Anatomopathological aspects and the use of immunohistochemistry in slaughter pigs with cutaneous lesions of erysipelas / Aspectos anatomopatológicos e o uso da imuno-histoquímica em suínos abatidos com lesões cutâneas de erisipela

Swine erysipelas is a disease of worldwide distribution, responsible for causing economic losses in swine and considered an occupational zoonotic disease. It is estimated that 30% to 50% of pigs are carriers and stress can predispose the appearance of clinical disease. The diagnosis of erysipelas in slaughter pigs becomes a challenge for pathologists, since scalding and dehairing, routine procedures in slaughterhouses, generate histological artifacts that often make the final diagnosis impossible. This study describes the anatomopathological aspects and evaluate the use of immunohistochemistry as a diagnostic tool in these cases. Forty-three cases of erysipelas in slaughter pigs were analyzed. Grossly, the cutaneous lesions were characteristic pink, red, or purple raised rhomboid, rectangular or square lesions ("diamond skin"). Histologically, in the dermis and subcutaneous tissue, there were suppurative vasculitis, hidradenitis and folliculitis, as well as degeneration and necrosis of the vessel wall, thrombosis and multifocal areas of necrosis. Suppurative vasculitis and damage to the blood vessel wall were observed in all cases, with varying degrees of severity. The immunohistochemical technique proved to be an effective complementary method of diagnosis, with positive immunostaining in 93%. In most cases, we observed mild immunostaining (57.5%), moderate in 22.5% and marked in 20%.

A erisipela suína é uma doença de distribuição mundial, responsável por causar prejuízos econômicos na suinocultura, além de ser uma doença zoonótica com caráter ocupacional. Estima-se que 30%-50% dos suínos sejam portadores e fatores estressantes podem predispor o aparecimento da doença clínica. O diagnóstico de erisipela em suínos de abate torna-se um desafio aos patologistas, uma vez que os processos de escaldagem e depila, rotineiros em abatedouros frigoríficos, geram artefatos histológicos que muitas vezes impossibilitam o diagnóstico final. Este trabalho descreve os aspectos anatomopatológicos e avalia o uso da imuno-histoquímica como uma ferramenta diagnóstica nestes casos. Foram analisados fragmentos de pele de 43 casos de erisipela em suínos de abate. Macroscopicamente, eram múltiplas lesões cutâneas romboides, retangulares ou quadradas rosa, vermelho ou roxo característicos ("pele de diamante"). Histologicamente, na derme e subcutâneo, havia vasculite, hidradenite e foliculite supurativas, bem como degeneração e necrose da parede de vasos, trombose e áreas de necrose multifocais. A vasculite supurativa e a lesão na parede de vasos sanguíneos foram observadas em todos os casos, em diferentes graus de severidade. A técnica imuno-histoquímica se mostrou um eficaz método complementar de diagnóstico, com imunomarcação positiva em 93%. Na maior parte dos casos observamos marcação discreta (57,5%), moderada em 22,5% e acentuada em 20%.

Dermatopatia isquêmica juvenil em um cão / Juvenile-onset ischemic dermatopathy in a dog

Background: Juvenile-onset ischemic dermatopathy is a rare dermatosis in dogs. Reports on this condition are scarce inthe literature, and its pathogenesis is poorly understood. This disease consists of a set of alterations that exhibit similarclinical and histological characteristics, and which are associated with cutaneous vasculopathic processes. Consequently,this case report describes the clinical case of a dog diagnosed with juvenile-onset ischemic dermatopathy.Case: A 9-month-old female mongrel dog exhibited significant tegumentary alterations, while other contact animals (siblingsand mother) did not. The patient history did not contain a complete record of vaccines, and included previous therapeuticfailures. A general skin examination revealed the presence of erythematous lesions containing crusts and erosions associated with extended areas with alopecia, especially in the ears, nose, and tail. Therefore, skin cytology and a parasitologicalexamination of the skin and cerumen were performed. These tests revealed the presence of neutrophilic inflammatoryprocess, bacterial inflammation, and various yeast-like structures compatible with Malassezia sp. The parasitological examination of the cerumen revealed the presence of numerous mites of the Otodectes cynotis species. Consequently, the dogreceived a treatment that included amoxicillin with potassium clavulanate, itraconazole, therapeutic baths with a shampoocontaining chlorhexidine and miconazole, and an antiparasitic medication containing sarolaner, which was administeredonce every 35 days. Thirty days later, the patient returned with a significant improvement of the lesions, except those inthe ears and tail; consequently, material from these two body areas was submitted to histopathological examination, andadditional tests were performed to allow differential diagnosis. The histopathological report indicated the existence of...

Dermatopatia isquêmica juvenil em um cão / Juvenile-onset ischemic dermatopathy in a dog

Background: Juvenile-onset ischemic dermatopathy is a rare dermatosis in dogs. Reports on this condition are scarce inthe literature, and its pathogenesis is poorly understood. This disease consists of a set of alterations that exhibit similarclinical and histological characteristics, and which are associated with cutaneous vasculopathic processes. Consequently,this case report describes the clinical case of a dog diagnosed with juvenile-onset ischemic dermatopathy.Case: A 9-month-old female mongrel dog exhibited significant tegumentary alterations, while other contact animals (siblingsand mother) did not. The patient history did not contain a complete record of vaccines, and included previous therapeuticfailures. A general skin examination revealed the presence of erythematous lesions containing crusts and erosions associated with extended areas with alopecia, especially in the ears, nose, and tail. Therefore, skin cytology and a parasitologicalexamination of the skin and cerumen were performed. These tests revealed the presence of neutrophilic inflammatoryprocess, bacterial inflammation, and various yeast-like structures compatible with Malassezia sp. The parasitological examination of the cerumen revealed the presence of numerous mites of the Otodectes cynotis species. Consequently, the dogreceived a treatment that included amoxicillin with potassium clavulanate, itraconazole, therapeutic baths with a shampoocontaining chlorhexidine and miconazole, and an antiparasitic medication containing sarolaner, which was administeredonce every 35 days. Thirty days later, the patient returned with a significant improvement of the lesions, except those inthe ears and tail; consequently, material from these two body areas was submitted to histopathological examination, andadditional tests were performed to allow differential diagnosis. The histopathological report indicated the existence of...(AU)

Obliterative vasculitis caused by ovine herpesvirus type 2 in cattle

Background: Malignant catarrhal fever (MCF) is a frequently fatal viral infection that affects various wild and domestic ruminants and even pigs, as recently reported. It is a disease characterized by lymphoproliferation, vasculitis and erosiveulcerative lesions in mucosa and skin. In Brazil, the virus that circulates and causes the disease has been identified as OvHV-2. The aim of this study is to describe the clinicopathological changes in a cow with obliterative vasculitis caused by OvHV-2. Case: A two-year-old Gir cow with a history of intermittent diarrhea and progressive weight loss for approximately a year, which had not improved with antibiotic therapy, was euthanized and subjected to necropsy. In the necropsy, the liver was enlarged, firm, and had a marbled aspect all over the capsular and cut surfaces (light striations intercalated with dark areas). Cut surfaces also revealed thickening of the vessel walls, which exhibited a branched pattern. There was marked thickening of the small and large intestinal walls. The hepatic, mediastinal and mesenteric lymph nodes were enlarged. The samples were fixed in 10% phosphate-buffered formalin, routinely processed for histology, embedded in paraffin, cut 5-µm sections, and stained with hematoxylin and eosin. Additionally, sections of the liver and ileum were subjected to Masson's trichrome staining. The main microscopic alterations were found in the vessels (arteries and veins) of the liver and intestine. Periportal fibrosis and marked pericholangitis which would sometimes form bridges were observed in the liver. Transmural and perivascular fibrosis; the muscular layer was ruptured and there was proliferation of the intima, which caused obliteration of the lumen were also present. The lymph nodes' medullae exhibited intense infiltration of macrophages and plasma cells with areas of fibrosis, capillary proliferation, and atrophy of medullary cords. Neovascularization and marked inflammatory infiltrates composed of lymphocytes, plasma cells, macrophages and eosinophils were also present. Masson's trichrome staining revealed areas of fibroplasia. The tissue samples of the carotid rete mirabile, brain and liver were submitted for identification of OvHV-2 by nested polymerase chain reaction (nPCR) tested was positive for ovine herpesvirus type 2. Discussion: The main histological findings (obliterative vasculitis observed in the small and large intestines, liver, and lymph nodes) plus the detection of viral DNA of OvHV-2 in fragments of the carotid rete mirabile, brain, and liver by nPCR confirmed the diagnosis of malignant catarrhal fever. Chronic cases of MCF in cattle are not often described. The disease is usually manifested in a hyperacute or acute form which culminates with death. The most frequent clinical presentation is the head and eye form, which is characterized by corneal opacity, and ocular, nasal, and oral serous discharge. Bovines with MCF usually exhibit macroscopic and microscopic changes in various organs due to the pansystemic characteristic of the virus, which causes vasculopathy and lymphadenopathy. In this report, the changes were restricted to the intestines, liver, and lymph nodes. The obliterative vasculitis seen in this case is similar to the changes described in cases of chronic. Other herpesviruses which cause lesions to the vascular wall can also cause hyperplasia of the muscular layer with progression to obliterative arteriopathy. This paper reports a presentation of MCR not previously described in Brazil. PCR was an important tool for the conclusion of this case.

Molecular confirmation of ovine herpesvirus 2-induced malignant catarrhal fever lesions in cattle from Rio Grande do Norte, Brazil / Diagnóstico molecular de herpesvírus ovino tipo 2 em surto de febre catarral malígna em bovinos do Rio Grande do Norte

Molecular findings that confirmed the participation of ovine herpesvirus 2 (OVH-2) in the lesions that were consistent with those observed in malignant catarrhal fever of cattle are described. Three mixed-breed cattle from Rio Grande do Norte state demonstrated clinical manifestations that included mucopurulent nasal discharge, corneal opacity and motor incoordination. Routine necropsy examination demonstrated ulcerations and hemorrhage of the oral cavity, corneal opacity, and lymph node enlargement. Significant histopathological findings included widespread necrotizing vasculitis, non-suppurative meningoencephalitis, lymphocytic interstitial nephritis and hepatitis, and thrombosis. PCR assay performed on DNA extracted from kidney and mesenteric lymph node of one animal amplified a product of 423 base pairs corresponding to a target sequence within the ovine herpesvirus 2 (OVH-2) tegument protein gene. Direct sequencing of the PCR products, from extracted DNA of the kidney and mesenteric lymph node of one cow, amplified the partial nucleotide sequences (423 base pairs) of OVH-2 tegument protein gene. Blast analysis confirmed that these sequences have 98-100% identity with similar OVH-2 sequences deposited in GenBank. Phylogenetic analyses, based on the deduced amino acid sequences, demonstrated that the strain of OVH-2 circulating in ruminants from the Brazilian states of Rio Grande do Norte and Minas Gerais are similar to that identified in other geographical locations. These findings confirmed the active participation of OVH-2 in the classical manifestations of sheep associated malignant catarrhal fever.(AU)

Os achados moleculares confirmaram a participação do herpesvírus ovino tipo 2 (OVH-2) nas lesões observadas em um surto de febre catarral malígna em bovinos. Três bovinos oriundos de propriedade rural de Mossoró, Rio Grande do Norte apresentaram manifestações clínicas, que incluíram secreção nasal mucopurulenta, opacidade da córnea e incoordenação motora. A necropsia revelou ulcerações e hemorragias da cavidade oral, opacidade da córnea e linfonodomegalia. Os achados histopatológicos significativos incluíam vasculite necrosante generalizada, meningoencefalite não supurativa, nefrite intersticial linfocítica, hepatite linfocítica e trombose. A PCR, realizada a partir de DNA extraído do rim e do linfonodo mesentérico de um dos animais, amplificou um produto com 423 pares de base do gene da proteína do tegumento do herpesvírus ovino 2 (OVH-2). O sequenciamento direto dos produtos da PCR e a análise pelo Blast demonstraram que o produto amplificado apresentava 98-100% de identidade com sequências do OVH-2 depositadas no GenBank. As análises filogenéticas, baseadas nas sequências deduzidas de aminoácidos demonstraram que a cepa de OVH-2 circulando em ruminantes nos estados de Rio Grande do Norte e Minas Gerais são semelhantes àquelas identificadas em outras regiões geográficas. Esses achados confirmam a participação ativa de OVH-2 nas manifestações clássicas de febre catarral maligna em ovinos.(AU)

Púrpura Hemorrágica em equino: relato de caso / Hemorrhagic purple in equine: case report / Purpura hemorrágica en equino: relato de caso

Foi atendido no Hospital Veterinário da UENF, um equino da raça Quarto de Milha de 4 anos que apresentava relutância ao caminhar, edema nos membros,ventre, prepúcio, região peitoral e face além, de hemorragias puntiformes na mucosadas narinas e no focinho. Os linfonodos submandibulares estavam infartados. O proprietário relatou sinais clínicos de adenite equina há 10 dias. O histórico associado aos achados clínicos levou a suspeita de púrpura hemorrágica, sendo ela posteriormente confirmada através de exames complementares como hemograma e biópsia de pele. O equino foi tratado com doses medicamentosas inferiores as citadas na literatura e obteve uma recuperação satisfatória.

Reluctance to walk, swelling in the limbs, abdomen, prepuce, pectoralregion and face, pinpoint hemorrhages in the mucosa of the nose and muzzle andinfarted submandibular Iymph nodes were observed in a four years old quarter horseatlended in the Veterinary Hospital of the UENF. The owner reported clinical signs ofequine adenites 10 days ago which was trated with penicillin. The historic associatedto clinical findings led to suspicion of hemorrhagic purpura. It was confirmed by additional tests such as bloodcount and skin biopsy. The horse was treated with medication doses lower than those reported in the literature and had a satisfactory recovery.

Fue atendido en el hospital veterinario de Ia UENF, un equino de Ia raza cuarto de mil Ia de 4 anos quepresentaba renuencia a caminar, edema de los miembros, vientre, prepucio, región pectoral, cara y hemorragiaspuntiformes en Ia mucosa de Ias narinas y Ia boca. Los linfonodos submandibulares estaban infartados. En Iahistoria fue relatada adenitis equina desde hace 10 días tratada con penicilina. Esta historia unida aios hallazgos clínicos Ilevaron a sospechar purpura hemorrágica, siendo posteriormente confirmada por exámenes complementarios como hemograma y biopsia de pieI. EI equino fue tratado con dosis medicinales inferiores a Ias citadas en Ia literatura, y fue eficiente para Ia recuperación.

Púrpura Hemorrágica em equino: relato de caso / Hemorrhagic purple in equine: case report / Purpura hemorrágica en equino: relato de caso

Foi atendido no Hospital Veterinário da UENF, um equino da raça Quarto de Milha de 4 anos que apresentava relutância ao caminhar, edema nos membros,ventre, prepúcio, região peitoral e face além, de hemorragias puntiformes na mucosadas narinas e no focinho. Os linfonodos submandibulares estavam infartados. O proprietário relatou sinais clínicos de adenite equina há 10 dias. O histórico associado aos achados clínicos levou a suspeita de púrpura hemorrágica, sendo ela posteriormente confirmada através de exames complementares como hemograma e biópsia de pele. O equino foi tratado com doses medicamentosas inferiores as citadas na literatura e obteve uma recuperação satisfatória.(AU)

Reluctance to walk, swelling in the limbs, abdomen, prepuce, pectoralregion and face, pinpoint hemorrhages in the mucosa of the nose and muzzle andinfarted submandibular Iymph nodes were observed in a four years old quarter horseatlended in the Veterinary Hospital of the UENF. The owner reported clinical signs ofequine adenites 10 days ago which was trated with penicillin. The historic associatedto clinical findings led to suspicion of hemorrhagic purpura. It was confirmed by additional tests such as bloodcount and skin biopsy. The horse was treated with medication doses lower than those reported in the literature and had a satisfactory recovery.(AU)

Fue atendido en el hospital veterinario de Ia UENF, un equino de Ia raza cuarto de mil Ia de 4 anos quepresentaba renuencia a caminar, edema de los miembros, vientre, prepucio, región pectoral, cara y hemorragiaspuntiformes en Ia mucosa de Ias narinas y Ia boca. Los linfonodos submandibulares estaban infartados. En Iahistoria fue relatada adenitis equina desde hace 10 días tratada con penicilina. Esta historia unida aios hallazgos clínicos Ilevaron a sospechar purpura hemorrágica, siendo posteriormente confirmada por exámenes complementarios como hemograma y biopsia de pieI. EI equino fue tratado con dosis medicinales inferiores a Ias citadas en Ia literatura, y fue eficiente para Ia recuperación.(AU)