Canine mast cell tumour lomustine's sensitization by tyrosine kinase inhibitors

Background: Tyrosine kinase inhibitors (TKIs) may sensitize neoplasms to conventional antineoplastic agents, however such studies are scarse in the veterinary literature and there is no in vivo study about this subject. Although the literature recommend consensual about the use of masitinib for unresectable or metastatic MCTs, the potential of tumour sensitization to chemotherapeutic agents exerted by the drug is poorly explored in veterinary medicine. The objective of this paper was to report, for the first time, the sensitization of 2 canine mast cell tumours (MCTs) to lomustine, with the use of 2 tyrosine kinase inhibitors: masitinib and toceranib. Cases: Two dogs were referred due tumour recurrence in the left pelvic limb (dog 1), and unilateral mass in the right nasal mucocutaneous region (dog 2). The first case was a 8-year-old female Pinscher, and the second case refers to a 8-year-old male mixed-breed dog. Fine needle aspiration of both lesions was performed, and the cytological analysis were compatible with high grade canine MCT. In the first case, it was started a chemotherapeutic treatment with intravenous vinblastine (2 mg/m² ), associated with prednisolone (40 mg/m2 , every 24 h for 7 days), followed by 25 mg/m2 every 24 h, for more 30 days, tramadol (4 mg/kg every 8 h, until new recommendations) and gabapentin (3 mg/kg every 12 h, until new recommendations). However, there was no objective response, and vinblastine was substituted by lomustine (60 mg/m2 every 21 days), however there was also no response after 2 doses. After masitinib importation, the same was started at 12.5 mg/kg orally every 24 h, but there was also no objective response. However, after new lomustine administration the lesion showed complete remission. The second dog initiated its treatment with toceranib, recently licensed in Brazil, at a dosage of 2.7 mg/kg every 48 h, and after 30 days, there was partial remission. However, the remaining lesion still deemed unresectable, and systemic chemotherapy with lomustine (50 mg/m2 ) was initiated along with continuous toceranib. After 3 weeks of the first chemotherapy complete remission was noted and a second dose was administered. Once the patient remained in complete clinical remission, only toceranib was maintained at the same dose. After 11 months using the toceranib, there was sign of disease recurrence and lomustine was re-initiated resulting in complete remission. Discussion: The TKIs masitinib and toceranib might be considered the first-line therapy for unresectable and/or metastatic canine MCT, but also for those cases with confirmed internal tandem duplications in the exon 11 of the c-KIT protooncogene. Masitinib appears to be more selective than others TKI, such as toceranib, imatinib, dasatinib and sunitinib, because it causes weak inhibition of BCR/ABL (breakpoint cluster region-Abelson), Fms (macrophage colony-stimulating factor receptor), Flt-3 (FMS-like tyrosine kinase-3) and VEGFR (vascular endothelial growth factor receptor), which may partially explains its increased safety and lower risk of cardiotoxicity. In the first case, the animal has been treated with lomustine associated to masitinib and showed a progression-free interval of 33 days, however, the response reported may have been lower, due previously exposition to chemotherapeutic agents, which might compromise the response to TKI. The second case, with the association of lomustine and toceranib, was followed up for 365 days, presenting only one recurrence in the final third of the follow-up, however, with subsequent new complete remission. Sensitization of canine MCT to lomustine with TKIs increases the therapeutic possibilities for this neoplasm, mainly in patients with advanced stage and high-grade tumours.

Correlation of Clinical, Histopathological and Histomorphometric Features of Canine Soft Tissue Sarcomas

Sarcomas de partes moles (STS) representam um grupo heterogêneo de tumores com características histológicas e comportamento biológico semelhantes. Este estudo teve como objetivo descrever a correlação entre as características clínicas, histopatológicas e histomorfométricas do STS em cães. Os registros médicos foram revisados ​​para identificar todos os cães nos quais um STS foi diagnosticado entre 2006-2017. Trinta casos foram incluídos, e amostras de tumor e prontuários médicos foram recuperados. A maioria dos cães era mestiça (40%) e 80% dos STS localizavam-se no tecido conjuntivo subcutâneo. A classificação histopatológica mostrou que sarcoma indiferenciado (17%) e tumor de bainha de nervo periférico (30%) foram os STS mais comuns. O STS de grau I foi obtido em 50% dos casos (15/30), e os tumores de grau II ou III comprometeram 43% (13/30) e 7% (2/30), respectivamente. O índice mitótico variou de zero a 26 (5,8 ± 7,5). A razão núcleo: citoplasma aumentada foi moderadamente associada com maior grau de tumor (p = 0,05; rS = 0,361) e índice mitótico (p = 0,05; rS = 0,355), enquanto o número de microvasos foi positivamente correlacionado com o grau de diferenciação (p = 0,05 ; rS = 0,362) e pleomorfismo nuclear (p = 0,036; rS = 0,384). A histomorfometria mostrou-se útil na avaliação do STS, representando uma ferramenta adicional correlacionada a fatores prognósticos bem estabelecidos (grau histopatológico, grau de diferenciação, pleomorfismo nuclear). enquanto o número de microvasos foi positivamente correlacionado com o grau de diferenciação (p = 0,05; rS = 0,362) e pleomorfismo nuclear (p = 0,036; rS = 0,384). A histomorfometria mostrou-se útil na avaliação do STS, representando uma ferramenta adicional correlacionada a fatores prognósticos bem estabelecidos (grau histopatológico, grau de diferenciação, pleomorfismo nuclear). enquanto o número de microvasos foi positivamente correlacionado com o grau de diferenciação (p = 0,05; rS = 0,362) e pleomorfismo nuclear (p = 0,036; rS = 0,384). A histomorfometria mostrou-se útil na avaliação do STS, representando uma ferramenta adicional correlacionada a fatores prognósticos bem estabelecidos (grau histopatológico, grau de diferenciação, pleomorfismo nuclear).

Neuropatia periférica focal associada ao linfoma em cães / Focal peripheral neuropathy associated with lymphoma in dogs

Background: Peripheral neuropathies result in sensory, motor or autonomic dysfunctions due to impairment of peripheral spinal or cranial nerves. Neoplasms such as lymphoma are cited as one of the many aetiological causes and it mayaffect the nerve directly, by compression, or indirectly (paraneoplastic) by remote action of the neoplasm located in anextra-neural site. This study aimed to report two cases of cranial nerve neuropathy (trigeminal and facial) associated withcanine lymphoma, contributing to a better understanding of its paraneoplastic effects on the nervous system, as well asthe diagnosis and treatment of these conditions.Cases: Two cases of canine lymphoma associated with possible signs of paraneoplastic peripheral neuropathy were attendedat the Veterinary Hospital from the Universidade Federal de Minas Gerais (HV UFMG). Case 1. A spayed mixed breedbitch, with lethargy and unilateral exophthalmos. Brain computed tomography revealed a retrobulbar mass and cytology wasdiagnostic for extranodal lymphoma. Subsequent to computed tomography, the dog was presented with hypotrophy of thefacial musculature and difficulty in grasping food, consistent with trigeminal nerve palsy, which resolved after institutionof the 19-week chemotherapy protocol from the University of Wisconsin. Nevertheless, disease reccurred and a rescueprotocol was initiated. Case 2. A female Dalmatian, spayed, was diagnosed with multicentric lymphoma, after cytologyof the left mandibular lymph node. Chemotherapy was initiated with the same protocol of the previous case. However,the disease progressed and it was observed facial asymmetry with ptosis of the left eyelid, pina and lips, in addition todifficulty in grasping food, suggesting facial and trigeminal cranial nerve palsy. Clinical signs resolved after institutionof a rescue chemotherapy protocol. However, in both cases, disease progression and poor clinical condition resulted in...

LOPH and D-MHC in the treatment of FeLV associated acute leukemia in a cat

Background: Bone marrow primary malignancies are denominated leukemias, classified as myeloid or lymphoid, according to the cell lineage, and acute or chronic, according to the cell´s state of maturation. In cats, acute lymphoid leukemiais the most common form, especially in regions endemic for feline leukemia virus and / or feline immunodeficiency virus.A new treatment protocol for lymphomas, called LOPH, was described for animals with FeLV persistent viremia. Thisstudy aimed to report a case of a cat presenting with FeLV associated acute leukemia and treated with the LOPH protocol,and, in the rescue phase, a modification of the D-MAC protocol, denominated D-MHC.Case: A 4-year-old mixed breed intact queen was attended due to lethargy and inappetence. The patient did not present anyrelevant abnormalities in the clinical exam and complementary exams were performed including complete blood count,biochemical profile, SNAP Feline Triple Test, chest radiographs and abdominal ultrasound. Imaging tests and biochemicalvalues were unremarkable, but the patient presented a reagent result for FeLV and severe leukocytosis due to lymphocytosis. The morphological evaluation of the blood smear revealed the presence of blasts, in a concentration greater than 20%of the nucleated cells, which allowed the characterization of a leukemic state, probably lymphoid. First-line treatmentwas based on the LOPH protocol, including Lomustine, Vincristine, Prednisolone and Doxorubicin, in four-week cycles.Nevertheless, during the third cycle, 66 days after the institution of this protocol, the patient presented a febrile conditionalong with marked leukocytosis due to lymphocytosis, confirming leukemia recurrence. A rescue attempt was performedwith a modification of the D-MAC protocol, originally consisting of the combination of dexamethasone, melphalan, actinomycin-D and cytarabine, but with replacement of actinomycin-D by doxorubicin, and therefore denominated D-MHC....

Correlation of Clinical, Histopathological and Histomorphometric Features of Canine Soft Tissue Sarcomas

Sarcomas de partes moles (STS) representam um grupo heterogêneo de tumores com características histológicas e comportamento biológico semelhantes. Este estudo teve como objetivo descrever a correlação entre as características clínicas, histopatológicas e histomorfométricas do STS em cães. Os registros médicos foram revisados ​​para identificar todos os cães nos quais um STS foi diagnosticado entre 2006-2017. Trinta casos foram incluídos, e amostras de tumor e prontuários médicos foram recuperados. A maioria dos cães era mestiça (40%) e 80% dos STS localizavam-se no tecido conjuntivo subcutâneo. A classificação histopatológica mostrou que sarcoma indiferenciado (17%) e tumor de bainha de nervo periférico (30%) foram os STS mais comuns. O STS de grau I foi obtido em 50% dos casos (15/30), e os tumores de grau II ou III comprometeram 43% (13/30) e 7% (2/30), respectivamente. O índice mitótico variou de zero a 26 (5,8 ± 7,5). A razão núcleo: citoplasma aumentada foi moderadamente associada com maior grau de tumor (p = 0,05; rS = 0,361) e índice mitótico (p = 0,05; rS = 0,355), enquanto o número de microvasos foi positivamente correlacionado com o grau de diferenciação (p = 0,05 ; rS = 0,362) e pleomorfismo nuclear (p = 0,036; rS = 0,384). A histomorfometria mostrou-se útil na avaliação do STS, representando uma ferramenta adicional correlacionada a fatores prognósticos bem estabelecidos (grau histopatológico, grau de diferenciação, pleomorfismo nuclear). enquanto o número de microvasos foi positivamente correlacionado com o grau de diferenciação (p = 0,05; rS = 0,362) e pleomorfismo nuclear (p = 0,036; rS = 0,384). A histomorfometria mostrou-se útil na avaliação do STS, representando uma ferramenta adicional correlacionada a fatores prognósticos bem estabelecidos (grau histopatológico, grau de diferenciação, pleomorfismo nuclear). enquanto o número de microvasos foi positivamente correlacionado com o grau de diferenciação (p = 0,05; rS = 0,362) e pleomorfismo nuclear (p = 0,036; rS = 0,384). A histomorfometria mostrou-se útil na avaliação do STS, representando uma ferramenta adicional correlacionada a fatores prognósticos bem estabelecidos (grau histopatológico, grau de diferenciação, pleomorfismo nuclear).(AU)

LOPH and D-MHC in the treatment of FeLV associated acute leukemia in a cat

Background: Bone marrow primary malignancies are denominated leukemias, classified as myeloid or lymphoid, according to the cell lineage, and acute or chronic, according to the cell´s state of maturation. In cats, acute lymphoid leukemiais the most common form, especially in regions endemic for feline leukemia virus and / or feline immunodeficiency virus.A new treatment protocol for lymphomas, called LOPH, was described for animals with FeLV persistent viremia. Thisstudy aimed to report a case of a cat presenting with FeLV associated acute leukemia and treated with the LOPH protocol,and, in the rescue phase, a modification of the D-MAC protocol, denominated D-MHC.Case: A 4-year-old mixed breed intact queen was attended due to lethargy and inappetence. The patient did not present anyrelevant abnormalities in the clinical exam and complementary exams were performed including complete blood count,biochemical profile, SNAP Feline Triple Test, chest radiographs and abdominal ultrasound. Imaging tests and biochemicalvalues were unremarkable, but the patient presented a reagent result for FeLV and severe leukocytosis due to lymphocytosis. The morphological evaluation of the blood smear revealed the presence of blasts, in a concentration greater than 20%of the nucleated cells, which allowed the characterization of a leukemic state, probably lymphoid. First-line treatmentwas based on the LOPH protocol, including Lomustine, Vincristine, Prednisolone and Doxorubicin, in four-week cycles.Nevertheless, during the third cycle, 66 days after the institution of this protocol, the patient presented a febrile conditionalong with marked leukocytosis due to lymphocytosis, confirming leukemia recurrence. A rescue attempt was performedwith a modification of the D-MAC protocol, originally consisting of the combination of dexamethasone, melphalan, actinomycin-D and cytarabine, but with replacement of actinomycin-D by doxorubicin, and therefore denominated D-MHC....(AU)

Neuropatia periférica focal associada ao linfoma em cães / Focal peripheral neuropathy associated with lymphoma in dogs

Background: Peripheral neuropathies result in sensory, motor or autonomic dysfunctions due to impairment of peripheral spinal or cranial nerves. Neoplasms such as lymphoma are cited as one of the many aetiological causes and it mayaffect the nerve directly, by compression, or indirectly (paraneoplastic) by remote action of the neoplasm located in anextra-neural site. This study aimed to report two cases of cranial nerve neuropathy (trigeminal and facial) associated withcanine lymphoma, contributing to a better understanding of its paraneoplastic effects on the nervous system, as well asthe diagnosis and treatment of these conditions.Cases: Two cases of canine lymphoma associated with possible signs of paraneoplastic peripheral neuropathy were attendedat the Veterinary Hospital from the Universidade Federal de Minas Gerais (HV UFMG). Case 1. A spayed mixed breedbitch, with lethargy and unilateral exophthalmos. Brain computed tomography revealed a retrobulbar mass and cytology wasdiagnostic for extranodal lymphoma. Subsequent to computed tomography, the dog was presented with hypotrophy of thefacial musculature and difficulty in grasping food, consistent with trigeminal nerve palsy, which resolved after institutionof the 19-week chemotherapy protocol from the University of Wisconsin. Nevertheless, disease reccurred and a rescueprotocol was initiated. Case 2. A female Dalmatian, spayed, was diagnosed with multicentric lymphoma, after cytologyof the left mandibular lymph node. Chemotherapy was initiated with the same protocol of the previous case. However,the disease progressed and it was observed facial asymmetry with ptosis of the left eyelid, pina and lips, in addition todifficulty in grasping food, suggesting facial and trigeminal cranial nerve palsy. Clinical signs resolved after institutionof a rescue chemotherapy protocol. However, in both cases, disease progression and poor clinical condition resulted in...(AU)

Etiologia microbiana e perfil de resistência bacteriana in vitro em otites externas de cães: estudo retrospectivo em animais atendidos na rotina de hospital veterinário (2013 a 2020) / Microbial etiology and in vitro bacterial resistance profile in external dogs otitis: retrospective study in animals attended in the routine of veterinary hospital (2013 to 2020) / Etiología microbiana y perfil de resistencia bacteriana in vitro en otitis externa en perros: estudio retrospectivo en animales atendidos en la rutina de hospital veterinario (2013 a 2020)

El objetivo de este estudio fue identificar la microbiota y describir el perfil de sensibilidad de las bacterias a los antimicrobianos en perros con otitis externa tratados en un hospital veterinario. Para ello, se analizaron 559 muestras otológicas de perros con clínica de otitis externa sometidas a cultivo y antibiograma. Hubo crecimiento de microorganismos en el 93,6% (523/559) de las muestras, y en el 88,5% (463/523) hubo crecimiento de bacterias, 5,7% (30/523) de levaduras y 5,7% (30/523) infecciones mixtas. Se obtuvieron 702 cepas, Staphylococcus spp. 55,1% (387/702), Pseudomonas spp. 11,8% (83/702) y Proteus mirabilis 9,8% (69/702) los agentes bacterianos más aislados. Entre las levaduras, Malassezia pachydermatis 10,3% (54/523) fue la más frecuente. En cuanto a los resultados del perfil de sensibilidad de las bacterias a los antimicrobianos, se observó que las bacterias Gram positivas Staphylococcus spp. y Streptococcus spp. mostraron mayor sensibilidad a amoxicilina + ácido clavulánico, con 92,5% y 100% de cepas sensibles. Las bacterias gram negativas Pseudomonas spp., P. mirabilis y Escherichia coli, presentaron sensibilidad mayor al 90% a la tobramicina. Entre todos los agentes bacterianos, Pseudomonas spp. fue el que mostró mayores tasas de resistencia frente a amoxicilina + ácido clavulánico (6,2%), cefalexina (7,4%) y sulfametoxazol + trimetoprima (13,6%)...

The objective of this work was to identify the microbial etiology and describe the sensitivity profile of bacteria to antimicrobials in dogs with otitis externa attended at a veterinary school hospital. For this, 559 otological samples from dogs with clinical signs of otitis externa submitted to culture and antibiogram were analyzed. There was growth of microorganisms in 93.6% (523/559) of the samples, and in 88.5% (463/523) there was the growth of bacteria, in 5.7% (30/523) the growth of yeasts and 5.7% (30/523) mixed infections. 702 strains were obtained, being Staphylococcus spp. 55.1% (387/702), Pseudomonas spp. 11.8% (83/702) and Proteus mirabilis 9.8% (69/702) the most isolated bacterial agents. Among yeasts, Malassezia pachydermatis 10.3% (54/523) was the most frequent. Regarding the results of the sensitivity profile of bacteria to antimicrobials, it was observed that Gram-positive bacteria Staphylococcus spp. and Streptococcus spp. showed greater sensitivity to amoxicillin + clavulanic acid, with 92.5% and 100% of sensitive strains. Gram-negative bacteria Pseudomonas spp., P. mirabilis and Escherichia coli, presented sensitivity greater than 90% to tobramycin. Among all bacterial agents, Pseudomonas spp. was the one that demonstrated the highest resistance rates against amoxicillin + clavulanic acid (6.2%), cephalexin (7.4%) and sulfamethoxazole + trimethoprim (13.6%)...

O objetivo deste trabalho foi identificar a etiologia microbiana e descrever o perfil de sensibilidade das bactérias aos antimicrobianos em cães com otite externa atendidos em serviço hospitalar médico veterinário. Para isso, foram analisadas 559 amostras otológicas de cães com sinais clínicos de otite externa submetidas à cultura e antibiograma. Houve crescimento de microrganismos em 93,6% (523/559) das amostras, sendo que em 88,5% (463/523) houve crescimento de bactérias, 5,7% (30/523) crescimento de leveduras e 5,7% (30/523) infecções mistas. Foram obtidas 702 cepas, sendo Staphylococcus spp. 55,1% (387/702), Pseudomonas spp. 11,8% (83/702) e Proteus mirabilis 9,8% (69/702) os agentes bacterianos mais isolados. Dentre as leveduras, Malassezia pachydermatis 10,3% (54/523) foi a mais freqüente. Em relação aos resultados do perfil de sensibilidade das bactérias aos antimicrobianos, observou-se que as bactérias Gram-positivas Staphylococcus spp. e Streptococcus spp. apresentaram maior sensibilidade a amoxicilina + ácido clavulânico, com 92,5% e 100% das cepas sensíveis. Já as bactérias Gram-negativas Pseudomonas spp., P. mirabilis e Escherichia coli, apresentaram sensibilidade superior a 90% a tobramicina. Dentre todos os agentes bacterianos, Pseudomonas spp. foi o que demonstrou as maiores taxas de resistência frente a amoxicilina + ácido clavulânico (6,2%), cefalexina (7,4%) e...

Pancreatic cyst in a cat / Cisto pancreático em um gato

Pancreatic cysts are rare in both humans and animals. They are defined as an enclosed structure externally surrounded by a capsule, internally coated with a cuboidal epithelium and filled with liquid or semi-solid content. This case described the clinical and pathological characteristics of a pancreatic cyst in a feline. A mixed breed cat with a history of recurrent vomiting was attended. Physical examination revealed pain on abdominal palpation. Abdominal ultrasonography showed a cystic, anechoic structure with well-defined edges located in the left cranial abdomen and in close contact with the duodenum and pancreas. Partial pancreatectomy was performed. Microscopically, the structure was surrounded by fibrous material, coated with cuboidal to columnar epithelium, and containing eosinophilic material. Although, pancreatic cyst is rare in animals, they should be included in the differential diagnosis of causes of vomiting in young cats.

Os cistos epiteliais pancreáticos são raros em humanos e animais, e são definidos como estruturas encapsuladas rodeadas por epitélio cuboidal, preenchido por substância líquida. O objetivo desse estudo foi descrever as características clínico-patológicas de um cisto pancreático verdadeiro em um felino. Foi atendido uma gata sem raça definida com histórico de vômitos recorrentes. No exame físico o animal apresentou dor à palpação abdominal. Na ultrassonografia abdominal, evidenciou-se a presença de uma estrutura cística, anecóica e com bordos bem definidos localizado no abdome cranial esquerdo, em contato com o duodeno e o pâncreas. Foi realizada pancreatectomia parcial. No exame microscópico observou-se estrutura encapsulada, circundado por material fibroso, revestido por epitélio cuboidal a colunar, contendo material eosinofílico. Embora os cistos pancreáticos verdadeiros sejam raros nos animais, eles devem ser incluídos no diagnóstico diferencial de doenças que cursam com vômitos nos gatos.

Pancreatic cyst in a cat / Cisto pancreático em um gato

ABSTRACT: Pancreatic cysts are rare in both humans and animals. They are defined as an enclosed structure externally surrounded by a capsule, internally coated with a cuboidal epithelium and filled with liquid or semi-solid content. This case described the clinical and pathological characteristics of a pancreatic cyst in a feline. A mixed breed cat with a history of recurrent vomiting was attended. Physical examination revealed pain on abdominal palpation. Abdominal ultrasonography showed a cystic, anechoic structure with well-defined edges located in the left cranial abdomen and in close contact with the duodenum and pancreas. Partial pancreatectomy was performed. Microscopically, the structure was surrounded by fibrous material, coated with cuboidal to columnar epithelium, and containing eosinophilic material. Although, pancreatic cyst is rare in animals, they should be included in the differential diagnosis of causes of vomiting in young cats.

RESUMO: Os cistos epiteliais pancreáticos são raros em humanos e animais, e são definidos como estruturas encapsuladas rodeadas por epitélio cuboidal, preenchido por substância líquida. O objetivo desse estudo foi descrever as características clínico-patológicas de um cisto pancreático verdadeiro em um felino. Foi atendido uma gata sem raça definida com histórico de vômitos recorrentes. No exame físico o animal apresentou dor à palpação abdominal. Na ultrassonografia abdominal, evidenciou-se a presença de uma estrutura cística, anecóica e com bordos bem definidos localizado no abdome cranial esquerdo, em contato com o duodeno e o pâncreas. Foi realizada pancreatectomia parcial. No exame microscópico observou-se estrutura encapsulada, circundado por material fibroso, revestido por epitélio cuboidal a colunar, contendo material eosinofílico. Embora os cistos pancreáticos verdadeiros sejam raros nos animais, eles devem ser incluídos no diagnóstico diferencial de doenças que cursam com vômitos nos gatos.

Etiologia microbiana e perfil de resistência bacteriana in vitro em otites externas de cães: estudo retrospectivo em animais atendidos na rotina de hospital veterinário (2013 a 2020) / Microbial etiology and in vitro bacterial resistance profile in external dogs otitis: retrospective study in animals attended in the routine of veterinary hospital (2013 to 2020) / Etiología microbiana y perfil de resistencia bacteriana in vitro en otitis externa en perros: estudio retrospectivo en animales atendidos en la rutina de hospital veterinario (2013 a 2020)

El objetivo de este estudio fue identificar la microbiota y describir el perfil de sensibilidad de las bacterias a los antimicrobianos en perros con otitis externa tratados en un hospital veterinario. Para ello, se analizaron 559 muestras otológicas de perros con clínica de otitis externa sometidas a cultivo y antibiograma. Hubo crecimiento de microorganismos en el 93,6% (523/559) de las muestras, y en el 88,5% (463/523) hubo crecimiento de bacterias, 5,7% (30/523) de levaduras y 5,7% (30/523) infecciones mixtas. Se obtuvieron 702 cepas, Staphylococcus spp. 55,1% (387/702), Pseudomonas spp. 11,8% (83/702) y Proteus mirabilis 9,8% (69/702) los agentes bacterianos más aislados. Entre las levaduras, Malassezia pachydermatis 10,3% (54/523) fue la más frecuente. En cuanto a los resultados del perfil de sensibilidad de las bacterias a los antimicrobianos, se observó que las bacterias Gram positivas Staphylococcus spp. y Streptococcus spp. mostraron mayor sensibilidad a amoxicilina + ácido clavulánico, con 92,5% y 100% de cepas sensibles. Las bacterias gram negativas Pseudomonas spp., P. mirabilis y Escherichia coli, presentaron sensibilidad mayor al 90% a la tobramicina. Entre todos los agentes bacterianos, Pseudomonas spp. fue el que mostró mayores tasas de resistencia frente a amoxicilina + ácido clavulánico (6,2%), cefalexina (7,4%) y sulfametoxazol + trimetoprima (13,6%)...(AU)

The objective of this work was to identify the microbial etiology and describe the sensitivity profile of bacteria to antimicrobials in dogs with otitis externa attended at a veterinary school hospital. For this, 559 otological samples from dogs with clinical signs of otitis externa submitted to culture and antibiogram were analyzed. There was growth of microorganisms in 93.6% (523/559) of the samples, and in 88.5% (463/523) there was the growth of bacteria, in 5.7% (30/523) the growth of yeasts and 5.7% (30/523) mixed infections. 702 strains were obtained, being Staphylococcus spp. 55.1% (387/702), Pseudomonas spp. 11.8% (83/702) and Proteus mirabilis 9.8% (69/702) the most isolated bacterial agents. Among yeasts, Malassezia pachydermatis 10.3% (54/523) was the most frequent. Regarding the results of the sensitivity profile of bacteria to antimicrobials, it was observed that Gram-positive bacteria Staphylococcus spp. and Streptococcus spp. showed greater sensitivity to amoxicillin + clavulanic acid, with 92.5% and 100% of sensitive strains. Gram-negative bacteria Pseudomonas spp., P. mirabilis and Escherichia coli, presented sensitivity greater than 90% to tobramycin. Among all bacterial agents, Pseudomonas spp. was the one that demonstrated the highest resistance rates against amoxicillin + clavulanic acid (6.2%), cephalexin (7.4%) and sulfamethoxazole + trimethoprim (13.6%)...(AU)

O objetivo deste trabalho foi identificar a etiologia microbiana e descrever o perfil de sensibilidade das bactérias aos antimicrobianos em cães com otite externa atendidos em serviço hospitalar médico veterinário. Para isso, foram analisadas 559 amostras otológicas de cães com sinais clínicos de otite externa submetidas à cultura e antibiograma. Houve crescimento de microrganismos em 93,6% (523/559) das amostras, sendo que em 88,5% (463/523) houve crescimento de bactérias, 5,7% (30/523) crescimento de leveduras e 5,7% (30/523) infecções mistas. Foram obtidas 702 cepas, sendo Staphylococcus spp. 55,1% (387/702), Pseudomonas spp. 11,8% (83/702) e Proteus mirabilis 9,8% (69/702) os agentes bacterianos mais isolados. Dentre as leveduras, Malassezia pachydermatis 10,3% (54/523) foi a mais freqüente. Em relação aos resultados do perfil de sensibilidade das bactérias aos antimicrobianos, observou-se que as bactérias Gram-positivas Staphylococcus spp. e Streptococcus spp. apresentaram maior sensibilidade a amoxicilina + ácido clavulânico, com 92,5% e 100% das cepas sensíveis. Já as bactérias Gram-negativas Pseudomonas spp., P. mirabilis e Escherichia coli, apresentaram sensibilidade superior a 90% a tobramicina. Dentre todos os agentes bacterianos, Pseudomonas spp. foi o que demonstrou as maiores taxas de resistência frente a amoxicilina + ácido clavulânico (6,2%), cefalexina (7,4%) e...(AU)

Pancreatic cyst in a cat / Cisto pancreático em um gato

Pancreatic cysts are rare in both humans and animals. They are defined as an enclosed structure externally surrounded by a capsule, internally coated with a cuboidal epithelium and filled with liquid or semi-solid content. This case described the clinical and pathological characteristics of a pancreatic cyst in a feline. A mixed breed cat with a history of recurrent vomiting was attended. Physical examination revealed pain on abdominal palpation. Abdominal ultrasonography showed a cystic, anechoic structure with well-defined edges located in the left cranial abdomen and in close contact with the duodenum and pancreas. Partial pancreatectomy was performed. Microscopically, the structure was surrounded by fibrous material, coated with cuboidal to columnar epithelium, and containing eosinophilic material. Although, pancreatic cyst is rare in animals, they should be included in the differential diagnosis of causes of vomiting in young cats.(AU)

Os cistos epiteliais pancreáticos são raros em humanos e animais, e são definidos como estruturas encapsuladas rodeadas por epitélio cuboidal, preenchido por substância líquida. O objetivo desse estudo foi descrever as características clínico-patológicas de um cisto pancreático verdadeiro em um felino. Foi atendido uma gata sem raça definida com histórico de vômitos recorrentes. No exame físico o animal apresentou dor à palpação abdominal. Na ultrassonografia abdominal, evidenciou-se a presença de uma estrutura cística, anecóica e com bordos bem definidos localizado no abdome cranial esquerdo, em contato com o duodeno e o pâncreas. Foi realizada pancreatectomia parcial. No exame microscópico observou-se estrutura encapsulada, circundado por material fibroso, revestido por epitélio cuboidal a colunar, contendo material eosinofílico. Embora os cistos pancreáticos verdadeiros sejam raros nos animais, eles devem ser incluídos no diagnóstico diferencial de doenças que cursam com vômitos nos gatos.(AU)

Síndrome do eutireoideo doente e alterações nos hormônios tireoidianos em cães com hemoparasitoses / Euthyroid sick syndrome and changes in thyroid hormones in dogs with hemoparasitosis

Background: Hemoparasitoses are extremely important in the clinical routine because they affect a large number of dogs. In spite ofthe abundance of studies on this topic, hormonal alterations caused by infection with these agents are still poorly known. Therefore,the goal of this work was to assess the serum levels of thyroid hormones of dogs infected with Ehrlichia canis (E. canis) alone, anddogs infected with E. canis and Babesia canis vogeli (B. vogeli) and/or Anaplasma platys (A. platys) before and after treatment withdoxycycline chlorohydrate. This study also aimed at checking for presence of euthyroid sick syndrome (ESS) in these animals.Materials, Methods & Results: The concentrations of the thyroid hormones total triiodothyronine (TT3), total tetraiodothyronine (TT4),free tetraiodothyronine (FT4), and canine thyroid-stimulating hormone (cTSH) were assessed by chemiluminescence in 12 dogs. Nestedpolymerase chain reaction (nPCR) was used to confirm diagnoses. The dogs were divided into 2 groups: G1, which comprised animalsinfected by E. canis alone, and G2, which included animals simultaneously infected by E. canis and B. vogeli and/or A. platys. Theserum concentrations of the thyroid hormones were measured at two time points: before (D1) and after (D2) the 28-day treatment withgeneric doxycycline chlorohydrate (DC) at a dose of 10 mg/kg SID. On D2, another nPCR was carried out to check the efficacy of thetreatment. On D2, in both groups, all dogs became negative for E. canis; however, 8 animals remained infected or were reinfected byother hemoparasites. On D1, 4 dogs in G1 exhibited low TT3 in conjunction with low TT4; one of the dogs had increased TT3 alone,and another dog had an increased TT3 accompanied by decreased TT4. In G2, on D1, one dog exhibited high TT3 accompanied by adecreased concentration of TT4; 2 dogs had decreased TT4; 2 dogs had increased TT3; and one dog had both TT3 and TT4 decreased...

Síndrome do eutireoideo doente e alterações nos hormônios tireoidianos em cães com hemoparasitoses / Euthyroid sick syndrome and changes in thyroid hormones in dogs with hemoparasitosis

Background: Hemoparasitoses are extremely important in the clinical routine because they affect a large number of dogs. In spite ofthe abundance of studies on this topic, hormonal alterations caused by infection with these agents are still poorly known. Therefore,the goal of this work was to assess the serum levels of thyroid hormones of dogs infected with Ehrlichia canis (E. canis) alone, anddogs infected with E. canis and Babesia canis vogeli (B. vogeli) and/or Anaplasma platys (A. platys) before and after treatment withdoxycycline chlorohydrate. This study also aimed at checking for presence of euthyroid sick syndrome (ESS) in these animals.Materials, Methods & Results: The concentrations of the thyroid hormones total triiodothyronine (TT3), total tetraiodothyronine (TT4),free tetraiodothyronine (FT4), and canine thyroid-stimulating hormone (cTSH) were assessed by chemiluminescence in 12 dogs. Nestedpolymerase chain reaction (nPCR) was used to confirm diagnoses. The dogs were divided into 2 groups: G1, which comprised animalsinfected by E. canis alone, and G2, which included animals simultaneously infected by E. canis and B. vogeli and/or A. platys. Theserum concentrations of the thyroid hormones were measured at two time points: before (D1) and after (D2) the 28-day treatment withgeneric doxycycline chlorohydrate (DC) at a dose of 10 mg/kg SID. On D2, another nPCR was carried out to check the efficacy of thetreatment. On D2, in both groups, all dogs became negative for E. canis; however, 8 animals remained infected or were reinfected byother hemoparasites. On D1, 4 dogs in G1 exhibited low TT3 in conjunction with low TT4; one of the dogs had increased TT3 alone,and another dog had an increased TT3 accompanied by decreased TT4. In G2, on D1, one dog exhibited high TT3 accompanied by adecreased concentration of TT4; 2 dogs had decreased TT4; 2 dogs had increased TT3; and one dog had both TT3 and TT4 decreased...(AU)

Clinical, cytological, histopathological and immunohistochemical features of a T-Zone lymphoma in a mixed-breed dog

Background: Non-Hodgkin lymphoma are a group of lymphoid neoplasms originating from the proliferation of precursors or mature, T, B and/or NK lymphocytes. T-Zone lymphoma (TZL) is characterized as an indolent lymphoma due to its slow progression and poor chemotherapy’s response. Dogs affected by this neoplasm may live for many years without clinical signs and are often underdiagnosed. The aim of this study was to report a TZL case in a 9-year-old male mixed breed dog, submitted to clinical follow-up and chemotherapy. Case: A 9-year-old male mixed-breed dog was presented due to the observation of an increased left mandibular lymph node. The previous cytological examination was suggestive of reactive hyperplasia and histopathological examination, by incisional biopsy, compatible with lymphocytic low-grade lymphoma. Physical examination revealed enlarged and firm left mandibular lymph node and adequate physical condition. A cytological examination was performed on the mandibular and both popliteal lymph nodes and revealed many small lymphocytes with hyperchromatic chromatin, rarely evident nucleolus and whose cytoplasm often projected in the form of a “hand-mirror” or “comet tail”, compatible with lymphocytic lymphoma (low grade) and suggestive of TZL, in the three assessed lymph nodes. The histopathological and immunohistochemical examination, of the mandibular lymph node were chosen to confirm the diagnosis. In histopathology it was observed that 40% of the sample contained a monotonous cell population, composed by small lymphocytes, with some presenting “hand-mirror” morphology. Two mitotic figures were evidenced per field of high magnification (40x), inferring a low-grade disease. Immunohistochemical analysis revealed neoplastic proliferation with immunolabeling of CD3 lymphocytes and positivity for Ki-67 in 48% of neoplastic cells, but negative for CD20, CD79a, CD45, MUM-1 and...

Clinical, cytological, histopathological and immunohistochemical features of a T-Zone lymphoma in a mixed-breed dog

Background: Non-Hodgkin lymphoma are a group of lymphoid neoplasms originating from the proliferation of precursors or mature, T, B and/or NK lymphocytes. T-Zone lymphoma (TZL) is characterized as an indolent lymphoma due to its slow progression and poor chemotherapys response. Dogs affected by this neoplasm may live for many years without clinical signs and are often underdiagnosed. The aim of this study was to report a TZL case in a 9-year-old male mixed breed dog, submitted to clinical follow-up and chemotherapy. Case: A 9-year-old male mixed-breed dog was presented due to the observation of an increased left mandibular lymph node. The previous cytological examination was suggestive of reactive hyperplasia and histopathological examination, by incisional biopsy, compatible with lymphocytic low-grade lymphoma. Physical examination revealed enlarged and firm left mandibular lymph node and adequate physical condition. A cytological examination was performed on the mandibular and both popliteal lymph nodes and revealed many small lymphocytes with hyperchromatic chromatin, rarely evident nucleolus and whose cytoplasm often projected in the form of a “hand-mirror” or “comet tail”, compatible with lymphocytic lymphoma (low grade) and suggestive of TZL, in the three assessed lymph nodes. The histopathological and immunohistochemical examination, of the mandibular lymph node were chosen to confirm the diagnosis. In histopathology it was observed that 40% of the sample contained a monotonous cell population, composed by small lymphocytes, with some presenting “hand-mirror” morphology. Two mitotic figures were evidenced per field of high magnification (40x), inferring a low-grade disease. Immunohistochemical analysis revealed neoplastic proliferation with immunolabeling of CD3 lymphocytes and positivity for Ki-67 in 48% of neoplastic cells, but negative for CD20, CD79a, CD45, MUM-1 and...(AU)

Correlação citológica e histopatológica do osteossarcoma rico em células gigantes em felino / Cytological and histopathological correlation of feline giant cell-rich osteosarcoma

Background: Primary bone tumours are uncommon and poorly reported in cats but osteosarcoma (OSA) is the most frequent, mostly inelderly animals. Giant cell-rich OSA is considered rare in the literature representing 3% of all OSA in humans. The mitotic index seemsto have a significant effect on the survival time of cats affected by OSA as well as the tumour histopathological grade. The objective ofthis study was to report the cytological and histopathological findings of a giant cell rich OSA in a 4-year-old cat with persistent felineleukaemia virus (FeLV) antigenaemia.Case: A 4-year-old male neutered cat was referred with a history of persistent FeLV viraemia and pelvic limb lameness with a firmswelling. Previous radiographs of the affected limb revealed bone lysis in the third and fourth metatarsals and increased soft tissueradiopacity in the tarsal region. The referral veterinary assumed it to be osteomyelitis and initiated clinical treatment with antibiotic andanti-inflammatory. The cat was referred after there was no response to medical treatment. The cat was presented with a 5cm diameterulcerated mass, with putrid odor in the pelvic limb. Complementary exams were performed, and abnormalities were found, includingincreased urea, creatinine, calcium and potassium, and decreased sodium and phosphorus. A new radiograph showed exuberant boneproliferation, with increased radiopacity involving tarsal, metatarsal, distal third of tarsal I and II, and distal diaphysis of metatarsal V,without compromising the metaphyseal region of distal diaphysis of metatarsal IV. Chest radiographs and abdominal ultrasound wereunremarkable. Fine-needle aspiration was performed for cytological analysis and revealed a moderate amount of pleomorphic mesenchymal cells with moderate adhesion, cytoplasm with a format ranging from fusiform to stellate, pronounced...(AU)

Correlação citológica e histopatológica do osteossarcoma rico em células gigantes em felino / Cytological and histopathological correlation of feline giant cell-rich osteosarcoma

Background: Primary bone tumours are uncommon and poorly reported in cats but osteosarcoma (OSA) is the most frequent, mostly inelderly animals. Giant cell-rich OSA is considered rare in the literature representing 3% of all OSA in humans. The mitotic index seemsto have a significant effect on the survival time of cats affected by OSA as well as the tumour histopathological grade. The objective ofthis study was to report the cytological and histopathological findings of a giant cell rich OSA in a 4-year-old cat with persistent felineleukaemia virus (FeLV) antigenaemia.Case: A 4-year-old male neutered cat was referred with a history of persistent FeLV viraemia and pelvic limb lameness with a firmswelling. Previous radiographs of the affected limb revealed bone lysis in the third and fourth metatarsals and increased soft tissueradiopacity in the tarsal region. The referral veterinary assumed it to be osteomyelitis and initiated clinical treatment with antibiotic andanti-inflammatory. The cat was referred after there was no response to medical treatment. The cat was presented with a 5cm diameterulcerated mass, with putrid odor in the pelvic limb. Complementary exams were performed, and abnormalities were found, includingincreased urea, creatinine, calcium and potassium, and decreased sodium and phosphorus. A new radiograph showed exuberant boneproliferation, with increased radiopacity involving tarsal, metatarsal, distal third of tarsal I and II, and distal diaphysis of metatarsal V,without compromising the metaphyseal region of distal diaphysis of metatarsal IV. Chest radiographs and abdominal ultrasound wereunremarkable. Fine-needle aspiration was performed for cytological analysis and revealed a moderate amount of pleomorphic mesenchymal cells with moderate adhesion, cytoplasm with a format ranging from fusiform to stellate, pronounced...

Mammary gland malignant myoepithelioma in a domestic rabbit (Oryctolagus cuniculus)

Background: Malignant myoepithelioma is a rare neoplasm in humans and rats, poorly reported in dogs and not previously described in rabbits. This study aimed to report a case of malignant mammary myoepithelioma in a domestic rabbit(Oryctolagus cuniculus).Case: A domestic, hybrid, female, entire, nulliparous, 7-year-old rabbit was attended in the Veterinary Hospital Prof. Ricardo Alexandre Hippler at Universidade Vila Velha (UVV) with a history of apathy, lethargy and anorexia. In the clinicalexamination a 5 cm tumour was observed in the right abdominal mammary gland (M2), along with floating smaller lesionsin M1 and M3. There were no palpable abnormalities in the axillary and inguinal lymph nodes. Complete blood count andserum biochemistry were within the normal range. Fine needle aspiration was performed for cytopathological evaluationof the tumour in M2 and it was suggestive of a malignant glandular neoplasm, with probable epithelial origin. Completestaging included chest and abdominal radiographs, but they were unremarkable. The patient was submitted to a rightunilateral mastectomy, involving resection of the inguinal lymph node. The sample was sent to the Laboratory of AnimalPathology of UVV for routine histological evaluation. Histopathological evaluation in M2 was compatible with malignantmyoepithelioma based on the literature, while nodules in M1 and M3 were classified as mammary cysts. The inguinal lymphnode showed no significant abnormalities. An immunohistochemical panel was performed in the Comparative PathologyLaboratory of the Institute of Biological Sciences of the Universidade Federal de Minas Gerais (UFMG), using immunomarkers (pan-cytokeratin, p63 and vimentin) to characterize the tumour and confirm its diagnosis. Immunohistochemistryrevealed expression of p63, and was negative for pan-cytokeratin and vimentin, which confirmed the myoepithelial origin,without involvement of the epithelial compartment...(AU)

Congenital extrahepatic portosystemic deviation in a mixed-breed dog

Background: Portosystemic deviation (PSD) is a congenital or acquired vascular anomaly that allows an abnormal bloodflow from the portal vein directly to the systemic circulation. This liver by-pass avoids hepatic metabolism of severaltoxins. Congenital PSDs are usually solitary and extra-hepatic, with a high incidence in pure-breed dogs. Acquired PSDsare usually multiple and occur as a consequence of portal hypertension. Surgery is the definitive treatment. Cliniciansand surgeons may present difficulties in the propaedeutic of animals with PSD. This paper aims at reporting a successfulsurgical treatment of a solitary extra-hepatic congenital PSD in a mixed-breed dog.Case: A 7-month-old mixed-breed dog, female, spayed, weighing 8 kg, was presented with a history of sudden syncopeafter feeding. Complementary exams revealed normocytic hypochromic anaemia, hypoalbuminemia and increased alanineaminotransferase and alkaline phosphatase. Abdominal ultrasound revealed an anomalous vessel inserted in the caudalcava vein, compatible with a congenital extra-hepatic PSD. Computed tomography revealed the anomalous vessel, with1,1 cm of diameter, originated from the cranial mesenteric vein and it inserted in the cranial margin of the caudal cavavein. A medical support was started with hydration, metronidazole, lactulose, probiotic and Hepatic diet. After 15 days thedog was submitted to surgery and a 5 mm ameroid constrictor ring was placed to gradually close the anomalous vessel.The dog recovered well and an abdominal ultrasound was repeated after 30 days, showing the ameroid constrictor ringring in the left cranial abdominal region, occluding the PSD close to its insertion in the caudal cava vein...