Polysaccharide storage myopathy in two Percheron horses / Miopatia por acúmulo de polissacarídeo em dois equinos da raça Percheron

Polysaccharide storage myopathy (PSSM) is a genetic disorder or by undetermined cause characterized by the abnormal accumulation of glycogen and polysaccharides in skeletal muscle fibers. The present report describes two Percheron horses, from different properties in the municipality of Pouso Redondo -SC, with locomotor clinical signs that started after work. The clinical signs observed were rigid gait, mainly of the pelvic limbs, muscle weakness, and recumbency. In the first case, the animal was diagnosed with severe multifocal rhabdomyonecrosis, moderate multifocal myoglobin nephrosisand severe diffuse transmural fibrinonecrotic gastritis. PSSM was confirmed by the presence of polysaccharide inclusions in myofiber sarcolemma visualized by periodic acid-Schiff (PAS) staining. In the second case, the horse presented two episodes ofmuscle disorder after work. The therapeutic protocol was based on penicillin, flunixin meglumine and fluid therapy with ringer lactate. An increase in creatine kinase (669.0 UI/L) and aspartate aminotransferase (669.0 UI/L) was observed in the serum biochemical evaluation. Research for mutation in the GYS1 gene was performed, with a positive heterozygote result. After rest and gradual recovery, the horse was only submitted to light work, with no return of the clinical condition since then. Thus, this report describes two cases of PSSM with distinct clinical evolution and diagnostic methods.(AU)

A miopatia por acúmulo de polissacarídeos (PSSM) é uma desordem genética ou de causa indeterminada caracterizada pelo acúmulo anormal de glicogênio e polissacarídeos nas fibras musculares esqueléticas. O presente relato descreve dois cavalos Percheron, oriundos de diferentes propriedades do município de Pouso Redondo ­SC, com sinais clínicos locomotores que iniciaram após o trabalho. Os sinais clínicos observados foram marcha rígida, principalmente dos membros pélvicos, fraqueza muscular, e decúbito. No primeiro caso, o animal foi diagnosticado com rabdomionecrose multifocal acentuada, nefrose mioglobínica multifocal moderada e gastrite fibrinonecrótica transmural difusa acentuada. A PSSM foi confirmada pela presença de inclusões polissacarídicas no sarcolema de miofibras visualizadas pela coloração com ácido periódico de Schiff (PAS). No segundo caso, o equino apresentou dois episódios de disfunção muscular após o trabalho. O protocolo terapêutico foi baseado em penicilina, flunixin megluminee fluidoterapia com ringer lactato. Um aumento de creatina quinase (669,0 UI/L) e aspartato aminotransferase (669,0 UI/L) foi observado na avaliação bioquímica sérica. Foi realizada pesquisa de mutação nogene GYS1, com resultado heterozigoto positivo. Após repouso e recuperação gradual, o cavalo foi submetido apenas a trabalhos leves, sem retorno do quadro clínico desde então. Assim, este relato descreve dois casos com PSSM com evolução clínica e métodos diagnósticos distintos.(AU)

Gastroesophageal foreign bodies in dogs - endoscopy and surgical removal

Background: Gastroesophageal foreign bodies (GFD) are commonly diagnosed in dogs and are considered an endoscopic emergency that, although not resulting in serious clinical sequelae or mortality, can compromise the health and well-being of the patient. The use of the digestive endoscopy for the diagnosis and treatment of GFD can be a valuable and viable alternative. There are cases of GFD in dogs for which the indicated treatment is surgery, which can be performed using minimally invasive or conventional techniques, associated or not with flexible endoscopy. The objective of this work is to describe 16 cases of GFD removal in dogs demonstrating the efficiency of upper digestive endoscopy. Cases: Of the 16 GFD cases, 63% (10/16) were male and 37% (6/16) female. Most aged under 1 year (63%), puppies (5/16) and juveniles (5/16). The patient with the lowest body weight was a miniature pinscher weighing 0.8 kg (Case 14) and the heaviest was an American Pit Bull Terrier weighing 28 kg (Case 11), the mean body weight of patients diagnosed with GFD was 10.2 ± 6.7 kg. Small and medium breeds were more affected, 44.7% (7/16) and 44.7% (7/16), respectively, and large breeds (Golden Retrievier and Bull Terrier), from cases 1 and 4, the least affected, 12.6% (2/16) of the cases. The 16 patients underwent a 12 h food fast and a 4 h water fast, as gastrointestinal emptying in these cases of GFD can be influenced by these foreign bodies. All underwent general inhalation anesthesia with monitoring of physiological parameters (temperature, heart rate, respiratory rate, oxygen saturation and blood pressure) before, during and after EGD, being positioned in left lateral decubitus. The 16 canine patients with suspected GFD underwent EGD for diagnostic confirmation and removal of foreign bodies. Five esophageal FB were diagnosed, 31% (5/16), and 11 gastric FB, 69% (11/16). The most frequently diagnosed foreign bodies were bone and tissue, 37.5% (6/16) and 31% (5/16). Other foreign bodies were materials such as plastics, metals, rubber, foam and stone. Of the 16 cases of GFD, EGD efficiently treated 88% (14/16) without the need for hospitalization, with only supportive treatment for the remission of complications caused by the presence of foreign bodies in the gastroesophageal tract. The main complications related to the presence of GFD were esophagitis in 25% (4/16) of cases, gastritis in 38% (6/16) and both alterations in 13% (2/16). Discussion: In this work, we can observe that more than a third of the clinical cases of treated dogs were diagnosed with GFD, demonstrating that these cases are common in the veterinary clinic. Most of these animals were males less than 1 year old. The improvement of learning in this category can lead these animals to exacerbated oral exploration of new objects. Most FBs were found in the stomach because they were of adequate size, consistency and shape for their passage through the esophagus, whereas esophageal FBs were all bone fragments of rigid consistency with diameters and sizes larger than the esophageal lumen. The interval between the ingestion of the object and the veterinary care can be decisive for the removal of the FB in the esophagus or stomach. Most gastric FBs removed were fabrics and plastics, flexible objects that can pass through the esophageal lumen more easily. Removal of GFD by endoscopy was performed with a high success rate, with only 2 cases being resolved by esophagostomy and gastrotomy. Flexible endoscopy proved to be an efficient technique for removing treated GFD, which can help remove FB during esophagotomy and be associated with rigid endoscopy. Patients recovered quickly and without complications, but it is important to emphasize that inadequate maneuvers and conducts can determine other outcomes. The use of endoscopy for GFD removal needs to be more popularized, as it can ensure better results for dogs treated with GFD.

Pitiose gástrica em canino jovem / Gastric pythiosis in a young canine

Pitiose gástrica canina é uma afecção crônica granulomatosa causada pelo pseudo-fungo Pythium insidiosum que ocasiona espessamento trasnsmural do estômago. Relata-se um caso de gastrite fúngica em um canino dobermann de 1 ano, macho, atendido no Hospital Veterinário da Universidade Federal do Mato Grosso, campus Sinop-MT, com sinais clínicos de diarreia escura intermitente, regurgitação, êmese e anorexia progressiva por cerca de três meses. No exame ultrassonográfico, observou espessamento gástrico difuso. Devido ao prognóstico ruim, foi realizado eutanásia. Na macroscopia, havia espessamento difuso da parede do estômago e petéquias multifocais por toda a mucosa. Na microscopia havia acentuado infiltrado inflamatório granulomatoso por toda a submucosa e muscular. Foi realizado coloração de metenamina nitrato de prata de Grocott (GMS), com evidenciação de hifas cenocíticas, raras septação e diâmetro de 6-10µm. A confirmação do diagnóstico e identificação do agente foi realizado através Imuno-histoquímica com anticorpo primário para Pythium insidiosum.

Canine gastric pythiosis is a chronic granulomatous infection caused by the insidious pythi fungus that causes stomach thickening. We report a case of fungal gastritis in a 1-year-old male progressive Doberman canine treated at the Veterinary Hospital of the Federal University of Mato Grosso, Sinop-MT campus, with clinical signs of intermittent diarrhea, regurgitation, vomiting and anorexia for about three months. On ultrasound examination, diffuse gastric thickening was observed. Due to the poor prognosis, euthanasia was performed. Macroscopically, there was diffuse thickening of the stomach wall and multifocal petechiae throughout the mucosa. On microscopy, there was a marked granulomatous inflammatory infiltrate throughout the submucosa and muscle Production of Grocott silver nitrate methenamine (GMS) was performed with evidence of cenocytic hyphae, rare septation and diameter of 6-10µm. Confirmation of the diagnosis and identification of the agent was performed through Immunohistochemistry with primary antibody to Pythium insidiosum.

Intoxicação acidental por lornoxicam em cão: Relato de caso / Intoxication by lornoxicam in dog: Case report

Lornoxicam é um anti-inflamatório não esteroidal (AINE) de uso exclusivamente humano, pois não existem doses estabelecidas nem indicações para o uso veterinário. Contudo, casos de intoxicação acidental em cães têm sido descritos. Neste estudo relata-se um caso de intoxicação acidental por lornoxicam em um cão atendido num hospital veterinário universitário. Trata-se de um cão, macho, da raça Shih Tzu, de aproximadamente 7 meses de idade, que havia ingerido 6 comprimidos de lornoxicam (Xepa®). Foram realizados exames de imagem e laboratoriais, sendo constatada gastrite medicamentosa e, posteriormente, quadro suspeito de peritonite. O animal foi tratado com antieméticos, protetores gástricos e antimicrobianos.(AU)

Lornoxicam is a non-steroidal anti-inflammatory drug (NSAID) for human use only, since there are no established doses or indications for veterinary use. However, cases of accidental poisoning in dogs have been described. This work aims to report a case of accidental poisoning by lornoxicam in a dog treated at an university veterinary hospital. A male Shih Tzu dog, approximately 7 months old, who had ingested six lornoxicam tablets (Xepa®). Imaging and laboratory tests were performed, and drug gastritis was found and, later, a suspected condition of peritonitis. The animal was treated with antiemetics, gastric protectors and antimicrobials.(AU)

Dexmedetomidine for chemical restraint of a Brazilian tapir (Tapirus terrestris)

Background: The Brazilian tapir (Tapirus terrestris), considered the largest land mammal in South America, is a vulnerable species in terms of its degree of conservation. In captivity, its health is evaluated through behavioral and physical observation and laboratory exams, and in some cases, chemical restraint, to reduce stress. Dissociative anesthetics and sedatives are used for the sedation of these animals, and few studies have reported the use of dexmedetomidine and its effects when associated with other drugs in chemical containment protocols; therefore, this work reports its use, in conjunction with ketamine and midazolam, in a young Brazilian tapir. Case: A male Brazilian tapir, male, weighing 89 kg, 1 and a half year old, housed at CETAS in Rio Branco, Acre, was chemically restrained with dexmedetomidine (7 µg/kg), ketamine (1.5 mg/kg), and midazolam (0.2 mg/kg) for venous blood collection, oral and rectal mucosal swabs, and microchipping. The protocol was administered intramuscularly to the right triceps brachii, after physical restraint. After 5 min of application, the animal assumed sternal recumbency and presented reflux. After 15 min, the patient was placed in the right lateral decubitus position. During collection, heart rate (48 ± 10 bpm), respiratory frequency (29 ± 1 mpm), rectal temperature (38.1 ± 0.18°C), oxyhemoglobin saturation (97 ± 1%), and electrocardiographic tracing were recorded. The tapir showed deep sedation, immobility, good muscle relaxation, discreet medial palpebral reflex, and bilateral rotation of the eyeball. After 40 min of protocol administration, sedative reversal was performed intramuscularly with 14 µg/kg atipamezole. Five min after administration, the tapir showed signs of mild sedation. After 10 min, he assumed the quadrupedal position, remained in this position for 8 min, and gently resumed the sternal decubitus. After only 20 min, he resumed the quadrupedal position, with mild ataxia and good muscular and conscious tone. After 50 min, the patient was discharged from anesthesia. Discussion: Domestic horses are phylogenetically close to tapirs, so the choice of drugs and doses of the protocol used was based on their use in horses, and on studies carried out with tapirs as well. Despite being docile and passive, the tapir was not conditioned and did not allow the manipulation and collection of samples collaboratively; therefore, it was chemically contained. The physical restraint performed did not generate satisfactory immobilization of the tapir, resulting in agitation and stress and causing the needle to break. The reflux presented by the tapir minutes after sedation and at recovery was induced by dexmedetomidine, and only the undigested banana pieces were offered to the animal. Reflux plus stress from extensive fasting and suboptimal physical restraint was responsible for the change in the tapir's eating behavior, with possible stress gastritis 24 h after chemical restraint. Only one study reported the use of dexmedetomidine in tapirs, associated with continuous infusions of ketamine, midazolam and guaiacol glyceryl ether for moderate to long-term field procedures. Sedative reversal of dexmedetomidine by atipamezole reduced the recovery time and the risk of death from cardiorespiratory depression. The anesthetic combination used was effective, promoting immobility, muscle relaxation, and stability of the physical parameters evaluated, with rapid and gentle induction and an adequate level of sedation for the objective, good sedative reversal, and anesthetic recovery.

Infusão contínua de fentanil e cetamina para controle de dor no transcirurgico: relato de caso / Continuous infusion of fentanyl and ketamine for trans-surgical pain control: case report

O paciente da espécie canina, sem raça definida, com 5 anos, deu entrada a clínica veterinária particular apresentando quadro de dor aguda e intensa em cavidade abdominal associada a prostração. Foram realizados exames de sangue, ultrassonografia e radiografia de abdômen, cuja suspeita foi torção parcial do estômago, com esplenomegalia, além de gastrite e enterite. O paciente foi submetido imediatamente ao procedimento cirúrgico para alívio, reposicionamento do órgão e gastropexia. O animal foi medicado previamente com metadona, tramadol e dipirona duas horas antes do ato cirúrgico, portanto não foram utilizadas medicações pré-anestésicas e optou-se pelo propofol e cetamina para a indução anestésica, além da infusão contínua com cetamina e fentanil para se obter a analgesia multimodal. Os parâmetros de dor foram avaliados por meio das frequências cardíaca e respiratória, traçado eletrocardiográfico, pressão arterial sistólica e média, aferição da temperatura retal e coloração de mucosas, a cada 5 minutos. Os mesmos indicaram boa estabilidade hemodinâmica, segurança e analgesia, sem necessidade de alterar as doses estabelecidas durante o procedimento. Pode ser observada também redução do requerimento de isoflurano para manutenção do plano cirúrgico. O paciente acordou sem sinais de dor no pós-operatório imediato evitando estresse sistêmico, o que conferiu o bom resultado do protocolo analgésico instituído.

The patient (Caramel) canine, mixed breed, approximately 5 years old, weighing 26kg was seen at the Ame Vet veterinary clinic, with severe abdominal pain, apathy, anorexia, prostration. Blood tests, abdominal ultrasound and abdominal x-ray were performed according to the tests a suspicion of partial torsion of the stomach and splenomegaly with right displacement, in addition to gastritis and enteritis. It was decided by the clinic and surgeon to perform laparotomy and prophylactic gastropexy. The animal was previously medicated by the clinic that treated the animal for analgesia with methadone, tramadol and dipyrone two hours before the beginning of the surgical procedure, therefore, pre-anesthetic medications, anesthetic induction with propofol, and ketamine were not used, aiming to perform analgesia. Multimodal with continuous infusion of ketamine and fentanyl, that is, more than one different mechanism of action, acting synergistically and reducing dose-dependent adverse effects and monitoring hemostasis and patient parameters, presenting its efficacy and safety in intraoperative pain control. The parameters addressed were heart rate (HR), respiratory rate (RR), electrocardiographic tracing, Spo2, systolic blood pressure (SBP), mean arterial pressure (MAP), temperature and mucosal color, evaluated every 5 minutes. The parameters evaluated indicated good hemodynamic stability, safety and analgesia, with no need to change the doses established during the procedure. A reduction in the requirement of isoflurane to maintain the surgical plan can also be observed. The patient woke up without signs of pain in the immediate postoperative period, thus avoiding systemic stress. which conferred the good result of the analgesic protocol instituted.

Metastatic gastric adenocarcinoma associated with hypertrophic gastropathy resembling Ménétriers disease in an adult Labrador Retriever dog

We describe a case of hypertrophic gastropathy (Ménétriers like disease) with metastatic gastric adenocarcinoma in a seven-year-old intact female Labrador Retriever dog. The animal suddenly presented with emesis and died. Gross lesions included a marked diffuse thickening of the gastric mucosa and an ulcerated transmural neoplastic mass in the gastric body. Gastric body and fundus were affected by foveolar hyperplasia with loss of chief and parietal cells replaced by mucous cells and marked dilatation of gastric glands. An area of gastric adenocarcinoma with submucosal lymphatic vessels invasion was also present and metastases were observed in the gastric lymph nodes, small intestine, pancreas, lung and liver. Due to its similarity with other gastric proliferative disorders, including this condition in the list of differentials is a necessary step in the diagnostic investigation of canine gastropathies.(AU)

Metastatic gastric adenocarcinoma associated with hypertrophic gastropathy resembling Ménétrier’s disease in an adult Labrador Retriever dog

We describe a case of hypertrophic gastropathy (Ménétrier’s like disease) with metastatic gastric adenocarcinoma in a seven-year-old intact female Labrador Retriever dog. The animal suddenly presented with emesis and died. Gross lesions included a marked diffuse thickening of the gastric mucosa and an ulcerated transmural neoplastic mass in the gastric body. Gastric body and fundus were affected by foveolar hyperplasia with loss of chief and parietal cells replaced by mucous cells and marked dilatation of gastric glands. An area of gastric adenocarcinoma with submucosal lymphatic vessels invasion was also present and metastases were observed in the gastric lymph nodes, small intestine, pancreas, lung and liver. Due to its similarity with other gastric proliferative disorders, including this condition in the list of differentials is a necessary step in the diagnostic investigation of canine gastropathies.

Nodular and sclerosing gastritis caused by Cylicospirura felineus in a puma (Puma concolor) / Gastrite nodular esclerosante causada por Cylicospirura felineus em onça parda (Puma concolor)

An adult male puma (Puma concolor), hit by a car in an urban area, died three days later despite the therapeutic support provided. At necropsy, multiple firm nodules were identified in the gastric mucosa. The nodules were coated by an intact mucosa with a central opening from which reddish and cylindrical nematodes protruded into the lumen. Twenty-seven nematodes were retrieved for morphological and morphometric evaluations. During histopathological examination of the gastric tissue, the adult nematodes appear in longitudinal and transverse sections, surrounded by thick bands of collagen, interspersed with mixed inflammatory infiltrates. The nematodes had an eosinophilic cuticle with caudal serrated projections (bulbar type), coelomyarian musculature, pseudocoelom, and females with uterus containing numerous larvated eggs, characteristics consistent with the Cylicospirura genus. Morphologically, female nematodes had six large tricuspid teeth in the oral cavity and the vulva had an opening anterior to the esophagus–intestinal junction. Male nematodes had five pairs of small papillae near the tip of the tail. These findings were consistent with Cylicospirura felineus. This parasite should be included in the differential diagnosis of nodular gastric wall lesions in wild felids.(AU)

Uma onça parda (Puma concolor) foi encontrada em uma área urbana após atropelamento e, apesar do suporte terapêutico fornecido, o animal morreu três dias depois. No exame post-mortem, múltiplos nódulos firmes foram identificados na mucosa gástrica. Os nódulos eram revestidos por mucosa intacta com um orifício central, do qual se insinuavam nematódeos cilíndricos e avermelhados. Vinte e sete nematódeos foram recuperados para avaliação morfológica e morfométrica. Na avaliação histopatológica do tecido gástrico, os nematódeos adultos apareceram em cortes longitudinais e transversais, circundados por bandas espessas de colágeno, intercaladas por infiltrado inflamatório misto. Os nematódeos eram constituídos por cutícula eosinofílica, com projeções serrilhadas voltadas caudalmente (do tipo bulbar), musculatura celomiariana, pseudoceloma e, nas fêmeas, útero com numerosos ovos larvados cujos achados foram sugestivos do gênero Cylicospirura. Morfologicamente, a cavidade bucal continha seis grandes dentes trífidos, na fêmea, a abertura da vulva era anterior à junção esôfago intestinal; e os machos tinham cinco pares de pequenas papilas próximas à ponta da cauda. Esses achados foram consistentes com Cylicospirura felineus. Este parasita deve ser incluído no diagnóstico diferencial de lesões nodulares da parede gástrica em felinos selvagens.(AU)

Epidemiology of colic syndrome in horses over 15 years of care / Epidemiologia da síndrome cólica em equinos ao longo de 15 anos de atendimento

Colic syndrome is a condition of great importance in equine production, a syndrome considered to be complex and multifactorial in nature. In this way epidemiological studies have been acting to contribute to the identification of risk factors in the development of wind power. This study evaluated the clinical epidemiology of the colic syndrome according to race, gender, diagnosis, affected segment, therapeutic decision and outcome of the cases treated at the Veterinary Hospital "Dr Halim Atique", interior of São Paulo.  The medical records of the animals assisted from January 2004 to July 2018, whose complaint was abdominal discomfort, were evaluated. Of the 535 animals, the most affected breed was the Quarter Horses (69.3%) followed by the Mangalarga (6.9%); females (53.1%) were more prone to the development of the syndrome. Compaction (28.8%), gastritis (11.8%), followed by gas distension (10.3%) were the most frequent changes; the affected segments being the stomach (21.9%), major colon (17.2%), and small intestine (15.7%). Clinical treatment (64.7%) was the most instituted and in the outcome of the cases, the discharge (77.4%) prevailed. The study presents data that can support epidemiological research in the area, assisting in the identification of causal and predictive factors for the colic syndrome.

A síndrome cólica é uma afecção de grande importância na equideocultura, síndrome essa considerada de natureza complexa e multifatorial. Desta forma os estudos epidemiológicos vêm atuando para contribuir na identificação de fatores de risco no desenvolvimento da cólica. Este estudo avaliou a epidemiologia clínica da síndrome cólica de acordo com a raça, sexo, diagnóstico, segmento acometido, decisão terapêutica e desfecho dos casos atendidos no Hospital Veterinário “Dr Halim Atique”, interior de São Paulo. Foram avaliados os prontuários dos animais atendidos no período de janeiro de 2004 a julho de 2018, cuja queixa foi o desconforto abdominal. Dos 535 animais, a raça mais acometida foi a Quarto de Milha (69,3%) seguido do Mangalarga (6,9%); quanto ao sexo, fêmeas (53,1%) se mostraram mais propensas ao desenvolvimento da síndrome. Compactação (28,8%), gastrite (11,8%) seguidoda distensão por gás (10,3%) foram às alterações mais frequentes; sendo os segmentos acometidos, o estômago (21,9%), cólon maior (17,2%) e intestino delgado (15,7%). O tratamento clínico (64,7%) foi o mais instituído e no desfecho dos casos, a alta (77,4%) prevaleceu. O estudo apresenta dados que podem subsidiar pesquisas epidemiológicas na área auxiliando na identificação de fatores causais e preditivos para a síndrome cólica.

Epidemiology of colic syndrome in horses over 15 years of care / Epidemiologia da síndrome cólica em equinos ao longo de 15 anos de atendimento

Colic syndrome is a condition of great importance in equine production, a syndrome considered to be complex and multifactorial in nature. In this way epidemiological studies have been acting to contribute to the identification of risk factors in the development of wind power. This study evaluated the clinical epidemiology of the colic syndrome according to race, gender, diagnosis, affected segment, therapeutic decision and outcome of the cases treated at the Veterinary Hospital "Dr Halim Atique", interior of São Paulo.  The medical records of the animals assisted from January 2004 to July 2018, whose complaint was abdominal discomfort, were evaluated. Of the 535 animals, the most affected breed was the Quarter Horses (69.3%) followed by the Mangalarga (6.9%); females (53.1%) were more prone to the development of the syndrome. Compaction (28.8%), gastritis (11.8%), followed by gas distension (10.3%) were the most frequent changes; the affected segments being the stomach (21.9%), major colon (17.2%), and small intestine (15.7%). Clinical treatment (64.7%) was the most instituted and in the outcome of the cases, the discharge (77.4%) prevailed. The study presents data that can support epidemiological research in the area, assisting in the identification of causal and predictive factors for the colic syndrome.(AU)

A síndrome cólica é uma afecção de grande importância na equideocultura, síndrome essa considerada de natureza complexa e multifatorial. Desta forma os estudos epidemiológicos vêm atuando para contribuir na identificação de fatores de risco no desenvolvimento da cólica. Este estudo avaliou a epidemiologia clínica da síndrome cólica de acordo com a raça, sexo, diagnóstico, segmento acometido, decisão terapêutica e desfecho dos casos atendidos no Hospital Veterinário “Dr Halim Atique”, interior de São Paulo. Foram avaliados os prontuários dos animais atendidos no período de janeiro de 2004 a julho de 2018, cuja queixa foi o desconforto abdominal. Dos 535 animais, a raça mais acometida foi a Quarto de Milha (69,3%) seguido do Mangalarga (6,9%); quanto ao sexo, fêmeas (53,1%) se mostraram mais propensas ao desenvolvimento da síndrome. Compactação (28,8%), gastrite (11,8%) seguidoda distensão por gás (10,3%) foram às alterações mais frequentes; sendo os segmentos acometidos, o estômago (21,9%), cólon maior (17,2%) e intestino delgado (15,7%). O tratamento clínico (64,7%) foi o mais instituído e no desfecho dos casos, a alta (77,4%) prevaleceu. O estudo apresenta dados que podem subsidiar pesquisas epidemiológicas na área auxiliando na identificação de fatores causais e preditivos para a síndrome cólica.(AU)

The role of high sensitive C-reactive protein and histopathological evaluation in chronic gastritis patients with or without Helicobacter pylori infection

Purpose:To evaluate serum levels of high-sensitivity C-reactive protein (hs-CRP) in chronic gastritis patients to predict Helicobacter pylori (HP) infection, inflammatory activity, and precancerous lesions.Methods:A total of 811 patients with upper gastrointestinal symptoms and histopathological diagnosis of chronic gastritis were enrolled in the study. On endoscopy, five gastric biopsies were taken according to Modified Sydney protocol, which were stained with hematoxylin & eosin and GiemsaResults:HP infection was found in 28.6% of patients, being significantly more common in specimens with acute and chronic inflammatory activity. Mucosal atrophy, intestinal metaplasia, and dysplasia were found in 20.2%, 18.8% and 2.7% of biopsy specimens. Mean hs-CRP was 1.9±1.6 mg/dl for males and 2.2±1.9 mg/dl for females. hs-CRP average were significantly higher in patients with severe acute inflammation (p:0.049), in patients with severe chronic inflammation (p:0.015) and in those with HP (p: 0.001) . The severity of HP infection increased significantly with the increased degree of acute inflammation, chronic inflammation and hs-CRP level (p=0.001 for both).Conclusion:Serum hs-CRP level increases in patients with chronic gastritis, it could be an indicator of severity of acute or chronic mucosal inflammation, and presence of HP infection. Therefore, hs-CRP may aid the diagnosis of chronic gastritis, but it is not associated with pre-cancerous lesions.(AU)

Atrophic gastritis in a Shih-Tzu dog - case report / Gastrite atrófica em cão da raça Shih-Tzu - relato de caso

We report the case of a female Shih-Tzu dog with chronic vomiting and hematemesis not responsive to symptomatic treatment. Due to the non-specific clinical signs, the patient underwent endoscopy and biopsy of the gastric mucosa. Histopathological analysis revealed atrophic gastritis, a disease rarely reported in dogs and characterized by the destruction of parietal cells of the mucosa and their replacement by fibrosis. This analysis allowed an adequate treatment based on the administration of corticosteroids by the anti-inflammatory effects and action in the regeneration of parietal cells, associated with a soft, hypoallergenic diet formulated with a low fat content, low digestible fibers, and high contents of complex carbohydrates, which resulted in the resolution of the clinical condition in a few weeks. In a second endoscopy, performed after eight months of treatment, the gastric mucosa presented a pink color, regardless of the degree of distension, no lesions or discontinuity points. Fragments were collected for histopathological analysis, which confirmed the recovery of gastric lesions and restoration of the macroscopically healthy mucosa. Most gastric diseases require histological analysis for a definitive diagnosis. In this context, endoscopy has brought unquestioned benefits to the patient since it allowed an accurate diagnosis with a quick and safe collection of gastric mucosa samples.(AU)

Relata-se o caso de uma cadela da raça Shih-Tzu com vômito crônico e hematêmese não responsivos ao tratamento sintomático. Devido aos sinais clínicos inespecíficos, a paciente foi submetida à endoscopia e biópsia da mucosa gástrica. A análise histopatológica revelou gastrite atrófica, doença raramente reportada em cães e caracterizada pela destruição das células parietais da mucosa e sua substituição por fibrose. Esta análise possibilitou o tratamento adequado, embasado na administração de corticosteróides, pelos efeitos antiinflamatórios e pela atuação na regeneração das células parietais, associada a uma dieta leve, hipoalergênica, formulada com baixos teores de gordura, pobre em fibras digeríveis e altos teores de carboidratos complexos, que resultou na resolução do quadro clínico em poucas semanas. Em uma segunda endoscopia, realizada após oito meses de tratamento, a mucosa gástrica se apresentava de coloração rósea, independentemente do grau de distensão, sem lesões ou pontos de descontinuidade. Foram colhidos fragmentos para análise histopatológica, que confirmou a recuperação das lesões gástricas e restabelecimento de mucosa macroscopicamente saudável. A maioria das doenças gástricas necessita de análise histológica para o diagnóstico definitivo. Neste contexto, a endoscopia trouxe benefícios incontestes à paciente, pois possibilitou o diagnóstico preciso com colheita de amostras de mucosa gástrica de forma rápida e segura.(AU)

Correlation between different Helicobacter morphotypes and histological changes in pig gastric mucosa

Background: Two distinct morphologic types of bacteria which belong to the Helicobacter species, have been described in pigs: once or twice curved Helicobacter pylori-like bacteria (HLO) and the multicoiled, Gastrospirillum-like bacteria (GLO). The objective of this study was to determine the incidence of Helicobacter spp. using modified Giemsa stain and to define the relationship between presence of Helicobacter spp. and histopathological changes of gastric mucosa in pigs.Materials, Methods & Results: A total of 120 pig stomachs (60 from intensive and 60 from extensive breeding) were enrolled in this study and 240 fragments of fundic and pyloric mucosa were taken for histopathological examination. By modified Giemsa staining of gastric mucosa, Helicobacter-like organisms were confirmed in 4/60 (6.67%) of pigs in intensive and 5/60 (8.33%) of pigs in extensive breeding. The incidence of tightly spiral shaped Gastrospirillum-like organisms in pigs of intensive and extensive breeding were 5/60 (8.33%) and 9/60 (15%), respectively. The severity of gastritis was scored to the Sydney System with some modifications. There was no significant difference between HLO-positive and HLO-negative fundic mucosa in pigs of both breeding systems. In contrary, there was significant difference between HLO-positive and HLO-negative pyloric mucosa of pigs in intensive (P < 0.001) and in extensive breeding (P < 0.05). In intensive breeding, there was significant difference between GLO-positive and GLO-negative fundic mucosa (P < 0.05), while there was no significant difference between GLO-positive and GLO-negative pyloric mucosa.Discussion: The prevalence of Helicobacter spp. bacteria were in coherence with literature data. The higher prevalence of both morfological type of bacteria, were considered in pigs in extensive breeding. the hygienic conditions and managment factors in pigs farm are the possible impact for higher bacterial transmission.[...]

Correlation between different Helicobacter morphotypes and histological changes in pig gastric mucosa

Background: Two distinct morphologic types of bacteria which belong to the Helicobacter species, have been described in pigs: once or twice curved Helicobacter pylori-like bacteria (HLO) and the multicoiled, Gastrospirillum-like bacteria (GLO). The objective of this study was to determine the incidence of Helicobacter spp. using modified Giemsa stain and to define the relationship between presence of Helicobacter spp. and histopathological changes of gastric mucosa in pigs.Materials, Methods & Results: A total of 120 pig stomachs (60 from intensive and 60 from extensive breeding) were enrolled in this study and 240 fragments of fundic and pyloric mucosa were taken for histopathological examination. By modified Giemsa staining of gastric mucosa, Helicobacter-like organisms were confirmed in 4/60 (6.67%) of pigs in intensive and 5/60 (8.33%) of pigs in extensive breeding. The incidence of tightly spiral shaped Gastrospirillum-like organisms in pigs of intensive and extensive breeding were 5/60 (8.33%) and 9/60 (15%), respectively. The severity of gastritis was scored to the Sydney System with some modifications. There was no significant difference between HLO-positive and HLO-negative fundic mucosa in pigs of both breeding systems. In contrary, there was significant difference between HLO-positive and HLO-negative pyloric mucosa of pigs in intensive (P < 0.001) and in extensive breeding (P < 0.05). In intensive breeding, there was significant difference between GLO-positive and GLO-negative fundic mucosa (P < 0.05), while there was no significant difference between GLO-positive and GLO-negative pyloric mucosa.Discussion: The prevalence of Helicobacter spp. bacteria were in coherence with literature data. The higher prevalence of both morfological type of bacteria, were considered in pigs in extensive breeding. the hygienic conditions and managment factors in pigs farm are the possible impact for higher bacterial transmission.[...](AU)

Malignant pancreatic gastrinoma in a maned wolf (Chrysocyon brachyurus): case report / Gastrinoma pancreático maligno em lobo-guará (Chrysocyon brachyurus): relato de caso

A captive 12-year-old female maned wolf (Chrysocyon brachyurus), previously diagnosed with visceral leishmaniasis, developed severe myiasis in the right ear, followed by prostration and death. A firm solid nodule, measuring 1 x 3cm, was grossly observed in the pancreas. Histologically, there was neoplastic proliferation in the pancreas and pancreatic lymph node. Neoplastic cells had a neuroendocrine pattern, and were positive for gastrin and pancreatic polypeptide by immunohistochemistry. The wolf had also ulcerative gastritis. To the best of our knowledge is the first reported case gastrinoma in this species.(AU)

Uma fêmea lobo-guará de cativeiro (Chrysocyon brachyurus), diagnosticada previamente com leishmaniose visceral, desenvolveu miíase grave na orelha direita, seguida por prostação e morte. Um nódulo sólido, firme e medindo 1 x 3cm, foi macroscopicamente observado no pâncreas. Histologicamente, observou-se proliferação neoplásica no pâncreas e linfonodo pancreático. As células neoplásicas tinham um padrão neuroendócrino e foram positivas para gastrina e polipeptideo pancreático por imuno-histoquímica. A loba tinha também gastrite ulcerativa. Este é o primeiro caso descrito de gastrinoma nessa espécie.(AU)

Malignant pancreatic gastrinoma in a maned wolf (Chrysocyon brachyurus): case report / Gastrinoma pancreático maligno em lobo-guará (Chrysocyon brachyurus): relato de caso

A captive 12-year-old female maned wolf (Chrysocyon brachyurus), previously diagnosed with visceral leishmaniasis, developed severe myiasis in the right ear, followed by prostration and death. A firm solid nodule, measuring 1 x 3cm, was grossly observed in the pancreas. Histologically, there was neoplastic proliferation in the pancreas and pancreatic lymph node. Neoplastic cells had a neuroendocrine pattern, and were positive for gastrin and pancreatic polypeptide by immunohistochemistry. The wolf had also ulcerative gastritis. To the best of our knowledge is the first reported case gastrinoma in this species.(AU)

Uma fêmea lobo-guará de cativeiro (Chrysocyon brachyurus), diagnosticada previamente com leishmaniose visceral, desenvolveu miíase grave na orelha direita, seguida por prostação e morte. Um nódulo sólido, firme e medindo 1 x 3cm, foi macroscopicamente observado no pâncreas. Histologicamente, observou-se proliferação neoplásica no pâncreas e linfonodo pancreático. As células neoplásicas tinham um padrão neuroendócrino e foram positivas para gastrina e polipeptideo pancreático por imuno-histoquímica. A loba tinha também gastrite ulcerativa. Este é o primeiro caso descrito de gastrinoma nessa espécie.(AU)

Ultrastructural and molecular characterization of non-Helicobacter pylori species in the gastric mucosa of naturally infected pigs

Infection by Helicobacter spp. has been associated with gastritis and ulcers in pigs and humans. Association between Helicobacter species and lesions can contribute to determine specific pathogenicity. The aim of this study was to describe ultrastructural aspects of Helicobacter spp. and identify Helicobacter species by PCR assay. Gastric samples from 13 naturally infected sows were analyzed. From these, 12 were positive for Helicobacter spp. 16S rRNA gene and seven were identified as H. suis. The species was not identified in five samples and all samples were negative for urease gene. The sequencing of rRNA gene of five samples showed similarity with H. suis and H. heilmannii type I. Seven samples positive for Helicobacter genus generated no sequenceable fragments. On ultrastructural study, three samples showed helical bacteria measuring 4 to 6 μm long, 0.5 to 0.8 μm width, 4 to 8 spirals and 2 to 6 bipolar flagella. Two samples showed bacteria measuring 9 to 10 μm in length, 0.5 μm width, 22 to 24 spirals and no flagella, characterizing Helicobacter non-H. pylori, but these samples were negative for H. suis. In conclusion, the results indicate that adult pigs are commonly infected by helical bacteria presenting different ultrastructural characteristics, suggesting that mixed infection is frequent.

Ultrastructural and molecular characterization of non-Helicobacter pylori species in the gastric mucosa of naturally infected pigs

Infection by Helicobacter spp. has been associated with gastritis and ulcers in pigs and humans. Association between Helicobacter species and lesions can contribute to determine specific pathogenicity. The aim of this study was to describe ultrastructural aspects of Helicobacter spp. and identify Helicobacter species by PCR assay. Gastric samples from 13 naturally infected sows were analyzed. From these, 12 were positive for Helicobacter spp. 16S rRNA gene and seven were identified as H. suis. The species was not identified in five samples and all samples were negative for urease gene. The sequencing of rRNA gene of five samples showed similarity with H. suis and H. heilmannii type I. Seven samples positive for Helicobacter genus generated no sequenceable fragments. On ultrastructural study, three samples showed helical bacteria measuring 4 to 6 μm long, 0.5 to 0.8 μm width, 4 to 8 spirals and 2 to 6 bipolar flagella. Two samples showed bacteria measuring 9 to 10 μm in length, 0.5 μm width, 22 to 24 spirals and no flagella, characterizing Helicobacter non-H. pylori, but these samples were negative for H. suis. In conclusion, the results indicate that adult pigs are commonly infected by helical bacteria presenting different ultrastructural characteristics, suggesting that mixed infection is frequent.(AU)

Gross and histologic features of gastritis due to Ophidascaris arndti in tropical rattlesnakes (Crotalus durissus) / Alterações macro e microscópicas da gastrite associadas com Ophidascaris arndti em cascavéis (Crotalus durissus)

The tropical rattlesnake (Crotalus durissus) is a snake of great importance for biomedical industry since its poison is used for the production of antiophidic serum and researches. Several conditions related to animal health, such as diseases and parasites, which can promote the reduction of poison production by these snakes should be investigated. Accordingly, the aim of this study was to characterize the gross and microscopic lesions related to the presence of Ophidascaris arndti in stomachs of tropical rattlesnakes. The gastrointestinal tract of thirty-five South American rattlesnakes captured in Southeastern region of Brazil were analyzed and nineteen animals showed infestation by the parasites, found in the small intestine and, especially, in the stomach of the hosts. Grossly, lesions were characterized by mucosal ulcers occasionally associated with hemorrhage. Microscopic alterations included histiocytic granulomas, fibrosis, necrosis, and hemorrhage. Based on these findings, the diagnosis of a parasitic granulomatous disease was made. The lesions may be related to the cause of death in captivity snakes, since the lesions can promote secondary infections by opportunistic bacteria. Moreover, the intense inflammatory response accompanied by fibrosis may be related to poor functioning of the gastric snakes, which it may exhibit frequent regurgitation of the food.(AU)

A cascavel (Crotalus durissus) é uma serpente de grande importância para a indústria biomédica, uma vez que seu veneno é utilizado para a produção de soro antiofídico e para pesquisas. Condições diversas relacionadas ao estado de saúde do animal, como doenças e parasitoses, que possam promover a diminuição da produção de veneno por essas serpentes, devem ser investigadas. O objetivo deste estudo foi caracterizar os achados macro e microscópicos relacionados à presença de nematódeos Ophidascaris arndti nos estômagos de cascavéis. O trato gastrointestinal de 35 cascavéis capturadas na região Sudeste do Brasil foi avaliado Dessas, 19 apresentavam infestação pelo parasito, que foi encontrado predominantemente no estômago e no intestino delgado dos hospedeiros. Macroscopicamente, as lesões foram caracterizadas por úlceras nas camadas mucosas, ocasionalmente associadas com hemorragia. As alterações microscópicas apresentaram granulomas histiocíticos, fibrose, necrose e hemorragia. Baseado em tais achados, o diagnóstico de doença granulomatosa parasitária foi realizado. As lesões encontradas podem estar relacionadas à causa das mortes das serpentes em cativeiro, uma vez que podem favorecer infecções secundárias por bactérias oportunistas. Além disso, a intensa resposta inflamatória e a fibrose podem estar relacionadas ao mau funcionamento gástrico das serpentes, que podem apresentar frequente regurgitação do alimento.(AU)