In-house serological ELISA as a leishmaniosis diagnostic test: development and applications in canines from the western border of Brazil / ELISA "in house" para o diagnóstico de leishmaniose: desenvolvimento e aplicação em caninos da fronteira Oeste do Brasil

ABSTRACT: Leishmaniosis is a great public health problem affecting both humans and animals. The disease is caused by the protozoan Leishmania spp., which has a complex cycle involving a phlebotomine vector. The ELISA test (Enzyme-Linked Immunosorbent Assay) along with a chromatographic immunoassay was defined by the Brazil Health Ministry as the confirmatory screening protocol in 2011. Uruguaiana city is 630 km away from Porto Alegre, which makes it difficult to send samples and diagnose leishmaniasis, as well as receive quick results. In view of this, the present study evaluated an in-house indirect ELISA method compared to indirect immunofluorescence assay (IFA) and dual-path platform chromatographic immunoassay (DPP-BioManguinhos®) for the detection of an immune response to Leishmania spp. in canine species. The serological evaluation included 48 canines from the western border of Brazil (Uruguaiana and Barra do Quaraí city). Among the 48 canine samples tested, 18 were positive when using the ELISA technique, 19 were positive with IFA, and 17 were positive with rapid test DPP®. The ELISA technique showed a sensitivity/specificity of 83.3%/86.7% when compared to IFA and 100%/96.8% compared to DPP®. The present study showed a prevalence of 37.5%, demonstrating that the infection circulates in the studied population. It can be concluded that the ELISA technique was valuable for use in field conditions when performing screening tests in endemic areas.

RESUMO: A leishmaniose é um grande problema de saúde pública que afeta tanto humanos quanto animais. A doença é causada pelo protozoário Leishmania spp., que possui um ciclo complexo envolvendo um vetor flebotomíneo. O teste ELISA (Enzyme-Linked Immunosorbent Assay), juntamente com um imunoensaio cromatográfico, foi definido pelo Ministério da Saúde do Brasil como protocolo de triagem confirmatória em 2011. A cidade de Uruguaiana fica a 630 km de Porto Alegre, o que dificulta o envio de amostras e o diagnóstico da leishmaniose, além da demora para obter os resultados. Diante disso, o presente estudo teve como objetivo avaliar um método de ELISA indireto in-house comparado ao ensaio de imunofluorescência indireta (IFA) e imunoensaio cromatográfico de plataforma de dupla via (DPP-BioManguinhos®) para a detecção de uma resposta imune contra Leishmania spp. na espécie canina. A avaliação sorológica incluiu 48 caninos da fronteira oeste do Brasil (cidade de Uruguaiana e Barra do Quaraí). Das 48 amostras caninas testadas, 18 foram positivas na técnica de ELISA, 19 foram positivas com IFA e 17 foram positivas com o teste rápido DPP®. A técnica de ELISA apresentou sensibilidade/especificidade de 83,3%/86,7% quando comparada ao IFA e 100%/96,8% em relação ao DPP®. O presente estudo apresentou prevalência de 37,5%, demonstrando que a infecção circula na população estudada. Pode-se concluir que a técnica de ELISA foi valiosa para uso em condições de campo na realização de testes de triagem em áreas endêmicas.

In-house serological ELISA as a leishmaniosis diagnostic test: development and applications in canines from the western border of Brazil / ELISA "in house" para o diagnóstico de leishmaniose: desenvolvimento e aplicação em caninos da fronteira Oeste do Brasil

Leishmaniosis is a great public health problem affecting both humans and animals. The disease is caused by the protozoan Leishmania spp., which has a complex cycle involving a phlebotomine vector. The ELISA test (Enzyme-Linked Immunosorbent Assay) along with a chromatographic immunoassay was defined by the Brazil Health Ministry as the confirmatory screening protocol in 2011. Uruguaiana city is 630 km away from Porto Alegre, which makes it difficult to send samples and diagnose leishmaniasis, as well as receive quick results. In view of this, the present study evaluated an in-house indirect ELISA method compared to indirect immunofluorescence assay (IFA) and dual-path platform chromatographic immunoassay (DPP-BioManguinhos®) for the detection of an immune response to Leishmania spp. in canine species. The serological evaluation included 48 canines from the western border of Brazil (Uruguaiana and Barra do Quaraí city). Among the 48 canine samples tested, 18 were positive when using the ELISA technique, 19 were positive with IFA, and 17 were positive with rapid test DPP®. The ELISA technique showed a sensitivity/specificity of 83.3%/86.7% when compared to IFA and 100%/96.8% compared to DPP®. The present study showed a prevalence of 37.5%, demonstrating that the infection circulates in the studied population. It can be concluded that the ELISA technique was valuable for use in field conditions when performing screening tests in endemic areas.

A leishmaniose é um grande problema de saúde pública que afeta tanto humanos quanto animais. A doença é causada pelo protozoário Leishmania spp., que possui um ciclo complexo envolvendo um vetor flebotomíneo. O teste ELISA (Enzyme-Linked Immunosorbent Assay), juntamente com um imunoensaio cromatográfico, foi definido pelo Ministério da Saúde do Brasil como protocolo de triagem confirmatória em 2011. A cidade de Uruguaiana fica a 630 km de Porto Alegre, o que dificulta o envio de amostras e o diagnóstico da leishmaniose, além da demora para obter os resultados. Diante disso, o presente estudo teve como objetivo avaliar um método de ELISA indireto in-house comparado ao ensaio de imunofluorescência indireta (IFA) e imunoensaio cromatográfico de plataforma de dupla via (DPP-BioManguinhos®) para a detecção de uma resposta imune contra Leishmania spp. na espécie canina. A avaliação sorológica incluiu 48 caninos da fronteira oeste do Brasil (cidade de Uruguaiana e Barra do Quaraí). Das 48 amostras caninas testadas, 18 foram positivas na técnica de ELISA, 19 foram positivas com IFA e 17 foram positivas com o teste rápido DPP®. A técnica de ELISA apresentou sensibilidade/especificidade de 83,3%/86,7% quando comparada ao IFA e 100%/96,8% em relação ao DPP®. O presente estudo apresentou prevalência de 37,5%, demonstrando que a infecção circula na população estudada. Pode-se concluir que a técnica de ELISA foi valiosa para uso em condições de campo na realização de testes de triagem em áreas endêmicas.

PCR-RLFP characterization of Leishmania spp. in domestic animals from the south-western border of Brazil / Caracterização de Leishmania spp. pela técnica de PCR-RFLP em animais domésticos da fronteira Oeste do Brasil

The aim of this study was to characterize Leishmania spp. from canine and feline samples using Polymerase Chain Reaction (PCR)- Restriction Fragment Length Polymorphism (RFLP). It was conducted in the southern region of Brazil, located at border crossings to Argentina and Uruguay. Samples were collected from 116 dogs (Canis lupus familiaris) and 89 cats (Felis catus). The PCR was performed to screen for an LT1 fragment from kinetoplast DNA (kDNA) target gene, and positive samples were subjected to a second PCR for an internal transcribed spacers (ITS1) region from ribosomal DNA (rDNA) target. RFLP was performed using the Haemophilus aegyptius (HAE III) restriction endonuclease (Fermentas ®). Positive samples by PCR ITS1 were sequenced and deposited in NCBI GenBank, and a phylogenetic analysis was developed. We found that 12.9% (15/116) of the samples from dogs were positive. All the 89 cat samples were negative. Positive samples were tested against Leishmania reference strains presenting different patterns in PCR-RFLP, and these samples showed bands denoting similarity to the standard species of Leishmania infantum, proven through sequencing and phylogenetic analysis. The RFLP technique, alone, was shown to be feasible for practical application and confirmation of the involved Leishmania spp.(AU)

O objetivo deste trabalho foi caracterizar espécies de Leishmania em amostras de caninos e felinos, utilizando-se a reação em cadeia da polimerase (PCR)- polimorfismo de comprimento de fragmento de restrição (RFLP). O estudo foi realizado na região de fronteira no sul do Brasil, divisa com Argentina e Uruguai. Amostras foram coletadas de 116 cães (Canis lupus familiaris) e 89 gatos (Felis catus). A PCR foi realizada com o gene alvo do fragmento LT1 do DNA do cinetoplasto (kDNA) para triagem e, as amostras positivas foram submetidas a uma segunda PCR com alvo ITS1 no DNA ribossomal (rDNA). O RFLP foi realizado com a endonuclease de restrição Haemophilus aegyptius (HAE III) (Fermentas ®). As sequências positivas no PCR-ITS1 foram depositadas no NCBI GenBank, além disso, a análise filogenética foi realizada. Foram detectadas 12,9% (15/116) amostras positivas em cães. Das 89 amostras de gatos todas foram negativas. Cepas de referência de Leishmania, com padrões diferentes na PCR-RFLP, e amostras positivas apresentaram similaridade das bandas com as espécies padrão de Leishmania infantum, o que foi comprovado no sequenciamento e análise filogenética. A técnica de RFLP, sozinha, demonstrou viabilidade para a aplicação prática e a confirmação das espécies de Leishmania spp. envolvidas.(AU)

Clinical approach for treating dilated cardiomyopathy in a hog-nosed skunk (Conepatus chinga)

Background: Dilated cardiomyopathy (DCM) is a multifactorial disease characterized by systolic dysfunction of myocardium, affecting domestic animals like dogs, cats, and ferrets. It was sporadically described in non-domestic species, generally as a necropsy observation. The hog-nosed skunk (Conepatus chinga) is a small mammal, carnivore, belonging to the Mephitidae family, found in southern South America, and considered as concerned in a conservation status of the species. The goal of this issue is report the first clinical approach of dilated cardiomyopathy in a young hog-nosed skunk, elucidating the challenging aspects of the diagnostic, therapy, and clinical outcome. Case: A newborn hog-nosed skunk (Conepatus chinga) was found in a farm of southern Brazil in poor nutritional and behavioral conditions. Thirty days of nutritional supplementation based on cow's milk, fruits and insects were necessary to recover its body weight score and activity level. However, 2 months after adoption, the skunk showed acute dyspnea and abnormal breath sound, decreased appetite, and loss of weight. Firstly, these signs were associated with a possible pulmonary infection or other respiratory disease. However, the general cardiomegaly and pulmonary edema pattern observed on the thoracic radiography, changed the clinical approach, conducting the presumptive diagnosis to congestive heart failure (pulmonary edema) caused by an unknown cardiac disease as a dilated cardiomyopathy (CDM). An adequate physical, echocardiographic, electrocardiographic, and hematological evaluation was possible only after chemical restraint by sevofluorane. Systolic heart murmur and pulmonary cracking sounds were detected on thoracic auscultation. These findings associated to the echocardiography features of four chamber dilatation, systolic (fractional shortening-FS = 9% and ejection fraction-EF= 22%) and diastolic (mitral E/A ratio = 4.93) dysfunctions, and bilateral ventriculoatrial regurgitation (mitral and tricuspid) were highly correlated with DCM. Considering the etiologies of CDM described in domestic species and the poor nutritional condition previously observed in the case, nutritional and idiopathic etiologies of DCM were considered for this case. Therapy was based on furosemide at hospital (4 mg/kg subcutaneous, single doses) and home (2 mg/kg orally, BID), enalapril maleate (0.5 mg/kg orally, every 48 h), taurine supplementation (100 mg orally, SID), and pimobendan (0.5 mg/kg orally, BID). Clinical improvement was already observed on the second day of treatment, and monitored for 5 months, when the skunk was completely revaluated. The second echocardiographic exam showed improvement in systolic (FS = 20% and EF = 43%) and diastolic functions (mitral E/A ratio = 2.05), tricuspid regurgitation was not observed, and decrease the left atrial and ventricular dimensions were seen. Due to good clinical outcome, furosemide was gradually reduced until complete withdrawal without any clinical complications or worsening. After 30 months of therapy of pimobendan, taurine, and enalapril maleate, the skunk has good quality captive life without congestive heart failure recurrence. Discussion: The lack of information about DCM in hog-nosed skunk turns the clinical diagnosis and therapy challenging. However, the radiographic and echocardiographic features seamed to lead the same domestic animal patterns. The therapy based on decrease the cardiac overload, increase the myocardial inotropic function (pimobendan and taurine) resulted on excellent clinical and echocardiographic outcome. Although the etiologies of DCM in this species are not stablished, the diagnostic and therapeutic approaches applied resulted on excellent clinical results, and therefore may provide useful information about this cardiac condition in skunk species.

Parâmetros sanguíneos de potros da raça Crioula / Blood parameters of crioulo breed horse

Com o propósito de estabelecer valores de hematócrito, proteínas plasmáticas totais, fibrinogênio, creatina quinase , aspartato transferase e lactato em potros da raça Crioula, do nascimento até os dois anos, utilizaram-se amostras sanguíneas de 85 animais, divididos pela estratificação etária: Grupo 1 (G1) Até 15 dias de vida (n=70); grupo 2 (G2), entre 16 dias até um mês (n=67); grupo 3 (G3), entre 1 e 3 meses (n=75); grupo 4 (G4), entre 3 e 6 meses (n=64); grupo 5 (G5), entre 6 e 9 meses (n=59); grupo 6 (G6), entre 9 e 18 meses (n=39); e grupo 7 (G7), entre 18 meses até 2 anos (n=17). Foi realizado estudo estatístico entre os grupos pela análise de variância unidirecional (one-wayANOVA), complementada pelo teste de Tukey. Para comparação das médias entre os sexos utilizou-se o teste t de Student. O hematócrito foi significativamente mais elevado até os 90 dias e nas fêmeas do G7. Para proteínas plasmáticas totais, notou-se aumento significativo nos grupos 3, 4, 6 e 7. Os valores de fibrinogênio foram maiores no G1. A CK apresentou maior concentração no G5 e a AST no G7. A AST assumiu valores semelhantes dos 30 dias até os 2 anos. A concentração de lactato foi mais elevada no G3. Conclui-se que na interpretação dos exames laboratoriais de potros da raça crioula, o gênero não interfere significativamente nos resultados, porém a idade deve ser considerada devido à ocorrência de variações relevantes. Recomenda-se que para interpretação sejam consultadas tabelas específicas para cada análise.(AU)

Plasma levels of hematocrit, total plasma protein, fibrinogen, creatine phosphokinase, aspartate transferase, and lactate were analyzed in blood samples of 85 Crioula breed foals, from birth to two years of age. The animals were divided into age groups: G1 (up to 15 days of age; n=70), G2 (from 16 days to one month of age; n=67), G3 (between one and three months of age; n=75), G4 (between three and six months of age; n=64), G5 (between six and nine months of age; n=59), G6 (between nine and 18 months of age; n=39), and G7 (between 18 months and two years of age; n=17). These groups were statistically analyzed by one-way variance analysis (ANOVA) and Tukeys test. Male and female means were compared by Students t-test. Hematocrit levels were significantly higher up to 90 days of age and in G7 females. Total plasma proteins increased significantly in groups 3, 4, 6, and 7. The highest fibrinogen levels were found in G1. Yet for creatine phosphokinase, the highest concentrations were detected in G5, whereas those of aspartate aminotransferase in G7. The levels of this enzyme remained similar from 30 days to two years of age. Lactate concentrations were higher in G3. We concluded that the sex of the animal had no significant effect on laboratory test interpretations. By contrast, the age of the animal should be considered since relevant variations were observed with time. Nevertheless, specific tables for each analysis should be consulted for interpretation of results.(AU)

Blood parameters of crioulo breed horse / Parâmetros sanguíneos de potros da raça Crioula

Plasma levels of hematocrit, total plasma protein, fibrinogen, creatine phosphokinase, aspartate transferase, and lactate were analyzed in blood samples of 85 Crioula breed foals, from birth to two years of age. The animals were divided into age groups: G1 (up to 15 days of age; n=70), G2 (from 16 days to one month of age; n=67), G3 (between one and three months of age; n=75), G4 (between three and six months of age; n=64), G5 (between six and nine months of age; n=59), G6 (between nine and 18 months of age; n=39), and G7 (between 18 months and two years of age; n=17). These groups were statistically analyzed by one-way variance analysis (ANOVA) and Tukey's test. Male and female means were compared by Student's t-test. Hematocrit levels were significantly higher up to 90 days of age and in G7 females. Total plasma proteins increased significantly in groups 3, 4, 6, and 7. The highest fibrinogen levels were found in G1. Yet for creatine phosphokinase, the highest concentrations were detected in G5, whereas those of aspartate aminotransferase in G7. The levels of this enzyme remained similar from 30 days to two years of age. Lactate concentrations were higher in G3. We concluded that the sex of the animal had no significant effect on laboratory test interpretations. By contrast, the age of the animal should be considered since relevant variations were observed with time. Nevertheless, specific tables for each analysis should be consulted for interpretation of results.

Com o propósito de estabelecer valores de hematócrito, proteínas plasmáticas totais, fibrinogênio, creatina quinase , aspartato transferase e lactato em potros da raça Crioula, do nascimento até os dois anos, utilizaram-se amostras sanguíneas de 85 animais, divididos pela estratificação etária: Grupo 1 (G1) Até 15 dias de vida (n=70); grupo 2 (G2), entre 16 dias até um mês (n=67); grupo 3 (G3), entre 1 e 3 meses (n=75); grupo 4 (G4), entre 3 e 6 meses (n=64); grupo 5 (G5), entre 6 e 9 meses (n=59); grupo 6 (G6), entre 9 e 18 meses (n=39); e grupo 7 (G7), entre 18 meses até 2 anos (n=17). Foi realizado estudo estatístico entre os grupos pela análise de variância unidirecional (one-wayANOVA), complementada pelo teste de Tukey. Para comparação das médias entre os sexos utilizou-se o teste t de Student. O hematócrito foi significativamente mais elevado até os 90 dias e nas fêmeas do G7. Para proteínas plasmáticas totais, notou-se aumento significativo nos grupos 3, 4, 6 e 7. Os valores de fibrinogênio foram maiores no G1. A CK apresentou maior concentração no G5 e a AST no G7. A AST assumiu valores semelhantes dos 30 dias até os 2 anos. A concentração de lactato foi mais elevada no G3. Conclui-se que na interpretação dos exames laboratoriais de potros da raça crioula, o gênero não interfere significativamente nos resultados, porém a idade deve ser considerada devido à ocorrência de variações relevantes. Recomenda-se que para interpretação sejam consultadas tabelas específicas para cada análise.

Parâmetros sanguíneos de potros da raça Crioula / Blood parameters of crioulo breed horse

Com o propósito de estabelecer valores de hematócrito, proteínas plasmáticas totais, fibrinogênio, creatina quinase , aspartato transferase e lactato em potros da raça Crioula, do nascimento até os dois anos, utilizaram-se amostras sanguíneas de 85 animais, divididos pela estratificação etária: Grupo 1 (G1) Até 15 dias de vida (n=70); grupo 2 (G2), entre 16 dias até um mês (n=67); grupo 3 (G3), entre 1 e 3 meses (n=75); grupo 4 (G4), entre 3 e 6 meses (n=64); grupo 5 (G5), entre 6 e 9 meses (n=59); grupo 6 (G6), entre 9 e 18 meses (n=39); e grupo 7 (G7), entre 18 meses até 2 anos (n=17). Foi realizado estudo estatístico entre os grupos pela análise de variância unidirecional (one-wayANOVA), complementada pelo teste de Tukey. Para comparação das médias entre os sexos utilizou-se o teste t de Student. O hematócrito foi significativamente mais elevado até os 90 dias e nas fêmeas do G7. Para proteínas plasmáticas totais, notou-se aumento significativo nos grupos 3, 4, 6 e 7. Os valores de fibrinogênio foram maiores no G1. A CK apresentou maior concentração no G5 e a AST no G7. A AST assumiu valores semelhantes dos 30 dias até os 2 anos. A concentração de lactato foi mais elevada no G3. Conclui-se que na interpretação dos exames laboratoriais de potros da raça crioula, o gênero não interfere significativamente nos resultados, porém a idade deve ser considerada devido à ocorrência de variações relevantes. Recomenda-se que para interpretação sejam consultadas tabelas específicas para cada análise.

Plasma levels of hematocrit, total plasma protein, fibrinogen, creatine phosphokinase, aspartate transferase, and lactate were analyzed in blood samples of 85 Crioula breed foals, from birth to two years of age. The animals were divided into age groups: G1 (up to 15 days of age; n=70), G2 (from 16 days to one month of age; n=67), G3 (between one and three months of age; n=75), G4 (between three and six months of age; n=64), G5 (between six and nine months of age; n=59), G6 (between nine and 18 months of age; n=39), and G7 (between 18 months and two years of age; n=17). These groups were statistically analyzed by one-way variance analysis (ANOVA) and Tukey’s test. Male and female means were compared by Student’s t-test. Hematocrit levels were significantly higher up to 90 days of age and in G7 females. Total plasma proteins increased significantly in groups 3, 4, 6, and 7. The highest fibrinogen levels were found in G1. Yet for creatine phosphokinase, the highest concentrations were detected in G5, whereas those of aspartate aminotransferase in G7. The levels of this enzyme remained similar from 30 days to two years of age. Lactate concentrations were higher in G3. We concluded that the sex of the animal had no significant effect on laboratory test interpretations. By contrast, the age of the animal should be considered since relevant variations were observed with time. Nevertheless, specific tables for each analysis should be consulted for interpretation of results.

Identification of Leishmania spp. in horses and a dog from rural areas of Uruguaiana, Rio Grande do Sul, Brazil / Identificação de Leishmania spp. em equinos e um cão da área rural de Uruguaiana, Rio Grande do Sul, Brasil

Visceral leishmaniasis (VL) is a zoonosis caused by the protozoan of the genus Leishmania. The disease is transmitted by the bite of a sand fly vector. Although the main reservoirs are dogs, other hosts can be infected and may play this role. Rio Grande do Sul western region, located on the triple border of Brazil-Uruguay-Argentina, represents a VL transmission area. The goal of the present study was to identify Leishmania spp. infection in animals from rural areas of Uruguaiana, Rio Grande do Sul. Nine farms in the Uruguaiana municipality, Rio Grande do Sul state, were included. Peripheral blood samples were collected from 113 animals (canine [n=22], equine [n=91]) for detection of Leishmania spp. DNA was isolated and polymerase chain reaction was performed. Eight (7%) animals with Leishmania spp. infection were detected on two farms in the same geographical area, seven of which were horses and one was canine, all of which were asymptomatic. To investigate the species of Leishmania, one of the positive equine samples was subjected to direct sequencing, which confirmed the presence of L. infantum genetic material. Results of this study confirm the presence of L. infantum-infected animals in rural areas of Uruguaiana, and provide evidence supporting further investigation of risk factors for dissemination in such áreas.(AU)

A leishmaniose visceral é uma zoonose causada por protozoários do gênero Leishmania. A doença é transmitida pela picada de um vetor flebotomíneo. Os principais reservatórios são cães, porém outros mamíferos podem se infectar e desempenhar esse papel. A região oeste do Rio Grande do Sul, localizada na tríplice fronteira Brasil-Uruguai-Argentina, representa uma área de transmissão para a leishmaniose visceral. O objetivo deste estudo foi identificar a infecção por Leishmania spp. em animais de áreas rurais de Uruguaiana, Rio Grande do Sul. Nove fazendas do município de Uruguaiana, no Rio Grande do Sul, and foram incluídas. O sangue periférico foi coletado de 113 animais, caninos (n = 22) e equinos (n = 91), para a pesquisa de DNA de Leishmania spp. por reação em cadeia da polimerase (PCR). Oito animais infectados por Leishmania spp. (7%) foram detectados em duas fazendas na mesma área geográfica, sete equinos e um canino. Todos eles eram assintomáticos. Para investigar as espécies de Leishmania, uma das amostras positivas da espécie equina, também foi submetida ao sequenciamento e a presença de material genético de L. infantum foi confirmada. Este estudo garante a existência de animais infectados por Leishmania infantum nas áreas rurais de Uruguaiana e evidencia a importância de estudos para investigar os fatores de risco de disseminação nestes locais.(AU)

Uso do plasma rico em plaquetas como adjuvante no tratamento de lesão meniscal e tendinose de calcâneo em um cão / Use of platelet-rich plasma as an adjuvant on treatment of meniscal lesion and tendinosis of calcaneus in a dog

O objetivo deste trabalho é relatar o caso de um cão com lesão meniscal associado à tendinose de calcâneo tratado com aplicação única de plasma rico em plaquetas (PRP) intraarticular e intratendínea. Foi atendido um cão da raça Boxer com dificuldade de deambulação há três meses. Observou-se claudicação grau II/IV em ambos os membros pélvicos, atrofia muscular bilateral, dor e leve crepitação em joelho esquerdo, discreta instabilidade aos testes de gaveta e tibial cranial, com intensa fibrose medial à articulação e espessamento/rigidez do tendão calcâneo direito. O estudo radiográfico demonstrou artrose moderada no joelho esquerdo e, ao exame ultrassonográfico, constatou-se áreas de hipoecogenicidade em menisco medial esquerdo e ruptura de fibras musculares do tendão calcâneo direito. Sendo assim, o paciente foi diagnosticado com insuficiência do ligamento cruzado cranial crônica, com estabilidade fibrótica periarticular, e lesão meniscal em joelho esquerdo e tendinose de calcâneo direito. Foram prescritos condroprotetores, diacereína, fisioterapia e uma aplicação de PRP intra-articular e intratendínea. Para a concentração do PRP, foram coletados 50mL de sangue autólogo, os quais foram depositados em frascos contendo citrato de sódio. Foi realizada dupla centrifugação, sendo a primeira com força de120g e a segunda 240g, ambas por dez minutos. Ao final, obteve-se 2mL de PRP com246.000 plaquetas/µL (antes da concentração o sangue tinha 141.000 plaquetas/µL). A aplicação ocorreu de forma asséptica, sob anestesia geral e guiada por ultrassom. Foram injetados 1ml intra-articular em joelho esquerdo, 0,25mL em região perilesional e 0,75mLintralesional em tendão calcâneo direito. Após 14 dias, notou-se grau de claudicação I/IV e discreto fortalecimento muscular. Foi mantido o tratamento clínico com fisioterapia e condroprotetores com retornos periódicos para acompanhamento da evolução. Conclui-se que o uso do PRP foi importante adjuvante na terapia clínica empregada.

The aim of this paper is to report the case of a dog with meniscal lesion associated with calcaneal tendinosis treated with single application of intra-articular and intratendinous platelet rich plasma (PRP). A dog of the Boxer racer with difficulty walking was treated three months ago. Grade II/IV lameness was observed in both pelvic limbs, bilateral muscle atrophy, pain and slight crepitation in the left knee, slight instability to the drawer and cranial tibial tests, with intense medial fibrosis to the joint and right calcaneal tendon thickening/stiffness. The radiographic study showed moderate arthrosis in the left knee, and ultrasound examination revealed areas of hypoechogenicity in the left medial meniscus and rupture of the right calcaneal tendon muscle fibers. Thus, the patient was diagnosed with chronic cranial cruciate ligament insufficiency, periarticular fibrotic stability, and left meniscal injury and right calcaneal tendinosis. Chondroprotectors, diacerein, physiotherapyand an application of intra-articular and intratendinous PRP were prescribed. For the PRP concentration, 50mL of autologous blood were collected and deposited in vials containing sodium citrate. A double centrifugation was performed, the first strength of 120g and the second 240g, both for ten minutes. At the end, 2mL of PRP was obtained with 246.000platelets/µL (before concentration the blood had 141.000 platelets/µL). The application occurred aseptically, under general anesthesia and guided by ultrasound. We injected 1mlintra-articular in the left knee, 0.25mL in the perilesional region and 0.75mL intralesional in the right calcaneal tendon. After 14 days, I/IV lameness and slight muscle strengthening were noted. Clinical treatment with physiotherapy and chondroprotectors was maintained, with periodic returns to follow the evolution. It was concluded that the use of PRP was an important adjuvant in the clinical therapy employed.

Applications of polymerase chain reaction for the detection of equine Leishmania sp. infection / Aplicação da reação em cadeia da polimerase na detecção da infecção por Leishmania sp. em equinos

Leishmaniasis is a neglected zoonotic disease caused by a variety of pathogenic Leishmania species. In the New World, especially in Brazil, visceral leishmaniasis (VL) is caused by Leishmania infantum. The pathogen can infect several animal species including dogs, foxes, rodents, primates, felines, equines and humans. Dogs act as the primary domestic reservoirs. This study aimed to use polymerase chain reaction (PCR) for detecting Leishmania infection in horses living in a canine visceral leishmaniasis (CVL) endemic region. DNA samples from horse peripheral blood were used to perform PCR. Templates were amplified using primers for the kinetoplast DNA (kDNA) minicircles, which were able to detect different species of Leishmania. In addition, primers for internal transcribed spacer (ITS) of ribosomal DNA were used for detection of Trypanosomatidae sp. Amongst the 75 (39%) positive PCR samples from total 192 samples, 21 samples were positive for kDNA and 63 samples were positive for either ITS, ITS1, or ITS2 gene markers. The kDNA PCR and sequencing allowed the detection of L. infantum in horse blood samples. To our knowledge, this is the first report of equine infection with L. infantum in Southern Brazil. These results proved that L. infantum could also infect horses in addition to humans and dogs, as well as in European countries. This conclusion emphasizes the urgent need to follow up investigation of the infection in these animals.

A leishmaniose é uma doença zoonótica negligenciada, causada por uma diversidade de espécies patogênicas de Leishmania. No Novo Mundo, especialmente no Brasil, a leishmaniose visceral é causada pelo protozoário Leishmania infantum. A infecção acomete várias espécies animais (cães, raposas, roedores, primatas, felinos, equinos) e humanos e o cão é o principal reservatório doméstico. Este estudo teve como objetivo utilizar a reação em cadeia da polimerase (PCR) para detectar a infecção por Leishmania sp. em cavalos que vivem em uma região endêmica para leishmaniose visceral canina (LVC). Amostras de DNA do sangue periférico de equinos foram utilizadas para extração de DNA e PCR. As amplificações foram realizadas utilizando-se marcadores para a região do DNA do cinetoplasto (kDNA), que são capazes de detectar diferentes espécies de Leishmania sp. e a região dos espaçadores internos transcritos (ITS) do DNA ribossomal para detecção da família Trypanosomatidae. Dentre os 192 animais testados, 75 (39%) amostras foram positivas no PCR, 21 amostras foram positivas para PCR kDNA e 63 para os genes ITS, ITS1 e ITS2. O sequenciamento dos amplicons permitiu detectar L. infantum em amostras de sangue periférico de equinos. Este foi o primeiro relato de infecção por L. infantum no sul do Brasil na espécie equina. Os resultados demonstram que, assim como nos países europeus, a infecção foi detectada em equinos após ter sido identificada em seres humanos e cães, o que indica a urgência em acompanhar a investigação da infecção nessa espécie animal.

Applications of polymerase chain reaction for the detection of equine Leishmania sp. infection / Aplicação da reação em cadeia da polimerase na detecção da infecção por Leishmania sp. em equinos

Leishmaniasis is a neglected zoonotic disease caused by a variety of pathogenic Leishmania species. In the New World, especially in Brazil, visceral leishmaniasis (VL) is caused by Leishmania infantum. The pathogen can infect several animal species including dogs, foxes, rodents, primates, felines, equines and humans. Dogs act as the primary domestic reservoirs. This study aimed to use polymerase chain reaction (PCR) for detecting Leishmania infection in horses living in a canine visceral leishmaniasis (CVL) endemic region. DNA samples from horse peripheral blood were used to perform PCR. Templates were amplified using primers for the kinetoplast DNA (kDNA) minicircles, which were able to detect different species of Leishmania. In addition, primers for internal transcribed spacer (ITS) of ribosomal DNA were used for detection of Trypanosomatidae sp. Amongst the 75 (39%) positive PCR samples from total 192 samples, 21 samples were positive for kDNA and 63 samples were positive for either ITS, ITS1, or ITS2 gene markers. The kDNA PCR and sequencing allowed the detection of L. infantum in horse blood samples. To our knowledge, this is the first report of equine infection with L. infantum in Southern Brazil. These results proved that L. infantum could also infect horses in addition to humans and dogs, as well as in European countries. This conclusion emphasizes the urgent need to follow up investigation of the infection in these animals.(AU)

A leishmaniose é uma doença zoonótica negligenciada, causada por uma diversidade de espécies patogênicas de Leishmania. No Novo Mundo, especialmente no Brasil, a leishmaniose visceral é causada pelo protozoário Leishmania infantum. A infecção acomete várias espécies animais (cães, raposas, roedores, primatas, felinos, equinos) e humanos e o cão é o principal reservatório doméstico. Este estudo teve como objetivo utilizar a reação em cadeia da polimerase (PCR) para detectar a infecção por Leishmania sp. em cavalos que vivem em uma região endêmica para leishmaniose visceral canina (LVC). Amostras de DNA do sangue periférico de equinos foram utilizadas para extração de DNA e PCR. As amplificações foram realizadas utilizando-se marcadores para a região do DNA do cinetoplasto (kDNA), que são capazes de detectar diferentes espécies de Leishmania sp. e a região dos espaçadores internos transcritos (ITS) do DNA ribossomal para detecção da família Trypanosomatidae. Dentre os 192 animais testados, 75 (39%) amostras foram positivas no PCR, 21 amostras foram positivas para PCR kDNA e 63 para os genes ITS, ITS1 e ITS2. O sequenciamento dos amplicons permitiu detectar L. infantum em amostras de sangue periférico de equinos. Este foi o primeiro relato de infecção por L. infantum no sul do Brasil na espécie equina. Os resultados demonstram que, assim como nos países europeus, a infecção foi detectada em equinos após ter sido identificada em seres humanos e cães, o que indica a urgência em acompanhar a investigação da infecção nessa espécie animal.(AU)

Uso do plasma rico em plaquetas como adjuvante no tratamento de lesão meniscal e tendinose de calcâneo em um cão / Use of platelet-rich plasma as an adjuvant on treatment of meniscal lesion and tendinosis of calcaneus in a dog

O objetivo deste trabalho é relatar o caso de um cão com lesão meniscal associado à tendinose de calcâneo tratado com aplicação única de plasma rico em plaquetas (PRP) intraarticular e intratendínea. Foi atendido um cão da raça Boxer com dificuldade de deambulação há três meses. Observou-se claudicação grau II/IV em ambos os membros pélvicos, atrofia muscular bilateral, dor e leve crepitação em joelho esquerdo, discreta instabilidade aos testes de gaveta e tibial cranial, com intensa fibrose medial à articulação e espessamento/rigidez do tendão calcâneo direito. O estudo radiográfico demonstrou artrose moderada no joelho esquerdo e, ao exame ultrassonográfico, constatou-se áreas de hipoecogenicidade em menisco medial esquerdo e ruptura de fibras musculares do tendão calcâneo direito. Sendo assim, o paciente foi diagnosticado com insuficiência do ligamento cruzado cranial crônica, com estabilidade fibrótica periarticular, e lesão meniscal em joelho esquerdo e tendinose de calcâneo direito. Foram prescritos condroprotetores, diacereína, fisioterapia e uma aplicação de PRP intra-articular e intratendínea. Para a concentração do PRP, foram coletados 50mL de sangue autólogo, os quais foram depositados em frascos contendo citrato de sódio. Foi realizada dupla centrifugação, sendo a primeira com força de120g e a segunda 240g, ambas por dez minutos. Ao final, obteve-se 2mL de PRP com246.000 plaquetas/µL (antes da concentração o sangue tinha 141.000 plaquetas/µL). A aplicação ocorreu de forma asséptica, sob anestesia geral e guiada por ultrassom. Foram injetados 1ml intra-articular em joelho esquerdo, 0,25mL em região perilesional e 0,75mLintralesional em tendão calcâneo direito. Após 14 dias, notou-se grau de claudicação I/IV e discreto fortalecimento muscular. Foi mantido o tratamento clínico com fisioterapia e condroprotetores com retornos periódicos para acompanhamento da evolução. Conclui-se que o uso do PRP foi importante adjuvante na terapia clínica empregada.(AU)

The aim of this paper is to report the case of a dog with meniscal lesion associated with calcaneal tendinosis treated with single application of intra-articular and intratendinous platelet rich plasma (PRP). A dog of the Boxer racer with difficulty walking was treated three months ago. Grade II/IV lameness was observed in both pelvic limbs, bilateral muscle atrophy, pain and slight crepitation in the left knee, slight instability to the drawer and cranial tibial tests, with intense medial fibrosis to the joint and right calcaneal tendon thickening/stiffness. The radiographic study showed moderate arthrosis in the left knee, and ultrasound examination revealed areas of hypoechogenicity in the left medial meniscus and rupture of the right calcaneal tendon muscle fibers. Thus, the patient was diagnosed with chronic cranial cruciate ligament insufficiency, periarticular fibrotic stability, and left meniscal injury and right calcaneal tendinosis. Chondroprotectors, diacerein, physiotherapyand an application of intra-articular and intratendinous PRP were prescribed. For the PRP concentration, 50mL of autologous blood were collected and deposited in vials containing sodium citrate. A double centrifugation was performed, the first strength of 120g and the second 240g, both for ten minutes. At the end, 2mL of PRP was obtained with 246.000platelets/µL (before concentration the blood had 141.000 platelets/µL). The application occurred aseptically, under general anesthesia and guided by ultrasound. We injected 1mlintra-articular in the left knee, 0.25mL in the perilesional region and 0.75mL intralesional in the right calcaneal tendon. After 14 days, I/IV lameness and slight muscle strengthening were noted. Clinical treatment with physiotherapy and chondroprotectors was maintained, with periodic returns to follow the evolution. It was concluded that the use of PRP was an important adjuvant in the clinical therapy employed.(AU)

Use of platelet-rich plasma in the treatment of desmitis of distal interphalangeal joint collateral ligament in a horse

Background: Platelet-rich plasma (PRP) has been increasingly used to hasten healing of tendonitis and desmitis, allowinghorse athletes to go back to practicing sports in a shorter period of time. However, its use has rarely been reported in thetreatment of desmitis of the collateral ligaments of the distal interphalangeal joint (CL-DIP), which is based on the useof horseshoes and rest for at least six months. This paper describes the use of PRP as an aid in the treatment of CL-DIPin a horse athlete.Case: A male Criollo horse, 450 kg, about 15-year-old, used for paleteada. The animal had a month-long history of lameness, and a visual inspection revealed an increase in volume in the lateral dorsal region of the limb proximal to the coronaryband of the hoof. A specific examination of the locomotive system showed Grade III, Category 5 claudication, which became evident the beginning of the exercise and ceased after a short period. A radiographic evaluation of the distal phalanxrevealed no clinically relevant changes. Therefore, and in view of the location of the increased volume, an ultrasound scanwas performed, which showed an image compatible with an extensive hematoma in the region underlying the periopliccorium, while the CL-DIP presented swelling with large areas of hypoechogenicity. Considering the findings of the image,the physical examination and the history of the horse, desmitis of the collateral ligaments of the distal interphalangeal jointwas diagnosed. The treatment plan consisted of rest, application of a therapeutic horseshoe, and infiltration of the lesionwith platelet-rich plasma (PRP). First, however, warm compresses were applied to reduce the swelling. The PRP wasobtained by collecting whole blood from the external jugular vein, subjecting it to double centrifugation, and separatingthe supernatant blood plasma. The end product was applied to the lesion by ultrasound-guided infiltration. The horseshoewas a model...

Use of platelet-rich plasma in the treatment of desmitis of distal interphalangeal joint collateral ligament in a horse

Background: Platelet-rich plasma (PRP) has been increasingly used to hasten healing of tendonitis and desmitis, allowinghorse athletes to go back to practicing sports in a shorter period of time. However, its use has rarely been reported in thetreatment of desmitis of the collateral ligaments of the distal interphalangeal joint (CL-DIP), which is based on the useof horseshoes and rest for at least six months. This paper describes the use of PRP as an aid in the treatment of CL-DIPin a horse athlete.Case: A male Criollo horse, 450 kg, about 15-year-old, used for paleteada. The animal had a month-long history of lameness, and a visual inspection revealed an increase in volume in the lateral dorsal region of the limb proximal to the coronaryband of the hoof. A specific examination of the locomotive system showed Grade III, Category 5 claudication, which became evident the beginning of the exercise and ceased after a short period. A radiographic evaluation of the distal phalanxrevealed no clinically relevant changes. Therefore, and in view of the location of the increased volume, an ultrasound scanwas performed, which showed an image compatible with an extensive hematoma in the region underlying the periopliccorium, while the CL-DIP presented swelling with large areas of hypoechogenicity. Considering the findings of the image,the physical examination and the history of the horse, desmitis of the collateral ligaments of the distal interphalangeal jointwas diagnosed. The treatment plan consisted of rest, application of a therapeutic horseshoe, and infiltration of the lesionwith platelet-rich plasma (PRP). First, however, warm compresses were applied to reduce the swelling. The PRP wasobtained by collecting whole blood from the external jugular vein, subjecting it to double centrifugation, and separatingthe supernatant blood plasma. The end product was applied to the lesion by ultrasound-guided infiltration. The horseshoewas a model...(AU)

Risk factors associated to canine visceral leishmaniasis in Uruguaiana city, Brazil / Fatores de risco associados à leishmaniose visceral canina no município de Uruguaiana-RS

The present study aimed to evaluate factors associated with canine visceral leishmaniasis (CVL) in areas with higher seroprevalence of it in Uruguaiana city, Rio Grande do Sul state, Brazil, during the year of 2012. A semi-structured questionnaire with socioeconomic and environmental questions was applied in Leishmania endemic regions of the city. The survey data were analyzed by multivariate statistics and the associations between them were presented as odds ratio within a 95% confidence limit. The relationships between the studied variables showed no statistically significant difference between the dwellings with positive and negative dogs. However, when analyzing the odds ratio, the presence of green areas larger than 10m² turned the house into an area of potential risk for CVL (OR= 2.53). There was no difference among the socioeconomic variables education and income, though the groups with lower education and income showed a higher seroprevalence of CVL. The city of Uruguaiana is already located within the CVL broadcasting area and is taken as an endemic region of the disease, with seropositive dogs in all neighborhoods. Thus, the determinants for an increased Leishmania sp. infection could not be indicated, even so, the maintenance of green areas around the households represented a risk factor for being a potential vector shelter.

O objetivo da presente pesquisa foi avaliar potenciais fatores de risco associados à ocorrência de leishmaniose visceral canina (LVC) em áreas de maior prevalência no município de Uruguaiana/RS, no ano de 2012. Foram aplicados questionários semiestruturados com questões socioeconômicas e ambientais em bairros endêmicos para LVC no município de Uruguaiana. Os dados foram analisados por meio de análise multivariada e as associações entre as variáveis foram expressas em odds ratio com intervalos de confiança de 95%. As relações entre as variáveis estudadas não apresentaram diferença estatística significativa quando se comparou residências com cães positivos àquelas com cães negativos. Entretanto, a presença de área verde maior que 10m² apresentou-se como um potencial fator de risco (OR = 2,53) para LVC. Não houve diferença significativa entre as variáveis socioeconômicas, escolaridade e renda embora, nos grupos de menor escolaridade e de menor renda familiar, tenha havido maior soro prevalência para LVC. O município de Uruguaiana-RS já pertence à área de transmissão de LVC tornando-se uma região endêmica da doença, com presença de cães soropositivos em todos os bairros. Desta forma, não foi possível apontar os determinantes para o aumento da infecção por Leishmania sp, embora a manutenção de áreas verdes peridomiciliares tenha representado um fator de risco devido à conservação do vetor nesses locais.

Risk factors associated to canine visceral leishmaniasis in Uruguaiana city, Brazil / Fatores de risco associados à leishmaniose visceral canina no município de Uruguaiana-RS

The present study aimed to evaluate factors associated with canine visceral leishmaniasis (CVL) in areas with higher seroprevalence of it in Uruguaiana city, Rio Grande do Sul state, Brazil, during the year of 2012. A semi-structured questionnaire with socioeconomic and environmental questions was applied in Leishmania endemic regions of the city. The survey data were analyzed by multivariate statistics and the associations between them were presented as odds ratio within a 95% confidence limit. The relationships between the studied variables showed no statistically significant difference between the dwellings with positive and negative dogs. However, when analyzing the odds ratio, the presence of green areas larger than 10m² turned the house into an area of potential risk for CVL (OR= 2.53). There was no difference among the socioeconomic variables education and income, though the groups with lower education and income showed a higher seroprevalence of CVL. The city of Uruguaiana is already located within the CVL broadcasting area and is taken as an endemic region of the disease, with seropositive dogs in all neighborhoods. Thus, the determinants for an increased Leishmania sp. infection could not be indicated, even so, the maintenance of green areas around the households represented a risk factor for being a potential vector shelter.(AU)

O objetivo da presente pesquisa foi avaliar potenciais fatores de risco associados à ocorrência de leishmaniose visceral canina (LVC) em áreas de maior prevalência no município de Uruguaiana/RS, no ano de 2012. Foram aplicados questionários semiestruturados com questões socioeconômicas e ambientais em bairros endêmicos para LVC no município de Uruguaiana. Os dados foram analisados por meio de análise multivariada e as associações entre as variáveis foram expressas em odds ratio com intervalos de confiança de 95%. As relações entre as variáveis estudadas não apresentaram diferença estatística significativa quando se comparou residências com cães positivos àquelas com cães negativos. Entretanto, a presença de área verde maior que 10m² apresentou-se como um potencial fator de risco (OR = 2,53) para LVC. Não houve diferença significativa entre as variáveis socioeconômicas, escolaridade e renda embora, nos grupos de menor escolaridade e de menor renda familiar, tenha havido maior soro prevalência para LVC. O município de Uruguaiana-RS já pertence à área de transmissão de LVC tornando-se uma região endêmica da doença, com presença de cães soropositivos em todos os bairros. Desta forma, não foi possível apontar os determinantes para o aumento da infecção por Leishmania sp, embora a manutenção de áreas verdes peridomiciliares tenha representado um fator de risco devido à conservação do vetor nesses locais.(AU)

Use of gamithromycin for the treatment of osteomyelitis secondary to foot rot in a sheep

Background: Lameness is one of the main causes of economic losses in sheep breeding, especially in the distal region of the limbs. Poor sanitation management, especially in terms of hygiene conditions and the introduction of animals without previous preventive care, is an important predisposing factor in sheep flocks. Interdigital phlegmon (foot rot) is a bacterial disease that causes pain, heat, edema, hyperemia in the region, and can lead to secondary processes such as osteomyelitis. This case report describes the use of gamithromycin for the treatment of osteomyelitis secondary to foot rot in a sheep.Case: An Ile-de-France ewe exhibiting signs of lameness, pain, heat, hyperemia and edema in the four digits was treated at the Veterinary Hospital of UNIPAMPA. The lesions were characterized by interdigital phlegmon, commonly known as foot rot, and the right thoracic limb was more affected, exuding a foul odor and purulent secretion. The affected limbs were treated topically with an antiseptic solution. The lesions healed completely except for the right thoracic limb, whose clinical condition worsened. Osteitis was suspected, and was confirmed by radiographic evaluation of the region. Treatment with ceftiofur was introduced, but proved to be ineffective. Nevertheless, the lesion was found to have worsened, and a new X-ray evaluation was made, which revealed dislocation of the distal phalanx as well as involvement of the middle and proximal phalanges. Thus, we decided to perform chemical arthrodesis of the distal interphalangeal joint. Before beginning this procedure, contrast X-rays were taken that revealed the development of a fistulous pathway connecting the distal interphalangeal joint to the proximal interphalangeal joint, which precluded this procedure. In view of the worsening of the condition, amputation of the distal and middle phalanges was performed, as well as scraping of the distal edge of the proximal phalanx.[...](AU)

Use of gamithromycin for the treatment of osteomyelitis secondary to foot rot in a sheep

Background: Lameness is one of the main causes of economic losses in sheep breeding, especially in the distal region of the limbs. Poor sanitation management, especially in terms of hygiene conditions and the introduction of animals without previous preventive care, is an important predisposing factor in sheep flocks. Interdigital phlegmon (foot rot) is a bacterial disease that causes pain, heat, edema, hyperemia in the region, and can lead to secondary processes such as osteomyelitis. This case report describes the use of gamithromycin for the treatment of osteomyelitis secondary to foot rot in a sheep.Case: An Ile-de-France ewe exhibiting signs of lameness, pain, heat, hyperemia and edema in the four digits was treated at the Veterinary Hospital of UNIPAMPA. The lesions were characterized by interdigital phlegmon, commonly known as foot rot, and the right thoracic limb was more affected, exuding a foul odor and purulent secretion. The affected limbs were treated topically with an antiseptic solution. The lesions healed completely except for the right thoracic limb, whose clinical condition worsened. Osteitis was suspected, and was confirmed by radiographic evaluation of the region. Treatment with ceftiofur was introduced, but proved to be ineffective. Nevertheless, the lesion was found to have worsened, and a new X-ray evaluation was made, which revealed dislocation of the distal phalanx as well as involvement of the middle and proximal phalanges. Thus, we decided to perform chemical arthrodesis of the distal interphalangeal joint. Before beginning this procedure, contrast X-rays were taken that revealed the development of a fistulous pathway connecting the distal interphalangeal joint to the proximal interphalangeal joint, which precluded this procedure. In view of the worsening of the condition, amputation of the distal and middle phalanges was performed, as well as scraping of the distal edge of the proximal phalanx.[...]

Ultrasonographic measurement of collateral ligaments of the distal interphalangeal joint in Criollo horses / Mensuração ultrassonográfica dos ligamentos colaterais da articulação interfalangeana distal de equinos da raça Crioula

Criollo horses were used in the past only for field services, especially countryside work. However, currently, they have been used as sports animals in several modalities involving turns in legs and exercises on irregular terrain, predisposing them to injuries in the distal extremity. Among the alterations recognized as cause of lameness in this region are the conditions related to collateral ligaments of the distal interphalangeal joint (CL-DIPJ), which in horses are structures that help to maintain joint stability and suffer a high pressure due to the high body weight, especially when it is not equally distributed at the stance phase. Considering the importance of the ultrasound anatomical knowledge of this structure for the early diagnosis of locomotive affections in the digit of Criollo horses, this study aimed to standardize CL-DIPJ measurements in healthy horses of this breed. We used 25 adult Criollo horses not submitted to sports practice. For ultrasonographic evaluation, after a trichotomy of the region, an ultrasound Chison 8300VET and a 6.0 MHz linear probe were used with a standoff pad. This technique uses a cross-sectional view, in which CL-DIPJ is visualized in the distal concavity portion of the middle phalanx, being a standard for the measurements. For ligament measurements, the variables dorsopalmar diameter (DPD), latero-medial diameter (LMD), and cross-sectional area (CSA) of ligaments were used. Three measurements were performed for each variable and average values were obtained, which were compared to each other and did not present significant differences (p > 0.05). The average measurements of diameter and area of collateral ligaments of the distal interphalangeal joint in Criollo horses were 9.04 mm for DPD, 7.55 mm for LMD, and 0.52 mm2 for CSA. This was the first study that standardized the size of this structure in this breed.(AU)

Os cavalos da raça Crioula eram utilizados apenas para serviços de campo, especialmente no trabalho com o gado. No entanto, atualmente, são utilizados também como animais de esporte em diversas modalidades que envolvem paleteadas, movimentos de giros apoiados sobre os membros pélvicos e exercícios em terrenos irregulares, predispondo-os às lesões na região distal dos dígitos. Dentre as alterações reconhecidas como causa de claudicação nesta região, encontram-se as afecções vinculadas aos ligamentos colaterais da articulação interfalangeana distal (LC-AID), que são estruturas que auxiliam a manter a estabilidade articular e sofrem alta tensão, devido ao elevado peso corporal, especialmente quando não estão igualmente distribuídos no momento de apoio do casco no solo. Tendo em vista a importância do conhecimento anatômico ultrassonográfico dessa estrutura para o diagnóstico precoce de afecções locomotoras no dígito de cavalos Crioulos, o objetivo deste trabalho foi padronizar as medidas dos LC-AID em equinos hígidos desta raça. Foram utilizados 25 equinos Crioulos adultos não submetidos à prática esportiva. Para a avaliação ultrassonográfica, após tricotomia da região, foi utilizado o aparelho Chison 8300VET e probe linear de 6,0MHz com auxílio de standoff pad e, a técnica empregada utilizou um corte transversal, no qual o LC-AID é visualizado na concavidade da porção distal da falange média, como padrão para a obtenção das medidas. Para mensuração dos ligamentos, utilizaram-se três variáveis denominadas diâmetro dorso palmar (DDP), diâmetro latero medial (DLM) e área transversal do ligamento (ATL). Realizaram-se três medições para cada uma das variáveis e, a partir destas medidas, obtiveram-se os valores de média, os quais foram comparados entre si e não apresentaram diferenças significativas (p > 0,05).(AU)

Diagnostic ultrasonography of the shoulder in dogs scan techniques and common findings / Ultrassonografia diagnóstica do ombro de cães - técnicas e principais achados

Determining the origin of lameness and pain in dog shoulder structures is considered a diagnostic challenge. Ultrasonography is an important diagnostic tool, capable of dynamically providing detailed information on muscle-tendon structures at a low cost. Its diagnostic accuracy for shoulder injuries is comparable to that of magnetic resonance imaging (MRI); however, the technique is still underestimated and underused in orthopedic examinations of small animals in Brazil. This study aimed to compile the literature data and explore the findings of ultrasound examinations for the diagnosis of abnormalities in the shoulder joint region of dogs. Scanning maneuvers of the tendons of the biceps brachii, supraspinatus, infraspinatus, teres minor, humeral head, and brachial plexus muscles were reviewed. The normal ultrasonographic patterns and findings that characterize different illnesses in this region were described.(AU)

A determinação da origem de claudicação e dor das estruturas do ombro de cães é considerada desafio diagnóstico. A ultrassonografia é importante ferramenta diagnóstica capaz de fornecer informações detalhadas de estruturas músculo-tedíneas, de forma dinâmica e a baixo custo. Sua acurácia diagnóstica para lesões do ombro é comparável à da ressonância magnética, no entanto, nota-se que a técnica ainda é subestimada e subutilizada na rotina ortopédica de pequenos animais no Brasil. O presente trabalho tem o intuito de compilar dados da literatura e explorar o exame ultrassonográfico para o diagnóstico de anormalidades na região da articulação do ombro em cães. Foram revisadas as manobras de varredura dos tendões dos músculos bíceps braquial, supraespinhoso, infraespinhoso, redondo menor, cabeça umeral e plexo braquial. Foram descritos os padrões ultrassonográficos normais e os achados que caracterizam diferentes enfermidades dessa região.(AU)