Nasal leiomyosarcoma in a Quarter Horse / Leiomiossarcoma nasal em equino Quarto de Milha

We described the clinical and anatomopathological findings observed in a case of nasal leiomyosarcoma in a five-year-old male Quarter Mile horse, whose main complaints were decreased sports performance and bilateral purulent nasal discharge. The nodule was observed in the nasal cavity, obstructing the left nostril and associated with purulent drainage. The nodule was of irregular shape and yellow color, measuring 19.4 cm × 6.9 cm × 4.3 cm in size, with coalescent multifocal areas that were brownish, friable, opaque, and fetid. When cut, the surface was compact, grayish-white, and smooth with yellow, friable, irregular multifocal areas, measuring 1-3.2 cm in diameter. Histopathological examination showed spindle-shaped neoplastic cells, which was negative on Masson's trichromic stain. A diagnosis of leiomyosarcoma was established based on the morphotintorial aspects of neoplastic cells and confirmed through immunohistochemistry, with positive immunostaining for antibodies 1A4, HHF35, desmin, and S100. Leiomyosarcoma primarily affects the nasal cavity of horses and should be included in the differential diagnosis of diseases that affect the nasal cavity and cause nasal obstruction associated with dyspnea.

Descreve-se os achados clínicos e anatomopatológicos observados em um caso de leiomiossarcoma nasal em um equino, Quarto de Milha, macho, de cinco anos de idade, com queixa principal de diminuição do rendimento esportivo e secreção nasal purulenta bilateral. Na cavidade nasal, observou-se um nódulo obstruindo a narina esquerda associada à secreção purulenta. O nódulo era de superfície irregular, amarelada, brilhante, fibroelástica, medindo 19,4 x 6,9 x 4,3cm de tamanho, com áreas multifocais a coalescente acastanhadas, friáveis, opacas e fétidas. Ao corte, a superfície era compacta, branco-acinzentada e lisa com áreas multifocais amarelas, friáveis e irregulares, medindo 1-3,2 cm de diâmetro. No exame histopatológico foi observado proliferação de células neoplásicas fusiformes, que foram negativas na coloração de Tricrômico de Masson. O diagnóstico de leiomiossarcoma foi estabelecido com base nos aspectos morfotintoriais das células neoplásicas e confirmado através da imuno-histoquímica, no qual houve imunomarcação positiva para os anticorpos 1A4, HHF35, Desmina e S100. O leiomiossarcoma pode afetar primariamente a cavidade nasal de equinos, devendo ser incluído no diagnóstico diferencial de doenças que afetam a cavidade nasal e que provocam quadros de obstrução nasal associado a dispneia.

Rhinitis in goat by Exserohilum rostratum (Setosphaeria rostrata) / Rinite em caprino por Exserohilum rostratum (Setosphaeria rostrata)

We described a case of rhinitis case caused by Exserohilum rostratum in a 3-year-old, mixed breed, afemale goat, presenting with decreased appetite, dyspnea, and face deformity, with evolution of approximately 2 months. Necropsy revealed an extensive brownish yellow, irregular, ulcerated, and friable focal lesion in the nasal cavity. Purulent secretion drained from the lesion, affecting the nasal vestibule and extending the caudal portion of the dorsal concha, associated with nasal meatus obstruction, destruction of the nasal septum, and nasal bone palatine and vomer. Histologically, the lesion was characterized as rhinitis and pyogranulomatous and necrotizing osteomyelitis (multifocal to coalescent, sharp, and chronic) and associated with a myriad of fungal structures. Morphologically, the hyphae were characterized by thin, slightly tortuous, and rarely septate walls (2-6 µm diameter), multiple chains of individual conidia or in groups (8-10 µm diameter), and pigmented chlamydoconidia (7.5-15 µm diameter). They showed positive results for the special histochemical techniques such as Fontana Masson, methenamine silver nitrate by Grocott, and periodic acid by Schiff. E. rostratum was identified as the causative agent using microbiological isolation associated with molecular identification. Pyrogranulomatous rhinitis caused by E. rostratum in goats is unprecedented, being the first isolation of the agent in animals in Brazil and the first case of nasal phaeohyphomycosis in the goats.

Descreve-se um caso de rinite por Exserohilum rostratum em um caprino, sem raça definida, fêmea, três anos, com diminuição do apetite, dispneia e deformidade facial, com evolução de aproximadamente dois meses. Durante a necropsia, observou-se que na cavidade nasal havia área focal extensa, amarelo acastanhada, irregular, ulcerada e friável, que drenava secreção purulenta acometendo o vestíbulo nasal e estendendo-se da porção caudal da concha dorsal, associada a obstrução do meato nasal, destruição do septo nasal e osso nasal palatino e vômer. Histologicamente, a lesão foi caracterizada como rinite e osteomielite piogranulomatosa e necrosante, multifocal a coalescente, aguda, crônica, associada a uma miríade de estruturas fúngicas. Morfologicamente, as hifas foram caracterizadas por paredes finas, discretamente tortuosas e septadas medindo 2 a 6 µm de diâmetro. Observamos algumas cadeias de conídios ou grupos com 8 a 10 µm de diâmetro e clamidoconídios pigmentados medindo de 7,5 a 15 µm de diâmetro. Foram positivos na histoquímica especial de Fontana Masson, Nitrato de Metenamina de Prata de Grocott e Ácido Periódico de Schiff. O agente foi determinado por meio de isolamento microbiológico associado à identificação molecular. A rinite piogranulomatosa causada por E. rostratum em caprinos é inédita, sendo o primeiro isolamento do agente em animais no Brasil e o primeiro caso de feo-hifomicose nasal na espécie caprina.

Cardiovascular indicators and mitral valve disease in dogs with spontaneous hypercortisolism - prospective evaluation

Background: Canine hypercortisolism (HC) is the most prevalent endocrinopathy in dogs in southern Brazil. The prognosis depends on several factors including the general health status, owners´ commitment, and the development of disease complications and comorbidities occurrence, such as cardiovascular complications including mitral valve disease (MVD), systemic arterial hypertension, and left ventricular hypertrophy. The main objective of the present study was to assess cardiovascular parameters in canine HC, based on investigating survival-related variables. The study also aimed to evaluate the influence of concurrent preclinical (MVD) on dogs` survival and the impact of HC on MVD progression. Materials, Methods & Results: A total of 25 dogs with spontaneous HC were enrolled and divided into 2 subgroups accordingly to their echocardiographic findings: group HC (normal echocardiography at first evaluation, n = 16); and group HC + MVD (concurrent presence of stages B1 and B2 MVD diagnosed at the first evaluation, n = 9). The patients were evaluated at diagnosis (T0); 6 months after treatment begging (T1); and after 12 months of treatment (T2). The owners were further contacted by phone or e-mail for 1 more year after T2 regarding survival information. A control group (CG, n = 20) was also evaluated at T0 and T1. At each evaluation, dogs were submitted to a complete clinical evaluation and physical exam, associated with a minimum database (CBC, serum biochemistry, and urine analysis) and cardiovascular evaluation composed of systolic blood pressure determination, electrocardiogram (ECG), and echodopplercardiography. In the HC group, 11/16 dogs underwent the evaluation at T2, while 4/9 dogs from the HC + MVD group and 17/20 dogs from the CG underwent the evaluation at T2. Five dogs (31.25%) from the HC group and 4 dogs (44.44%) from the HC + MVD group died before the end of the follow-up period. In the control group, only 1 dog (5.26%) died before the end of the study. Despite the higher mortality in the HC + MVD group during the follow-up period, there was no significant difference (P = 0.632) in survival when compared with the HC group. The MVD of 4 dogs included in the HC + MVD group was classified as stage B1, while the other 5 dogs were classified as stage B2. Only 1 dog from the CG developed stage B1 MVD in the period studied; however, progression of the MVD stage was documented in 1/4 of dogs in the HC + MVD group and MVD development was documented in 3/11 of dogs from the HC group from T0 to T2. The odds ratio (OR) and respective 95% confidence interval (95%CI) for HC as a risk factor for MVD progression were 4.267 (0.4268 - 42.65; P = 0.342). Exercise intolerance (12/16 dogs) and dyspnea (6/16 dogs) were the cardiorespiratory clinical signs with the highest incidence in the HC group at T0. When compared to the control group, both exercise intolerance (P < 0.001) and dyspnea (P = 0.03) occurrence were significantly higher in the HC group. The age (P = 0.001) and the occurrence of dyspnea (P = 0.036) at diagnosis were significantly higher in dogs with HC that died during the follow-up than those that remained alive. Regarding the occurrence of cardiac arrhythmias verified by ECG, no statistically significant differences were observed among groups. Discussion: The study suggests that systemic hypertension and altered echocardiographic measurements did not interfere with dogs' survival; however, dyspnea was associated with a worse prognosis. Finally, it is possible to conclude that mitral valve degeneration is a common comorbidity in dogs with HC, however, it was not evidenced their interference in the survival of dogs with this endocrine disease or even a role of the HC in the progression of the MVD.

Milk allergy in jersey cows: first report in Brazil / Auto alergia ao leite em vaca jersey: primeiro relato no Brasil / Alergia a la leche de auto en vaca jersey: primer reporte en Brasil

Allergy to milk is the only auto-allergic disease in cattle. It is characterized by the retention and absorption of milk itself, making milk proteins, especially alpha casein, have access to the bloodstream, resulting in a type I hypersensitivity. The purpose of this report is to describe a case of auto-allergic disease in cattle. Here we report the case of a four-year-old Jersey female bovine, which was pregnant and weighing 400Kg. The animal was being treated at (hidden for revision)and had a history of an acute allergic reaction. Its owner reported sudden onset of skin lesions, salivation, and difficulty breathing. As the animal was participating in an agricultural exhibition, it was not being milked to generate mammary gland engorgement (milk retention). Inphysical examination findings wherein there is presence of multifocal urticarial papules and plaques, mainly on the sides and right and left flanks, besides the absence of pruritus, edema in mucocutaneous regions of the upper and lower eyelids of the right and left eyes, submandibular edema, excessive salivation, inspiratory dyspnea with half-open mouth breathing, respiratory distress, apathy, cough, tachycardia tachypnea, ruminal hypomotility and increased volume of the mammary gland, characterizing milk retention. Clinical suspicion was milk allergy with anaphylactic reaction (type I hypersensitivity). Treatment was based on promethazine administration (1mg/kg; IV) and immediate full milking of the mammary gland. After 12 h of treatment, clinical respiratory signs resolved, and after 24 h, skin changes resolved completely. Based on clinical signs and treatment success, the clinical suspicion of milk allergy causing anaphylactic reaction (type I hypersensitivity) was confirmed.(AU)

A alergia ao leite é a única doença auto-alérgica em bovinos. Caracteriza-se pela retenção e absorção do próprio leite, fazendo com que as proteínas do leite, principalmente a alfa caseína, tenham acesso à corrente sanguínea, resultando em uma hipersensibilidade do tipo I. O objetivo deste relato é descrever um caso de doença autoalérgica em bovinos. Relatamos o caso de uma fêmea bovina da raça Jersey, com quatro anos de idade, prenhe e pesando 400Kg. O animal estava em tratamento (oculto para revisão)e tinha histórico de reação alérgica aguda. Proprietário relatou aparecimento súbito de lesões na pele, salivação e dificuldade respiratória. Oanimal estava participando de uma exposição agrícola, e não estava sendo ordenhado para gerar ingurgitamento da glândula mamária (retenção de leite). No exame físico identificou-sepápulas e placas urticariformes multifocais, principalmente nas laterais e flancos direito e esquerdo, ausência de prurido, edema em regiões mucocutâneas das pálpebras superior e inferior dos olhos direito e esquerdo, edema submandibular, salivação excessiva, dispneia inspiratória com respiração de boca entreaberta, desconforto respiratório, apatia, tosse, taquicardia, taquipneia, hipomotilidade ruminal e aumento do volume da glândula mamária, caracterizando retenção de leite. A suspeita clínica foi alergia ao leite com reação anafilática (hipersensibilidade tipo I). O tratamento baseou-se na administração de prometazina (1mg/kg; IV) e ordenha completa imediata da glândula mamária. Após 12 h de tratamento, os sinais clínicos respiratórios foram resolvidos e, após 24 h, as alterações cutâneas desapareceram completamente. Com base nos sinais clínicos e no sucesso do tratamento, confirmou-sea suspeita de alergia ao leite causando reação anafilática (hipersensibilidade tipo I).(AU)

La alergia a la leche es la única enfermedad autoalérgica en el ganado bovino. Se caracteriza por la retención y absorción de la propia leche, provocando que las proteínas de la leche, especialmente la alfa caseína, tengan acceso al torrente sanguíneo, dando lugar a una hipersensibilidad tipo I. El objetivo de este reporte es describir un caso de enfermedad autoalérgica en bovinos. Presentamos el caso de una vaca Jersey hembra de cuatro años, gestante y de 400 kg de peso. El animal estaba siendo atendido en el (oculto para revision)y tenía antecedentes de reacción alérgica aguda. Propietario refirió aparición repentina de lesiones en la piel, salivación y dificultad respiratoria. Como el animal participaba en una exhibición agrícola, no estaba siendo ordeñado para generar congestión de la glándula mamaria (retención de leche). En examen físico en los que se observan pápulas y placas urticariales multifocales, principalmente en costados y flancos derecho e izquierdo, además de ausencia de prurito, edema en las regiones mucocutáneas de los párpados superior e inferior del lado derecho e ojos izquierdos, edema submandibular, salivación excesiva, disnea inspiratoria con respiración con la boca abierta, dificultad respiratoria, apatía, tos, taquicardia (frecuencia cardíaca 88 latidos/minuto), taquipnea (100 movimientos/minuto), normotermia (39,0°C), hipomotilidad ruminal (2 movimientos ruminales/5 minutos) y aumento de volumen de la glándula mamaria, caracterizando la retención de leche. La sospecha clínica fue alergia a la leche con reacción anafiláctica (hipersensibilidad tipo I). El tratamiento se basó en la administración de prometazina (1 mg/kg; IV) y ordeño completo inmediato de la glándula mamaria. Después de 12 h de tratamiento, los signos clínicos respiratorios se resolvieron y, después de 24 h, los cambios en la piel desaparecieron por completo. Sobre la base de los signos clínicos y el éxito del tratamiento, se confirmó la sospecha clínica de alergia a la leche que causaba una reacción anafiláctica (hipersensibilidad tipo I).(AU)

Pneumotórax secundário a bolha pulmonar em cão / Pneumothorax secondary to a pulmonary bullae in a dog

Background: Pulmonary bullae are thin-walled cavitary lesions within the subpleural parenchyma. They are a result of thedestruction, dilatation and coalescence of bordering alveoli and their rupture is the most common cause of pneumothoraxin dogs. Radiographic and CT imaging are excellent tools for identifying and quantifying pneumothorax. Surgical treatment is considered standard for treatment of pneumothorax consequential to pulmonary bullae. The aim of this report wasto describe a case of pneumothorax secondary to pulmonary bullae in a dog.Case: A 5-year-old male crossbreed dog, weighing 11.5 kg, was presented to the Uberaba’s Veterinary Hospital due to becoming easily tired in the previous 3 weeks, and its worsening in the last 2 days by presenting panting. The dog’s guardiandid not witness any traumas, but informed that the animal resided with other 14 dogs and also that it frequently collidedthe thorax against the door when it came down from the bed. Physical examination showed diaphragmatic breathing,inspiratory dyspnea and stridor lung sound. Thoracocentesis revealed presence of air in the pleural cavity and pneumothorax. Radiographic images confirmed this condition. The dog stayed in the hospital and chest drains were placed. Sincethe amount of sucked air did not reduce with time and due to the emergence of subcutaneous emphysema, the dog wentthrough exploratory thoracotomy that revealed impairment of the right caudal lung lobe, proceeding to lobectomy. Thedog stayed in the hospital with chest drains until the contents of the suctions reduced significantly. With the removal ofthe drains, the dog was sent home and had a full recovery. Histopathology of the impaired lung revealed pulmonary bullae.Discussion: The dog from this report presented clinical signs consistent with pneumothorax, such as dyspnea, diaphragmaticbreathing and exercise intolerance. Radiography of the chest region revealed...

Estrutura óssea exógena traqueal em um gato / Exogenous tracheal bone structure in a cat

Background: Acute dyspnea is a clinical emergency with a presentation similar to several etiologies. Cats are usually referred with complaints of anorexia, abdominal breathing, cyanosis, and open mouth breathing, and veterinarians should stabilize the animals as soon as possible. The incidence of aspiration of foreign bodies is low, particularly in this species. The diagnosis consists of observing the foreign structure in the lumen of the trachea, commonly performed using radiography or bronchoscopy. This report describes a case of a feline with a tracheal foreign body, with a detailed description of the clinical findings and successful treatment. Case: A 10-year-old female feline exhibited severe dyspnea and cyanosis. During the anamnesis, the owner stated that the clinical signs suddenly presented one day prior, after the animal ingested a piece of fish. Physical examination revealed changes in pulmonary auscultation, which was bilaterally muffled, and intense respiratory distress, as observed by the evident signs of exhaustion (sternal decubitus, reduced muscle tone), in addition to cyanotic mucous membranes. The animal was intubated and maintained under anesthesia with propofol infusion and respiratory support (ambu) for 1 h, during which complementary examinations were performed. Chest radiography showed the presence of a radiopaque structure (approximately 0.5 cm) in the tracheal region. Thus, we decided to remove the structure using bronchoscopy. The foreign body was located above the main bronchial bifurcation and was removed. There was an improvement in oxygenation after 20 min of maintenance of ventilatory support, followed by weaning of the animal's successful respiratory support. Antibiotic therapy and analgesia were prescribed at home, and the animal exhibited full recovery after 10 days. Discussion: Dyspnea is a clinical sign that should be treated as an emergency, as it is associated with high mortality. In these cases, positive pressure ventilation is indicated in three situations: persistent hypoventilation, severe hypoxemia unresponsive to oxygen therapy, and excessive respiratory effort or fatigue. Dyspnea may be due to impairment of the upper or lower airway or restrictive conditions. Clinically, felines with tracheal foreign bodies have a sudden onset of dyspnea, tachypnea, cough, and lethargy. In these patients, the reduction in lung sounds is a common finding, as observed in the present case. The occurrence of tracheal foreign bodies in cats is rare and, depending on the type of foreign body and its location in the airway, complete obstruction of the respiratory tract may occur. In the present case, it was possible to observe the foreign body in the trachea on radiographic images. Felines with tracheal foreign bodies generally present a structure located close to the carina, as observed in the present case. Bronchoscopy using a flexible or rigid tube is considered the gold-standard technique for removing foreign bodies from the respiratory tract, and the greatest difficulty during the removal procedure is ensuring that the airways are not obstructed by the instruments used. The use of these materials is not free of complications, as they may be responsible for the development of pneumothorax, pneumomediastinum, dyspnea, and respiratory failure. In the present case, there were no complications during or after the procedure, and the patient recovered completely.(AU)

Linfoma de células T na cavidade nasal de caprino / T-cell lymphoma in the nasal cavity in goat

Background: Lymphomas are considered uncommon in goats, being the multicentric form with the highest number of cases for the species. Primary intranasal lymphomas are often diagnosed in dogs, cats, and humans. In the literature, there is only a description of a multicentric case involving the frontal sinuses and mucosa of the nasal cavity in a goat; therefore, it is important to describe unusual cases of this disease for the inclusion of new clinical and pathological characteristics in the ruminant clinic medicine. The objective of this work is to describe a case of T-cell lymphoma in the nasal cavity of a young goat. Case: The animal had dyspnea and respiratory noise for 15 days. Clinical examination showed nodulation in the right nasal cavity associated with serosanguinous secretion. Tracheostomy was performed; however, after 30 days the animal was euthanized. A sagittal plane of the head showed a pinkish-gray mass in the right and left nasal cavity, with a smooth, multilobulated surface, smooth adhering to the rostral portion of the dorsal concha and occluding the dorsal nasal meatus. Submandibular lymph nodes were slightly enlarged. Histopathological examination of the nasal cavity revealed a non-encapsulated, poorly delimited and ulcerated tumor composed of round cells arranged in a mantle supported by a discrete fibrovascular stroma extending the mucosa and lamina propria. Cells were round with sparse, eosinophilic and poorly delimited cytoplasm. Nuclei varied from round to elongated with condensed chromatin and evident nucleoli. Occasionally, aberrant nuclei, reniform shape and multinucleated cells were seen. Pleomorphism was moderate characterized by anisocytosis and anisocariosis. Typical and atypical mitosis were frequent (0-4 per field of highest magnification [400x]). Amidst the neoplasm, there were multifocal areas of necrosis and hemorrhage associated with a mild lymphocytic inflammatory infiltrate. Immunohistochemistry showed positive immunostaining for Vimentin antibodies and CD3, and negative for pan CK and CD20. Discussion: The lymphomas immunophenotyping is little used when it comes to farm animals, and there are few studies that use this technique for the definitive diagnosis of these neoplasms for small ruminants. The use of this technique must be considered in each case, in order to determine the pathogenesis, the accurate diagnosis and the origin of the neoplastic lymphocytes. In goats, T-cell lymphomas are the most diagnosed, although cases of multicentric B-cell lymphomas with ocular involvement have been diagnosed. In view of the clinical picture of the case described, infectious rhinitis already described in goats, such as aspergillosis and protothecosis, should be included as differential diagnoses. However, the anatomopathological findings facilitate the direction of the diagnosis, since infectious rhinitis presents as nodules / ulcerated masses or focal areas of necrosis associated with purulent secretion and in the histopathological examination it is possible to observe the intralesional etiological agents. In addition, the enzootic ethmoidal tumor must be included, as it has similar clinical signs and affects young animals, but they are adenomas/adenocarcinomas that affect the ethmoidal nasal shells induced by a retrovirus. Lymphomas in the caprine species are rare in the Northeastern semi-arid, but that in the present diagnostic routine occasionally occurs, being important the first description of its nasal shape for its inclusion in the differential diagnoses of diseases that present with clinical obstruction and dyspnea for the species.

Recurrent spontaneous pneumothorax in a Maltese dog with endogenous lipoid pneumonia

Background: Pneumothorax is a clinical condition which can cause respiratory distress. It can have as its origin traumatic causes or even classified as spontaneous, mainly related to diseases of the lung parenchyma. Lipoid pneumonia is rarely described in dogs, and it is characterized by globules of lipid in the alveolar spaces. Endogenous lipoid pneumonia (EnLP) occurs when lesions on pulmonary cells release cholesterol and other lipids in the alveoli. There is no clinical approach established for EnLP in veterinary patients. The aim of this report is to describe a case of a young Maltese dog, with recurrent spontaneous pneumothorax in which EnLP was diagnosed post mortem. Case: A 2-year-old sexually intact male Maltese dog was evaluated for restrictive dyspnea. Clinicopathologic findings included cyanotic, muffled chest auscultation with hypersonic thoracic percussion. Chest x-ray demonstrated an increase in pleuropulmonary radio transparency and a floating-looking heart, indicating pneumothorax. Complete blood counts and biochemical panel results were normal. Dirofilaria immitis antigen test results were negative. Computed tomography demonstrated slightly hyper-expanded pulmonary fields, with slightly enlarged reticular marking with areas of mild multicentric panlobular emphysema and a fracture on the sixth left rib. The treatment was focused on improving the breathing pattern through sedation, supplementation with oxygen, and thoracentesis. Owing to the reserved prognosis of the case, the unknown etiology of the recurrent pneumothorax, and the clinical worsening of the patient, the owner opted for euthanasia. Necropsy displayed multiple, circular whitish areas in the lungs, distributed over the surface of all lobes. Histopathological examination revealed pulmonary tissue with the subpleural micronodular foci, multifocal to coalescent, with a moderate accumulation of foamy intra-alveolar macrophages, occasionally multinucleate, associated with cholesterol crystals compatible with endogenous lipid pneumonia. Discussion: The patient presented with clinical signs and physical examination characteristics of pneumothorax at the first visit. After the pneumothorax diagnosis, and clinical stabilization of the patient. No predisposing factor for the formation of the pneumothorax was identified as the radiography revealed only bronchitis and blood tests were normal, the patient was thus discharged after 24 h, with the recommendations for observing the breathing pattern. Initially, spontaneous pneumothorax was suspected. The antibiotics were administered since bacterial pneumonia, although not confirmed on chest x-ray, is the main cause of pneumothorax in dogs is lung parenchyma disease. With the worsening of the clinical condition of the patient, CT was performed and did not demonstrate any findings that would justify the presence of pneumothorax. Despite the placement of the chest tube for facilitating the management of thoracentesis, there was no stabilization of the condition, enhancing the frequency of centesis procedures, which led to the decision to euthanize. The microscopic examination of the pulmonary alterations was decisive for the diagnostic conclusion. The visualization of the accumulation of foamy intra-alveolar macrophages, occasionally multinucleate, associated with cholesterol crystals, was responsible for the diagnosis of EnLP. This condition is rarely described in dogs and as in the present report, it is a noninfectious inflammatory condition, characterized by intra- or extracellular globules of lipid in the alveolar spaces. In the present report, although it was not possible to determine the etiology of EnLP, we can conclude that although rare, it can affect dogs and can generate severe clinical repercussions.

Quimiodectoma em cão / Chemodectoma in a dog

Background: The chemodectoma is a rare neoplasm that originates from chemoreceptors located mainly in the aortic body,and carotid body and sinus, and responsible for detecting variations in blood pH, oxygen pressure and carbon dioxide. Dogsof brachiocephalic breeds and aged between 7 and 15 years have greater propensity. A neoplasm involves infiltrative growthin the vessels at the heart base, which leads to Congestive Heart Failure (CHF). The definitive diagnosis is performed byhistopathological and/or immunohistochemical examination. The aim was to report a case of chemiodectoma in a dog,showing the disease’s clinical characteristics.Case: A 13-year-old male undefined breed dog was examinated in the medical clinic of small animal of Veterinary Hospital,Federal Rural University of Pernambuco (UFRPE) with respiratory effort, hyporexia, and edema in face, cervical, ventralthorax and thoracic limbs, with thirty days evoluted. About physical examination, we observed cachexia, orthopneic position, cyanosis and edema with a positive Godet sign, as well as 8% dehydration degree. Thoracic auscultation presentedmixed dyspnea and muffled heart sounds. Chest radiography detected an radiopacity increase in pulmonary section andmetastatic neoplastic process associated with pleural and pericardial effusion. Fluid therapy with lactated ringer and posteriorthoracentesis in the right hemithorax region was performed for greater respiratory comfort for the patient. Hematologicalcount and biochemical profiles stated normochromic normocytic anemia, relative and absolute lymphopenia, thrombocytopenia, as well as increased alanine aminotransferase (ALT) and aspartate aminotransferase (AST). The patient diedafter 12 hours when was submitted to necroscopic examination and histopathological evaluation. An infiltrative tumor ofcardiac base was observed invading the light of the right atrium, obstructing the venous return, as well as a large thrombus...

Quimiodectoma em cão / Chemodectoma in a dog

Background: The chemodectoma is a rare neoplasm that originates from chemoreceptors located mainly in the aortic body,and carotid body and sinus, and responsible for detecting variations in blood pH, oxygen pressure and carbon dioxide. Dogsof brachiocephalic breeds and aged between 7 and 15 years have greater propensity. A neoplasm involves infiltrative growthin the vessels at the heart base, which leads to Congestive Heart Failure (CHF). The definitive diagnosis is performed byhistopathological and/or immunohistochemical examination. The aim was to report a case of chemiodectoma in a dog,showing the diseases clinical characteristics.Case: A 13-year-old male undefined breed dog was examinated in the medical clinic of small animal of Veterinary Hospital,Federal Rural University of Pernambuco (UFRPE) with respiratory effort, hyporexia, and edema in face, cervical, ventralthorax and thoracic limbs, with thirty days evoluted. About physical examination, we observed cachexia, orthopneic position, cyanosis and edema with a positive Godet sign, as well as 8% dehydration degree. Thoracic auscultation presentedmixed dyspnea and muffled heart sounds. Chest radiography detected an radiopacity increase in pulmonary section andmetastatic neoplastic process associated with pleural and pericardial effusion. Fluid therapy with lactated ringer and posteriorthoracentesis in the right hemithorax region was performed for greater respiratory comfort for the patient. Hematologicalcount and biochemical profiles stated normochromic normocytic anemia, relative and absolute lymphopenia, thrombocytopenia, as well as increased alanine aminotransferase (ALT) and aspartate aminotransferase (AST). The patient diedafter 12 hours when was submitted to necroscopic examination and histopathological evaluation. An infiltrative tumor ofcardiac base was observed invading the light of the right atrium, obstructing the venous return, as well as a large thrombus...(AU)

Clinical, hematological, blood gasometric and electrolytic changes in dogs receiving whole blood transfusions

Blood transfusion is a tool capable of saving lives. Patients undergoing blood transfusion usually present several alterations in the acid-base and electrolyte balance, aggravating the condition of critically ill patients. Some studies have demonstrated haematological alterations in certain species that received whole blood transfusions, however, few studies have evaluated acid base and electrolyte changes in dogs undergoing whole blood haemotherapy. The aim of this study was to analyze clinical, hematological, blood gas and electrolyte changes in anemic dogs after whole blood transfusion. Twenty nine dogs transfused due to anemia were enrolled in the study. Donors blood was collected in a transfusion bag containing citrate phosphate adenine dextrose and stored up to 24 h. Blood collections and evaluations were made before and 24 h after the transfusion. Data distribution normality was tested by the Shapiro Wilk Test. The means of the variables were compared by paired t-test. It was observed an increase in diastolic blood pressure and a reduction in heart rate (P < 0.05). There was a not significant increase in systolic blood pressure, temperature, and a reduction in respiratory rate per minute. Erythrocyte, haemoglobin and haematocrit averages were significantly increased after blood transfusion (P < 0.05). It was observed a reduction in the mean values of pH (P < 0.05), potassium (P > 0.05) and ionized calcium (P > 0.05) and an increase in the mean partial pressure of carbon dioxide (pCO2 ) (P < 0.001), bicarbonate (P > 0.05) and sodium (P < 0.05). The probable cause of anemia was monocytic ehrlichiosis (14/29), visceral leishmaniasis (1/29), babesiosis (1/29), co-infection of Ehrlichia canis and Leishmania infantum (2/29), co-infection of E. canis and Babesia vogeli (1/29). It was not possible to determine the etiology of the anemia in ten dogs. Heart rate significantly reduced after transfusion, probably because of the increase in hematocrit, hemoglobin and erythrocyte values. It may be justified by the displacement of extravascular fluid to the intravascular space. Mean values of systolic blood pressure were slightly elevated before transfusion and remained elevated afterwards, while diastolic and mean arterial pressure increased significantly after transfusion. These changes may be due to the morbid condition and may be influenced by many other factors. Haematocrit, haemoglobin and erythrocyte values increased significantly after transfusion, according to what was observed in other studies. The significant reduction in pH and increase in pCO2 reflects the compensatory mechanism for metabolic acidosis to increase ventilation, leading to pCO2 reduction and changes in pH. The reduction in pH due to the contact of the collected blood with conservative solutions is one of the main changes thar occurs during blood storage. It was described significantly lower pH in dogs' whole blood samples stored for more than 24 h in vacutainer plastic containing CPDA-1. We may assume there was no intense pH reduction in the present study because the bags were stored for up to 24 h. Although not statistically significant, the increase of pO2 mean reflects the improvement of tissue oxygen perfusion. It was observed a significant increase in sodium ions. The mean sodium ion concentration before transfusion was very close to the maximum reference value. Hyperkalaemia was not observed, nor was there significant reduction of potassium ions after transfusion. Several studies report hyperkalaemia and transfusion-associated cardiac arrests in humans, associated with infusion of large volumes of blood. Whole blood transfusion increased erythrogram values and did not negatively affect the electrolyte or acid-base status, representing a safe and useful tool in the intensive care of small animals.(AU)

Pectus excavatum and Pectus carinatum in dogs

Background: Deformities of the anterior thoracic wall are called pectus: pectus excavatum and pectus carinatum. Pectusexcavatum is characterised by dorsal deviation of the caudal region of the sternum while pectus carinatum consists ofprotrusion of the sternum and/or adjacent cartilage. Both defects may remain symptom-free, but respiratory and cardiacabnormalities have been reported. Another deformity observed in dogs is the swimming dog syndrome, which consists ofthe lateral opening of the thoracic and pelvic limbs, associated with the pedalling movement. These disorders are frequentlyreported in medical practice, are considered rare among canines. This report aims to describe a case of pectus excavatumassociated with the swimming dog syndrome (Case 1) and another case of pectus carinatum (Case 2).Cases: Case 1. An approximately 45-day-old male American Pitbull canine had difficulty standing. Physical examinationrevealed hyperextension of the thoracic and pelvic limb joints and flattening of the thorax. After radiographic examination, pectus excavatum and the swimming dog syndrome were confirmed. The conservative treatment with splinting andhydrotherapy was chosen. At the 3-month follow-up, slight improvement in the limbs and irregular and unsatisfactorygrowth of the thorax leading to episodes of dyspnoea were observed. Case 2. A female Pug, approximately 2 months old,had a thorax deformity. Physical examination revealed thorax protrusion, confirmed on radiography as pectus carinatum.Conservative therapy was provided using compressive bandage. One month later, the tutor reported improvement in thecondition and absence of respiratory changes.Discussion: Pectus deformities has low incidence, and cases to pectus carinatum, there is a sexual predisposition, that is,males are more predisposed, differing from Case 2, a female dog. In the cases of pectus excavatum, no genetic alterationwas directly related to its occurrence...(AU)

Sobrevida e características ecocardiográficas de gatos com e sem cardiomiopatias / Survival and echocardiographic characteristics of cats with and without cardiomyopathies

Cardiopatias felinas apresentam importante relevância na rotina veterinária, todavia os seus aspectos epidemiológicos em gatos não são conhecidos regionalmente. O objetivo do estudo foi descrever a frequência das cardiopatias na região Norte e Vale do Itajaí no estado de Santa Catarina e determinar a sobrevida de pacientes cardiopatas e não cardiopatas. O estudo contou com a análise retrospectiva de 74 laudos ecocardiográficos e prontuários médicos de gatos oriundos de estabelecimentos veterinários da região, de janeiro de 2017 a dezembro de 2019. Tutores ou veterinários responsáveis foram contatados para averiguar a sobrevida dos animais. Os animais do estudo em sua maioria eram machos (n=40/74) e sem raça definida (n=47/74). Cardiomiopatia foi o diagnóstico mais comum (n=21/74), com destaque para o fenótipo hipertrófica (n=13/21). As cardiomiopatias foram diagnosticadas mais comumente em gatos acima de oito anos de idade. Os principais sinais clínicos nos gatos sintomáticos (n=41/74) foram sopro (n=15/41) e dispneia (n=6/41). Os principais achados ecocardiográficos foram hipertrofia concêntrica da parede livre do ventrículo esquerdo (n=18/41) e dilatação do átrio esquerdo (n=12/41). A mediana de sobrevida dos 74 gatos foi de 303±209.8 dias, estando altamente relacionado com a classe do estadiamento clínico (P=0,006). Gatos com fenótipo dilatada tiveram menor média de sobrevida (180.5 dias). As doenças concomitantes mais observadas foram doença renal crônica (n=7/15), hipertensão (n=5/15) e/ou hipertireoidismo (n=3/15). Gatos com cardiomiopatias, sintomáticos e com estágios mais avançados de remodelamento cardíaco, demostraram viver menos se comparados com aqueles em estágio inicial da cardiopatia. Bem como pacientes com doenças de base associada apresentaram menor expectativa de vida.

Feline cardiopathies are relevant on veterinary practice although lack of regional epidemiogical description. The purpose of this study is to determine cardiopathy prevalence and survival of cardiac and non-cardiac patients on Santa Catarina's northern and Itajai valley regions. The retrospective study included 74 echocardiographic exams and medical records from January 2017 to December 2019. Veterinarians and owners were contacted to check survival on cardiac and non-cardiac patients. The animals were most male (n=40/74) and mongrel (n=47/74). Cardiomyopathies were the most common diagnosis (n=21/74), specially the hypertrophic phenotype (n=13/21). The cardiomyopathy diagnosis was evidenced in cats above eight years old. The most usual clinical findings on symptomatic patients (n=41/74) were cardiac murmur (n=15/41) and dyspnea (n=6/41). Left ventricular free wall concentric hypertrophy (n=18/41) and left atrium dilation (n=12/41) were the main echocardiographic findings. Median survival from 74 cats was 303±209,8 days and related to clinical staging (p=0,006). Cats with dilated cardiomyopathy phenotype presented lower mean survival (180,5 days). Concomitant diseases included chronic renal disease (n=7/15), systemic arterial hypertension (n=5/15) and/or hyperthyroidism (n=3/15). In conclusion, cats with cardiomyopathies, symptomatic and with more advanced stages of cardiac remodeling, have shown to live less than those in early stage of heart disease. As well as patients with associated concomitant diseases, they had a lower life expectancy.

Pectus excavatum and Pectus carinatum in dogs

Background: Deformities of the anterior thoracic wall are called pectus: pectus excavatum and pectus carinatum. Pectusexcavatum is characterised by dorsal deviation of the caudal region of the sternum while pectus carinatum consists ofprotrusion of the sternum and/or adjacent cartilage. Both defects may remain symptom-free, but respiratory and cardiacabnormalities have been reported. Another deformity observed in dogs is the swimming dog syndrome, which consists ofthe lateral opening of the thoracic and pelvic limbs, associated with the pedalling movement. These disorders are frequentlyreported in medical practice, are considered rare among canines. This report aims to describe a case of pectus excavatumassociated with the swimming dog syndrome (Case 1) and another case of pectus carinatum (Case 2).Cases: Case 1. An approximately 45-day-old male American Pitbull canine had difficulty standing. Physical examinationrevealed hyperextension of the thoracic and pelvic limb joints and flattening of the thorax. After radiographic examination, pectus excavatum and the swimming dog syndrome were confirmed. The conservative treatment with splinting andhydrotherapy was chosen. At the 3-month follow-up, slight improvement in the limbs and irregular and unsatisfactorygrowth of the thorax leading to episodes of dyspnoea were observed. Case 2. A female Pug, approximately 2 months old,had a thorax deformity. Physical examination revealed thorax protrusion, confirmed on radiography as pectus carinatum.Conservative therapy was provided using compressive bandage. One month later, the tutor reported improvement in thecondition and absence of respiratory changes.Discussion: Pectus deformities has low incidence, and cases to pectus carinatum, there is a sexual predisposition, that is,males are more predisposed, differing from Case 2, a female dog. In the cases of pectus excavatum, no genetic alterationwas directly related to its occurrence...

Ações de educação em saúde para prevenção da Covid-19 por meio da utilização de mídias sociais / Health education actions to prevent Covid-19 through the use of social media / Acciones de educación para la salud para prevenir Covid-19 mediante el uso de las redes sociales

O vírus Sars-CoV-2 causa a doença mais recente caracterizada como ameaça à saúde global e possui, principalmente, curso de doença respiratória. Os principais sintomas podem ser febre, tosse e dispneia e o risco pode aumentar conforme a idade e a presença de outras doenças associadas no paciente. Atualmente o tratamento é de suporte e ainda não há vacina. A maioria das estratégias globais de resposta ao combate dessa doença inclui níveis variados de rastreamento de contato e autoisolamento ou quarentena, sendo essas as melhores formas de prevenção e também a maneira de evitar maior disseminação da enfermidade. Devido ao isolamento social para prevenção da doença, uma das alternativas que podem ser utilizadas para proporcionar informação e educação em saúde para a população em geral é por meio dos meios de comunicação em massa. Dessa forma, o objetivo deste trabalho consistiu em utilizar mídias sociais como ferramenta para sensibilizar a população quanto à prevenção da COVID-19, com o intuito de ofertar e facilitar o acesso a informações de cunho educativo. A seleção da mídia social, assim como sua plataforma de interação contribuíram para a apresentação de resultados satisfatórios relacionados aos conteúdos publicados para disseminação das informações inerentes à doença.(AU)

The Sars-CoV-2 virus causes the most recent disease characterized as a threat to global health and has, mainly, a course of respiratory disease. The main symptoms can be fever, cough and dyspnea and the risk may increase with age and the presence of other associated diseases in the patient. Currently the treatment is supportive and there is still no vaccine. Most global response strategies to combat this disease include varying levels of contact screening and self-isolation or quarantine, which is the best form of prevention and also a way to avoid further spread of the disease. Due to social isolation for disease prevention, one of the alternatives that can be used to provide health information and education to the general population is through mass media. Thus, the objective of this work was to use social media as a tool to sensitize the population about the prevention of COVID-19, in order to offer and facilitate access to educational information. The selection of social media, as well as its interaction platform, contributed to the presentation of satisfactory results related to the content published for dissemination of information inherent to the disease.(AU)

El virus Sars-CoV-2 causa la enfermedad más reciente caracterizada como una amenaza para la salud mundial y tiene principalmente un curso de enfermedad respiratoria. Los principales síntomas pueden ser fiebre, tos y disnea y el riesgo puede aumentar con la edad y la presencia de otras enfermedades asociadas en el paciente. Actualmente el tratamiento es de apoyo y todavía no hay ninguna vacuna. La mayoría de las estrategias de respuesta mundial para combatir esta enfermedad incluyen diversos niveles de detección de contactos y de autoaislamiento o cuarentena, que es la mejor forma de prevención y también una manera de evitar una mayor propagación de la enfermedad. Debido al aislamiento social para la prevención de enfermedades, una de las alternativas que se pueden utilizar para proporcionar información y educación sanitaria a la población en general es a través de los medios de comunicación. Así pues, el objetivo de esta labor era utilizar los medios de comunicación social como instrumento para sensibilizar a la población acerca de la prevención del COVID-19, a fin de ofrecer y facilitar el acceso a la información educativa. La selección de los medios de comunicación social, así como su plataforma de interacción, contribuyeron a la presentación de resultados satisfactorios relacionados con los contenidos publicados para la difusión de la información inherente a la enfermedad.(AU)

Ações de educação em saúde para prevenção da Covid-19 por meio da utilização de mídias sociais / Health education actions to prevent Covid-19 through the use of social media / Acciones de educación para la salud para prevenir Covid-19 mediante el uso de las redes sociales

O vírus Sars-CoV-2 causa a doença mais recente caracterizada como ameaça à saúde global e possui, principalmente, curso de doença respiratória. Os principais sintomas podem ser febre, tosse e dispneia e o risco pode aumentar conforme a idade e a presença de outras doenças associadas no paciente. Atualmente o tratamento é de suporte e ainda não há vacina. A maioria das estratégias globais de resposta ao combate dessa doença inclui níveis variados de rastreamento de contato e autoisolamento ou quarentena, sendo essas as melhores formas de prevenção e também a maneira de evitar maior disseminação da enfermidade. Devido ao isolamento social para prevenção da doença, uma das alternativas que podem ser utilizadas para proporcionar informação e educação em saúde para a população em geral é por meio dos meios de comunicação em massa. Dessa forma, o objetivo deste trabalho consistiu em utilizar mídias sociais como ferramenta para sensibilizar a população quanto à prevenção da COVID-19, com o intuito de ofertar e facilitar o acesso a informações de cunho educativo. A seleção da mídia social, assim como sua plataforma de interação contribuíram para a apresentação de resultados satisfatórios relacionados aos conteúdos publicados para disseminação das informações inerentes à doença.(AU)

The Sars-CoV-2 virus causes the most recent disease characterized as a threat to global health and has, mainly, a course of respiratory disease. The main symptoms can be fever, cough and dyspnea and the risk may increase with age and the presence of other associated diseases in the patient. Currently the treatment is supportive and there is still no vaccine. Most global response strategies to combat this disease include varying levels of contact screening and self-isolation or quarantine, which is the best form of prevention and also a way to avoid further spread of the disease. Due to social isolation for disease prevention, one of the alternatives that can be used to provide health information and education to the general population is through mass media. Thus, the objective of this work was to use social media as a tool to sensitize the population about the prevention of COVID-19, in order to offer and facilitate access to educational information. The selection of social media, as well as its interaction platform, contributed to the presentation of satisfactory results related to the content published for dissemination of information inherent to the disease.(AU)

El virus Sars-CoV-2 causa la enfermedad más reciente caracterizada como una amenaza para la salud mundial y tiene principalmente un curso de enfermedad respiratoria. Los principales síntomas pueden ser fiebre, tos y disnea y el riesgo puede aumentar con la edad y la presencia de otras enfermedades asociadas en el paciente. Actualmente el tratamiento es de apoyo y todavía no hay ninguna vacuna. La mayoría de las estrategias de respuesta mundial para combatir esta enfermedad incluyen diversos niveles de detección de contactos y de autoaislamiento o cuarentena, que es la mejor forma de prevención y también una manera de evitar una mayor propagación de la enfermedad. Debido al aislamiento social para la prevención de enfermedades, una de las alternativas que se pueden utilizar para proporcionar información y educación sanitaria a la población en general es a través de los medios de comunicación. Así pues, el objetivo de esta labor era utilizar los medios de comunicación social como instrumento para sensibilizar a la población acerca de la prevención del COVID-19, a fin de ofrecer y facilitar el acceso a la información educativa. La selección de los medios de comunicación social, así como su plataforma de interacción, contribuyeron a la presentación de resultados satisfactorios relacionados con los contenidos publicados para la difusión de la información inherente a la enfermedad.(AU)

Intermittent hemodialysis, an alternative treatment for ovine with acute-on-chronic kidney disease / Hemodiálise intermitente, um tratamento alternativo para ovinos em doença renal crônica agudizada / Hemodialisis intermitente, un tratamiento alternativo para ovinoscon enfermedad renal aguda en crónica

Chronic Kidney Disease (CKD) is a syndrome composed of numerous comorbidities such as the failure of excretion of toxins and nitrogenous compounds from metabolism, as well as the failure to maintain endocrine, water, electrolyte and acid-base homeostasis in all mammals. As it is a non-regenerative and progressive disease, any endogenous or exogenous insults in the organ in question will lead to the intensification of all these mentioned disorders associated with decreased urinary output. Several studies in humans and animals recommend the use of renal replacement therapy, especially in those who already have CKD, and who are in uremic syndrome. This report aims to demonstrate that the use of intermittent hemodialysis (HI) in sheep is a therapeutic alternative in those in renal failure. A six-year-old Bergamasca sheep was presented with lateral decubitus, dyspnea, dark liquid diarrhea, apathy, anorexia and pulmonary crepitation on auscultation. Laboratory tests showed azotemia and electrolyte changes such as hypocalcemia, hypokalemia, hypochloremia, isosthenuria (1,012), pyuria, glycosuria, and a protein: creatinine ratio of 0.88. In ultrasonography, the real resistivity index was above 0.54, being suggestive of loss of renal perfusion. The treatment chosen consisted of electrolytic and fluid replacement, associated with HI. After HI, the sheep showed great clinical and laboratory improvement as expected, however, despite not having survived, the histopathological findings of the necropsy pointed out segments of glomerulosclerosis, thus reinforcing the hypothesis that the animal already had a CKD which was aggravated due to the association of hypovolemia, hypotension by anesthetic drugs and the indiscriminate use of NSAIDs. Despite the death of the sheep, HI again proved to be a therapy of rapid clinical...

A Doença Renal Crônica (DRC) é uma síndrome composta por inúmeras comorbidades como a falha da excreção de toxinas e compostos nitrogenados oriundos do metabolismo, bem como da falha na manutenção da homeostase endócrina, hídrica, eletrolítica e ácido-básico de todos os mamíferos. Por ser uma doença não-regenerativa e progressiva, quaisquer insultos endógenos ou exógenos no órgão em questão propiciará a intensificação de todas estas desordens mencionadas associadas a diminuição do débito urinário. Diversos estudos em humanos e animais recomendam o emprego de terapia de substituição renal, especialmente naqueles que já apresentam a DRC, e que se encontram em síndrome urêmica. Este relato tem como objetivo demonstrar que o emprego da hemodiálise intermitente (HI) em ovinos é uma alternativa terapêutica naqueles em falência renal. Uma ovelha Bergamácia de seis anos foi encaminhada em decúbito lateral, dispneia, diarreia líquida escura, apatia, anorexia e crepitação pulmonar à auscultação. Exames laboratoriais demonstraram azotemia e alterações eletrolíticas como hipocalcemia, hipocalemia, hipocloremia, isostenúria (1.012), piúria, glicosúria, e razão proteína: creatinina de 0,88. Em ultrassonografia, o index de resistividade real, apresentou-se acima de 0,54, sendo sugestivo de perda de perfusão renal. O tratamento eleito constituiu na reposição eletrolítica e volêmica, associada a HI. Após a HI, a ovelha apresentou grande melhora clínica e laboratorial como esperado, no entanto, apesar de não ter sobrevivido, os achados histopatológicos da necropsia apontaram segmentos de glomeruloesclerose, reforçando assim a hipótese de que o animal já apresentava uma DRC a qual agudizou devido a associação da hipovolemia, hipotensão por fármacos anestésicos e ao uso indiscriminado de AINES. Apesar do óbito da ovelha, a HI demonstrou novamente ser uma terapia de rápida melhora clínica e laboratorial do paciente comparada ao tratamento clínico convencional, assim sendo uma importante alternativa...

La enfermedad renal crónica (ERC) es un síndrome compuesto por numerosas comorbilidades, como el fracaso de la excreción de toxinas y compuestos nitrogenados del metabolismo, así como el fracaso para mantener la homeostasis endocrina, hidrica, electroliticay ácido-base en todos los mamíferos. Como es una enfermedad no regenerativa y progresiva, cualquier insulto endógeno o exógeno en el órgano en cuestión conducirá a la intensificación de todos estos trastornos mencionados asociados con la disminución del gasto urinario. Varios estudios en humanos y animales recomiendan el uso de la terapia de reemplazo renal, especialmente en aquellos que ya tienen ERC y que padecen síndrome urémico. Este informe tiene como objetivo demostrar que el uso de hemodiálisis intermitente (HI) en ovejas es una alternativa terapéutica en aquellos con insuficiencia renal. Una oveja Bergamasca de seis años fue apresentadaen decúbito lateral, disnea, diarrea líquida oscura, apatía, anorexia y crepitación pulmonar en la auscultación. Las pruebas de laboratorio mostraron alteraciones de azotemia y electrolitos como hipocalcemia, hipocalemia, hipocloremia, isostenuria (1,012), piuria, glucosuria y una relación proteína: creatinina de 0.88. En la ecografía, el índice de resistividad real fue superior a 0,54, lo que sugiere una pérdida de perfusión renal. El tratamiento elegido consistió en reemplazo electrolítico y de fluidos, asociado con HI. Después de HI,la oveja mostró una gran mejoría clínica y de laboratorio como se esperaba, sin embargo, a pesar de no haber sobrevivido, los hallazgos histopatológicos de la necropsia señalaron segmentos de glomeruloesclerosis, lo que refuerza la hipótesis de que el animal ya tenía una ERC que se agravó debido a la asociación de hipovolemia, hipotensión por fármacos anestésicos y el uso indiscriminado de AINE. A pesar de la muerte de la oveja, HI nuevamente demostró ser una terapia de rápida mejora clínica y de laboratorio del paciente en comparación con el tratamiento clínico convencional...

Intermittent hemodialysis, an alternative treatment for ovine with acute-on-chronic kidney disease / Hemodiálise intermitente, um tratamento alternativo para ovinos em doença renal crônica agudizada / Hemodialisis intermitente, un tratamiento alternativo para ovinoscon enfermedad renal aguda en crónica

Chronic Kidney Disease (CKD) is a syndrome composed of numerous comorbidities such as the failure of excretion of toxins and nitrogenous compounds from metabolism, as well as the failure to maintain endocrine, water, electrolyte and acid-base homeostasis in all mammals. As it is a non-regenerative and progressive disease, any endogenous or exogenous insults in the organ in question will lead to the intensification of all these mentioned disorders associated with decreased urinary output. Several studies in humans and animals recommend the use of renal replacement therapy, especially in those who already have CKD, and who are in uremic syndrome. This report aims to demonstrate that the use of intermittent hemodialysis (HI) in sheep is a therapeutic alternative in those in renal failure. A six-year-old Bergamasca sheep was presented with lateral decubitus, dyspnea, dark liquid diarrhea, apathy, anorexia and pulmonary crepitation on auscultation. Laboratory tests showed azotemia and electrolyte changes such as hypocalcemia, hypokalemia, hypochloremia, isosthenuria (1,012), pyuria, glycosuria, and a protein: creatinine ratio of 0.88. In ultrasonography, the real resistivity index was above 0.54, being suggestive of loss of renal perfusion. The treatment chosen consisted of electrolytic and fluid replacement, associated with HI. After HI, the sheep showed great clinical and laboratory improvement as expected, however, despite not having survived, the histopathological findings of the necropsy pointed out segments of glomerulosclerosis, thus reinforcing the hypothesis that the animal already had a CKD which was aggravated due to the association of hypovolemia, hypotension by anesthetic drugs and the indiscriminate use of NSAIDs. Despite the death of the sheep, HI again proved to be a therapy of rapid clinical...(AU)

A Doença Renal Crônica (DRC) é uma síndrome composta por inúmeras comorbidades como a falha da excreção de toxinas e compostos nitrogenados oriundos do metabolismo, bem como da falha na manutenção da homeostase endócrina, hídrica, eletrolítica e ácido-básico de todos os mamíferos. Por ser uma doença não-regenerativa e progressiva, quaisquer insultos endógenos ou exógenos no órgão em questão propiciará a intensificação de todas estas desordens mencionadas associadas a diminuição do débito urinário. Diversos estudos em humanos e animais recomendam o emprego de terapia de substituição renal, especialmente naqueles que já apresentam a DRC, e que se encontram em síndrome urêmica. Este relato tem como objetivo demonstrar que o emprego da hemodiálise intermitente (HI) em ovinos é uma alternativa terapêutica naqueles em falência renal. Uma ovelha Bergamácia de seis anos foi encaminhada em decúbito lateral, dispneia, diarreia líquida escura, apatia, anorexia e crepitação pulmonar à auscultação. Exames laboratoriais demonstraram azotemia e alterações eletrolíticas como hipocalcemia, hipocalemia, hipocloremia, isostenúria (1.012), piúria, glicosúria, e razão proteína: creatinina de 0,88. Em ultrassonografia, o index de resistividade real, apresentou-se acima de 0,54, sendo sugestivo de perda de perfusão renal. O tratamento eleito constituiu na reposição eletrolítica e volêmica, associada a HI. Após a HI, a ovelha apresentou grande melhora clínica e laboratorial como esperado, no entanto, apesar de não ter sobrevivido, os achados histopatológicos da necropsia apontaram segmentos de glomeruloesclerose, reforçando assim a hipótese de que o animal já apresentava uma DRC a qual agudizou devido a associação da hipovolemia, hipotensão por fármacos anestésicos e ao uso indiscriminado de AINES. Apesar do óbito da ovelha, a HI demonstrou novamente ser uma terapia de rápida melhora clínica e laboratorial do paciente comparada ao tratamento clínico convencional, assim sendo uma importante alternativa...(AU)

La enfermedad renal crónica (ERC) es un síndrome compuesto por numerosas comorbilidades, como el fracaso de la excreción de toxinas y compuestos nitrogenados del metabolismo, así como el fracaso para mantener la homeostasis endocrina, hidrica, electroliticay ácido-base en todos los mamíferos. Como es una enfermedad no regenerativa y progresiva, cualquier insulto endógeno o exógeno en el órgano en cuestión conducirá a la intensificación de todos estos trastornos mencionados asociados con la disminución del gasto urinario. Varios estudios en humanos y animales recomiendan el uso de la terapia de reemplazo renal, especialmente en aquellos que ya tienen ERC y que padecen síndrome urémico. Este informe tiene como objetivo demostrar que el uso de hemodiálisis intermitente (HI) en ovejas es una alternativa terapéutica en aquellos con insuficiencia renal. Una oveja Bergamasca de seis años fue apresentadaen decúbito lateral, disnea, diarrea líquida oscura, apatía, anorexia y crepitación pulmonar en la auscultación. Las pruebas de laboratorio mostraron alteraciones de azotemia y electrolitos como hipocalcemia, hipocalemia, hipocloremia, isostenuria (1,012), piuria, glucosuria y una relación proteína: creatinina de 0.88. En la ecografía, el índice de resistividad real fue superior a 0,54, lo que sugiere una pérdida de perfusión renal. El tratamiento elegido consistió en reemplazo electrolítico y de fluidos, asociado con HI. Después de HI,la oveja mostró una gran mejoría clínica y de laboratorio como se esperaba, sin embargo, a pesar de no haber sobrevivido, los hallazgos histopatológicos de la necropsia señalaron segmentos de glomeruloesclerosis, lo que refuerza la hipótesis de que el animal ya tenía una ERC que se agravó debido a la asociación de hipovolemia, hipotensión por fármacos anestésicos y el uso indiscriminado de AINE. A pesar de la muerte de la oveja, HI nuevamente demostró ser una terapia de rápida mejora clínica y de laboratorio del paciente en comparación con el tratamiento clínico convencional...(AU)

Acquired diaphragmatic eventration in a dog

Background: Diaphragmatic eventration is characterized by weakness of the diaphragmatic muscle, which leads to cranialdislocation of the affected diaphragm and, ultimately, in dyspnea. This condition is rare in humans and even rarer in animals,and may be congenital or acquired. The acquired form is less commom and may be induced by trauma or inflammationand neoplastic invasion of the phrenic nerve. Here, we report a case of acquired diaphragmatic eventration in a dog, withthe aim of increasing the knowledge of this condition in animals and helping others to recognize and treat future cases.Case: A 12-year-old male dachshund presented with severe dyspnea, exercise intolerance and episodes of coughing. Basedon a physical examination and imaging, the main suspicion was a diaphragmatic hernia, and surgery was performed. Whenthe surgeon entered the thoracic cavity, an extremely thin - yet, intact - right hemidiaphragm was observed. The left sideof the diaphragm was normal. A polypropylene mesh was sutured to the affected diaphragm in an attempt to strengthenthe hemidiaphragmatic muscles and prevent further insinuations of viscera into the thoracic cavity. The dog developedbronchopneumonia, postoperatively, and was hospitalized and treated with antibiotics, analgesics and support medication.However, the dog died five days after surgery. A postmortem examination revealed that the right side of the diaphragmwas markedly thin and flaccid. Diaphragm samples were collected for histopathological examination. For comparison, asample of normal diaphragm was collected from a same age, matched dachshund that died due to an unrelated condition.This tissue was called “diaphragm control”, and it was collected in order to compare the histologic features of a normaldiaphragm muscle with the affected one. Histopathology revealed a marked reduction of muscle fibers...

Acquired diaphragmatic eventration in a dog

Background: Diaphragmatic eventration is characterized by weakness of the diaphragmatic muscle, which leads to cranialdislocation of the affected diaphragm and, ultimately, in dyspnea. This condition is rare in humans and even rarer in animals,and may be congenital or acquired. The acquired form is less commom and may be induced by trauma or inflammationand neoplastic invasion of the phrenic nerve. Here, we report a case of acquired diaphragmatic eventration in a dog, withthe aim of increasing the knowledge of this condition in animals and helping others to recognize and treat future cases.Case: A 12-year-old male dachshund presented with severe dyspnea, exercise intolerance and episodes of coughing. Basedon a physical examination and imaging, the main suspicion was a diaphragmatic hernia, and surgery was performed. Whenthe surgeon entered the thoracic cavity, an extremely thin - yet, intact - right hemidiaphragm was observed. The left sideof the diaphragm was normal. A polypropylene mesh was sutured to the affected diaphragm in an attempt to strengthenthe hemidiaphragmatic muscles and prevent further insinuations of viscera into the thoracic cavity. The dog developedbronchopneumonia, postoperatively, and was hospitalized and treated with antibiotics, analgesics and support medication.However, the dog died five days after surgery. A postmortem examination revealed that the right side of the diaphragmwas markedly thin and flaccid. Diaphragm samples were collected for histopathological examination. For comparison, asample of normal diaphragm was collected from a same age, matched dachshund that died due to an unrelated condition.This tissue was called “diaphragm control”, and it was collected in order to compare the histologic features of a normaldiaphragm muscle with the affected one. Histopathology revealed a marked reduction of muscle fibers...(AU)