virus (WNV) antibodies were reported in Brazil in the serum samples taken from horses and birds in the Midwest region and Paraíba state in 2008 and 2013, respectively. In 2014, the first human case was confirmed in a rural worker in the state of Piauí and, in 2018, the virus was isolated from the central nervous system of a horse with nervous symptoms in the state of Espírito Santo. The virus is a member of the Flaviviridae family of the genus Flavivirus (neurotropic), infecting several mammalian species, with humans and horses being the most susceptible. Approximately 35% of horses develop clinical signs, thus they are considered the best sentinels for this disease. The aim of this case report is to describe the first confirmed cases of West Nile Fever (WNF) in two horses in the state of São Paulo.Cases: Two horses with neurological symptoms were treated at the Veterinary Hospital of Cruzeiro do Sul University (São Paulo, SP), in 2019. Both horses came from neighboring regions that have a large Atlantic Forest preservation area and are also routes for migratory birds, known to be competent hosts for transmitting the West Nile Fever virus, such as the swallow, the falcon and the hawk. The first one had symptoms, such as weakness and sporadic seizures; however, after recovering, it was hospitalized a few days later due to kidney failure and laminitis. The second one showed incoordination, pelvic limb weakness, and was walking in circles, evolving to seizures. Both animals were euthanized, and their central nervous system samples and total blood samples were tested for rabies, herpes virus, and WNV; the first 2 tests showed negative results. Ribonucleic acids (RNA) were extracted from erythrocytes using the polymerase chain reaction (PCR) technique in-house. The WNV-specific reverse transcription-polymerase chain reaction amplification products were obtained using the nested PCR-multiplex PCR combination.Discussion: Since the 1940s, several WNF outbreaks have been reported around the world (Africa, Europe, Asia and Middle East). In the 2000s, the USA had the most amount of WNF cases reported; cases started being reported in Central and South America in the following years. The virus was identified for the first time in Brazil in 2014. Since then, our country is a route for migratory birds, with many states still having forests, several arboviruses are found such as WNF, which could become a public health problem. Both horses in the present study showed neurological signs and the horse that recovered had renal failure. Such signs are inconclusive, however, similar to those that occur in humans infected by the virus in its neurotropic form. The emergence of new diseases is an important aspect of public health. The literature is vast regarding the description of the pathogenesis, clinical signs, diagnosis, viral persistence and sequelae of WNF in humans, however, it is scarce regarding the viral persistence and sequelae of th
背景:2008年和2013年,巴西中西部地区和帕拉伊巴州的马和鸟类血清样本中分别报告了西尼罗河病毒(WNV)抗体。2014年,皮亚伊州的一名农村工人确诊了首例人类病例。2018年,该病毒从圣埃斯皮里托州一匹有神经症状的马的中枢神经系统中分离出来。该病毒是黄病毒属黄病毒科的一员,感染几种哺乳动物,其中人和马最易感染。大约35%的马出现临床症状,因此它们被认为是这种疾病的最佳哨兵。本病例报告的目的是描述圣保罗州两匹马首次确诊的西尼罗河热病例。病例:2019年,两匹有神经系统症状的马在南克鲁塞罗大学兽医医院接受治疗。这两匹马都来自邻近的大西洋森林保护区,也是候鸟的迁徙路线,众所周知,候鸟是传播西尼罗河热病毒的有效宿主,如燕子、猎鹰和鹰。第一个病人有虚弱和零星癫痫发作等症状;然而,在康复后,它在几天后因肾衰竭和椎板炎住院。第二个表现为不协调,骨盆肢体无力,走路绕圈,发展为癫痫发作。对两只动物实施安乐死,并对它们的中枢神经系统样本和总血液样本进行狂犬病、疱疹病毒和WNV检测;前两次检测结果均为阴性。使用聚合酶链式反应(PCR)技术从红细胞中提取核糖核酸(RNA)。使用套式PCR多重PCR组合获得WNV特异性逆转录聚合酶链式反应扩增产物。讨论:自20世纪40年代以来,世界各地(非洲、欧洲、亚洲和中东)都报告了几起WNF疫情。2000年代,美国报告的WNF病例最多;随后几年,中美洲和南美洲开始报告病例。该病毒于2014年在巴西首次被发现。从那时起,我国是候鸟的迁徙路线,许多州仍有森林,发现了几种树病毒,如WNF,这可能会成为一个公共卫生问题。本研究中的两匹马都出现了神经系统症状,康复后的马出现了肾衰竭。然而,这些迹象与被嗜神经型病毒感染的人类中出现的迹象相似,尚不确定。新疾病的出现是公共卫生的一个重要方面。关于WNF在人类中的发病机制、临床症状、诊断、病毒持续性和后遗症的描述文献很多,但关于该疾病在马中的病毒持续性及后遗症的文献却很少。未来的研究需要了解马感染后的时期,因为它们和人类一样是对这种病毒最敏感的动物。在这里,我们报告了圣保罗市首例WNF确诊病例,以提高人们对在诊断患有神经系统疾病的马时考虑这种疾病的认识。关键词:脑炎,马,黄病毒,蚊子。Título:感染2月初的pelo vírus do Nilo Ocidentital em equinos no Estado de São Paulo Descritores:脑炎、equinos、黄病毒、蚊子。
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引用次数: 2
Listeriosis Outbreak in Sheep Raised in Feedlots in the Southern Region of Rio Grande do Sul State, Brazil 巴西南巴西大州南部地区饲养场饲养的绵羊爆发李斯特菌病
IF 0.2 4区 农林科学 Q4 Veterinary Pub Date : 2022-01-01 DOI: 10.22456/1679-9216.119176
L. S. Ribeiro, H. V. Scheid, Lucas S. Marques, F. R. Venancio, Elisa Rocha Da Silva, S. Ladeira, A. L. Schild
Background: A listeriosis outbreak in a sheep fattening feedlot in the Southern Region of Rio Grande do Sul State, Brazil is described. This disease is caused by Listeria monocytogenes and represents a risk to public health since it affects not only ruminants but also humans. This agent is widely spread in the environment, such as in the soil and water. It is also found in decaying vegetable matter and the feces and fluids of domestic animals. The aim of this study was to describe a listeriosis outbreak in sheep raised in feedlots, its epidemiology, and to establish the importance of this disease in this type of sheep management system, evaluate the possible sources of infection, and suggest ways to control it.Cases: Sheep were kept in a 2-sector shed, one with east solar orientation and the other with west solar orientation, the latter with free access to domestic birds. Sheep were fed silage and concentrate. Seven sheep were affected, 5 died and 2 recovered. Clinically, the sheep displayed loss of balance, excessive drooling, and tremors; one exhibited circling, head deviation, apathy, nystagmus, lateral recumbency, paddling, and labored breathing. At necropsy, macroscopic lesions were not found, and histologically several micro-abscesses and perivascular cuffs with lymphocytes, macrophages, and neutrophils were present in the brain stem. Listeria monocytogenes suspected colonies were observed in the microbiological culture, and the bacteria was identified by biochemical analysis. The immunohistochemistry test in brain stem sections was positive for the antibody BD DifcoTM Listeria O Antiserum Poly Serotypes 1 and 4.Discussion: A listeriosis outbreak in a feedlot sheep was confirmed through epidemiological findings, histological lesions, bacterial culture, and immunohistochemistry analysis. This infection is frequent in sheep fed silage of poor quality or other food with improper storage and lack of hygiene. In the present outbreak, the bacteria were isolated from silage. However, it is likely that domestic birds, which were raised in the same place and had free access to the west sector of the feedlot, were the initial source of infection, because the sheep from the opposite sector (east) did not get ill. The disease caused by environmental contamination or through contact with fluids and feces of ducks, chickens, cattle, and pigs has already been described in outbreaks that occurred in the central region of Rio Grande do Sul. Sheep aggregation in feedlot systems is also a favorable factor for the development of the bacteria and the occurrence of outbreaks because the accumulation of feces and urine cause humidity on the stalls. This allows outbreaks to occur in other seasons of the year, such as in the outbreak reported herein. The exchange of silage that served as food for sheep was another control measure, and new cases were not reported 8 months after these procedures were taken. In the outbreak studied, 2 sheep that exhibited clinical sig
背景:在巴西南巴西大德州南部地区的一个绵羊肥育饲养场暴发了李斯特菌病。这种疾病是由单核增生李斯特菌引起的,对公众健康构成威胁,因为它不仅影响反刍动物,也影响人类。这种药剂在环境中广泛传播,例如在土壤和水中。它也存在于腐烂的植物物质和家畜的粪便和液体中。本研究的目的是描述在饲养场饲养的绵羊中爆发的李斯特菌病及其流行病学,并确定该疾病在这类绵羊管理系统中的重要性,评估可能的感染源,并提出控制方法。病例:羊在两扇形棚内饲养,一扇形棚内向阳东,一扇形棚内向阳西,后者放养禽鸟。给羊喂青贮饲料和精料。7只羊受影响,5只死亡,2只康复。临床上,绵羊表现为失去平衡、流口水过多和颤抖;一例表现为打转、头部偏斜、冷漠、眼球震颤、侧卧、划水和呼吸困难。尸检未见宏观病变,组织学上可见脑干微脓肿和血管周围袖口,有淋巴细胞、巨噬细胞和中性粒细胞。在微生物培养中观察到可疑的单核增生李斯特菌菌落,并通过生化分析对细菌进行鉴定。脑干切片免疫组化检测BD DifcoTM O型李斯特菌抗血清1型和4型阳性。讨论:通过流行病学调查结果、组织学病变、细菌培养和免疫组织化学分析,证实了饲养场绵羊中李斯特菌病的爆发。这种感染常见于饲喂质量差的青贮饲料或其他储存不当和缺乏卫生的食物的羊。在这次暴发中,细菌是从青贮饲料中分离出来的。然而,很可能是在同一地方饲养并可以自由进入饲养场西区的家禽是最初的感染源,因为来自对面(东区)的羊没有生病。这种疾病是由环境污染或通过接触鸭、鸡、牛和猪的液体和粪便引起的,已经在南巴西格兰德州中部地区发生的疫情中有所描述。绵羊聚集在饲养场系统中也是细菌发展和爆发的有利因素,因为粪便和尿液的积累会引起畜栏的湿度。这使得疫情可以在一年中的其他季节发生,例如本文报道的疫情。交换青贮饲料饲喂绵羊是另一项控制措施,在采取这些措施后8个月未报告新病例。在所研究的疫情中,2只表现出临床症状的羊接受了土霉素治疗并康复。一些作者报告说,李斯特菌病的治疗效率低下,因为神经病变是不可逆的。尽管如此,其他研究报告了一些动物在接受土霉素或土霉素与地塞米松或氨苄西林与庆大霉素联合治疗后的康复情况,就像本文描述的疫情一样。关键词:单核细胞增生李斯特菌,中枢神经系统,青贮,饲养场,羊
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引用次数: 2
Braquial Plexus Block and Lumbosacral Epidural in a South American Coati (Nasua nasua) 一只南美浣熊的臂丛神经阻滞和腰骶硬膜外神经阻滞
IF 0.2 4区 农林科学 Q4 Veterinary Pub Date : 2021-06-08 DOI: 10.22456/1679-9216.107664
Lettycia Demczuk Thomas, Ronaldo José Piccoli, Paula Eduarda Quintana Bernardi, J. F. Sinotti, Viviane Andrade Silva, Carolina Fucks de Souza, Fabiola Bono Fukushima
Background : The South American coatis ( Nasua nasua ) are capable of adapting to different habitats, which allowed them to exchange between domestic and wild areas, increasing the occurrence of traumas. Procedures performed in this species demand anesthetic protocols that take comorbidities into account and cause minimal cardiorespiratory depression as well as rapid recovery. It is in such context that locoregional anesthesia has become an essential tool. Thus, we aim to report the use of two techniques of locoreginal block: brachial plexus block and lumbosacral epidural block, in a Nasua nasua submitted to osteosynthesis of the radius and caudectomy due to trauma. Case : A adult male coati weighing 2.3 kg was referred to the Veterinary Medical Teaching Hospital of the Universidade Federal do Parana (UFPR) - Setor Palotina with a history of trauma. Physical examination showed crackling in the radius and ulnar region, and also abnormal angulation in the distal portion of the tail. After taking x-rays, fractures were confirmed in the distal radius and in the distal portion of the tail. The patient was referred for surgery. After 8 h of water and food withdrawal, the animal was premedicated with a combination of ketamine (10 mg/kg), midazolam (0.3 mg/kg) and methadone (0.2 mg/kg), intramuscularly (IM). Induction of anesthesia was performed with propofol titrated to effect (total dose 4 mg/kg) and anesthesia was maintained with isoflurane in spontaneous ventilation using a non-rebreathing circuit (Baraka). It was evaluated heart rate (HR), respiratory rate (RF), end-tidal CO2 (EtCO2), expired isoflurane fraction (FE ´ Iso), oxyhemoglobin saturation (SpO2), electrocardiography (ECG), systolic blood pressure (SBP) and core temperature (CT) using a multiparametric monitor. After the stabilization period, the animal was positioned in lateral recumbence. A subscapular brachial plexus block was performed with bupivacaine (0.2 mL/kg) using a peripheral nerve stimulator to ensure the correct perineural deposition of the local anesthetic. During anesthesia, rescue analgesia was administered when there was a 20% increase in HR, RR or SBP compared to baseline values. Thus, in this case, two rescues with fentanyl (2 µ g/kg) were necessary. The animal remained stable and, at the end of the first procedure, he was placed in ventral recumbence, with the hindlimbs pulled cranially in order to locate the lumbosacral space. Epidural injection was performed with lidocaine (0.18 mL/kg). Rescue analgesia was not necessary during the caudectomy procedure. The procedure had a total duration of 3 h and extubation occurred 3 min after inhalation anesthesia withdrawal. At the end of the surgery, the animal was medicated with meloxicam (0.1 mg/kg) and methadone (0.2 mg/kg). Two h after the end of the surgery, the animal was able to feed again. Discussion : The literature is scarce regarding anesthetic techniques in the Nasua nasua species, especially in the context of locoreg
背景:南美长鼻浣熊(Nasua Nasua)能够适应不同的栖息地,这使得它们能够在家养和野生地区之间进行交流,增加了创伤的发生。在这一物种中进行的手术需要考虑到合并症的麻醉方案,并使心肺功能抑制最小化,同时快速恢复。正是在这种情况下,局部麻醉已成为一种必不可少的工具。因此,我们的目的是报道两种局部区域阻滞技术的使用:臂丛阻滞和腰骶硬膜外阻滞,在一个因创伤而接受桡骨固定和根茎切除术的Nasua患者中。病例:一只体重2.3公斤的成年雄性浣熊被转诊到帕拉纳联邦大学(UFPR) - Palotina区兽医教学医院,有创伤史。体格检查显示桡骨和尺骨区域有噼啪声,尾巴远端也有异常成角。拍x光片后,确认桡骨远端和尾巴远端骨折。病人被转介做手术。停食停水8 h后,肌注氯胺酮(10 mg/kg)、咪达唑仑(0.3 mg/kg)、美沙酮(0.2 mg/kg)联合给药。麻醉诱导用异丙酚滴定至有效(总剂量4mg /kg),在非再呼吸回路的自发通气中使用异氟醚维持麻醉(Baraka)。采用多参数监护仪评估心率(HR)、呼吸频率(RF)、末潮CO2 (EtCO2)、过期异氟烷分数(FE´Iso)、血红蛋白氧饱和度(SpO2)、心电图(ECG)、收缩压(SBP)和核心温度(CT)。稳定期结束后,将动物侧卧位。用布比卡因(0.2 mL/kg)进行肩胛下臂丛阻滞,并使用周围神经刺激器确保局麻药在神经周围的正确沉积。在麻醉期间,当HR、RR或收缩压较基线值增加20%时,给予抢救性镇痛。因此,在这种情况下,两次芬太尼(2µg/kg)抢救是必要的。动物保持稳定,在第一次手术结束时,将其置于腹卧位,后肢颅骨牵拉以定位腰骶间隙。硬膜外注射利多卡因(0.18 mL/kg)。在根茎切除术过程中不需要急救止痛。手术总时间为3小时,在吸入麻醉停药后3分钟拔管。手术结束时给予美洛昔康(0.1 mg/kg)和美沙酮(0.2 mg/kg)。手术结束两天后,这只动物又能进食了。讨论:文献很少关于麻瓜的麻醉技术,特别是在局部区域麻醉的背景下。在本报告中,作为麻醉前用药的方案是令人满意的。臂丛阻滞是一种安全的脱敏技术,用于肩胛骨关节远端手术的前肢。尽管长鼻浣熊的脊柱解剖结构有一些形态学上的差异,但在识别硬膜外间隙或插入针头方面没有困难。无并发症,麻醉期间血流动力学稳定,加上患者恢复令人满意,表明本报告中使用的技术是成功的。
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引用次数: 2
Mandibulectomy in feline with bacterial fibrosing osteomyelitis 细菌性纤维化骨髓炎猫下颌骨切除术
IF 0.2 4区 农林科学 Q4 Veterinary Pub Date : 2021-06-05 DOI: 10.22456/1679-9216.108769
K. O. Sampaio, Jessica Beatriz da Silva, Alexandre Tavares Camelo Oliveira, E. B. da Silva, D. Nunes-Pinheiro, Reginaldo P Sousa-Filho
Background : Fibrosing osteomyelitis is a chronic inflammatory process caused by infectious agents that lead to the destruction and replacement of bone tissue by fibroblasts. The diagnosis is based especially on histopathological and bacterial culture. In cases where extensive and irreversible injuries are observed, surgical treatment may be indicated. The objective of this work is to report the clinical, radiographic, histopathological, and microbiological aspects of a cat presenting fibrosing osteomyelitis. Case :  A 10-year-old male feline, no defined breed, weighing 3.9 kg was referred to one Private Veterinary Clinic of Fortaleza, CE, Brazil with a history of left mandibular enlargement, presenting dysphagia, sialorrhea, an increase in firm consistency along of the left mandibular body, temporomandibular arthralgia and decreased joint motion range. On cranium radiograph, signs of proliferative osteopathy of irregular contours were observed in the branch and body of the left mandible and extending to the rostral region of the right mandible, suggesting a neoplastic process. After anesthesia, for better assessment of the oral cavity, a sample was collected by incisional biopsy, however, the histopathological result was nonspecific. In view of the inconclusive condition, it was decided to perform left hemimandibulectomy combined with right partial mandibulectomy. Tissue samples were obtained and sent for microbiological and histopathological analyses. The last test revealed an inflammatory reaction consisting of neutrophils and plasma cells, associated with a large amount of fibrous connective tissue, multifocal bacterial aggregates, necrosis and bone resorption. Based on the findings, the diagnosis of chronic bacterial osteomyelitis was concluded. The microbiological culture demonstrated the growth of the bacterium Pseudomonas aeruginosa , with sensitivity to cefovecin, which was administered to the treatment in doses of 8 mg/kg/SC, every 15 days, for 60 days. After 10 days of the surgery, the patient was able to start the process of swallowing and seizing pasty food. Discussion :  Although radiography is a diagnostic method of choice to assess the extent of bone involvement, it hardly allows the distinction between neoplastic processes and osteomyelitis. Thus, in addition to the cranium radiographic examination, that revealed signs of proliferative osteopathy with irregular contours in branch and body topography of the left mandible were required biopsy and bacterial culture. After mandibulectomy, difficulty in retracting the tongue and anorexia were observed in the first days. Despite that, from the 12th day on, there was an improvement in food seizure, with the return to voluntary feeding. Mandibulectomy is indicated in cases where extensive and irreversible lesions are observed, although excision of the caudal mandible to the third or fourth premolar tooth is not recommended, because it compromises the sublingual musculature, with fall of
背景:纤维化性骨髓炎是一种由感染因子引起的慢性炎症过程,导致骨组织被成纤维细胞破坏和替代。诊断主要基于组织病理学和细菌培养。在观察到广泛和不可逆损伤的情况下,可能需要手术治疗。这项工作的目的是报告临床,放射学,组织病理学和微生物方面的猫表现为纤维化骨髓炎。病例:一只10岁雄性猫,品种不详,体重3.9 kg,转诊至巴西CE Fortaleza的一家私人兽医诊所,其左侧下颌骨肿大,表现为吞咽困难,唾液,左侧下颌骨体硬度增加,颞下颌关节痛,关节活动范围减小。在颅骨x线片上,在左下颌骨的分支和体中观察到不规则轮廓的增殖性骨病的迹象,并延伸到右下颌骨的吻侧区域,提示肿瘤过程。麻醉后,为了更好地评估口腔,通过切口活检收集样本,然而,组织病理学结果是非特异性的。鉴于病情不确定,我们决定行左侧下颌骨切除术联合右侧下颌骨部分切除术。获得组织样本并送去进行微生物学和组织病理学分析。最后一次检查显示炎症反应由中性粒细胞和浆细胞组成,伴有大量纤维结缔组织、多灶性细菌聚集、坏死和骨吸收。总结慢性细菌性骨髓炎的诊断。微生物培养显示铜绿假单胞菌(Pseudomonas aeruginosa)的生长,对头孢维菌素敏感,头孢维菌素以8mg /kg/SC的剂量给药,每15天一次,持续60天。手术10天后,患者能够开始吞咽和抓住糊状食物。讨论:虽然x线摄影是评估骨受累程度的一种诊断方法,但它很难区分肿瘤进程和骨髓炎。因此,除了颅骨x线检查外,发现左侧下颌骨分支和体地形不规则轮廓的增殖性骨病的迹象需要活检和细菌培养。下颌骨切除术后第1天出现舌回缩困难和厌食。尽管如此,从第12天开始,随着自愿进食的恢复,食物发作的情况有所改善。下颌切除术适用于观察到广泛且不可逆病变的病例,尽管不建议切除下颌尾部至第三或第四前磨牙,因为它损害舌下肌肉组织,导致舌头下垂和功能丧失。在本病例中,保留了右下颌分支的尾端部分,促进了自发进食的恢复。切除的组织必须进行微生物培养和抗生素图,这对于确定可能的病原体和选择抗菌药物至关重要。对于铜绿假单胞菌感染的治疗,由于剂量和给药途径与下颌骨手术配合,一旦口服治疗比较困难,建议使用头孢维菌素。术后并发症与下颌骨切除术,如厌食和抓食物困难,是常见的。然而,在本病例中,患者在15天后进行了充分的重建。因此,在维持患者的消化功能的情况下,半下颌管切除术是治疗纤维化性骨髓炎的有效方法。
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引用次数: 0
Reactive Seizures Due to Hyperlipidemia in a Maltese Dog 一只马耳他犬因高脂血症引起的反应性癫痫发作
IF 0.2 4区 农林科学 Q4 Veterinary Pub Date : 2021-06-03 DOI: 10.22456/1679-9216.110100
Nathali Adrielli Agassi De Sales, Julia Perinotto Picelli, E. Alves, L. C. dos Anjos, E. R. Bittar, I. Rosado
Background: Primary hyperlipidemia is a condition that affects some specific breeds. It has been previously described in Miniature Shnauzer, Beagles, Shetland Shepdog and West Highland White Terrier. There are no reports of primary hyperlipidemia in Maltese dogs. It is a hereditary disorder of lipoprotein metabolism. The etiology is unknown and may be related to a genetic problem in lipoprotein lipase or to the absence of apaprotein CII. Clinical signs include spontaneous arterosclerosis, retinal lipemia, cutaneous xanthomas, abdominal pain, lethargy, vomiting and / or diarrhea. Neurological manifestations such as seizures and behavioral changes may also occur. The aim of this report is to describe a case of reactive seizures due to hyperlipidemia in a dog. Case: A 5-year-old male Maltese dog was admitted with a history of seizures. Hypertension and abdominal distension with large amounts of intestinal gases were found in general physical examination. Neurological examination revealed impaired nasal septum sensory perception, which was slightly bilaterally reduced, and pain on cervical palpation and in the brachial plexus region. Based on history and clinical examination, it was possible to locate the lesion in the thalamocortical region and to suspect idiopathic epilepsy, reactive seizures, and symptomatic epilepsy due to meningoencephalitis of unknown origin. The diagnosis of primary hyperlipidemia was made by exclusion with the aid of laboratory tests and ultrasound. After the establishment of a fat restriction diet, bezafibrate, phenobarbital, and omega-3 supplementation, the animal improved significantly with the reduction of epileptic seizures. Discussion: The initial clinical suspicion was hyperadrenocorticism as the primary cause of hyperlipidemia. This suspicion was based on the presence of polyphagia, polydipsia, polyuria and abdominal distension, together with laboratory results of thrombocytosis, increased ALT and AF, and hyposenuria; but ultrasound images and ACTH stimulation test ruled out this differential diagnosis. Hypothyroidism was also ruled out since LDL values were normal and the animal was extremely active. Regarding nephrotic syndrome, it was also excluded for some alterations would be present, such as severe proteinuria, cholesterol reduction and hypoalbuminemia. As for diabetes mellitus, it was discarded because of the dog’s young age and due to the absence of suggestive clinical signs. The suspicion of primary hyperlipidemia was based on increased levels of triglycerides, and the presumptive diagnosis was of reactive seizures due to hyperlipidemia. It is essential, when treating hyperlipidemia, to readjust to a low-calorie diet with fat concentration below 8% and protein level above 18%. Generally, these restricted diets are for life. Omega-3 supplementation can be performed to help maintain low levels of triglycerides. Drug therapy is usually carried out with bezafibrate, which is used in human medicine as treatment fo
背景:原发性高脂血症是一种影响某些特定品种的疾病。它之前曾在迷你雪纳瑞犬、比格斯犬、设得兰牧羊犬和西高地白梗中被描述过。目前还没有关于马耳他犬原发性高脂血症的报道。它是一种遗传性脂蛋白代谢紊乱。病因尚不清楚,可能与脂蛋白脂酶的遗传问题或缺乏apaprotein CII有关。临床症状包括自发性动脉粥样硬化、视网膜脂血症、皮肤黄色瘤、腹痛、嗜睡、呕吐和/或腹泻。还可能出现癫痫发作和行为改变等神经系统表现。本报告的目的是描述一例狗因高脂血症引起的反应性癫痫发作。病例:一只5岁的马耳他公犬因癫痫病史入院。在一般体检中发现高血压和腹胀伴大量肠道气体。神经系统检查显示鼻中隔感觉受损,双侧轻微减轻,颈部触诊和臂丛神经区域疼痛。根据病史和临床检查,可以将病变定位在丘脑皮质区,并怀疑是由不明原因的脑膜脑炎引起的特发性癫痫、反应性癫痫和症状性癫痫。原发性高脂血症的诊断是在实验室检查和超声检查的帮助下排除。在建立了脂肪限制饮食、苯扎贝特、苯巴比妥和ω-3补充剂后,该动物的癫痫发作率显著下降。讨论:最初的临床怀疑是高肾上腺皮质激素血症是高脂血症的主要原因。这种怀疑是基于多食、多饮、多尿和腹胀的存在,以及血小板增多、ALT和AF升高以及遗尿减少的实验室结果;但超声图像和促肾上腺皮质激素刺激试验排除了这种鉴别诊断。甲状腺功能减退症也被排除在外,因为低密度脂蛋白值正常,动物非常活跃。关于肾病综合征,它也被排除在外,因为会出现一些改变,如严重的蛋白尿、胆固醇降低和低蛋白血症。至于糖尿病,它被丢弃是因为狗的年龄很小,而且没有提示性的临床症状。原发性高脂血症的怀疑是基于甘油三酯水平的升高,而推定的诊断是高脂血症引起的反应性癫痫发作。在治疗高脂血症时,必须重新适应脂肪浓度低于8%、蛋白质水平高于18%的低热量饮食。一般来说,这些限制性饮食是终身的。补充Omega-3可以帮助维持低水平的甘油三酯。药物治疗通常使用苯扎贝特进行,苯扎贝特在人类医学中用于治疗高甘油三酯血症,并在控制原发性和继发性高脂血症犬的高甘油三酯血症和高胆固醇血症方面显示出良好的效果。治疗开始六个月后,动物不再出现腹胀和疼痛,胆固醇值及其组分以及甘油三酯得到控制。缉获情况也得到控制。因此,高脂血症是癫痫发作患者的重要鉴别诊断,尤其是在处理表现出代谢性疾病迹象的幼兽时。
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引用次数: 1
Extramedullary Plasmacytoma of the Third Eyelid in a Cat 猫第三眼睑髓外浆细胞瘤
IF 0.2 4区 农林科学 Q4 Veterinary Pub Date : 2021-05-30 DOI: 10.22456/1679-9216.110056
Amanda De Deus Ferreira Alves, F. Brito, M. F. Pereira, V. A. da Silva Júnior
Background: Extramedullary plasmacytoma is a neoplasm originating from plasmacytes with benign behavior, although it can present malignant characteristics such as local invasion and metastases in some cases. Primary extramedullary plasmacytoma in the third eyelid is rare in humans and animals and has not yet been described in cats. Thus, the goal of the present study is to describe the cytological and histopathological findings of an extramedullary plasmacytoma in a cat's third eyelid. Case: A 5-year-old female feline patient with a history of ocular alteration for approximately 30 days was referred to the ophthalmology service. Upon ophthalmic examination of the left eye, an increase in volume with tissue proliferation was identified in the third eyelid's conjunctiva. A collection of material for cytopathological examination was performed. Numerous plasmocytes and atypical lymphocytes with anisocytosis and anisokaryosis were observed, with a possible neoplastic injury being suggested and referred to the patient for surgical removal of the third eyelid. In the histopathological analysis, it was possible to observe several plasma cells and vascular neoformation along the entire conjunctive margin below the epithelium. The glands, serous and mucous, present in the fragment, revealed areas of intervening plasmacytic infiltrate and a large area close to the hyaline cartilage containing intense plasmacytic inflammatory infiltrate with rare neutrophils and macrophages. There was also a structural breakdown of glandular components and lymphocyte cells with mitosis figures and discrete cellular pleomorphism. Discussion: Plasmacytoma is a rare neoplasm in both dogs and cats. The anatomical regions most frequently affected are the digits, lips, and pinna. Concerning the 3rd eyelid tumor involvement, numerous types of neoplasms have been reported in dogs in the veterinary literature, including transmissible venereal tumor, squamous cell carcinoma, and melanocytoma melanoma, lymphoma, plasmacytoma, hemangioma, hemangiosarcoma, mastocytoma, and myoepithelioma. In cats, the third eyelid is the third site most affected by primary tumors. Adult and elderly animals are the most affected; however, an extramedullary plasmacytoma (PEM) has been reported in an eight-month-old male cat's skeletal muscle. Plasmacytoma aspirates, like other round cells, tend to be highly cellular, the cell morphology has a plasmacytoid aspect, resembling mature cells, the cytoplasm is intensely basophilic, and the round nucleus with an eccentric disposition has thin chromatin and indistinct nucleolus. Binucleate and multinucleate cells are common, and the absence of lymphoglandular corpuscles helps differentiate extramedullary plasmacytoma from lymphomas. Histologically, PEM is similar in dogs, humans, and felines, and variations in mature and immature plasma cells can be seen. The diagnosis of extramedullary plasmacytoma is fundamentally histological, and immunohistochemical analysis c
背景:髓外浆细胞瘤是一种起源于浆细胞的良性肿瘤,尽管在某些情况下它可能表现出恶性特征,如局部侵袭和转移。原发性第三眼睑髓外浆细胞瘤在人类和动物中很少见,在猫中也没有描述。因此,本研究的目的是描述猫第三眼睑髓外浆细胞瘤的细胞学和组织病理学表现。病例:一名5岁的雌性猫科动物患者,有大约30天的眼部改变史,被转诊至眼科服务。在对左眼进行眼科检查时,发现第三眼睑结膜的体积随着组织增殖而增加。收集材料进行细胞病理学检查。观察到大量浆细胞和非典型淋巴细胞伴异核细胞增多和异核细胞增生,建议患者进行第三眼睑手术切除可能的肿瘤损伤。在组织病理学分析中,可以沿着上皮下方的整个结膜边缘观察到几个浆细胞和血管新生。碎片中存在的浆液性和粘液性腺体显示了介入性浆细胞浸润区域,以及靠近透明软骨的大面积区域,该区域含有罕见的中性粒细胞和巨噬细胞的强烈浆细胞炎症浸润。腺成分和淋巴细胞的结构也发生了破坏,具有有丝分裂图和离散的细胞多形性。讨论:浆细胞瘤在狗和猫身上都是一种罕见的肿瘤。最常受影响的解剖区域是指、唇和耳廓。关于第三眼睑肿瘤的受累,兽医文献中已经报道了许多类型的狗肿瘤,包括传播性性病瘤、鳞状细胞癌和黑色素细胞瘤——黑色素瘤、淋巴瘤、浆细胞瘤、血管瘤、血管肉瘤、肥大细胞瘤和肌上皮瘤。在猫中,第三眼睑是受原发性肿瘤影响最大的第三个部位。成年和老年动物受影响最大;然而,据报道,一只八个月大的雄性猫的骨骼肌中出现了髓外浆细胞瘤(PEM)。浆细胞瘤抽吸物与其他圆形细胞一样,往往具有高度细胞性,细胞形态具有浆细胞样,类似于成熟细胞,细胞质强烈嗜碱性,偏心排列的圆形细胞核染色质薄,核仁模糊。双核和多核细胞是常见的,淋巴腺小体的缺失有助于区分髓外浆细胞瘤和淋巴瘤。组织学上,PEM在狗、人和猫中是相似的,并且可以看到成熟和未成熟浆细胞的变化。髓外浆细胞瘤的诊断基本上是组织学的,也可以进行免疫组织化学分析。安全边缘的手术切除是治疗第三眼睑肿瘤的主要类型,被认为是一种有效的方法,如本报告所示,在患者13个月的随访中,没有发现肿瘤复发或转移。当发现恶性肿瘤的迹象时,由于复发风险,建议在手术前评估化疗的适应症,并在治疗后监测病例。
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引用次数: 0
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Acta Scientiae Veterinariae
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