Study of the mutation causing type 1 polysaccharide storage myopathy in a Mangalarga Marchador population used in breeding programs / Estudo da mutação causadora da miopatia por acúmulo de polissacarídeo tipo 1 em uma população de cavalos Mangalarga Marchador utilizados em programas de melhoramento

The Mangalarga Marchador (MM) breed, which originated in Brazil, constitutes the largest number of horses in the country. The animals are versatile and used in several sports because of major investments made for the genetic improve-ment of the breed. In recent decades, advances in molecular techniques enabled the identification of genetic diseases in hor-ses. Conducting molecular tests and determining the occurrence of mutations are fundamental for the early identification and prevention of abnormalities. Among the known genetic diseases that occur in horses, the c.926G>A mutation in the GYS1gene that causes type 1 polysaccharide storage myopathy (PSSM1) stands out, because it has been identified in several breeds of horses. Although myopathy is common in MM horses, the occurrence of the c.926G>A mutation in the GYS1 gene has not yet been evaluated. The lack of knowledge about the possible presence of PSSM1 averts the adoption of control measures to prevent the spread of the disease in MM horses. Therefore, the aim of this study was to verify the occurrence of the muta-tion that causes PSSM1 in MM horses used in breeding programs. Blood DNA was extracted and the region of the GYS1gene containing the mutation was amplified and sequenced. No mutation in the GYS1 gene was found in the evaluated sam-ples. However, since clinical signs of myopathy are frequently observed in MM horses, further studies, including histological analysis, are necessary to establish the underlying causes. In addition, if there is a genetic pattern of occurrence, molecular studies should be considered.(AU)

A raça Mangalarga Marchador (MM), originária do Brasil, constitui a raça de maior número de equinos no país. Os animais são versáteis e utilizados em diversos esportes devido aos seus grandes investimentos em melhoramento genético. Nas últimas décadas, o avanço das técnicas moleculares permitiu a identificação de doenças genéticas em cavalos. A realização de testes moleculares e a determinação da ocorrência de mutações são fundamentais para a identificação precoce e prevenção de anormalidades. Dentre as doenças genéticas conhecidas em equinos, destaca-se a mutação c.926G>A no gene GYS1 causadora da miopatia por acúmulo de polissacarídeo tipo 1 (PSSM1), pois foi identificada em diversas raças equinas. Embora a miopatia seja comum em cavalos MM, a ocorrência da mutação c.926G>A no gene GYS1 ainda não foi avaliada. A falta de conhecimento sobre a possível presença de PSSM1 inviabiliza a adoção de medidas de controle para prevenir a disseminação da doença em equinos MM. Portanto, o objetivo deste estudo foi verificar a ocorrência da mutação causadora de PSSM1 em cavalos MM utilizados em programas de melhoramento. O DNA sanguíneo foi extraído e a região do gene GYS1contendo a mutação foi amplificada e sequenciada. Nenhuma mutação no gene GYS1 foi encontrada nas amostras avaliadas. No entanto, como sinais clínicos de miopatia são frequentemente observados em cavalos com MM, mais estudos, incluindo análises histológicas, são necessários para estabelecer as causas subjacentes. Além disso, se houver um padrão genético de ocorrência, estudos moleculares devem ser considerados.(AU)

Polymyositis associated with brainstem signs in a dog

Background: Polymyositis is a generalized inflammatory myopathy which can lead to rhabdomyolysis. This affection may have several origins, including degenerative, metabolic, autoimmune, infectious, inflammatory, ischemic, traumatic, by drug use, induced by toxins and also of idiopathic origin. Diagnosis is made with seric dosage, electrodiagnostic tests and muscle biopsy. Lesions in the rostral oblong medulla may affect the central vestibular system, and there may be signs such as opisthotonos, nystagmus, and strabismus. The aim of this report is to describe a case of a mixed breed dog with manifestation of polymyositis associated with brainstem signs of probable idiopathic origin. Case: A 5-year-old mixed breed male dog was attended with opisthotonos episodes for 2 days, and pelvic limbs extension and thoracic limbs flexion that lasted 10 to 20 min at intervals of approximately 1 h. The animal was anorexic and had also presented one episode of emesis. Upon neurological examination, ventromedial strabismus and Horner's syndrome was observed on the right side, besides vertical nystagmus, flaccid tetraparesis and absence of proprioception in the four limbs. Biochemical analyses revealed creatine kinase (CK) increased (2,433.9 UI/L - reference: 1.5-28.4 UI/L), and urinalysis showed dark color and presence of occult blood without, however, erythrocyturia. Electrocardiogram (ECG) showed QS wave and deviation of the electrical axis. Treatment with prednisolone (1 mg/kg, BID), phenobarbital (2 mg/kg, BID), maropitant citrate (1 mg/kg in 2 doses), and crystalloid fluid therapy (50 mL/kg/day) were prescribed. On the 4th day, the dog was more active and feeding without a tube, so it recommended keep the treatment at home. On the 10th day, the animal had proprioception present on the 4 limbs and normorexia. Biochemical analyses and urinalysis showed no alterations, but normochromic normochromic anemia with thrombocytopenia and leukocytosis by neutrophilia showed in blood count exam. PCR to Ehrlichia canis, Hepatozoon sp., and Babesia canis resulted negative. On the 15th day, blood count, biochemical analyses and urinalysis showed no alterations. Neurological examination revealed only positional vertical nystagmus. which remained as a sequel. Discussion: Polymyositis may be accompanied by rhabdomyolysis, characterized by acute muscle necrosis, increased CK and myoglobinuria. The animal had polymyositis of acute onset, with myoglobinuria and elevated CK values, whose presentation included myalgia and muscle weakness. In humans, polymyositis is accompanied by changes in electrocardiographic tracing without clinical alterations. In dogs, the first report that showed cardiac involvement was compatible with myocarditis. The changes in ECG in the present case was attributed to failure in myocardial electrical conduction. The patient also showed signs of brainstem and central vestibular system injuries. Stress myopathy, intoxication, snakebite, infectious, and metabolic diseases were discarded leading to a clinical suspicion as idiopathic origin. Similar to a published case, the patient of this report received symptomatic and supportive treatment, being discharged from the hospital 20 days after the onset of clinical signs. Thus, polymyositis may be accompanied by signs indicative of brainstem injury. Patients with rhabdomyolysis require intense monitoring due to the high risk of developing acute renal failure. Since no causative agent was identified, symptomatic treatment combined with the prevention of possible complications were fundamental for the maintenance of the animal's life.

Downer cow syndrome causing rhabdomyolysis and acute renal failure in a 17-month-old Guzerá heifer / Síndrome da vaca caída causando rabdomiólise e insuficiência renal aguda em uma novilha Guzerá de 17 meses

The downer cow syndrome (DCS) is characterized by an alert cow showing inability or reluctance to stand for 12 hours or more. This paper reported clinical, laboratory, and pathological findings in a Guzerá heifer with rhabdomyolysis, pigmenturia and acute renal failure following DCS. A 17-month-old Guzerá heifer was transported via a 350-km ride in a truck and showed sternal recumbency and severe difficulty in standing and walking. Neurological examination was unremarkable, and the heifer presented normal response to cranial nerves and spinal cord tests. Rectal palpation revealed a 5-month gravid uterus. No other abnormalities were noted in the pelvis or around the coxofemoral joints. Biochemical abnormalities included extremely high muscular enzyme activities (creatine phosphokinase and aspartate aminotransferase) and high creatinine levels. Urinalysis revealed blackish and cloudy urine, proteinuria, and a positive occult blood test. Spinal cord ultrasonography showed no abnormalities. This report highlighted an uncommon clinical presentation (myoglobinuria) and pathological findings in a heifer with DCS as a consequence of severe compressive muscle damage. Practitioners and producers must be aware of the risk of careless road transportation for long distances of cattle, especially obese cows, avoiding unnecessary suffering and expenses due to DCS.

A síndrome da vaca caída (SVC) é caracterizada por um bovino alerta que mostra incapacidade ou relutância em permanecer em estação por 12 horas ou mais. O objetivo deste trabalho é relatar os achados clínicos, laboratoriais e patológicos em uma novilha Guzerá com rabdomiólise, pigmentúria e insuficiência renal aguda após a SVC. Uma novilha da raça Guzerá, de 17 meses de idade, foi transportada de caminhão por 350 km e apresentou decúbito esternal, grande dificuldade para assumir estação e caminhar. O exame neurológico não demonstrou alterações, e a novilha possuía resposta normal aos testes de nervos cranianos e medula espinhal. A palpação retal revelou útero grávido de cinco meses. Nenhuma outra anormalidade foi observada na pelve ou na região das articulações coxofemorais. As anormalidades bioquímicas incluíram atividades de enzimas musculares (creatina fosfoquinase e aspartato aminotransferase) extremamente aumentadas e níveis elevados de creatinina. A urinálise revelou urina enegrecida e turva, proteinúria e teste de sangue oculto positivo. O exame ultrassonográfico da medula espinhal não apresentou anormalidades. Este relato evidencia uma apresentação clínica (mioglobinúria) e achados patológicos incomuns em uma novilha com SVC em consequência de extensa lesão muscular compressiva. Veterinários e produtores devem estar atentos aos riscos do transporte rodoviário descuidado por longas distâncias de bovinos, especialmente vacas obesas, evitando assim sofrimento e despesas desnecessárias decorrentes da SVC.

Acute kidney injury caused by venomous animals: inflammatory mechanisms

Abstract Either bites or stings of venomous animals comprise relevant public health problems in tropical countries. Acute kidney injury (AKI) induced by animal toxins is related to worse prognostic and outcomes. Being one the most important pathways to induce AKI following envenoming due to animal toxins, inflammation is an essential biological response that eliminates pathogenic bacteria and repairs tissue after injury. However, direct nephrotoxicity (i.e. apoptotic and necrotic mechanisms of toxins), pigmenturia (i.e. rhabdomyolysis and hemolysis), anaphylactic reactions, and coagulopathies could contribute to the renal injury. All these mechanisms are closely integrated, but inflammation is a distinct process. Hence, it is important to improve our understanding on inflammation mechanisms of these syndromes to provide a promising outlook to reduce morbidity and mortality. This literature review highlights the main scientific evidence of acute kidney injury induced by bites or stings from venomous animals and their inflammatory mechanisms. It included observational, cross-sectional, case-control and cohort human studies available up to December 2019. Descriptors were used according to Medical Subject Headings (MeSH), namely: Acute kidney injury or Venom and Inflammation on Medline/Pubmed and Google Scholar; Kidney disease or Acute kidney injury on Lilacs and SciELO. The present review evidenced that, among the described forms of renal inflammation, it can occur either directly or indirectly on renal cells by means of intravascular, systemic and endothelial hemolysis, activation of inflammatory pathway, as well as direct action of venom cytotoxic components on kidney structures.

Acute kidney injury caused by venomous animals: inflammatory mechanisms

Either bites or stings of venomous animals comprise relevant public health problems in tropical countries. Acute kidney injury (AKI) induced by animal toxins is related to worse prognostic and outcomes. Being one the most important pathways to induce AKI following envenoming due to animal toxins, inflammation is an essential biological response that eliminates pathogenic bacteria and repairs tissue after injury. However, direct nephrotoxicity (i.e. apoptotic and necrotic mechanisms of toxins), pigmenturia (i.e. rhabdomyolysis and hemolysis), anaphylactic reactions, and coagulopathies could contribute to the renal injury. All these mechanisms are closely integrated, but inflammation is a distinct process. Hence, it is important to improve our understanding on inflammation mechanisms of these syndromes to provide a promising outlook to reduce morbidity and mortality. This literature review highlights the main scientific evidence of acute kidney injury induced by bites or stings from venomous animals and their inflammatory mechanisms. It included observational, cross-sectional, casecontrol and cohort human studies available up to December 2019. Descriptors were used according to Medical Subject Headings (MeSH), namely: "Acute kidney injury" or "Venom" and "Inflammation" on Medline/Pubmed and Google Scholar; "Kidney disease" or "Acute kidney injury" on Lilacs and SciELO. The present review evidenced that, among the described forms of renal inflammation, it can occur either directly or indirectly on renal cells by means of intravascular, systemic and endothelial hemolysis, activation of inflammatory pathway, as well as direct action of venom cytotoxic components on kidney structures.(AU)

Omentum as non-strangled inguino scrotal hernia content in stallion: case report / [Omento como conteúdo de hérnia inguino-escrotal não estrangulada em garanhão: relato de caso]

Non-strangulated acquired hernias in stallions are rare, especially when the herniated content is not intestinal loops. Thus, the aim of the current study is to describe a case of acquired non-strangulated inguinoscrotal hernia in a stallion, whose herniated content was the omentum. The patient was a Criollo stallion with history of rhabdomyolysis, laminitis and bilateral scrotal volume increase observed in the left scrotal region. The animal presented pain in both thoracic limbs, abnormal blood test, especially hypoproteinemia, and mild pain during palpation in the left inguinal ring region. Hydrocele secondary to hypoproteinemia was suspected. After admission, the animal showed signs of acute abdomen, which were clinically reversed. With this, the animal was subjected to ultrasound examination of the scrotal region, whose findings suggested non-strangulated inguinal hernia, although the content could not be identified. Surgical treatment was chosen in order to identify the herniated content and remove the left testicle. Access to the affected scrotum was performed, in which the presence of fluid and a portion of the omentum was observed surrounding the testis and adhering to it. The animal was discharged after he recovered from the surgery and from laminitis. During the breeding season, the stallion remained with a herd of mares for natural mating. After 15 months of surgery, the animal was reassessed and showed no active signs of inflammatory and degenerative processes in the remaining testis. On this occasion, a pregnancy diagnosis was also performed, and all the mares were pregnant. It is concluded that the presence of omentum as a herniated content does not represent a surgical emergency but can make the reproductive prognosis reserved. In addition, removal of the affected testicle can benefit the spermatogenesis of the remaining testicle.(AU)

As hérnias adquiridas não estranguladas em garanhões são raras, principalmente quando o conteúdo herniado não é de alças intestinais. Assim, o objetivo deste trabalho foi descrever um caso de hérnia inguino escrotal adquirida e não estrangulada em garanhão, cujo conteúdo herniado era composto pelo omento. Foi atendido um garanhão da raça Crioula com histórico de rabdomiólise, laminite e aumento de volume escrotal bilateral, evidenciado na região escrotal esquerda. O animal apresentava dor nos membros torácicos, alterações na avaliação sanguínea, destacando-se a hipoproteinemia, e demonstrava dor leve à palpação na região do anel inguinal esquerdo. Suspeitou-se de hidrocele secundária a hipoproteinemia. Após a internação, o animal apresentou sinais de abdômen agudo, revertidos clinicamente. Com isso, realizou-se ultrassonografia da região escrotal, cujos achados sugeriram hérnia inguinal não estrangulada, sem que o conteúdo pudesse ser identificado. Optou-se pelo tratamento cirúrgico, com o intuito de identificação do conteúdo herniado e remoção do testículo esquerdo. Foi realizado acesso à bolsa escrotal afetada, na qual se observou presença de líquido e de uma porção do omento envolvendo o testículo e aderido a ele. O animal recebeu alta após restabelecimento da cirurgia e da laminite. Na propriedade, durante temporada reprodutiva, o garanhão permaneceu com uma manada de éguas para realização de monta natural. Passados 15 meses da cirurgia, o animal foi reavaliado e não demonstrou sinais ativos de processo inflamatório e degenerativos no testículo remanescente. Nessa ocasião, também foi realizado diagnóstico de gestação e todas as éguas encontravam-se prenhes. Conclui-se que a presença de omento como conteúdo herniado não representa uma emergência cirúrgica, mas pode tornar o prognóstico reprodutivo reservado. Ainda, a remoção do testículo afetado pode trazer benefícios à espermatogênese do remanescente.(AU)

Envenomation by Trimeresurus stejnegeri stejnegeri: clinical manifestations, treatment and associated factors for wound necrosis

Trimeresurus stejnegeri stejnegeri bite induces tissue swelling, pain, thrombocytopenia, rhabdomyolysis, and acute renal failure. However, the incidence of coagulopathy, factors associated with wound necrosis, and the appropriate management of this condition have not been well characterized yet. Materials: This study included patients bitten by T. s. stejnegeri that were admitted to the study hospitals from 2001 to 2016. Patient characteristics, laboratory data, and management approaches were compared in victims with and without wound necrosis. Results: A total of 185 patients were evaluated: three patients (1.6%) were asymptomatic; whereas tissue swelling and pain, local ecchymosis, wound necrosis, coagulopathy, thrombocytopenia, rhabdomyolysis, and renal impairment were present in 182, 53, 13, 15, 10, 1, and 3 patients, respectively. One patient died from coagulopathy and hemorrhagic shock. Antivenom was administered to all envenomed patients at a median time of 1.8 h after the bite. The median total dose of antivenom was five vials. Chi-square analysis showed that bitten fingers, using cold packs during first aid, presence of bullae or blisters, lymphangitis or lymphadenitis, local numbness and suspected infection to be significantly associated with wound necrosis. After adjustment using a multivariate logistic regression model, only cold packs as first aid, bulla or blister formation, and wound infection remained significant. Conclusions: The main effects of T. s. stejnegeri envenomation are tissue swelling, pain, and local ecchymosis. We do not recommend the use of cold packs during first aid to reduce wound pain, as this may be a risk factor for wound necrosis. In addition, patients with bulla or blister formation should be carefully examined for subsequent wound necrosis. Antiplatelet use may worsen systemic bleeding. No severe rhabdomyolysis or renal failure was observed in this large case series, we therefore considered that they were not prominent effects of T. s. stejnegeri bite.(AU)

Envenomation by Trimeresurus stejnegeri stejnegeri: clinical manifestations, treatment and associated factors for wound necrosis

Trimeresurus stejnegeri stejnegeri bite induces tissue swelling, pain, thrombocytopenia, rhabdomyolysis, and acute renal failure. However, the incidence of coagulopathy, factors associated with wound necrosis, and the appropriate management of this condition have not been well characterized yet. Materials: This study included patients bitten by T. s. stejnegeri that were admitted to the study hospitals from 2001 to 2016. Patient characteristics, laboratory data, and management approaches were compared in victims with and without wound necrosis. Results: A total of 185 patients were evaluated: three patients (1.6%) were asymptomatic; whereas tissue swelling and pain, local ecchymosis, wound necrosis, coagulopathy, thrombocytopenia, rhabdomyolysis, and renal impairment were present in 182, 53, 13, 15, 10, 1, and 3 patients, respectively. One patient died from coagulopathy and hemorrhagic shock. Antivenom was administered to all envenomed patients at a median time of 1.8 h after the bite. The median total dose of antivenom was five vials. Chi-square analysis showed that bitten fingers, using cold packs during first aid, presence of bullae or blisters, lymphangitis or lymphadenitis, local numbness and suspected infection to be significantly associated with wound necrosis. After adjustment using a multivariate logistic regression model, only cold packs as first aid, bulla or blister formation, and wound infection remained significant. Conclusions: The main effects of T. s. stejnegeri envenomation are tissue swelling, pain, and local ecchymosis. We do not recommend the use of cold packs during first aid to reduce wound pain, as this may be a risk factor for wound necrosis. In addition, patients with bulla or blister formation should be carefully examined for subsequent wound necrosis. Antiplatelet use may worsen systemic bleeding. No severe rhabdomyolysis or renal failure was observed in this large case series, we therefore considered that they were not prominent effects of T. s. stejnegeri bite.(AU)

Rhabdomyolysis in water buffaloes (Bubalus bubalis)

Rhabdomyolysis is a myopathy characterized by severe acute myonecrosis with lysis of muscle cells and extravasation of its content into the bloodstream, causing a secondary renal failure and myoglobinuria. Case-reports have been documented in a wide range of wild or domestic animal species, but to our knowledge, no reports in water buffaloes (Bubalus bubalis) have been done. Three animals had signs of paralysis, muscle tremors and myoglobinuria while others died spontaneously. Samples of blood from affected animals showed increased levels of creatin kinase (CK), potassium (K), aspartate transaminase (AST), and lactate dehydrogenase (LDH). In addition, Selenium (Se) levels of those animals were low. Necropsy findings consisted of severe gelatinous and yellowish edema and pallor of the skeletal muscles of the hind limbs, lumbar, cervical and scapular region. Microscopically, acute and severe segmental monophasic coagulative necrosis of skeletal muscles and acute pigmentary tubular nephrosis was observed. We suspect that selenium deficiency was a predisposing factor of rhabdomyolysis in this particular case.

Rhabdomyolysis in water buffaloes (Bubalus bubalis)

Rhabdomyolysis is a myopathy characterized by severe acute myonecrosis with lysis of muscle cells and extravasation of its content into the bloodstream, causing a secondary renal failure and myoglobinuria. Case-reports have been documented in a wide range of wild or domestic animal species, but to our knowledge, no reports in water buffaloes (Bubalus bubalis) have been done. Three animals had signs of paralysis, muscle tremors and myoglobinuria while others died spontaneously. Samples of blood from affected animals showed increased levels of creatin kinase (CK), potassium (K), aspartate transaminase (AST), and lactate dehydrogenase (LDH). In addition, Selenium (Se) levels of those animals were low. Necropsy findings consisted of severe gelatinous and yellowish edema and pallor of the skeletal muscles of the hind limbs, lumbar, cervical and scapular region. Microscopically, acute and severe segmental monophasic coagulative necrosis of skeletal muscles and acute pigmentary tubular nephrosis was observed. We suspect that selenium deficiency was a predisposing factor of rhabdomyolysis in this particular case.(AU)

An experimental study of ascorbic acid effects in acute renal failure under general anesthesia

Purpose: To evaluate the preventive effect of ascorbic acid on sevoflurane-induced acute renal failure in an experimental rat model. Methods: Twenty-four adult male Wistar rats were randomly distributed into three groups. Subjects were allocated into 3 groups: Group I received sevoflurane only, whereas Groups II and III had moderate (150 mg/kg) and high (300 mg/kg) doses of AA in addition to sevoflurane, respectively. Rhabdomyolysis and myohemoglobinuric ARF was formed by intramuscular administration of glycerol on the upper hind limb on the 15th minute of inhalation anesthesia. Biochemical parameters consisted of serum levels of blood urea nitrogen, creatinine, neutrophil gelatinase-associated lipocalin (NGAL), total antioxidant capacity (TAC), and protein carbonyl content. Histopathological variables were tubular necrosis, fibrin, and cast formation. Results: NGAL levels were significantly lower in Group III than Group II and Group I. On the other hand, TAC, PCO, urea and creatinine levels were notably higher in Group I compared with Groups II and III. There was a significant difference between 3 groups on frequencies of acute tubular necrosis (p=0.003), fibrin (p 0.001) and cast (p 0.001). Acute tubular necrosis and fibrin formation were more prominent in Group I. Casts were more common in Groups II and III. Conclusions: The ascorbic acid serve as a prophylactic agent against renal damage in patients receiving sevoflurane anesthesia and higher doses were associated with more apparent protective effects.(AU)

PREVALÊNCIA DA MUTAÇÃO E321G NO GENE MYH1, ASSOCIADA A MIOSITE IMUNOMEDIADA, EM CAVALOS QUARTO DE MILHA NO BRASIL

A miosite imunomediada (IMM) causa atrofia muscular aguda e infiltração lin-focítica de miofibras. Em cavalos Quarto-de-milha (QM), uma mutação missen-se E321G em gene MYH1 está altamente associada à suscetibilidade ao de-senvolvimento de IMM. O objetivo deste estudo foi investigar a frequência alé-lica da variante E321G em gene MYH1 em QMs no Brasil. Dos 299 QMs geno-tipados, 44 animais (14,7%) foram identificados como heterozigotos (N/My) pa-ra a variante E321G em gene MYH1 e 255 (85,3%) foram homozigotos para o alelo wild type (N/N); portanto, a frequência do alelo foi de 0,074. Cavalos da linhagem de rédeas mostraram uma frequência de heterozigotos significativa-mente maior do que outras linhagens. Não houve associação entre miopatia de armazenamento de polissacarídeos tipo 1 ou hipertermia maligna e a vari-ante E321G em gene MYH1 nos animais avaliados. Além disso, aqui, descre-vemos aqui pela primeira vez no Brasil dois potros (N/My) com sinais clínicos de IMM. Este estudo destaca a importância de medidas de controle para evitar um aumento na incidência de IMM associado ao E321G em gene MYH1 em QMs no Brasil, principalmente em cavalos de rédeas.

In Quarter horses (QHs), myosin heavy chain myopathy (MYHM), characterized by nonexertional rhabdomyolysis or immune-mediated myositis (IMM) with acute mus-cle atrophy, is highly associated with a missense E321G MYH1 mu-tation. We identified two related QH foals in Brazil with the E321G MYH1 muta-tion that had clinical signs of MYHM, with the histological confirmation of IMM in one foal. This prompted an investigation into the allele frequency of the E321G MYH1 variant across performance QHs using a DNA archive in Brazil. Of 299 genotyped QHs, 44 animals (14.7%) were identified as heterozygous (My/N) for the E321G MYH1 variant, and 255 (85.3%) were homozygous for the wild-type allele (N/N), with an allele frequency of 0.074. Reining horses showed a significantly higher prevalence of heterozygosity than those in other disciplines (P=0.008). The prevalence of type 1 polysaccharide storage myopa-thy was 0.032, with only two E321G MYH1 heterozygotes possessing the GYS1 mutation. This study highlights the existence of MYHM and the high prevalence of the MYH1 mutation in QHs in Brazil, especially in reining QHs, underlining the importance of control measures to prevent an increase in the incidence of MYHM in QHs in Brazil.

Rhabdomyolysis secondary to an accident with marine stingray (Dasyatis family)

Whenever humans come in touch with the sea, they become vulnerable to risks, most frequently on account of invading a habitat that belongs to potentially harmful aquatic animals. World literature shows a growing number of incidents in recent years with marine stingrays, despite the fact that these animals only attack when harassed. This report describes an accident in which an amateur fisherman was injured by a marine stingray, probably of the Dasyatis family, on his left forearm. The puncture wound was highly painful and progressed to rhabdomyolysis. It is conjectured that lymphatic drainage, applied in an attempt to reduce edema and its complications, may have contributed to rebound increase in serum creatine kinase levels (CK) and, thus, has exacerbated the intensity of rhabdomyolysis. Therefore, as a measure of caution, lymphatic drainage should not enter current treatment protocols for similar cases, until new studies are performed in order to clarify this issue.(AU)

Odynophagia following retained bee stinger

Nearly half of Hymenoptera stings affect the head and neck region of victims, but reports on oropharyngeal bee stings are very few. We describe the case of a patient with odynophagia and suffocation in mass envenomation. He had a retained bee stinger whose removal was delayed for more than 24 hours following the sting, due to persisting angioedema. Odynophagia receded after removal of the stinger and treatment with paracetamol, steroids and metronidazole. The patient also developed rhabdomyolysis, renal failure and hepatitis that were treated with conservative therapy. Oropharyngeal stings can simulate symptoms of persisting angioedema in victims of mass envenomation.(AU)

Anatomopatologia de tartarugas marinhas oriundas dos litorais do espírito santo e do Rio de Janeiro no ano de 2012

Foram necropsiadas 204 tartarugas marinhas, vítimas de encalhe nos litorais capixaba e fluminense, sendo 193 (94,61%) Chelonia mydas, 1 (0,49%) Caretta caretta, 8 (3,92%) Eretmochelys imbricata e 2 (0,98%) Lepidochelys olivacea. Amostras de diversos órgãos foram colhidas, fixadas em formalina neutra tamponada a 10% e processadas segundo técnicas histológicas de rotina que incluem clivagem, processamento automatizado (desidratação, diafanização e embebição em parafina), inclusão em parafina, microtomia a 5, coloração com H/E e montagem das lâminas. O exame macroscópico foi feito baseado no registro fotográfico dos técnicos veterinários contratados pela firma CTA/ Meio Ambiente e as principais lesões foram associadas a fecalomas, interação com instrumento de pesca, lesões no tubo digestório associadas a parasitas e fibropapilomas. A análise das lâminas foi em microscopia óptica convencional e as principais lesões observadas foram: granulomas gigantocitários por ovos de parasitas (Spirorchis spp.) em diversos órgãos, enterite granulomatosa mural por migração de larvas e ovos de parasitas e enterite luminal por ovos de parasitas, gastroesofagite e enterite úlcero-caseosa, angiomatose intestinal, degeneração e necrose tubular renal, degeneração hialina, hidrópica e rabdomiólise de fibras musculares esqueléticas e, fibropapilomatose cutânea. Este elenco de lesões em tartarugas de um segmento longo da costa atlântica brasileira, permitrá a sua sistematização e correlação à patobiologia das espécies estudadas.

A total of 204 sea turtles were killed, stranded in the Capixaba and Rio de Janeiro shores, 193 (94.61%) Chelonia mydas, 1 (0.49%) Caretta caretta, 8 (3.92%) Eretmochelys imbricata and 2 (0, 98%) Lepidochelys olivacea. Samples of various organs were collected, fixed in 10% buffered neutral formalin and processed according to routine histological techniques including cleavage, automated processing (dehydration, diaphanization and paraffin embedment), paraffin inclusion, 5 microtomy, H / E and blades assembly. The macroscopic examination was done based on the photographic record of the veterinary technicians contracted by CTA / Environment and the main lesions were associated with fecalomas, interaction with fishing instrument, lesions in the digestive tube associated with parasites and fibropapillomas. The analysis of the slides was by conventional optical microscopy and the main lesions observed were: granulomas gigantocitary by parasite eggs (Spirorchis spp.) In various organs, mural granulomatous enteritis by larval and egg migration of parasites and luminal enteritis by parasite eggs, Gastroesophagitis and ulcer-caseous enteritis, intestinal angiomatosis, degeneration and renal tubular necrosis, hyaline, hydropic degeneration and rhabdomyolysis of skeletal muscle fibers and cutaneous fibropapillomatosis. This set of lesions in turtles of a long segment of the Brazilian Atlantic coast, will allow its systematization and correlation to the pathobiology of the species studied.

Odynophagia following retained bee stinger

Nearly half of Hymenoptera stings affect the head and neck region of victims, but reports on oropharyngeal bee stings are very few. We describe the case of a patient with odynophagia and suffocation in mass envenomation. He had a retained bee stinger whose removal was delayed for more than 24 hours following the sting, due to persisting angioedema. Odynophagia receded after removal of the stinger and treatment with paracetamol, steroids and metronidazole. The patient also developed rhabdomyolysis, renal failure and hepatitis that were treated with conservative therapy. Oropharyngeal stings can simulate symptoms of persisting angioedema in victims of mass envenomation.(AU)

Icterícia de íris após rabdomiólise por esforço em um equino

One case of icterus iris diagnosed in an American Paint Horse is described. Stiffness, painful muscle, reluctance to move, elevated respiratory and heart rates, and icterus iris were observed in the clinical examination. Creatine kinase, aspartate aminotransferase, lactate dehydrogenase, alkaline phosphatase, and bilirubin levels were markedly elevated. Exertional rhabdomyolysis syndrome was diagnosed. Analgesic therapy, fluid therapy, and limited exercise were prescribed. After six days there was a remission of clinical signs and return the original color of the iris.

Neste trabalho, é descrito um caso de icterícia de íris em equino da raça Paint. Ao exame clínico, foram observados tremores, dor muscular, relutância em andar, taquicardia, taquipnéia e icterícia de íris. As concentrações séricas de creatina cinase, aspartato aminotransferase, lactato desidrogenase e bilirrubina indireta estavam marcadamente elevadas. Com base na anamnese, sintomatologia clínica e bioquimica sérica, diagnosticou-se síndrome da rabdomiólise por esforço. Foram instituídos os seguintes tratamentos: terapia analgésica, fluidoterapia e restrição de exercício. Após seis dias, houve a remissão dos sinais clínicos e o retorno da coloração original da íris.

Icterícia de íris após rabdomiólise por esforço em um equino

One case of icterus iris diagnosed in an American Paint Horse is described. Stiffness, painful muscle, reluctance to move, elevated respiratory and heart rates, and icterus iris were observed in the clinical examination. Creatine kinase, aspartate aminotransferase, lactate dehydrogenase, alkaline phosphatase, and bilirubin levels were markedly elevated. Exertional rhabdomyolysis syndrome was diagnosed. Analgesic therapy, fluid therapy, and limited exercise were prescribed. After six days there was a remission of clinical signs and return the original color of the iris.

Neste trabalho, é descrito um caso de icterícia de íris em equino da raça Paint. Ao exame clínico, foram observados tremores, dor muscular, relutância em andar, taquicardia, taquipnéia e icterícia de íris. As concentrações séricas de creatina cinase, aspartato aminotransferase, lactato desidrogenase e bilirrubina indireta estavam marcadamente elevadas. Com base na anamnese, sintomatologia clínica e bioquimica sérica, diagnosticou-se síndrome da rabdomiólise por esforço. Foram instituídos os seguintes tratamentos: terapia analgésica, fluidoterapia e restrição de exercício. Após seis dias, houve a remissão dos sinais clínicos e o retorno da coloração original da íris.