Cholangiocarcinoma in a bitch - multimodal diagnosis

Background: Hepatic tumors of primary origin account for 0.6% to 2.9% of cases in canine species, less common than hepatic metastases. The hepatic tumors are divided into hepatocellular tumors, neuroendocrine tumors, bile duct tumors or cholangiocarcinomas, and mesenchymal tumors. Cholangiocarcinomas, are classified according to their origin, being intrahepatic, extrahepatic, or gallbladder type. Cholangiocarcinomas are considered rare in dogs and cats with a ratio of 29% to 71% compared to hepatocellular carcinomas, accounting for 9% of the hepatic tumors. The present study aims to describe a case of cholangiocarcinoma in a bitch, focusing on the diagnostic approach. Case: A 10-year-old castrated bitch Poodle was attended presenting hypoglycemia and seizure crisis. The patient had previous exams of hemogram and serum biochemical profile, showing a discrete increase of the hepatic enzymes alanine aminotransferase (ALT) and aspartate aminotransferase (AST), besides hypoglycemia. Previous ultrasound exam revealed the presence of a hepatic mass located between the right and square lobes, immeasurable, and significant splenomegaly. Abdominal palpation revealed the presence of immeasurable abdominal formation of undetermined origin. Abdominal computerized tomography (CT), glycemic curve, and insulin dosage were requested. Tomography exam showed an increase in hepatic volume with the presence of a heterogeneous formation in the right lateral lobe topography; increase in spleen dimensions and the presence of multiple nodules; and the presence of a nodule in the right lung, at the caudal thoracic region. The glycemic curve showed acute variations, and insulin dosage was between normal values. The animal was referred for surgery, as in abdominocentesis, it was observed the presence of hemorrhagic fluid, confirming active bleeding by ultrasonography. The owners chose for euthanasia. In the post-mortem evaluation the main lesion was confirmed of hepatic origin, with a massive, irregular, cavitary presentation, involving multiple hepatic lobes, and a single nodule was observed in the right caudal lobe of the right lung. Histopathological evaluation was considered inconclusive. Immunohistochemistry was performed and the association of the immunohistochemical profile with the morphological characteristics indicated diagnosis of cholangiocarcinoma. Discussion: The related symptomatology, in hepatic neoplasms, is generally considered non-specific, with reports of lethargy, vomiting, dyspnea, anorexia and weight loss, however, the dog in this study presented a unique manifestation of hypoglycemia and one episode of convulsive crisis resulting from it. The clinical manifestation observed was extremely unspecific making initial diagnosis difficult. The ultrasonographic examination was effective in evidencing the abdominal mass. In addition, abdominal CT was also performed, which confirmed the hepatic origin, detailing the macroscopic aspect. Biochemical analyses of ALT and AST showed a discrete increase. Biochemical changes may occur in dogs with hepatic neoplasms, although they are not specific. Functional pancreatic beta-cell tumors producing insulin are the most common cause of paraneoplastic hypoglycemia, although in the case the insulin dosage was within normal limits. In cases of nonislet cell tumor the mechanism is frequently associated with the production of insulin-like growth factor (IGF). In most cases the definitive diagnosis of cholangiocarcinoma can be obtained by histopathological examination, although in the present report the result obtained was inconclusive, requiring an immunohistochemical examination. Due to the aggressive and metastatic character of this neoplastic type, early detection becomes extremely important in order to maximize therapeutic chances, however, diagnosis may be difficult.

Metastatic gallbladder adenocarcinoma in a cat

Biliary neoplasms are uncommon in cats and affect older animals. A 12-year-old female crossbreed cat showed prostration, lethargy, apathy, and severe jaundice. Ultrasonography showed distention of the gallbladder associated with severe obstruction of the bile ducts with thickening of the biliary wall, forming amorphous masses of irregular contour and heterogeneous appearance directed to the lumen measuring up to 2 cm. Necropsy showed a gallbladder with a yellowish and soft nodule measuring 3 × 3 cm, compressing the extrahepatic bile duct, occluding the passage of bile. There were also firm, yellowish multifocal to coalescing nodules in the liver, ranging from 0.5 to 1 cm, affecting 10% of the organ, in addition to lungs with firm, yellowish multifocal nodules ranging from 0.2 to 0.5 cm, affecting 20% of the organ. Histologically, gallbladder and bile ducts had malignant epithelial neoplastic proliferation, which was organized into multiple papillary and ductal projections, separated by moderate fibrovascular stroma compatible with gallbladder adenocarcinoma. The liver and lungs also contained neoplastic structures with a ductal appearance and papilliform projections identical to those observed in the gallbladder. The immunohistochemical examination (IHC) showed intense positive staining of epithelial neoplastic cells for pan-cytokeratin (AE1/AE3) and no staining for vimentin (Clone V9). The diagnosis of gallbladder adenocarcinoma with metastasis in the liver and lungs was established based on the clinical, macroscopic, histopathological, and immunohistochemical findings.(AU)

Congenital extrahepatic portosystemic deviation of gastric vein with azygos in a bitch

Background: Portosystemic shunt (PSS), an alteration commonly found in toy dogs, is caused by an anastomosis between the systemic and portal circulation, interfering with the metabolism of several toxins. It can be of congenital or acquired origin and is classified as intra- or extrahepatic. Clinical signs include the gastrointestinal tract, nervous system, and urinary system according to the fraction of the shunt. It is diagnosed by several imaging tests and exploratory laparotomy. Therapy involves drug therapy and/or surgical correction of the anomalous vessels. Thus, the aim is to present an unusual case of extrahepatic cPSS originating from the left gastric vein and insertion into the azygos vein. Case: A 2-year-old female toy poodle, spayed, weighing 2.7 kg was treated with a history of recurrent cystitis and neurological signs such as focal seizures, ataxia, tremors, blindness, lethargy, head pressing, and compulsive gait. Complementary tests revealed normochromic microcytic anemia, neutrophilia-induced leukocytosis, monocytosis, and lymphopenia. Biochemical analysis revealed hypoproteinemia due to hypoglobulinemia, an increase in alanine aminotransferase, aspartate aminotransferase, alkaline phosphatase, and gamma-glutamyl transferase, and a decrease in urea. In the urinalysis, ammonium biurate crystals were detected, and Doppler ultrasound revealed microhepathy and the presence of an anomalous gastrosplenic vein inserted into the azygos vein, a finding compatible with the congenital extrahepatic PSS. Abdominal tomography confirmed vascular deviation with a sinuous path originating from the left gastric and splenic veins, inserting into the azygos vein, measuring approximately 5.95 cm in length. Cranial tomography revealed changes consistent with hepatic encephalopathy. Drug therapy was performed with hydration, liver chow, lactulose, probiotics, metronidazole, S-adenosyl-L-methionine, and ursodeoxycholic acid, and after 15 days, surgery was performed to place a 3.5 mm ameroid constrictor ring for gradual occlusion of the anomalous vessel. The animal recovered well, and a control abdominal ultrasound was repeated 30 days after the procedure, noting that the constrictor had not yet fully occluded the deviation. Doppler imaging revealed a favorable evolution with an increase in the diameter of the portal vein in the hepatopetal direction. The patient was followed-up for a year and had a normal and healthy life. Discussion: Extrahepatic PSS is frequently diagnosed in purebred and toy dogs, commonly occurring between the portal vein and one of its tributaries, with a lower frequency of anomalous vessels between the azygos veins, as in the present report. The patient's age and clinical signs were compatible with the disease, in addition to ammonia biurate crystals and hematological and biochemical alterations. The neurological clinical signs observed were compatible with hepatic encephalopathy secondary to congenital PSS. The imaging examinations facilitated the identification of the extrahepatic vascular anomaly, with the tomography being more accurate and helping in proper surgical planning. Clinical treatment should be performed for presurgical stabilization, and occlusion can be performed by placing cellophane bands or an ameroid constrictor, which is the technique of choice for congenital PSS, as it allows for slow constriction to avoid acute portal hypertension, as in this case, emphasizing that anesthesia in animals with portosystemic shunts must be performed with care.

Bacillary hemoglobinuria in a cow

Clinical History: A 436 kg, 2-year-old, pregnant Angus cross cow was presented for necropsy with a history of sudden death during calving season. Two other heifers on the property recently had late term abortions with the calves having to be pulled out from the birth canal. Gross Findings: The subcutaneous tissue, omentum, mesentery, perirenal adipose tissue, and intima of the major vessels were diffusely and markedly yellow (Figure 1). The right liver lobe had a large (15x11x7 cm) area of pale tan discoloration covered by a thin layer of fibrin. On the cut surface, this area was pale red and dry (Figure 2). Throughout the remaining hepatic parenchyma were irregularly shaped, serpiginous, dark green to black tracks. Some of these tracks contained adult Fasciola hepatica flukes in the lumen. The gallbladder was distended and filled with large amounts of dark green, thick bile. The kidneys were diffusely dark red with disseminated pinpoint, dark red foci in the cortex (Figure 3). The urinary bladder contained approximately 300 mL of dark red urine (Figure 4). The brain had a slight yellow discoloration. Approximately 300 mL of red-tinged fluid was in the thorax. Large numbers of fibrous adhesions were present between the visceral pleura, the parietal pleura, and the pericardium. Approximately 200 mL of red-tinged fluid was in the pericardial sac. There was extensive hemorrhage on the epicardium.

Hematological and biochemical changes in a cow with metastatic cholangiocarcinoma

We describe here hematological and biochemical findings in a cow with metastatic cholangiocarcinoma. On physical examination, apathy with congested mucous membranes, tachycardia and enlarged abdomen; hypoperistalsis in rumen, abomasum and intestines. In hematological examination, icteric plasma with leukocytosis by neutrophilia with regenerative left shift and inversion of the proportion between lymphocytes and segmented neutrophils, and hypofibrinemia. In serum biochemistry: hyperproteinemia, hypoalbuminemia, hyperglobulinemia, low albumin/globulin ratio and high levels of aspartate aminotransferase, gamma-glutamyltransferase. The cow died and in necropsy was observed a severe and diffuse increase in volume predominantly on the hepatic right lobe and moderate increase of volume in mesenteric lymph nodes. Which was diagnosed microscopically as a cholangiocarcinoma, characterized by arrangements in irregular and coalescent ducts. In conclusion, cholangiocarcinoma may cause important hematological and biochemical changes in cattle.(AU)

Avaliação ultrassonográfica das vias biliares em cães e gatos: coletas e análises de registros médicos veterinários / Ultrasonographic evaluation of the bile ducts in dogs and cats: Collections and analyses of veterinary medical records

Este estudo teve como objetivo avaliar achados ultrassonográficos de cães e gatos diagnosticados com colestase, correlacionando alterações concomitantes com espécies, sexo, idade, peso, sinais clínicos e dilatação das vias biliares. O sistema biliar de pequenos animais é composto pela vesícula biliar e a árvore biliar. Desta forma, os felinos apresentam mais alterações nestas estruturas devido à anatomia diferenciada. A redução do fluxo biliar, conhecida como colestase, ocorre por inúmeras situações, sendo o ultrassom o principal exame diagnóstico empregado na medicina veterinária. Ductos biliares de 4 e 3mm de diâmetro são considerados normais para felinos e caninos, respectivamente. Neste estudo, os sistemas biliares de 41 animais, incluindo felinos e caninos, foram avaliados por ultrassonografia no Setor de Diagnóstico por Imagem do Hospital Veterinário de janeiro de 2019 a fevereiro de 2020, demonstrando a presença de cálculos vesicais em ambas as populações, assim como alterações em ducto cístico associados à pancreatite em cães.

This study aimed to evaluate ultrasound findings of dogs and cats diagnosed with cholestasis, correlating concomitant alterations with species, sex, age, weight, clinical signs, and dilation of bile ducts. The biliary system of small animals is composed of the gallbladder and the biliary tree. Thus, the felines show more alterations in these structures due to their differentiated anatomy. The reduction of the bile flow, known as cholestasis, occurs as a result of numerous situations, with ultrasound being the main diagnostic exam applied in veterinary medicine. Bile ducts of 4 and 3mm diameter are considered normal for felines and canines, respectively. In this study, the biliary systems of 41 animals, including felines and canines, were evaluated using ultrasound at the Diagnostic Imaging Sector of the Veterinary Hospital from January 2019 to February 2020, demonstrating the presence of bladder stones in both populations, as well as changes in the cystic duct associated with pancreatitis in dogs.

Biliary peritonitis in a dog after perforation of the gallbladder during laparoscopic cholecystectomy

Background: Iatrogenic gallbladder perforation during laparoscopic cholecystectomy (LC) is a common complication and occurs in at least one third of human patients undergoing LC. This is attributed to the fragility of the gallbladder wall associated with mucocele and cholecystitis, in addition to the need for repetitive gripping and traction of the gallbladder during its manipulation with laparoscopic instruments. As complications from this event are rare in human patients, conversion to laparotomy is not routinely indicated and the adverse consequences of bile spillage are minimized by abundant irrigation of the peritoneal cavity and adequate antimicrobial therapy. On the other hand, there is little information regarding the outcome of laparoscopic management of this complication in laparoscopic cholecystectomies in dogs, particularly since most surgeons indicate conversion in these cases. Thus, we describe a case of biliary peritonitis that developed in a dog after laparoscopic management of iatrogenic perforation of the gallbladder during a laparoscopic cholecystectomy, in a case of gallbladder mucocele. To the best of our knowledge, there are no reports of biliary peritonitis following laparoscopic management of iatrogenic gallbladder perforation during LC in dogs. Case: A 14-year-old Poodle was referred for clinical evaluation with selective appetite, recurrent episodes of hyporexia, and abdominal discomfort. Ultrasound findings characterized chronic liver disease and gallbladder mucocele. The patient was referred for laparoscopic cholecystectomy, during which the gallbladder was iatrogenically perforated, with extravasation of a large volume of bile content. This complication was managed by copious abdominal irrigation via laparoscopic access and antimicrobial therapy. On the second postoperative day, the patient started to present apathy, hyporexia, emesis, and jaundice. The patient remained hospitalized in the intensive care unit for stabilization and monitoring through hematological examinations and serial abdominal ultrasound. Due to progressive worsening of the clinical picture, an exploratory laparotomy was performed ten days after the initial surgical procedure. This examination showed multiple adhesions and the presence of bile residues adhered to numerous points on the peritoneal surface and pancreas. Despite the intensive treatment instituted, death occurred 10 h after the second surgical procedure. Discussion: The high risk of gallbladder perforation during laparoscopic cholecystectomies correlates with the dissection step or repetitive grasping and traction of the gallbladder with laparoscopic instruments. Conversion is not routinely indicated and laparoscopic management is considered effective in humans. However, in this case, the presence of a large volume of extravasated semisolid bile content and its adherence to the mesothelial surface made it impossible to remove it in its entirety despite the abundant irrigation of the abdominal cavity, resulting in a picture of biliary peritonitis in the postoperative period. In view of the reported negative outcome, the authors encourage the adoption of measures that minimize the risk of gallbladder perforation when performing LC in dogs. These include the use of atraumatic instruments or aspiration of bile content before surgical manipulation. Cases in which such a complication is recorded should be carefully monitored to enable early diagnosis and treatment of biliary peritonitis. Furthermore, conversion should be considered when there is extravasation of large volumes of bile, particularly in the presence of gallbladder mucocele, until future studies establish the safety and effectiveness of laparoscopic management of this complication.

Biliary cystadenoma in a lion (Panthera leo)

Animals in human care often exceed the life expectancy of animals in the wild when they have veterinarian follow-ups, no competition for space or food, and continuous care. Advanced age favors the development of mutations that often trigger cancer, which sometimes causes death. There are reports in the literature on neoplasms in lions in the liver, which are one of the main organs affected. A 20-year-old lion specimen was received for necropsy at the Federal University of Paraná, Curitiba, Brazil. Multiple cystic dilations were observed in the liver. Histologically, they were internally covered by a simple cuboidal epithelium, similar to that observed in the bile ducts, without cellular atypia. The adjacent liver parenchyma presented with mild disorganization of the hepatocyte cords. Biliary cystadenomas are benign growths formed by a thin opaque capsule filled with a slightly yellowish translucent fluid compressing the adjacent liver parenchyma, as highlighted in this case. The epithelium of the cysts was positive for anti-cytokeratin (CK) (EIA/A3E) and anti-CK7, confirming histogenesis in the bile ducts. This study reports a case of biliary cystadenoma in a Panthera leo specimen.(AU)

In vitro bacterial probiotic selection from Nannostomus beckfordi, an Amazon ornamental fish / [Seleção in vitro de bactérias probióticas do peixe ornamental Amazônico Nannostomus beckfordi]

This study aimed to isolate and select in vitro bacteria with probiotic potential for the Amazon ornamental fish Nannostomus beckfordi. For isolate, twelve fish underwent surgery procedure to remove their intestinal tract, macerate and then inoculate in the plate petri containing de Man Rugosa Sharped Agar (MRS). After bacterial growth (48 hours at 35ºC), selected strains were inoculated in MRS broth and submitted to resistance test with NaCl (0.5, 1.0, 1.5, 2.0, 2.5 and 3.0%), pH (4, 5, 6, 8 and 9) and bile salts (5% w/v). Inhibition test against pathogenic bacteria Aeromonas hydrophila, Pseudomonas aeroginosa, Streptococcus agalactiae and Aeromonas Jandaei was also performed. Within the isolated strains group (23 strains), only six (S1, S2, S3, S4, S5 and S6) showed probiotic potential. Strains S1 and S6 showed the greater resistance for NaCl (0.5% and 1%) and pH (5 and 6), but only S1 obtained better results to resist the bile salts. Even against pathogenic bacteria, the S1 showed the best results with inhibition halos greater than 9 mm. In the end, this bacterial strain (S1) was identified as Enterococcus faecium 11037CHB. Thus, this is the first report regarding isolated autochthonous bacterium E. faecium with probiotic potential of N. beckfordi.

O objetivo deste estudo foi isolar e selecionar in vitro bactérias com potencial probiótico do peixe ornamental Amazônico Nannostomus beckfordi. Para o isolamento, retirou-se o intestino de 12 espécimes, que foram macerados, homogeneizados e semeados em placa de petri contento Ágar Man Rogosa e Sharpe (MRS). Posteriormente ao crescimento bacteriano (48 horas a 35ºC), as cepas selecionadas foram mantidas em caldo MRS e submetidas a testes de resistência a NaCl (0,5, 1,0, 1,5, 2,0 e 2,5 e 3,0%), pH (4, 5, 6, 8 e 9) e sais biliares (5% p/v). O antagonismo foi realizado frente as bactérias patogênicas Aeromonas hydrophila, Pseudomonas aeroginosa, Streptococcus agalactiae e Aeromonas jandaei. Das cepas isoladas (23 cepas), apenas seis (C1, C2, C3, C4, C5 e C6) apresentaram potencial probiótico. As cepas C1 e C6 tiveram maior resistência (p<0,05) para o NaCl (0,5 e 1%) e pH (5 a 6), na presença de sais biliares somente a C1 teve a melhor resistência de crescimento. Para o antagonismo frente as bactérias patogênicas, a C1 apresentou halo de inibição maior que 9 mm. Sendo esta cepa bactéria (C1) identificada como Enterococcus faecium 11037 CHB. Portanto, este é o primeiro relato do isolamento da bactéria autóctone E. faecium em N. beckfordi com potencial probiótico.

In vitro selection of autochthonous bacterium with probiotic potential for the neotropical fish piauçu Megaleporinus microcephalus / [Seleção in vitro de bactéria autóctone com potencial probiótico para o peixe neotropical piauçu Megaleporinus macrocephalus]

The study aimed to isolate, identify, and apply in vitro tests on bacteria with autochthonous probiotic potential isolated from fifteen healthy specimens of Megaleporinus macrocephalus. The strains were selected from the intestinal tract of fish and inoculated in the Petri plate containing Sharp Man Rogosa Agar (MRS) for (48 hours at 35ºC). They were isolated based on a test of catalase, Gram stain, tolerance to different gradients NaCl (1, 2 and 3%), pH (4, 5, 6, 8 and 9) values and bile salts (2.5 and 5%), in addition to the inhibition zone against pathogens. Of the 42 strains isolated, ST1 and ST9 had higher values (p<0.05) for total viable cells (31.80±0.07 and 32.51±0.05 CFU/mL × 108) respectively. In the resistance tests, strains ST1 and ST9 presented the best results, with emphasis on ST9 in the gradients of pH, high values of bile salts and larger inhibition zones against Aeromonas hydrophila and Aeromonas jandaei. The strains with the best results in the tests, ST1 and ST9, were identified by the MALDI-TOF-MS method as Enterococcus faecium. Thus, the isolated E. faecium bacteria, may be recommended as for probiotic use in farming the M. macrocephalus.

O presente estudo visou isolar, identificar e aplicar testes in vitro em bactérias com potencial probiótico, autóctones, isoladas de 15 espécimes saudáveis de Megaleporinus macrocephalus. As cepas foram selecionadas do trato intestinal dos peixes e inoculadas em placas de Petri contendo Man Rogosa Sharped Agar (MRS), por 48 horas, a 35ºC. Foram isoladas com base em teste de catalase, coloração de Gram, tolerância a diferentes gradientes de NaCl (1, 2 e 3%), valores de pH (4, 5, 6, 8 e 9) e sais biliares (2,5 e 5%), além do halo de inibição contra patógenos. Das 42 cepas isoladas, ST1 e ST9 apresentaram maiores valores (P<0,05) para células viáveis totais (31,80±0,07 e 32,51±0,05 UFC/mL × 108), respectivamente. Nos testes de resistência, as cepas ST1 e ST9 apresentaram os melhores resultados, com destaque para ST9 nos gradientes de pH, altos valores de sais biliares e maiores halos de inibição contra Aeromonas hydrophila e Aeromonas jandaei. As cepas com melhores resultados nos testes, ST1 e ST9, foram identificadas pelo método de MALDI-TOF-MS como Enterococcus faecium. Assim, a bactéria isolada Enterococcus faecium, pode ser recomendada para uso probiótico na criação do M. macrocephalus.

Alterações post mortem ou pós-morte / Post-mortem or post-mortem changes

As alterações post mortem ou pós- -morte também são conhecidas como alterações cadavéricas porque surgem imediatamente e progressivamente após o óbito. Segundo a classificação de Borri, elas podem ser classificadas em alterações não transformativas ou abióticas, que não modificam o aspecto geral do cadáver, e transformativas ou bióticas, que modificam o aspecto geral do cadáver, podendo dificultar a interpretação dos achados ante mortem. As alterações não transformativas ou abióticas imediatas são consequência da cessação das funções vitais, representadas pela perda da sensibilidade, da mobilidade, da consciência e dos reflexos, entre outras. Já as alterações não transformativas mediatas ou consecutivas são representadas por algor mortis, livor mortis, rigor mortis, coagulação sanguínea e embebição pela hemoglobina e pela bile, por exemplo. As alterações transformativas ou bióticas são caracterizadas por pseudo-melanose, enfisema cadavérico, maceração, coliquação, ruptura de vísceras e redução esquelética. Todas essas alterações serão detalhadamente descritas à frente. As alterações post mortem, em sua maioria, são causadas por enzimas tissulares do cadáver (autólise) ou de bactérias (heterólise). A autólise caracteriza-se pela autodigestão ou destruição do tecido pela ação de enzimas presentes nos tecidos que são ativadas pela falta de oxigênio. Com a interrupção das funções vitais, os lisossomas perdem sua capacidade de conter as hidrolases (proteases, lipases, glicosidases, entre outras). As enzimas lisossomais são, então, liberadas no citoplasma das células, onde são ativadas pelas elevadas concentrações de cálcio, dando início ao processo autolítico. Geralmente, quanto mais diferenciado e especializado for um tecido, mais rapidamente se instalará o processo de autólise, em razão da alta taxa metabólica e, consequentemente, da maior necessidade de nutrientes e de oxigênio. A autólise inicia-se poucas horas após a morte, na fase abiótica dos fenômenos cadavéricos, e prossegue até a ocorrência das alterações transformativas.(AU)

Caroli syndrome in a dog / Síndrome de Caroli em um cão

Caroli syndrome is characterized by a combination of intrahepatic biliary ductal ectasia and congenital ductal fibrosis due to the failure of involution of ductal plates and large intrahepatic ducts. This study aims to report Caroli syndrome in a dog, with emphasis on clinical characteristics, complementary examinations, and diagnostic approach. A 1-year-old mixed-breed intact male dog was presented with a 7-day history of acute vomiting and anorexia. Clinical evaluation revealed severe jaundice, abdominal pain, dehydration, lethargy, and abdominal distension. Ultrasonography revealed hepatic cysts filled with fluid. Exploratory laparotomy was performed to clarify the imaging findings; however, the dog died shortly after surgery. Postmortem examination revealed that the liver was reduced in size and had multiple interconnected and distended saccular dilations. The bile ducts were markedly dilated and replaced a large part of the liver parenchyma. Multiple small cysts were also observed in the kidneys. Microscopically, the hepatic lesions were characterized by extensive bridging fibrosis associated with proliferating and ectatic bile ducts contiguous with the biliary tree. Marked fibrosis and small cysts were observed in the kidneys. Therefore, a final diagnosis of Caroli syndrome was made. While uncommon, this syndrome should be considered as a differential diagnosis for young dogs with biliary cysts and hepatic fibrosis.

A síndrome de Caroli é caracterizada pela combinação de ectasia biliar intra-hepática e fibrose ductal congênita, que se devem a falha na involução das placas ductais dos grandes ductos intra-hepáticos. Esse trabalho tem a intenção de reportar um caso de síndrome de Caroli em um canino, com ênfase em suas características clínicas, exames complementares, e abordagem diagnóstica. Um canídeo de um ano de idade, sem raça definida, apresentou um histórico clínico de sete dias de vômito agudo e anorexia. A avaliação clínica revelou severa icterícia, dor abdominal, desidratação, letargia e distensão abdominal. A ultrassonografia foi sugestiva de cistos hepáticos preenchidos por fluido. Uma laparotomia exploratória foi realizada para esclarecer os achados de imagem, porém, o cão morreu logo após a cirurgia. O cão foi submetido a exame de necropsia, onde se observou fígado diminuído em tamanho e com múltiplas dilatações saculares distendidas e interconectadas entre si. Os ductos biliares estavam acentuadamente dilatados e substituíam grande parte do parênquima hepático. Nos rins, múltiplos pequenos cistos eram observados. Microscopicamente as lesões hepáticas eram caracterizadas por extensa fibrose em ponte, associada a ductos biliares ectáticos e proliferados, que eram contíguos a árvore biliar. Nos rins, marcada fibrose e pequenas formações císticas foram observadas. Baseado na associação dos achados clínicos e patológicos, o diagnóstico de síndrome de Caroli foi feito. Mesmo que incomum, essa síndrome deve ser considerada como um diagnóstico diferencial para cães jovens com ductos biliares císticos e fibrose hepática.

Avaliação microbiológica de sushis comercializados em dois tipos de restaurantes de Pouso Alegre - MG / Microbiological evaluation of sushi marketed in twi types of restaurants in Pouso Alegre - MG

O objetivo deste estudo foi avaliar os padrões microbiológicos de sushis preparados e comercializados em dois tipos de restaurantes no município de Pouso Alegre ­ MG. Foram adquiridas 32 amostras de sushis entre os meses de outubro a novembro de 2019 e realizadas pesquisa de coliformes totais, coliformes termotolerantes, Escherichia coli e estafilococos coagulase positiva. Para os testes de coliformes, as amostras foram inoculadas pela técnica pour plate utilizando o meio Agar Vermelho Violeta Bile. Para os testes de estafilococos coagulase positiva, foi utilizada a técnica de spread plate utilizando o meio Agar Baird Parker. Neste estudo não foram encontradas bactérias do grupo coliformes termotolerantes, entretanto, houve presença de coliformes totais em 59,37% das amostras. Em relação a estafilococos coagulase positiva, duas amostras foram positivas para este microrganismo, entretanto, apenas uma teve valores fora dos padrões estabelecidos pela legislação. Quando comparado os resultados entre os dois restaurantes, não houve diferença estatística entre eles. Neste estudo, com exceção de uma amostra, todas as outras amostras estão de acordo com os padrões de qualidade alimentar.(AU)

The objective of this study was to evaluate the microbiological patterns of sushi prepared and sold in 2 types of restaurants in the city of Pouso Alegre ­ MG. Thirty-two samples of sushi were acquired between October and November 2019 and a search for total coliforms, thermotolerant coliforms, Escherichia coli and coagulase-positive staphylococci were carried out. For the coliform tests, the samples were inoculated by the pour plate technique using the Red Violet Bile Agar medium. For coagulase positive staphylococci tests, the spread plate technique using Baird Parker Agar medium was used. In this study, bacteria of the thermotolerant coliform group were not found, however, total coliforms were present in 59.37% of the samples. Regarding coagulase-positive staphylococci, two samples were positive for this microorganism, however, only one had values ​​outside the standards established by legislation. When comparing the results between the two restaurants, there was no statistical difference between them. In this study, with the exception of one sample, all other samples meet food quality standards.

Contribuição da ultrassonografia no diagnóstico da platinosomose felina / Contribution of ultrasonography in the diagnosis of platinosome feline / Contribución de la ultrasonografía en el diagnóstico de platinosomosis felina

A platinosomose é uma importante enfermidade hepatobiliar parasitária que acomete felinos, sendo eles de vida livre ou semi domiciliados. O agente etiológico é o trematódeo Platynosomum spp. E a doença é popularmente conhecida como "envenenamento por lagartixa". As manifestações clínicas da platinosomose são inespecíficas assim como é incomum a observação de lesões hepáticas, o que dificulta o diagnóstico. Felinos possuem o hábito de caça e ao ingerir esses pequenos invertebrados, podem dar continuidade ao ciclo da platinosomose, uma vez que esses animais são os hospedeiros definitivos deste parasito. Esse trematódeo se aloja com frequência no trato biliar dos gatos, causando lesões e possível obstrução do ducto biliar. O grau de comprometimento das lesões hepáticas está na dependência tanto da imunidade, quanto da carga parasitária do animal. O diagnóstico de eleição é o exame parasitológico de fezes, embora ainda seja considerado pouco sensível, sendo relevante a utilização de outras ferramentas diagnósticas. O exame ultrassonográfico permite a observação de alterações hepáticas e até mesmo do próprio parasito no interior do ducto biliar, contribuindo para elucidação dessa enfermidade. Foi atendido no Hospital Veterinário "Luiz Quintiliano de Oliveira", um felino com histórico de icterícia, e ao exame clínico observou-se escore corporal magro e desidratação em 8%. Após avaliação clínica do animal, o mesmo foi encaminhado para o setor de Diagnóstico por Imagem para avaliação ultrassonográfica abdominal, durante o exame visibilizou-se aumento das dimensões hepáticas, edema de parede em vesícula biliar e a presença pequena de estrutura filiforme, hiperecogênica, em seu interior.(AU)

Platinosomiasis is an importante parasitic hepatobiliary disease that affects felines, whether they live freely or semi-domiciled. The etiological agent is the trematode Platynosomum spp. And the disease is popularly known as "lizard poisoning". The clinical manifestations of platinosomiasis are non-specific and the observation of liver lesions observed are, which makes the diagnosis difficult. Felines have a hunting habit and by ingesting these small invertebrates, they can continuing the platinosomiasis cycle, since these animals are the definitive hosts of this parasite.This trematode frequently lodges in the biliary tract of cats, causing injury and possible obstruction of the bile duct. The degree of involvement of liver lesions is in dependence on both immunity and the parasite load of the animal. The diagnosis of choice is the parasitological examination of feces, although it is still considered not very sensitive, and the use of other diagnostic tools is relevant. The ultrasonographic examination allows the observation of hepatic alterations and even the parasite itself inside the bile duct, contributing to the elucidation of this disease. He was treated at the "Luiz Quintiliano de Oliveira", a feline with a history of jaundice, and the clinical examination showed a lean body score and dehydration of 8%. After clinical evaluation of the animal, he was referred to the Diagnostic Imaging Department for abdominal ultrasonography evaluation, during the exam it was seen an increase in the hepatic dimensions, edema of the gallbladder wall and the small presence of a filiform, hyperecogenic structure inside.(AU)

La platinosomosis es una importante enfermedad parasitaria hepatobiliar que afecta a los gatos, ya sean de vida libre o semi-domiciliados. El agente etiológico es el trematodo Platynosomum spp. Y la enfermedad se conoce popularmente como "envenenamiento por gecko". Las manifestaciones clínicas de la platinosomosis son inespecíficas y la observación de lesione hepáticas es poco frecuente, lo que dificulta el diagnóstico. Los felinos tienen el hábito de la caza y al ingerir estos pequeños invertebrados pueden continuar el ciclo de platinosomosis, ya que estos animales son los hospedadores definitivos de este parásito. Este trematodo se aloja con frecuencia en el tracto biliar de los gatos, provocando lesiones y posible obstrucción del conducto biliar. El grado de afectación de las lesiones hepáticas depende tanto de la inmunidad como de la carga parasitaria del animal. El diagnóstico de elección es el examen parasitológico de heces, aunque todavía se considera insensible, siendo relevante el uso de otras herramientas diagnósticas. El examen ecográfico permite la observación de alteraciones hepáticas e incluso del propio parásito fuera de la vía biliar, contribuyendo al esclarecimiento de esta enfermedad. Un felino con antecedentes de ictericia, fue atendido en el Hospital Veterinario "Luiz Quintiliano de Oliveira", y el examen clínico mostró un índice corporal magro y deshidratación en 8%. Después de la evaluación clínica del animal, se derivó al sector de Diagnóstico por Imagen para evaluación de ecografía abdominal, durante el examen se observó aumento de las dimensiones hepáticas, edema de la pared vesicular y pequeña presencia de una estructura filiforme hiperecogénica em su interior.(AU)

Changes in serum adenosine deaminase and isoenzyme levels in addition to routine liver biochemical parameters in sheep with chronic fascioliasis / Alterações nos níveis séricos de adenosina desaminase e isoenzima em relação aos parâmetros bioquímicos de rotina do fígado de ovinos com fasciolíase crônica

This study assessed changes in the levels of adenosine deaminase (ADA) and its isoenzymes in addition to routine liver biochemical parameters in sheep with fascioliasis. The study was conducted on 35 Akkaraman sheep. Of these, 25 sheep were diagnosed with fascioliasis based on anamnesis and clinical signs, and had endoparasites based on parasitological examinations (Fasciola-infected group). The remaining 10 sheep that were sampled from a single healthy herd (same flock) different from the infected group did not have any clinical signs or endoparasites (control group). Total protein (TP), albumin (ALB), and globulin (GLB) levels gradually increased on days after treatment compared to the values measured before treatment; the increases were statistically significant on all days for TP levels but only on day 14 after treatment for GLB levels (P < 0.05). Although, the ALB levels did not increase significantly on days after treatment, the ALB level and ALB/GLB ratio on days 7 and 14 after treatment were still lower than the values of day 21 after treatment and control group (P < 0.05). Total bilirubin (T-Bil) and direct bilirubin (D-Bil) levels on days 14 and 21 were significantly lower than that of day 0 (before treatment) and day 7 after treatment (P < 0.05). These results indicated that the increase in adenosine deaminase (ADA) and ADA1 levels may be due to possible concomitant infection of Fasciola larvae (in the parenchyma) and adults (in the bile duct).

Este estudo teve como objetivo avaliar as alterações nos níveis de adenosina desaminase (ADA) e suas isoenzimas, além de parâmetros bioquímicos hepáticos de rotina em ovinos com fasciolíase. O estudo foi realizado em 35 ovinos s Akkaraman. Destes, 25 ovinos foram suspeitas de ter fasciolíase com base na anamnese e sinais clínicos, e diagnosticados com endoparasitas com base em exames parasitológicos (grupo de estudo). Os 10 ovinos restantes que foram amostrados no mesmo rebanho não apresentavam quaisquer sinais clínicos ou endoparasitas (grupo controle). Os níveis de proteína total (TP), albumina (ALB) e globulina (GLB) aumentaram gradualmente nos dias após o tratamento em comparação com os valores antes do tratamento; os aumentos foram estatisticamente significativos em todos os dias para os níveis de TP, mas apenas após o dia 14 de tratamento para os níveis de GLB (P < 0,05). Embora os níveis de ALB não tenham aumentado significativamente após os dias de tratamento, o nível de ALB e a razão ALB / GLB após o tratamento nos dias 7 e 14 ainda eram menores do que após o tratamento no dia 21 e os valores do grupo de controle (P < 0,05). Os níveis de bilirrubina total (T-Bil) e bilirrubina direta (D-Bil) nos dias 14 e 21 após o tratamento foram significativamente menores do que os valores do dia 7 antes do tratamento e após o tratamento (P < 0,05). Estes resultados indicam que o aumento nos níveis de adenosina desaminase (ADA) e ADA1 pode ser devido à possível infecção concomitante de larvas de Fasciola (no parênquima) e adultos (nos dutos).

Icterícia: da manifestação ao manejo clínico-terapêutico / Icterus: from manifestation to clinical-therapeutic management / Ictericia: de la manifestación al manejo clínico-terapéutico

A icterícia é considerada como a pigmentação amarelada de regiões corpóreas como esclera, pele e mucosas. É uma manifestação presente em variadas doenças e pode ser classificada em icterícia pré-hepática, hepática ou pós-hepática. A categorização dos tipos de icterícia e suas identificações são fundamentais para que haja um maior conhecimento acerca do seu local de ocorrência, da sua gravidade e progressão. A condição pode ser observada em cães e gatos, e cada tipo pode estar associado a doenças distintas como processos hemolíticos, doenças hepatocelulares, obstruções de fluxo biliar, dentre outros. O diagnóstico da manifestação pode ser determinado por meio dos dados coletados na anamnese, exame clínico e/ou complementar, este último mediante necessidade. O tratamento varia e depende da causa base que esteja associada como terapias medicamentosas a intervenções cirúrgicas.

Jaundice is considered the yellowish pigmentation of body regions such as the sclera, skin and mucous membranes. It is a manifestation present in several diseases and can be classified as pre-hepatic, hepatic or post-hepatic jaundice. The categorization of types of jaundice and their identification are essential for greater knowledge about its place of occurrence, its severity and progression. The condition can be observed in dogs and cats, and each type can be associated with different diseases such as hemolytic processes, hepatocellular diseases, bile flow obstructions, among others. The diagnosis of the manifestation can be determined through data collected through anamnesis, clinical and/or complementary examination, the latter as needed. Treatment varies and depends on the underlying cause that is associated with drug therapies and surgical interventions.

La ictericia se considera la pigmentación amarillenta de regiones del cuerpo como la esclerótica, la piel y las membranas mucosas. Es una manifestación presente en varias enfermedades y puede clasificarse en ictericia prehepática, hepática o poshepática. La categorización de los tipos de ictericia y su identificación son fundamentales para un mayor conocimiento sobre su lugar de aparición, su gravedad y progresión. La afección se puede observar en perros y gatos, y cada tipo puede asociarse con diferentes enfermedades como procesos hemolíticos, enfermedades hepatocelulares, obstrucciones del flujo biliar, entre otras. El diagnóstico de la manifestación se puede determinar mediante la recogida de datos mediante anamnesis, exploración clínica y / o complementaria, esta última según sea necesario. El tratamiento varía y depende de la causa subyacente asociada con las terapias farmacológicas y las intervenciones quirúrgicas.

Cholelithiasis, choledocholithiasis and hepatolithiasis with secondary necrotizing hepatitis and cholangiohepatitis in a dairy cow

Biliary calculi are rare in cattle and occur usually in the gallbladder, without clinical signs. In humans, cholelithiasis is a common cause of hepatic abscess due calculi microbiota. Here is described a case of cholelithiasis, choledocholithiasis and hepatolithiasis in a 10-year-old female mixed breed dairy cow. The animal died during physical examination with signs as cachexia, icterus, and fever. At necropsy, a large number of green calculi were observed in the gallbladder, common duct lumen and in markedly distended biliary ducts. The liver was firm and decreased in volume with multiple abscess and multiple red foci measuring 0.5 cm in diameter in the hepatic parenchyma. Microscopically in the liver, marked ductal proliferation and abscedative cholangiohepatitis with abundant fibrosis and multiple foci of hepatocytes necrosis. In conclusion, choledocholithiasis and hepatolithiasis may occur in cattle and cause significant clinical signs and pathological alterations.(AU)

Platinossomose em felino doméstico no município de Pelotas, RS, Brasil / Platinosomosis in feline domestic in the municipality of Pelotas, RS, Brazil / Platinosomosis en felinos domésticos en el municipio de Pelotas, RS, Brasil

Platynosomum spp. é um trematódeo, da família Dicrocoeliidae, que tem como hospedeiros definitivos, os felídeos, mas também pode parasitar primatas e aves silvestres. Animais que possuem o hábito de se alimentar de répteis ou anfíbios, são mais susceptíveis. Acomete principalmente o fígado e os ductos biliares, mas pode ser eventualmente encontrado também no intestino delgado, ductos pancreáticos, pulmões e outros tecidos. A fisiopatologia inclui quadro de colangite crônica, podendo se estender e acometer o parênquima hepático e culminar com colangiohepatite, fibrose biliar, cirrose e obstrução biliar. Os sinais clínicos variam conforme a gravidade do caso e duração da infecção. As manifestações clínicas incluem anorexia, letargia, perda de peso, hepatomegalia, distensão abdominal e vômitos, podendo ocorrer, ainda, icterícia e alteração de consistência das fezes. Os gatos adultos, não domiciliados ou domiciliados com acesso à rua que possuem hábitos de caça, são mais predispostos. O diagnóstico definitivo pode ser feito pela pesquisa parasitológica e presença de ovos em análise coproparasitológica, pela identificação de ovos na bile e mais frequentemente por histopatologia hepática. O tratamento consiste no uso de anti-helmínticos, sendo que o mais eficaz é o praziquantel. Além disso, medidas preventivas devem ser adotadas, como evitar que os gatos tenham acesso aos hospedeiros intermediários. O presente relato, consiste no diagnóstico coproparasitológico de platinossomose em dois felinos domésticos, no município de Pelotas, RS, Brasil.

Platynosomumspp. is a trematode, from the family Dicrocoeliidae, which has felids as its definitive host, but can also parasite primates and wild birds. Animals that have a habit of feeding on reptiles or amphibians are more susceptible. It mainly affects the liver and bile ducts, but it can eventually be found also in the small intestine, pancreatic ducts, lungs and other tissues. Pathophysiology includes chronic cholangitis, which may extend and affect the liver parenchyma and culminate in cholangiohepatitis, biliary fibrosis, cirrhosis and biliary obstruction. Clinical signs vary according to the severity of the case and the duration of the infection. Clinical manifestations include anorexia, lethargy, weight loss, hepatomegaly, bloating and vomiting, and jaundice and alteration of stool consistency may also occur. Adult cats, homeless or homeless with access to the street who have hunting habits, are more predisposed. The definitive diagnosis can be made through parasitological research and presence of eggs in coproparasitological analysis, by identifying eggs in the bile and more often through hepatic histopathology. Treatment consists of the use of anthelmintics, the most effective of which is praziquantel. In addition, preventive measures must be adopted, such as preventing cats from having access to intermediate hosts. The present report consists of the coproparasitological diagnosis of platinosomosis in two domestic cats, in the municipality of Pelotas, RS, Brazil.

Platynosomum spp. es un trematodo, de la familia Dicrocoeliidae, que tiene a los felinos como hospedadores definitivos, pero también puede parasitar primates y aves silvestres. Los animales que tienen la costumbre de alimentarse de reptiles o anfibios, sonmás susceptibles. Afecta principalmente al hígado y los conductos biliares, pero eventualmente también se puede encontrar en el intestino delgado, los conductos pancreáticos, los pulmones y otros tejidos. La fisiopatología incluye la colangitis crónica, que puede extenderse y afectar el parénquima hepático y culminar en colangiohepatitis, fibrosis biliar, cirrosis y obstrucción biliar. Los signos clínicos varían según la gravedad del caso y la duración de la infección. Las manifestaciones clínicas incluyen anorexia, letargo, pérdida de peso, hepatomegalia, distensión abdominal y vómitos, e ictericia y alteración de la consistencia de las heces. Los gatos adultos, sin hogar o sin hogar con acceso a la calle que tienen hábitos de caza, están más predispuestos. El diagnóstico definitivo se puede realizar mediante la investigación parasitológica y la presencia de huevos en el análisis coproparasitológico, mediante la identificación de los huevos en la bilis y más a menudo mediante la histopatología hepática. El tratamiento consiste en el uso de antihelmínticos, el más eficaz de los cuales es el praziquantel. Además, se deben adoptar medidas preventivas, como evitar que los gatos tengan acceso a huéspedes intermediarios. El presente informe consiste en el diagnóstico coproparasitológico de platinosomosa en dos gatos domésticos, en el municipio de Pelotas, RS, Brasil.

Cholelithiasis, choledocholithiasis and hepatolithiasis with secondary necrotizing hepatitis and cholangiohepatitis in a dairy cow

Biliary calculi are rare in cattle and occur usually in the gallbladder, without clinical signs. In humans, cholelithiasis is a common cause of hepatic abscess due calculi microbiota. Here is described a case of cholelithiasis, choledocholithiasis and hepatolithiasis in a 10-year-old female mixed breed dairy cow. The animal died during physical examination with signs as cachexia, icterus, and fever. At necropsy, a large number of green calculi were observed in the gallbladder, common duct lumen and in markedly distended biliary ducts. The liver was firm and decreased in volume with multiple abscess and multiple red foci measuring 0.5 cm in diameter in the hepatic parenchyma. Microscopically in the liver, marked ductal proliferation and abscedative cholangiohepatitis with abundant fibrosis and multiple foci of hepatocytes necrosis. In conclusion, choledocholithiasis and hepatolithiasis may occur in cattle and cause significant clinical signs and pathological alterations.

Platinossomose em felino doméstico no município de Pelotas, RS, Brasil / Platinosomosis in feline domestic in the municipality of Pelotas, RS, Brazil / Platinosomosis en felinos domésticos en el municipio de Pelotas, RS, Brasil

Platynosomum spp. é um trematódeo, da família Dicrocoeliidae, que tem como hospedeiros definitivos, os felídeos, mas também pode parasitar primatas e aves silvestres. Animais que possuem o hábito de se alimentar de répteis ou anfíbios, são mais susceptíveis. Acomete principalmente o fígado e os ductos biliares, mas pode ser eventualmente encontrado também no intestino delgado, ductos pancreáticos, pulmões e outros tecidos. A fisiopatologia inclui quadro de colangite crônica, podendo se estender e acometer o parênquima hepático e culminar com colangiohepatite, fibrose biliar, cirrose e obstrução biliar. Os sinais clínicos variam conforme a gravidade do caso e duração da infecção. As manifestações clínicas incluem anorexia, letargia, perda de peso, hepatomegalia, distensão abdominal e vômitos, podendo ocorrer, ainda, icterícia e alteração de consistência das fezes. Os gatos adultos, não domiciliados ou domiciliados com acesso à rua que possuem hábitos de caça, são mais predispostos. O diagnóstico definitivo pode ser feito pela pesquisa parasitológica e presença de ovos em análise coproparasitológica, pela identificação de ovos na bile e mais frequentemente por histopatologia hepática. O tratamento consiste no uso de anti-helmínticos, sendo que o mais eficaz é o praziquantel. Além disso, medidas preventivas devem ser adotadas, como evitar que os gatos tenham acesso aos hospedeiros intermediários. O presente relato, consiste no diagnóstico coproparasitológico de platinossomose em dois felinos domésticos, no município de Pelotas, RS, Brasil.(AU)

Platynosomumspp. is a trematode, from the family Dicrocoeliidae, which has felids as its definitive host, but can also parasite primates and wild birds. Animals that have a habit of feeding on reptiles or amphibians are more susceptible. It mainly affects the liver and bile ducts, but it can eventually be found also in the small intestine, pancreatic ducts, lungs and other tissues. Pathophysiology includes chronic cholangitis, which may extend and affect the liver parenchyma and culminate in cholangiohepatitis, biliary fibrosis, cirrhosis and biliary obstruction. Clinical signs vary according to the severity of the case and the duration of the infection. Clinical manifestations include anorexia, lethargy, weight loss, hepatomegaly, bloating and vomiting, and jaundice and alteration of stool consistency may also occur. Adult cats, homeless or homeless with access to the street who have hunting habits, are more predisposed. The definitive diagnosis can be made through parasitological research and presence of eggs in coproparasitological analysis, by identifying eggs in the bile and more often through hepatic histopathology. Treatment consists of the use of anthelmintics, the most effective of which is praziquantel. In addition, preventive measures must be adopted, such as preventing cats from having access to intermediate hosts. The present report consists of the coproparasitological diagnosis of platinosomosis in two domestic cats, in the municipality of Pelotas, RS, Brazil.(AU)

Platynosomum spp. es un trematodo, de la familia Dicrocoeliidae, que tiene a los felinos como hospedadores definitivos, pero también puede parasitar primates y aves silvestres. Los animales que tienen la costumbre de alimentarse de reptiles o anfibios, sonmás susceptibles. Afecta principalmente al hígado y los conductos biliares, pero eventualmente también se puede encontrar en el intestino delgado, los conductos pancreáticos, los pulmones y otros tejidos. La fisiopatología incluye la colangitis crónica, que puede extenderse y afectar el parénquima hepático y culminar en colangiohepatitis, fibrosis biliar, cirrosis y obstrucción biliar. Los signos clínicos varían según la gravedad del caso y la duración de la infección. Las manifestaciones clínicas incluyen anorexia, letargo, pérdida de peso, hepatomegalia, distensión abdominal y vómitos, e ictericia y alteración de la consistencia de las heces. Los gatos adultos, sin hogar o sin hogar con acceso a la calle que tienen hábitos de caza, están más predispuestos. El diagnóstico definitivo se puede realizar mediante la investigación parasitológica y la presencia de huevos en el análisis coproparasitológico, mediante la identificación de los huevos en la bilis y más a menudo mediante la histopatología hepática. El tratamiento consiste en el uso de antihelmínticos, el más eficaz de los cuales es el praziquantel. Además, se deben adoptar medidas preventivas, como evitar que los gatos tengan acceso a huéspedes intermediarios. El presente informe consiste en el diagnóstico coproparasitológico de platinosomosa en dos gatos domésticos, en el municipio de Pelotas, RS, Brasil.(AU)