Resumo
The study was conducted on a 3-year-old female Santa Inês sheep from a property located in the municipality of Santo Antônio de Tauá, west of Pará. The affected animal had a history of exophthalmos in the left eye, nasal discharge, and breathing difficulty for more than three months. On physical examination, the animal had a low body score, apathy, unilateral facial asymmetry, moderate unilateral left exophthalmos, mixed dyspnea and unilateral profuse serosanguinous nasal discharge. At necropsy, a large nasal mass was observed, predominantly yellowish-white with blackish-red areas, with an irregular, finely granular, moist, and friable surface. The mass invaded from the mucocutaneous junction of the left nostril to the choanae, infiltrated the frontal sinuses, the cribiform plate, and reached the meninges and the frontal portion of the brain. Microscopy of the surface of the nasal epithelium showed severe destruction of the turbinates and epithelia, evidenced by extensive areas of necrosis with a large amount of cellular debris, ulceration, and secondary bacterial infection. In the central nervous system there was pyogranulomatous meningitis with marked vessel congestion, as well as foci of necrosis and granulomatous inflammation. Immunohistochemistry showed intense staining of numerous intralesional hyphae for antibodies against Conidiobolus lamprauges. The diagnosis of granulomatous rhinitis of mycotic origin associated with the Conidiobolus lamprauges was based on epidemiological, clinical-pathological, and immunohistochemical data.
O estudo foi realizado em um ovino, fêmea, de três anos de idade, da raça santa inês, procedente de uma propriedade localizada do município de Santo Antônio de Tauá, oeste do Pará. O animal acometido tinha histórico de exoftalmia no olho esquerdo, secreção nasal e dificuldade respiratória há mais de três meses. Ao exame físico o animal apresentava baixo escore corporal, apatia, assimetria facial unilateral, moderada exoftalmia unilateral esquerda, dispneia mista e exsudação nasal serossanguinolenta profusa unilateral. À necropsia, foi observada grande massa nasal, predominantemente branco-amarelada com áreas vermelho enegrecidas, de superfície irregular, finamente granular, úmida e friável. A massa invadia desde a junção mucocutânea do nariz esquerdo até as coanas, se infiltrava pelos seios nasais frontais, placa cribiforme e alcançava as meninges e a porção frontal do cérebro. À microscopia da superfície do epitélio nasal notou-se severa destruição dos cornetos e dos epitélios, evidenciada por extensas áreas de necrose com muitos debris celulares, ulceração e infecção bacteriana secundária. No sistema nervoso central (SNC) havia meningite piogranulomatosa com acentuada congestão de vasos, focos de necrose e inflamação granulomatosa. O diagnóstico de rinite granulomatosa de origem micótica associada ao fungo Conidiobolus lamprauges foi baseado nos achados da imuno-histoquímica.
Assuntos
Animais , Doenças dos Ovinos , Doenças do Sistema Nervoso Central/veterinária , Conidiobolus/patogenicidadeResumo
A dermoid is the presence of normal skin in an abnormal place. A mixed-breed, male, 4-month-old cat was presented with a history of ocular discomfort in the right eye. Ophthalmic examination on the right eye revealed lacrimation, blepharospasm, ocular discomfort and mild conjunctival hyperaemia. A mass with hair with a diameter of 5 mm on the temporal part of the bulbar conjunctiva was observed. Surgical excision of the mass was recommended. Histopathology of the excised tissue confirmed the diagnosis of a dermoid. There was no evidence of lesion recurrence 12 months after surgery. In the present case, complete surgical excision of the dermoid was curative. Although rare, dermoid should be included in the differential diagnosis of conjunctival disorders in cats.
Dermoide é a presença de pele normal em local inadequado. Um gato, sem raça definida, macho, com quatro meses de idade, apresentou histórico de desconforto ocular no olho direito. O exame oftálmico do olho direito revelou lacrimejamento, blefarospasmo, desconforto ocular e hiperemia conjuntival. Observou-se uma massa com pelos de 5mm de diâmetro na parte temporal da conjuntiva bulbar. A excisão cirúrgica da massa foi recomendada. A histopatologia do tecido excisado confirmou o diagnóstico de dermoide. Não houve recidiva da lesão 12 meses após a cirurgia. No presente caso, a excisão cirúrgica completa do dermoide foi curativa. Embora raros, os dermoides devem ser incluídos no diagnóstico diferencial de afecções conjuntivais em gatos.
Assuntos
Animais , Gatos , Doenças do Gato , Túnica Conjuntiva/cirurgia , Cisto Dermoide/veterináriaResumo
Blepharoplasty in equines is rarely performed because periocular tissues present low mobility, especially in the lower eyelid, which frequently subjects this species to enucleation. Squamous cell carcinoma (SCC) is among the most common malignant neoplasms of the eyes and annexes, which increases local recurrences due to the lack of available safety margin. A 12-year-old Creole equine with a white coat presenting an ulcerative lesion on the lower right eyelid was treated. The treatment strategy considering the SCC suspicion was the surgical excision of the lesion and maintenance of the eye, followed by blepharoplasty for eyelid reconstruction. The hemi H-plasty technique was performed to reconstruct the right lower eyelid after a skin incision circumscribing the lesion and respecting a safety margin. Two parallel skin incisions were made from the base of the surgical wound, twice the length of the defect height, and small triangles of skin (Burow's triangles) were excised, and then the flap was advanced into the wound and fixed. No postoperative complications or tumor recurrence were observed during the following 24 months of follow-up, and the technique ensured the functional and aesthetic reconstruction of the region.
Blefaroplastias em equinos dificilmente são realizadas, em razão de os tecidos perioculares serem de baixa mobilidade, sobretudo na pálpebra inferior, o que frequentemente submete essa espécie à enucleação. O carcinoma de células escamosas (CCE) está entre as neoplasias malignas mais comuns de olhos e anexos, e isso aumenta as recidivas locais pela falta de margem de segurança disponível. Foi atendido um equino da raça Crioula, de 12 anos de idade e pelagem branca, apresentando lesão ulcerativa em pálpebra inferior direita. Considerando a suspeita de CCE, a estratégia de tratamento foi a excisão cirúrgica da lesão e a manutenção do olho, seguida de blefaroplastia para reconstrução palpebral. Após incisão de pele circunscrevendo a lesão e respeitando uma margem de segurança, realizou-se a técnica de hemi-H-plastia para reconstrução da pálpebra inferior direita. Duas incisões paralelas na pele foram realizadas a partir da base da ferida cirúrgica, sendo duas vezes o comprimento da altura do defeito, pequenos triângulos de pele (triângulos de Burow) foram excisados e, então, o retalho foi avançado para a ferida e fixado. Não se observaram complicações pós-operatórias nem recidiva tumoral durante os 24 meses seguintes de acompanhamento, além de a técnica ter garantido a reconstrução funcional e estética da região.
Assuntos
Animais , Carcinoma de Células Escamosas/veterinária , Blefaroplastia/veterinária , Neoplasias Palpebrais/veterinária , Doenças dos CavalosResumo
Background: The Transmissible Venereal Tumour (TVT) is a round cell neoplasm that affects dogs. Its localisation is predominantly venereal; however, it can be found in extragenital regions, such as skin, nostrils, mouth and eyes. This paper describes a case of nasal TVT in a geriatric dog, performing its clinical, laboratory, therapeutic and prognostic analysis. Case: A 13-year-old male dog, mixed breed, non-castrated, domiciled, weighing 19,200 kg, was attended at the Small Animal Medical Clinic (CMPA) of the University Veterinary Hospital (HVU) of the Multidisciplinary Centre of the Barra Campus, Federal University of Western Bahia (UFOB), presenting cachexia, reactive lymph nodes except the popliteal ones, dehydration, dyspnoea, arrhythmia, frequent sneezing with serous and yellowish nasal discharge, cough, difficulty in breathing, increased volume in the face (left nasal plane), enlarged volume above the right eye with a suppurative wound just below. The animal's haemogram revealed the presence of normocytic normochromic anaemia, neutrophilic leukocytosis with left regenerative shift and hyperproteinaemia. The serum biochemical tests for renal function (urea and creatinine) and hepatic function (ALT, AST and AF) showed normal levels. The cytological evaluation showed a mono-morphic population of large cells with a round nucleus, condensed chromatin and 1 to 2 prominent nucleoli, abundant and slightly basophilic cytoplasm, with multiple punctuated vacuoles, showing discrete anisocytosis and anisokaryosis and mitotic figures, confirming a case of TVT. In addition, the presence of neutrophils was evidenced, indicating an inflammatory process. Simultaneously, an X-ray of the skull was requested, which was not returned. A chemotherapy protocol was instituted using vincristine sulphate [0.025 mg/kg IV], for 5 sessions with an interval of 1 week between each session, clinical and laboratory monitoring of the regression of neoplastic cells, demonstrating total efficacy. It is worth noting that after the 2nd application of the pharmaceutical, the animal presented adverse reactions, with clinical symptoms of emesis, decreased appetite and weight loss; so, the animal was then subjected to fluid therapy, treatment with immunostimulants, appetite stimulants and antiemetics, which influenced its clinical improvement. Discussion: The importance of complementary diagnostic tests in the routine of veterinary clinics and hospitals is notice-able, aimed at establishing the diagnosis and therapeutic monitoring of diseases. In the present report, diverging from the majority of cases described in the literature, the animal showed signs of neoplasia at 13 years of age, in a context of reduced sexual activity. It is believed that the fact that he has free access to the street and has olfactory habits inherent to the canine species in terms of contact with the genital region of other animals, left him exposed to factors that determined the transmissibility of the neoplasm. Weekly clinical follow-up as well as laboratory tests, was essential to ascertain the effectiveness of the treatment, the presence of adverse reactions and the introduction of new drugs. The normocytic normo-chromic anaemia possibly occurred in response to the nodular and haemorrhagic characteristics of the tumour tissue. The leukocytosis due to neutrophilia and hyperproteinaemia would be related to the occurrence of an acute infectious process, probably bacterial. It is concluded that although geriatric patients present immunosuppression more easily than other age groups, in cases of TVT, the therapeutic approach with vincristine sulphate, and the clinical and laboratory follow-up adopted influence the good prognosis concerning neoplastic regression.
Assuntos
Animais , Masculino , Cães , Tumores Venéreos Veterinários/terapia , Neoplasias Nasais/veterinária , Anemia/veterinária , Contagem de Células Sanguíneas/veterináriaResumo
Dermacentor nitens Neumann is the most common tick species infesting horses in the main Brazilian biomes. It has a predilection to attach to horse the ears, the nasal diverticulum, perineal and perianal regions. The infestations can generate severe damage in the ears, anemia, and the tick also acts as vector of Babesia caballi (Nuttall and Strickland), the causative agent of equine babesiosis. Our study describes unusual parasitism site of D. nitens on a female cross breed horse, approximately ten years old that presented high parasitism by ticks on the perineal and perianal region, ears, and the left eye orbit region, where an enucleation process had been performed a few years earlier. To our knowledge this is the first report of D. nitens parasitism on a formerly enucleated eye orbit.
Dermacentor nitens Neumann é a espécie de carrapato mais comum infestando equinos nos principais biomas brasileiros. Tem predileção por se fixar ao cavalo nas orelhas, divertículo nasal, e nas regiões perineal e perianal. As infestações podem gerar danos severos nas orelhas, anemia, e o carrapato também atua como vetor de Babesia caballi (Nuttall and Strickland), agente causador da babesiose equina. Nosso estudo descreve um local de parasitismo incomum de D. nitens em uma égua mestiça de aproximadamente dez anos de idade, que apresentou alto parasitismo por carrapatos nas regiões perineal e perianal, orelhas e região da órbita do olho esquerdo, onde havia sido realizado processo de enucleação alguns anos anteriores. Para o nosso conhecimento, este é o primeiro relato de parasitismo de D. nitens em uma órbita ocular anteriormente enucleada.
Assuntos
Animais , Carrapatos/patogenicidade , Dermacentor/patogenicidade , Oftalmopatias/veterinária , Doenças dos Cavalos/parasitologiaResumo
During embryological development, the eyelids of snakes fuse and no longer open like in mammals. They become transparent, thus forming spectacles, a transparent structure that covers the eyes. The primary function of these spectacles is to provide a physical barrier to protect the eyes without eyelids. This study aimed to evaluate the ocular biometry of Python bivittatus snakes. Ocular ultrasound examinations were performed on four individuals using the Logic E ultrasound device (GE, United States) with a 10-22 MHz linear probe. Conduction gel was used to make transducer contact with the cornea in these snakes. Images were obtained to evaluate the following measurements: axial length of the eyeball, anterior chamber depth, lens thickness, and vitreous depth. These measurements of intraocular structures were, respectively: 0.05 ± 0.02 cm for corneal thickness in the right eye and 0.04 ± 0.007 cm in the left eye; 0.11 ± 0.04 cm for anterior chamber depth in the right and left eyes; 0.36 ± 0.07 cm for the lens thickness in the right eye and 0.39 ± 0.05 cm in the left eye; 0.35 ± 0.05 for the depth of the vitreous chamber in the right eye and 0.31 ± 0.02 cm in the left eye; and 0.85 ± 0.18 cm for the length of the globe in the axial plane in the right eye and 0.85 ± 0.14 cm in the left eye. Knowledge of snakes' anatomical and ophthalmological parameters is scarce, and the incidence of eye diseases is still little known, making further studies necessary.(AU)
Durante o desenvolvimento embriológico as pálpebras das cobras se fundem e não reabrem mais como nos mamíferos, elas se tornam transparentes formando uma escama ocular, uma estrutura transparente que cobre os olhos. A escama ocular tem como principal função fornecer uma barreira física para proteger o olho na ausência de pálpebras. O objetivo desse trabalho foi avaliar a biometria ocular das serpentes Python bivittatus. O exame ultrassonográfico ocular foi realizado com um aparelho de ultrassom Logic E, GE, Estados Unidos, com sonda linear 10-22 MHz, utilizou-se gel de condução para realizar o contato do transdutor com a córnea dos 4 animais avaliados. As medidas avaliadas foram a profundidade da câmara anterior, espessura da lente, a profundidade do vítreo e o comprimento axial do globo ocular. Foram realizadas imagens obtendo as medidas do comprimento axial do globo ocular, câmara anterior, espessura da lente e a profundidade do vítreo. As estruturas intraoculares medidas foram, respectivamente: 0,05 ± 0,02 cm para espessura da córnea no olho direito e 0,04 ± 0,007 cm no olho esquerdo, 0,11 ± 0,04 cm para a profundidade da câmara anterior nos olhos direito e esquerdo, 0,36 ± 0,07 cm para a espessura da lente do olho direito e 0,39 ± 0,05 cm do olho esquerdo, 0,35 ± 0,05 para a profundidade da câmara vítrea no olho direito e 0,31 ± 0,02 cm no olho esquerdo e 0,85 ± 0,18 cm para o comprimento do globo no plano axial no olho direito e 0,85 ± 0,14 cm no olho esquerdo. O conhecimento dos parâmetros anatômicos e oftalmológicos das serpentes é escasso e a incidência de doenças oculares ainda é pouco conhecida, o que torna necessário mais estudos relacionados ao tema.(AU)
Assuntos
Animais , Biometria , Boidae/anatomia & histologia , OftalmologiaResumo
Background: Although Squamous Cell Carcinoma (SCC) is most commonly seen in the epidermis, this malignant neoplasm can manifest in various other tissues. A wide range of factors may be related to the development of SCC in the cornea, with continuous exposure to ultraviolet radiation and chronic friction to the ocular surface being the most accepted theories. In addition to surgical procedures, the use of mitomycin C in the topical treatment of corneal SCC has shown good results in therapeutic management. Thus, the objective of the current work is to report the satisfactory response observed in the use of mitomycin C in a case of SCC in the cornea of a dog. Case: A 9-year-old male Pug dog was attended by the Veterinary Ophthalmology and Microsurgery Sector (SOMVET) of the University Veterinary Hospital (HVU) of the Federal University of Santa Maria (UFSM) with Squamous Cell Carcinoma (SCC) in the cornea of the left eye, which had recurred after a previous surgical intervention. Secretion and discomfort in the left eye were noted during clinical examination. In addition, both eyes presented pigmentary keratitis in the medial corner. Surgical excision of the neoplasm was performed using the surgical technique of anterior lamellar keratectomy. In the immediate postoperative period, topical therapy was started with eye drops based on mitomycin C at 0.02%, for a period of 28 consecutive days. The use of this chemotherapy drug in the topical form was intended to minimize the chances of recurrence of the clinical condition, since the patient is predisposed to this alteration. In addition, supportive therapy was implemented to improve patient comfort, consisting of the use of tobramycin-based eye drops (6 times a day, for 14 days), atropine 1% eye drops (BID, for 3 days), lubricating eye drops based on sodium hyaluronate (3 times a day, for continuous use), and immunomodulatory eye drops based on tacrolimus 0.02% (twice a day, for continuous use). The patient was evaluated 7, 14, 21, and 28 days after surgery, when good results were observed. One year after treatment, the dog was still showing no signs of recurrence of the treated clinical condition. Discussion: It is known that chronic friction on the surface of the cornea predisposes to the diagnosis of corneal SCC. Accordingly, in the clinical examination of the patient in this report, the presence of bilateral pigmentary keratitis was observed, an alteration that leads to a framework of chronic aggression to the cornea. Surgical treatment is recommended to remove the tumor mass in the ocular region. However, in cases of corneal SCC, the literature highlights that recurrence after surgical excision is a common factor. As the patient in this study arrived at the clinic with a history of recurrence, topical therapy with mitomycin C associated with surgical treatment was instituted. This chemotherapy drug has shown encouraging results in the treatment of some neoplasms, especially SCC. Its use in this case supported previous findings, pointing to a satisfactory result in which the patient had no recurrences after one year of follow-up. In addition, the concentration and frequency used of the active ingredient did not lead to adverse effects in the short or medium term.
Assuntos
Animais , Masculino , Cães , Carcinoma de Células Escamosas/tratamento farmacológico , Carcinoma de Células Escamosas/terapia , Mitomicina/uso terapêutico , Doenças da Córnea/veterinária , Ceratoconjuntivite Seca/veterinária , Neoplasias Oculares/veterináriaResumo
The indiscriminate use of antibiotics has contributed to the emergence of multiresistant bacteria. Faced with this, the search for antibiotics from plants has proven to be a promising alternative. The objective of this work was to isolate and identify Staphylococcus sp. resistant to methicillin of the ocular surface of dogs with ophthalmopathies and to evaluate its susceptibility to alcoholic extract of the bark and hexane extract of the pulp of Caryocar brasiliense. Biological material was collected from the ocular surface of 21 dogs presenting ophthalmopathies. We isolated 64 S. pseudintermedius, among these, 4 isolates were identified as methicillin-resistant S. pseudintermedius (MRSP). The alcoholic extract of C. brasiliense peel was able to inhibit the bacterial growth of MRSP isolates at a concentration of 2.2%. Thus, the extract from the C. brasiliense peel has antimicrobial potential and represents an alternative in the control of MRSP.
O uso indiscriminado de antibióticos tem contribuído para o surgimento de bactérias multirresistentes. Diante disso, a busca por antibióticos a partir de plantas tem se mostrado uma alternativa promissora. O objetivo deste trabalho foi isolar e identificar Staphylococcus sp. resistente à meticilina da superfície ocular de cães com oftalmopatias e avaliar sua susceptibilidade ao extrato alcoólico da casca e ao extrato hexânico da polpa de Caryocar brasiliense. O material biológico foi coletado da superficie ocular de 21 cães com oftalmopatia. Isolaram-se 64 S. pseudintermedius; entre esses, quatro isolados foram identificados como S. pseudintermedius resistente à meticilina (MRSP). O extrato alcoólico da casca de C. brasiliense foi capaz de inibir o crescimento bacteriano dos isolados de MRSP na concentração de 2,2%. Dessa forma, o extrato da casca de C. brasiliense possui potencial antimicrobiano e representa uma alternativa no controle de MRSP.
Assuntos
Animais , Cães , Staphylococcus/imunologia , Resistência a Meticilina , Malpighiales/química , Fitoterapia/veterinária , Reação em Cadeia da Polimerase/veterinária , Oftalmopatias/terapiaResumo
Keratoconjunctivitis sicca (KCS) is a disease commonly seen in dogs that is characterized by the reduction or absence of lacrimal secretions. It can be classified as qualitative or quantitative, and both categories are able to elicit conjunctival and corneal inflammation, ocular pain, progressive corneal disease, and vision impairment. This disease's treatment is based on reestablishing and maintaining ocular surface homeostasis. Patients may benefit from different therapeutic protocols, such as the use of lacrimomimetics, that increase lacrimal stability, helping to retain ocular humidity; lacrimostimulants, that promote lacrimal secretion; fatty acids, which play a role on meibum synthesis and block pro-inflammatory cytokine genic expression; blood products, based on promotion of epithelial growth factors; and stem cells, due to their self-renewing capabilities. Stable cases may benefit from the use of steroidal or non-steroidal anti-inflammatory agents on the control of clinical signs. Refractory cases may eventually benefit from surgical therapies, which include techniques for parotid duct transposition, gland transplants, and lacrimal puncta occlusion.
A ceratoconjuntivite seca (CCS) é uma doença comumente observada em cães caracterizada pela ausência ou redução das secreções lacrimais. Pode ser classificada como qualitativa ou quantitativa, sendo que ambas as categorias são capazes de desencadear inflamação da conjuntiva e da córnea, dor ocular, doença corneana progressiva e redução da visão. O tratamento desta doença é contínuo e se baseia no restabelecimento e manutenção da homeostase do sistema da superfície ocular. Os pacientes podem se beneficiar de diferentes protocolos terapêuticos, tais como o uso de lacrimomiméticos, que aumentam a estabilidade lacrimal ajudando na retenção da umidade ocular; lacrimoestimulantes para a promoção de secreção de lágrimas; ácidos graxos, que desempenham papel na síntese de meibum e bloqueiam a expressão gênica de citocinas pró-inflamatórias; produtos derivados do sangue, baseando-se nos fatores de crescimento de promoção epitelial; e células tronco, devido à sua capacidade de auto renovação. Em casos estáveis, o uso de anti-inflamatórios esteroidais ou não esteroidais pode ser benéfico no controle de sinais clínicos. Casos refratários ao tratamento podem eventualmente se beneficiar de terapias cirúrgicas, que incluem as técnicas de transposição de ducto parotídeo, transplantes glandulares e oclusão da puncta lacrimal.
Assuntos
Animais , Cães , Lágrimas , Ceratoconjuntivite Seca/veterinária , Doenças da Córnea/veterinária , Cães/anormalidades , Oftalmopatias/veterinária , Homeostase/efeitos dos fármacos , Doenças do Aparelho Lacrimal , Anti-Inflamatórios/análiseResumo
Background: The prolapse of the third eyelid gland is a condition that mainly affects dogs and is uncommon in cats. The diagnosis results from anamnesis and identification of a hyperemic mass in the medial corner of the eye bulb during ophthalmologic examination and may be accompanied by secretion and conjunctivitis. The treatment of choice is surgical repositioning of the 3rd eyelid gland. Several surgical techniques have been described, which can be divided into anchoring and pocket techniques. This study reports a case of 3rd eyelid gland prolapse in a cat with surgical resolution using the Morgan pocket technique. Case: A 7-year-old, female feline of undefined breed, weighing 6.5 kg, attended a private clinic in the city of Jundiaí, São Paulo. The owner informed scratching in the right eye after a contact fight with another feline. After the ophthalmologic exam, the only alteration found was in the 3rd eyelid, which presented intense chemosis and hyperemia. Treatment with eye drops containing neomycin sulfate, polymyxin B sulfate, dexamethasone, and 0.15% sodium hyaluronate was prescribed. In the 15-day follow-up, total regression of the chemosis and prolapse of the 3rd eyelid gland in the right eye was verified. Based on this scenario, it was decided that the 3rd eyelid gland should be repositioned. The Morgan pocket technique was chosen using 6-0 non-absorbable wire. In the postoperative period, tobramycin eye drops every 6 h, dexpanthenol ophthalmic gel 4 to 6 times a day for 10 days, and Elizabethan collar 24 h a day were prescribed. For analgesia, 25 mg/kg dipyrone and 0.05 mg/kg meloxicam with anti-inflammatory action were used orally once a day for 3 days. On the 11th day after surgery, the patient was reevaluated, and no ophthalmological changes were identified; the 3rd eyelid gland remained in its correct anatomical position. Discussion: Prolapse of the 3rd eyelid gland is a rare condition in cats. In the presented case, the macroscopic finding of this affection was a reddish mass located in the nasal corner of the ocular bulb, similar to the occurrence in dogs. In terms of age groups, the manifestation of this ophthalmopathy differs between the species and is present in puppies to young dogs, whereas adult to middle-aged cats. The occurrence of the disease is likely related to a genetic predisposition in dogs; in contrast, in cats, it may be related to ocular disturbances, such as conjunctivitis and trauma. In the literature, the cases of prolapse of this gland are mostly related to the Burmese breed; however, there are also descriptions for undefined breed and Persian cats. The etiology of gland prolapse in domestic cats remains unknown; changes in smooth muscle fibers that maintain the gland in its anatomical position, different from the hypothesis of laxity in the retinaculum of dogs is speculated. Using the Schirmer's test in cats to evaluate the influence of the removal of the lacrimal 3rd eyelid gland, a study found a 15-26% decrease in the production of the aqueous portion of the tear film, providing additional support to the importance of gland repositioning. The Morgan pocket technique was selected for the present case based on the positive results when employed in dogs and cats. The invaginating suture and the positioning of the final knot performed in this technique avoid contact of the wire with the corneal surface and postoperative complications, such as ulcerative keratitis. The present report and the reviewed literature point out that the prolapse of the 3rd eyelid gland in cats may occur secondarily to an ocular disorder, such as trauma, and that the Morgan pocket technique is efficient for repositioning this gland in cats.
Assuntos
Animais , Feminino , Gatos , Prolapso , Doenças Palpebrais/veterinária , Glândulas Tarsais/patologia , Membrana Nictitante/patologiaResumo
The aim of this study was to evaluate and compare the effectiveness of three concentrations of gentian violet (0.5%, 0.1% and 0.05%) for staining the anterior capsule of the lens in horses. Thirty-six post-mortem equine eyes were collected. The eyes were subdivided into three groups composed of 12 eyes each, according to the concentration of gentian violet used. The effectiveness of staining the anterior capsule of the lens with different concentrations of gentian violet was assessed using an empirical system of evaluation on adequate or inadequate staining of capsular flaps. Based on the evaluation of the examiner, the 0.1% and 0.05% concentrations of gentian violet allowed adequate visualisation of the anterior capsule for continuous curvilinear capsulotomy training, whereas the 0.5% concentration produced strong and inadequate capsular staining. The model developed using gentian violet at concentrations of 0.1% and 0.05% allowed a clear visualisation of the capsular flap, which makes it viable as a model for training the continuous curvilinear capsulotomy step in cataract surgery in horses.
O objetivo deste estudo foi avaliar e comparar a eficácia de três concentrações de violeta genciana (0,5%, 0,1% e 0,05%) na coloração da cápsula anterior da lente em equinos. Trinta e seis olhos de equinos post-morten foram utilizados. De acordo com a concentração de violeta genciana utilizada, os olhos foram subdivididos em três grupos compostos por 12 olhos cada. A avaliação da eficácia em coloração da cápsula anterior da lente com diferentes concentrações de violeta de genciana foi realizada por meio de um sistema empírico de avaliação da coloração adequada ou inadequada de retalhos capsulares. Com base na avaliação dos examinadores, as concentrações de 0,1% e 0,05% de violeta de genciana permitiram a visualização adequada da cápsula anterior para o treinamento da capsulotomia curvilínea contínua enquanto a concentração de 0,5% produziu uma coloração capsular forte e inadequada. O modelo desenvolvido com violeta genciana, nas concentrações de 0,1% e 0,05%, permitiu a visualização nítida do retalho capsular, o que o torna viável como modelo para treinamento da etapa de capsulotomia curvilínea contínua em cirurgia de catarata em equinos.
Assuntos
Animais , Catarata/veterinária , Violeta Genciana , Doenças dos Cavalos/cirurgia , Cristalino/cirurgiaResumo
Background: The treatment of glaucoma often requires numerous therapeutic modalities to achieve the desired reduction in intraocular pressure (IOP). Cyclodestructive procedures or ciliary body destruction have been performed using techniques with considerable differences in efficacy and complication rates. Among these methods, cyclocryotherapy is non-invasive and simple for the management of uncontrolled glaucoma in dogs and cats. The objective of this case report is to describe the technique of carbon dioxide cyclocryotherapy to reduce intraocular pressure in dogs and cats with glaucoma. Cases: Nine canine patients and one cat with glaucoma were treated with cyclocryotherapy performed under general anaesthesia. Clinical signs patients included blepharospasm, ocular pain, episcleral congestion and ocular hypertension. The patients showed higher levels of IOP, higher than 30 mmHg. Surgical treatment with general anaesthesia was applied. The pre-anaesthesia protocol included acepromazine 0.05 mg/kg with methadone 0.2 mg/kg, followed by intravenous propofol and maintenance with isoflurane and oxygen. An ophthalmological cryocautery unit was used with carbon dioxide as the cryogenic agent and a retinal cryoprobe of 3.2 mm diameter tip for the procedure. The method used was a double cycle of freezing and thawing for 60 s in each site. The cryoprobe was centred approximately 5 mm posterior to the corneoscleral limbus over the ciliary body. The temperature of each cyclocryotherapy spot was between -60°C and -80°C and each site was maintained in place for 60 s; 4 to 6 spots of the double freeze-thaw cycle were made. This technique did not have any serious complications during or after the application of cryotherapy, but chemosis and hyperaemia of the bulbar conjunctiva developed. Subconjunctival anti-inflammatory steroids were injected to minimise swelling and patient discomfort. Satisfactory results were observed; in all cases, the intraocular pressure decreased, with the usual result being a cosmetic and painless eye. Discussion: Even with recent surgical and medical advances, pain and blindness are still common occurrences in glaucoma in human and veterinary practice. The cyclodestructive procedures included cyclodialysis, cyclodiathermy, cyclocryotherapy, and cyclophotocoagulation. The cryosurgery in veterinary ophthalmology has many indications for the treatment of ocular diseases and is effective at decreasing intraocular pressure in patients with persistent uncontrolled glaucoma. Cyclocryotherapy has been shown to reduce intraocular pressure in dogs, cats, rabbits and humans with normotensive and glaucomatous eyes. The application of a cryoprobe over the ciliary processes results in ablating ciliary tissue so that aqueous humour inflow is reduced to acceptable levels. In the clinical cases evaluated, there was a reduction in intraocular pressure reaching acceptable levels, with the usual result being cosmetic and painless eye. Medical therapy remains the predominant method for treating glaucoma in veterinary patients; therefore, cyclocryotherapy is an effective, simple way to lower IOP and is a reasonable treatment option for glaucoma management. Cyclocryotherapy has shown good results, with a low learning curve and it can also be repeated if necessary.
Assuntos
Animais , Gatos , Cães , Glaucoma/terapia , Glaucoma/veterinária , Crioterapia/veterinária , Pressão IntraocularResumo
This study aimed to evaluate the thermal response of the eyelids and lacrimal gland of the left eye (LETG) through infrared thermography (IRT), cardiorespiratory parameters, and their association with nociception and pain in bitches undergoing elective ovariohysterectomy (OVH) anesthetized with isoflurane and epidural analgesia. Twenty-one healthy bitches of different breeds were randomized into three groups receiving epidural blocks: GL (n=7), lidocaine (2 mg Kg-1 ); GLF (n=7), lidocaine (2 mg Kg-1 ) and fentanyl (3 µg Kg-1 ); and GLM (n=7), lidocaine (2 mg Kg-1 ) with morphine (0.1 mg Kg-1 ). IRT and cardiorespiratory parameters were evaluated at baseline (Ebasal), thirty minutes before anesthetic premedication, and at different surgical events: first incision (EInc), ligature and section of the left (ELoV), and right (ERoV) ovarian pedicle, ligature, and re-section of the cervix (EUt), and skin suture (ESut). The assessment of acute pain in the immediate post-operative period was registered at E1h, E2h, and E3h using IRT, the Dynamic Interactive Visual Analogic Scale (DIVAS), and the University of Melbourne Pain Scale (UMPS) scales. The results showed a statistically significant decrease in the lower eyelid surface temperature (LELT) during EInc for GL (32.9°C ± 0.62), in comparison to GLF (34.2°C ± 0.62) and GLM (35.3°C ± 0.62) (P = 0.006). Regarding LETG, a significant increase (P = 0.03) in the IRT of Ebasal (36.8°C ± 0.63) and EInc (36.1°C ± 0.63) for GLM was observed in comparison to the thermographic values for both perioperative events and groups. The GLM showed a significant decrease in IRT values of ERoV at E3h in the upper and lower eyelids (P = 0.03 and P = 0.01, respectively). A progressive and significant reduction of the IRT values of LETG was also recorded in GLM, with differences in ERoV (35.2 °C ± 0.63) (P = 0.02) and E3h (35.3 °C ± 0.63) (P = 0.01). The cardiovascular parameters (SAP, DAP, and MAP) did not differ between treatments, but in GL, there was a significant difference (P = 0.01) during EInc and ESut, compared to Ebasal. In the body temperature, EInc and ESut gradually decreased in all treatment groups (P = 0.01). In conclusion, hemodynamic and cardiorespiratory stability was associated with IRT readings and the absence of nociception. Changes in superficial temperature in the immediate post-operative period were lessened using isoflurane and epidural analgesia of lidocaine alone or in combination with pure opioids. These findings were clinically validated to the DIVAS and UMPS acute pain assessment scales.
Assuntos
Animais , Cães , Ovário/cirurgia , Doenças do Cão , Histerectomia/veterinária , Isoflurano/administração & dosagem , Anestesia Epidural/veterináriaResumo
This study analyzed clinical and cyto-histomorphological parameters of the ocular surface of Shih Tzu dogs, non-carriers and carriers of quantitative keratoconjunctivitis sicca (KCS) at different stages. Thirty-five eyes from 23 male and female Shih Tzu dogs between two and eight years were evaluated in four groups: control group (CG - without KCS), mild KCS group (KCS1), moderate KCS group (KCS2), and severe KCS group (KCS3). Most clinical variables among KCS carrier groups worsened at the more advanced stages of the disease, with a negative correlation between the Schirmer tear test (STT-1) and tear film break-up time (TBUT). Squamous metaplasia, lymphoplasmacytic inflammatory infiltrate, and decrease in conjunctival goblet cells on histopathological examination comprised disease severity parameters. Quantitative KCS non-carried Shih Tzu dogs have qualitative and tear film distribution changes. The cytomorphological exam is limited to evaluating the inflammatory infiltrate and quantifying conjunctival goblet cells. However, intermediate epithelial cells were higher in healthy eyes compared to eyes with KCS in Shih Tzu dogs. Also, moderate and severe KCS carrier Shih Tzu dogs have qualitative dysfunction of the tear film. KCS in Shih Tzu dogs is common and chronic and may be responsible for the loss of vision of these animals. Early identification of the disease and routine evaluation can improve these dogs' quality of life and ocular health.
Este estudo analizou os parâmetros clinicos e cito-histomorfológicos da superfície ocular de cães da raça Shih Tzu, portadores e não portadores de ceratoconjuntivite seca quantitative (CCS) em diferentes estágios. Trinta e cinco olhos de 23 cães da raça Shih Tzu, machos e fêmeas, entre as idades de dois e oito anos foram avaliados em quatro grupos: grupo controle (GC - sem CCS), grupo CCS inicial (CCS1), grupo CCS moderada (CCS2) e grupo CCS severa (CCS3). A maioria das variáveis clínicas dentro os grupos portadores de CCS pioraram a medida que os estágios da doença avançam, com correlações negativas entre o teste lacrimal de Schirmer (TLS) e o tempo de ruptura do filme lacrimal (TRFL). Metaplasia escamosa, infiltrado inflamatório linfoplasmocítico e diminuição das células caliciformes no exame histopatológico compreenderam parâmetros de severidade da doença. Cães Shih Tzu não portadores de CCS quantitativa tem alterações qualitativas e na distribuição do filme lacrimal. O exame citomorfológico é limitado para a avaliação do infiltrado inflamatório e quantificação de células caliciformes. Entretanto, células inermediárias epiteliais são mais presents nos olhos saudáveis quando comparados aos olhos portadores de CCS em Shih Tzus. Também, Shih Tzus portadores de CCS nos estágios moderados e severos possuem disfunções qualitativas da lágrima. A CCS em Shih Tzu é comum, crônica e pode ser responsável pela perda de visão dos animais. A identificação precoce da doença e avaliações rotineiras podem aumentar a qualidade de vida e a saúde ocular nesses cães.
Assuntos
Animais , Cães , Ceratoconjuntivite Seca/diagnóstico , Ceratoconjuntivite Seca/prevenção & controle , Ceratoconjuntivite Seca/veterinária , Técnicas de Diagnóstico Oftalmológico/veterinária , Doenças do Cão , CãesResumo
Cattle are considered intermediate hosts of Sarcocystis, which can cause clinical signs and lower performance in the acute phase of infection. Sarcocystis spp. are usually not visible to the naked eye during the post mortem inspection. Moreover, fresh microscopic examination and transmission electron microscopy techniques are difficult to apply to large samples. Therefore, extensive studies on Sarcocystis infection in cattle using molecular and serological methods are required. Here, we investigated Sarcocystis spp. infection in cattle using fresh microscopic examination and polymerase chain reaction of myocardium samples and compared the results with the presence of antibodies against Sarcocystis spp. in corresponding serum samples detected using indirect fluorescent antibody test. Microscopic Sarcocystis were observed in 100% of the myocardial samples, and Sarcocystis DNA was present in 86% (43/50) of these samples. Antibodies against Sarcocystis spp. were detected in 96% (48/50) and 80% (40/50) of the serum samples at 1:25 and 1:200 dilutions, respectively. The three associated methods (fresh microscopic examination, PCR and serology) showed good sensitivity and detection for Sarcocystis spp. compared with fresh microscopic examination (only), and they may facilitate diagnosis in live animals on a large scale as well as monitoring of the herd status.
Os bovinos são considerados hospedeiros intermediários de Sarcocystis, podendo causar sinais clínicos e menor desempenho na fase aguda da infecção. Sarcocystis spp. geralmente não são visíveis a olho nu durante a inspeção post mortem. Além disso, o exame microscópico a fresco e as técnicas de microscopia eletrônica de transmissão são difíceis de aplicar a uma amostras de grande tamanho. Portanto, são necessários extensos estudos sobre a infecção por Sarcocystis em bovinos usando métodos moleculares e sorológicos. Aqui, investigamos a infecção de Sarcocystis spp. em bovinos por meio de exame microscópico a fresco e reação em cadeia da polimerase de amostras de miocárdio e comparado os resultados com a presença de anticorpos contra Sarcocystis spp. em amostras de soro correspondentes detectadas usando o teste de anticorpos fluorescentes indiretos. Sarcocistos microscópicos foram observados em 100% das amostras de miocárdio, e o DNA de Sarcocystis estava presente em 86% (43/50) dessas amostras. Anticorpos contra Sarcocystis spp. foram detectados em 96% (48/50) e 80% (40/50) das amostras de soro nas diluições 1:25 e 1:200, respectivamente. Os três métodos associados (exame microscópico a fresco, PCR e sorologia) mostraram boa sensibilidade e detecção para Sarcocystis spp. em comparação com o exame microscópico fresco (apenas) e podem facilitar o diagnóstico em animais vivos em larga escala, bem como o monitoramento do status do rebanho.
Assuntos
Animais , Bovinos , Doenças dos Bovinos/parasitologia , Sarcocystis/isolamento & purificação , Sarcocistose/diagnóstico , Sarcocistose/veterinária , Sarcocistose/epidemiologia , Reação em Cadeia da Polimerase/veterináriaResumo
Background: Bacillus cereus is a gram-positive bacterium, which is widely distributed and has certain pathogenicity. Bacillus cereus can cause food poisoning in animals and humans, and occasionally causes subcutaneous abscess, eye infection, bacteremia and other diseases. Our team has identified a strain of Bacillus cereus containing hemolysin BL (HBL), non-hemolysin enterotoxin (Nhe), cytotoxin K (CytK) and enterotoxin FM (entFM), and successfully constructed the detection method of Nhe gene RPA-LF. Bacillus cereus, can adhere to living and non-living surfaces and aggregate to form biofilms. This paper aims to provide data support for the elimination and control of Bacillus cereus biofilm. Materials, Methods & Results: In study, crystal violet staining and XTT detracting method were used to determine the forming ability, metabolic activity and some biological characteristics of biofilms, and microdilution method was used to determine the minimum inhibitory concentration of 5 kinds of Traditional Chinese medicine extracts and 5 kinds of antibiotics on biofilms. The effects of Bacillus cereus biofilm formation on the pathogenicity of different organs of animals were observed by inoculation test and pathological section. The results showed that the bacteria had strong ability to form biofilms and com-pact structure. The optimal temperature was 37 °C, and the optimal pH was 7, 0.5% NaCl, 0.5%-3% glucose and 200% TSB medium could promote the formation of biofilms. The minimum inhibitory concentration of baicalin, berberine, panichololide, emodin and sodium houttuynitin on biofilms were 128 µg/mL, 256 µg/mL, 256 µg/mL, 256 µg/mL and 512 µg/mL, respectively. The minimum inhibitory membrane concentrations of azithromycin, ampicillin, gentamicin, enrofloxacin and flufenicol for biofilm were 32 µg/mL, 64 µg/mL, 64 µg/mL, 64 µg/mL and 128 µg/mL, respectively. The bacterium can make healthy mice infected and die, and cause different degrees of organ damage. The changes of nutrients and growth environment will lead to changes in the growth of biofilm. Different drugs had different inhibitory effects on biofilms, among which azithromycin and baicalin were the best. Discussion: Bacillus cereus, as a toxin-producing conditioned pathogen, has attracted great attention in various industries, because the bacterium can produce spores and biofilms in adverse environments, improving its ability to survive high temperature, drying and antibiotics. The formation of Bacillus cereus biofilms is currently a topic of great concern in medicine, the environment and food microbiology as it can cause serious public health problems, so infections caused by biofilms need to be treated at an early stage. At present, there is no best way to detect and treat biofilms in the body, so early diagnosis and treatment become particularly difficult, and there is a need to develop more effective methods to remove biofilms at the root to reduce the harm caused by biofilms. In this study, the biofilm forming ability of bovines lethal Bacillus cereus was identified, and its growth characteristics under different culture conditions were studied, and the inhibition and clearance effects of Chinese medicine extracts and antibiotics on Bacillus cereus were respectively explored, in order to lay a theoretical foundation for the subsequent study of its formation mechanism and comprehensive prevention and control of the disease.
Assuntos
Bacillus cereus/isolamento & purificação , Biofilmes , Citotoxinas , Enterotoxinas , Proteínas Hemolisinas , Bovinos/microbiologiaResumo
Background: Aspergillosis is a defiance in avian medicine, however between of Aspergillus species, 3 are the most frequently observed (A. flavus, A. fumigatus and A. niger). Psittaciformes present medical conditions related to the 3 species, however A. fumigatus is the most observed. The defiance of the diagnosis is related to fungus characteristics (they are saprophytic in healthy birds), the clinical signs and lesions, which are common to various respiratory diseases, and the difficulty to access specific diagnostic methods. Thus, we report a case of aspergillosis in a cockatiel, whose clinical diagnosis was confirmed by fungal culture of cloacal swab, and treatment with a fungistatic drug. Case: A female cockatiel, 2-month-old, not dewormed, presented diarrhea, sneezing and difficulty to gain weight, although eating well (extruded feed and supplementation with fruits and vegetables). At a clinical examination revealed body score (BCS) of 3 (scale 1 at 5), cloacal temperature (CT) of 40 ºC, dilated nostrils and edema in the left eye region associated to evident hyperemia. Due to it has lived with another animal, was inferred that was hypovitaminosis A, by food dispute and/ or dominance, or endoparasitosis, being prescribed vitamin A supplementation and deworming with ivermectin. The bird returned 15 days later, showing maintenance of weight loss, BCS 2, ruffled feathers and areas suggestive of apteriolysis in both forelimbs, respiratory difficulty and pulmonary and cranial air sacs rales, in addition presented wound in the pygostyle region and ventus, occasioned by attempted attack of a dog, and aggravated by self-mutilation. Due the worsening of the clinical condition, an oral cavity and cloacal swabs were collected to bacteriological and fungal culture. As treatment was prescribed: a natural tranquilizer, seeking to control the self-mutilation; doxycycline oral suspension, to treat a probable bacterial respiratory infection; and oral itraconazole suspension, manipulated and with a dose calculated by allometric scaling, being placed an elizabethan collar in order to prevent biting the pygostyle and ventus. With a positive result of the cloacal swab fungal culture for A. fumigatus, the doxycycline was discontinued. After the first 30 days of treatment with itraconazole, the patient returns to alert, weighing 95 g, BCS 3, with absence of respiratory signs and with signs of recent molting process. New swabs (oral and cloacal) were collected for repetition of bacterial and fungal cultures, being maintained the treatment with itraconazole. The results of both bacterial and fungal cultures were negative. At the end of the treatment with itraconazole, the patient returns demonstrating weight gain, EEC 3, CT of 42ºC, uniform feather coverage and absence of any respiratory sign, being released by the clinician. Discussion: A preponderant factor in the treatment of various respiratory diseases in birds is the diagnosis, since many of diseases present the same clinical signs. Thus, the use of fungal culture was essential to determine the origin of the signs. Still, even with an accurate diagnosis, the clinician often comes up against the difficulty of treatment, especially in cases of mycotic infections. The knowledge about the best drug, considering the pharmacology, as well as the availability of concentrations and dosages marketed, in addition to the long period of treatment, can difficult or make impossible the case resolution. In fact, this is confirmed by the literature, where the most of aspergillosis diagnosis are post mortem, resulting from the delay in seeking veterinary care or in the administration of ineffective drugs. Thus, with this report, we sought to present a diagnostic tool, sometimes neglected, and a compilation with the main drugs and their effectiveness in the treatment of aspergillosis in Psittaciformes.
Assuntos
Animais , Feminino , Aspergilose/diagnóstico , Aspergilose/terapia , Cacatuas/microbiologia , Antifúngicos/administração & dosagemResumo
Different anesthetic agents are commonly used during procedures performed in aquaculture to minimize stress and maximize fish welfare during handling. A Kinguio fish was treated with a history of a mass near the left eye. In the clinical evaluation, a pedunculated neoformation was found in the periocular region. The fish was submitted to anesthesia for surgical removal of the mass, which was later referred to histopathological evaluation, revealing myxoma. The anesthesia protocol used 1% propofol at a concentration of 5 mg/liter of water and morphine at a dose of 5 mg/kg, intramuscularly. Immediately after the end of the procedure, the fish was returned to the aquarium and its anesthetic recovery was observed. The objective of this report is to describe a surgical procedure in kinguio fish and to determine the efficacy of propofol associated with morphine in this species. As a result, complete immobilization of the fish was obtained with propofol, reaching the fourth stage of anesthesia and the administration of morphine suggested being able to provide effective and long-lasting analgesia. It is concluded that despite the positive results obtained, anesthesia in fish still needs to be extensively investigated to refine analgesia protocols during procedures that cause pain and stress.
Diferentes agentes anestésicos são usados durante procedimentos realizados na aquicultura para minimizar o estresse e maximizar o bem-estar dos peixes durante o processo de manejo. Um peixe kinguiu foi atendido com histórico de presença de uma massa próxima ao olho esquerdo. Na avaliação clínica, constatou-se uma neoformação pedunculada na região periocular. O peixe foi submetido à anestesia para remoção cirúrgica da massa, que posteriormente foi encaminhada para avaliação histopatológica, a qual revelou mixoma. Como protocolo de anestesia, utilizou-se propofol 1% diluído em água, na concentração de 5mg/litro, e morfina, na dose de 5mg/kg, na concentração de 10mg/mL, intramuscular. Imediatamente após o procedimento, o peixe foi devolvido ao aquário para observação da recuperação anestésica. O objetivo deste relato é descrever um procedimento cirúrgico em peixe kinguio e determinar a eficácia do propofol associado à morfina nessa espécie. Como resultados, obteve-se a imobilização completa do peixe com o uso do propofol, atingindo o quarto estágio da anestesia, e a administração da morfina sugeriu ser capaz de proporcionar analgesia eficaz e duradoura. Conclui-se que, apesar dos resultados positivos obtidos, a anestesia em peixes precisa ainda ser bastante investigada para refinar os protocolos de analgesia durante os procedimentos que causam dor e estresse.
Assuntos
Animais , Carpas/cirurgia , Propofol/administração & dosagem , Doenças dos Peixes , Anestesia/veterinária , Morfina/administração & dosagemResumo
Background: Meningoencephalitis of unknown origin (MUO) is a critical cause of neurological disorders in dogs, mainly affecting small young individuals. Its symptomatology is varied and depends on the affected neuroanatomic region. The ante mortem diagnosis of this condition is uncertain, being achieved by discarding other conditions and often occurring definitively only by performing a necropsy. Thus, this study aims to report 2 cases of meningoencephalitis, one necrotizing and the other granulomatous in dogs. Cases: Case 1. A 3-year-old, Shih Tzu bitch with a body weight of 4 kg, showing proprioceptive ataxia, behavior of walking in circles, and evolving rapidly to non-ambulatory paresis, was treated. The neurological examination showed a posture of decerebrate stiffness and absence of withdrawal reflex and proprioception, suggesting brainstem injury. Laboratory tests showed mild neutrophilia and lymphopenia, while the rapid test for distemper was non-reactive. The cerebrospinal fluid (CSF) analysis showed lymphocytic pleocytosis, and the PCR tests of the CSF, blood, and urine for the detection of infectious diseases were negative, as well as the culture. With no improvement in clinical condition and exams showing a progressive degenerative condition unresponsive to available treatments, the tutor opted for euthanasia of the patient. The subsequently requested necropsy confirmed the diagnosis of granulomatous meningoencephalitis. Case 2. This case refers to a 1-year-and-5-month-old male Maltese breed weighing 4.8 kg. This animal presented walking in circles behavior and loss of vision for a week, with signs worsening rapidly. In the neurological evaluation, the patient presented sensitivity in the middle ear, difficulty opening the mouth, hearing deficit in the right ear, blindness in the right eye, a proprioceptive deficit in the right anterior limb, and head pressing. Laboratory tests showed nonregenerative anemia and mild lymphopenia. After 1 day of hospitalization, the patient showed worsening clinical condition, with obstruction, absence of facial and auricular sensitivity, and nasal stimulus. In addition, onset of generalized seizures was observed; therefore, CSF was analyzed, which did not present significant alterations except for detecting reactive lymphocytes. The bacteriological culture of CSF resulted in no bacterial growth. In addition, the same neurological PCR panel performed for the previous patient was negative. After 5 days of intensive care, the patient presented a cardiorespiratory arrest and died. The subsequently requested necropsy confirmed the diagnosis of necrotizing meningoencephalitis. Discussion: The 2 reported cases confirm that MUO should be considered during the differential diagnoses of patients with neurological alterations. It is known that small-breed dogs are predisposed to these diseases. Laboratory tests and medical imaging are crucial for clinical guidance, helping to discard other neurological pathologies, especially those due to bacterial, fungal, and/or viral agents. However, definitive diagnosis of MUO can only be performed through necropsy and histopathological analysis. For the reported cases, CSF analysis, neurological PCR panel for detecting possible infectious agents, and bacterial culture were essential to rule out other possible causes of meningoencephalitis. Unfortunately, MUO includes progressive neurological disorders causing the patient's death.
Assuntos
Animais , Masculino , Feminino , Cães , Líquido Cefalorraquidiano/microbiologia , Meninges/patologia , Meningoencefalite/veterinária , Autopsia/veterinária , Reação em Cadeia da Polimerase/veterináriaResumo
Background: Fibroepithelial polyps are benign tumors of mesenchymal and ectodermal origin. Regarding the localization related to the cutaneous region, they may affect the eyelid and periocular area. In veterinary medicine, polyps located in the urethra of dogs and monkeys, vagina of bitches and on the skin have been described. Fibroepithelial polyps may present as single to multiple nodules, exophytic to pedunculated, usually arising on a smooth surface of a common base. The aim of this paper is to describe the ocular and histopathological changes of a corneal fibroepithelial polyp of recurrent character in a dog. Case: A 20-year-old Lhasa Apso dog, with a history of progressive corneal neoformation in the right eye for 4 months. Patient was submitted to routine ophthalmic evaluation. At biomicroscopy, a discrete mucopurulent discharge was observed in the nasal corner, a nodule in the lower eyelid (± 3 mm), moderate conjunctival hyperemia, vascularization and corneal edema between 12 and 5 h, presence of a pinkish proliferative mass in 3 h, affecting the anterior stroma and opacity of the lens, Schirmer's Tear Test (STT) 20 mm/min and intraocular pressure (IOP) 10 mm/Hg. In the left eye, the STT and IOP were within normal range (17 mm/min and 11 mg/Hg, respectively) and at biomicroscopy only lens opacity was observed. Given the presence of the neoformation in the cornea, the patient underwent lamellar keratectomy to excise the mass and third eyelid flap. The tissue was then submitted to histopathology. The histopathological examination showed a proliferation of fibrous component with areas presenting reactive fibroblasts, with acidophilic cytoplasm and with little volume and slight neovascularization, presence of hyperplasia of the lining epithelium and cells with round to oval nuclei, with inconspicuous nucleoli, compatible with fibroepithelial polyp, without evidence of malignancy. After 18 months, the patient presented recurrence of the condition with a history of slow evolution (about ten months). The ophthalmic evaluation showed lesions very similar to the initial one, describing a recurrence of the lesion. Discussion: Corneal neoplasms are uncommon in dogs. The clinical findings in patients with ocular neoplasms include irregular to nodular masses, gray to reddish in color, and typically associated with a vascular supply. These features are related to the type of tumor and its degree of evolution. There are reports in the literature of ocular neoplasms such as squamous cell carcinoma, papilloma, melanocytoma, fibrosarcoma, hemangiosarcoma, melanoma, lymphoma. Related to fibroepithelial polyp with ocular involvement, there are rare reports in human literature and none in veterinary medicine. There is a human description of the presence of a polyp affecting the cornea associated with a corneal dermoid and e other cases of polyps of conjunctival origin. As far as treatment is concerned, the polyp should be surgically removed because of the possibility of recurrence, tissue metaplasia, or even transformation into a malignant tumor, as seen in the case reported here, in which even with surgical removal there was recurrence and metaplasia of the cells. Based on the histopathological findings, it can be concluded that this is a fibroepithelial polyp with a recidivating characteristic, not well described in the veterinary literature, with an atypical presentation affecting the cornea.