Resumo
A 20-year-old, sexually intact male Dutch Warmblood horse was presented with a 5-day history of difficulty moving and non-flexion of the right pelvic limb, followed by subcutaneous swelling and permanent lateral decubitus. Despite attempts at palliative care, the horse was euthanized after clinical worsening and lack of treatment response. The main gross finding was a soft, red-to-black, lobulated mass involving the right semitendinosus, semimembranosus, and biceps femoris muscles. Soft, red nodules were also seen in all pulmonary lobes and adrenal glands. Histology revealed neoplastic proliferation of malignant polygonal cells, occasionally arranged in irregular anastomosing vascular channels filled with erythrocytes. Neoplastic cells were immunoreactive for factor VIII-related antigen, confirming the blood vascular origin. A final diagnosis of epithelioid hemangiosarcoma was made. These findings reinforced the inclusion of hemangiosarcoma as a differential diagnosis of equine muscular lesions and highlighted the histological features of the epithelioid hemangiosarcoma subtype.
Um cavalo macho não castrado, Sela Holandesa, de 20 anos de idade apresentou histórico de dificuldade de movimentação e não flexão do membro pélvico direito, seguido por inchaço subcutâneo e decúbito lateral permanente. Apesar das tentativas de cuidados paliativos, o cavalo foi eutanasiado após piora clínica e falta de resposta ao tratamento. O principal achado macroscópico foi uma massa macia, vermelha a preta e lobulada envolvendo os músculos semitendinoso, semimembranoso e bíceps femoral direito. Nódulos macios e vermelhos também foram observados nos lobos pulmonares e adrenais. A histologia revelou proliferação neoplásica de células poligonais malignas, ocasionalmente arranjadas em estruturas vasculares irregulares preenchidas por eritrócitos. As células neoplásicas foram imunorreativas para antígeno relacionado ao fator VIII, confirmando a origem vascular sanguínea. Portanto, foi realizado o diagnóstico final de hemangiossarcoma epitelioide intramuscular. Esses achados reforçaram a inclusão do hemangiossarcoma como diagnóstico diferencial das lesões musculares equinas e destacaram as características histológicas do subtipo hemangiossarcoma epitelioide.
Assuntos
Animais , Neoplasias Vasculares/veterinária , Doenças dos Cavalos , Hemangiossarcoma/veterináriaResumo
O resíduo de fecularia é um subproduto da agroindústria utilizado com frequência na alimentação de bovinos leiteiros pelo alto teor energético e baixo custo. No entanto, possui características propícias ao desenvolvimento de microrganismos patogênicos como o Clostridium botulinum, causador do botulismo. Este relato é o primeiro na literatura consultada a descrever um surto de botulismo em uma propriedade de bovinos leiteiros devido ao consumo de massa de mandioca, alimento ofertado em muitas propriedades do Oeste do Paraná. 16 animais, de um total de 24 morreram em um período de 14 dias, com sinais clínicos de respiração abdominal, sialorreia, paresia de membros pélvicos, decúbito esternal seguido de lateral permanente, diminuição dos tônus mandibular e lingual e morte em até 48 horas. Os animais não eram vacinados para clostridioses e recebiam o resíduo em cocho coletivo. O diagnóstico foi baseado no histórico, na avaliação das condições de armazenamento do alimento na propriedade, no exame físico e na ausência de lesões macroscópicas e histológicas. Conclui-se que o resíduo de fecularia deteriorado é um substrato propício para desenvolvimento do C. Botulinum sendo um alimento passível de provocar surtos de botulismo em bovinos leiteiros com alta morbidade e letalidade.(AU)
Cassava is an industry by-product waste used to feeding cattle due to its low cost and high energy. However, this food presents characteristics to development of pathogenic microorganisms such as Clostridium botulinum causer of botulism. This disease results from the ingestion of preformed neurotoxins that act at the neuromuscular junctions causing flaccid paralysis of striated muscles. This is the first report to describe botulism due the intake of cassava by-product (tapioca waste), a common food offered in the west of Parana State. 16 dairy cattle died from a total of 24 animals in 14 days. The clinical signs were dyspnea with abdominal pattern, sialorrhea, pelvic limb paresis, decreased mandibular and tongue tonus and permanent sternal progressing to lateral decubitus and death until 48 hours after the onset of signs. The diagnosis was based on anamnesis, evaluation of food storage conditions, clinical examination, and the absence of macroscopic and histology lesions. It was concluded that cassava by-product has conditions to the development of Clostridium botulinum and can cause botulism outbreak with high morbidity and lethality.(AU)
El residuo de almidón es un subproducto de la agroindustria que suele utilizarse para alimentar al ganado lechero por su alto contenido energético y su bajo coste. Sin embargo, tiene características favorables para el desarrollo de microorganismos patógenos como Clostridium botulinum, causante del botulismo. Este informe es el primero en la literatura que describe un brote de botulismo en una hacienda de ganado lechero debido al consumo de pasta de mandioca, alimento ofrecido en muchas propiedades del oeste de Paraná. 16 animales, de un total de 24, murieron en un período de 14 días, con signos clínicos de respiración abdominal, sialorrea, paresia de los miembros pélvicos, decúbito esternal seguido de decúbito lateral permanente, disminución del tono mandibular y lingual y muerte en 48 horas. Los animales no estaban vacunados contra la clostridioses y recibían sus desechos en un comedero comunitario. El diagnóstico se basó en la anamnesis, la evaluación de las condiciones de almacenamiento de los alimentos en la propiedad, el examen físico y la ausencia de lesiones macroscópicas e histológicas. Se concluye que el residuo de almidón descompuesto es un sustrato favorable para el desarrollo de C. botulinum y es un alimento que puede causar brotes de botulismo en ganado lechero con alta morbilidad y letalidad.(AU)
Assuntos
Animais , Feminino , Botulismo/epidemiologia , Bovinos/microbiologia , Brasil , Manihot/efeitos adversos , Clostridium botulinum/patogenicidade , Perda e Desperdício de Alimentos/análiseResumo
The sartorius muscle is located in the pelvic limb of the dog and is divided into a cranial and caudal part. There is no report describingof the three parts of the sartorius muscle. The aim of the present report was to describe the presence of a third part of the sartorius muscle in a dog. Although it does not represent a malformation, it is an important anatomical variation to consider fordidactic purposes of dissection and in surgeries of the pelvic limb, as in this case there is a need to move the muscles apart to maintain their integrity.Furthermore, this anatomical description is relevant for comparative purposes in this animal species.(AU)
Assuntos
Animais , Cães/anatomia & histologia , Variação Anatômica , Músculos Isquiossurais/anatomia & histologiaResumo
Background: The peroneus tertius muscle is responsible for tarsal flexion and coordinate extension of the stifle joint. The most common causes of rupture are excessive effort when trying to rise on a slippery surface, mounting, or being mounted. Rupture of the peroneus tertius muscle is characterized by an inability to flex the hock. Most cases are not curable, presenting an unfavorable to poor prognosis, and the animal has to be euthanized. This study aimed to report the clinical picture and treatment of a bilateral rupture of the peroneus tertius muscle in a cow from the municipality of Castanhal, state of Pará (Amazonian biome). Case: We report the clinical picture and treatment of a bilateral rupture of the peroneus tertius muscle in a 4-year-old cow, mixed breed, weighing approximately 400 kg, calved 3 months ago, belonging to a batch of 40 cattle kept on extensive breeding system in a pasture of Urochloa (Brachiaria) brizantha. The clinical signs appeared after the cow was mounted by a 1,100 kg bull and consisted of lameness, falling into sternal decubitus with hind limbs extended backward, hyperextension of the hocks with flexed stifle, with the tibia and metatarsus in a straight line, which lead to a 90-degree position of the femur and knee. Abrasions in the dorsal region of the fetlocks reinforce evidence of dragging hooves. Diagnosis of bilateral rupture of the peroneus tertius muscle was performed by a clinical examination and semiological test. Nonsteroidal anti-inflammatory drugs (flunixin meglumine, 2,2 mg/kg, every 24 h for 4 days) were prescribed for treatment, in addition to resting in a paddock with good availability of pasture, water, and mineral salt. After 3 months, we observed an improvement of the clinical signs, and after 6 months, an almost complete recovery. Only a slight difficulty in flexing the hock when moving remained. Discussion: In the present report, bull mounting was the probable cause of the hyperextension of both hocks and the bilateral rupture of the peroneus tertius muscle. According to the handler, these clinical signs were only evidenced after the animal was mounted. As stated in the literature, accidents such as falls, slips, mounting or being mounted, as well as excessive traction and over-elevation of the limb are considered predisposing factors for the onset of the disease. Rupture of the peroneus tertius muscle is unusual in production animals; therefore, the low occurrence of reports on this kind of rupture in the literature makes this case even more unique. The bilateral injury differs from cases described in the literature, in which the reported injuries were always unilateral. Our findings reinforce the hypothesis that the act of mounting was the triggering factor for the bilateral rupture of the animal peroneus tertius muscle. The breeding system also differs from the cases diagnosed by the same authors, since they describe the disease in bovines kept on intensive or semi-intensive breeding. In the present case, the cattle were kept on an extensive breeding system. The extension and flexion tests used in the clinical examination allowed for the diagnosis of rupture of the peroneus tertius muscle in both limbs, similarly to what has been reported by other authors. Anamnesis, clinical findings, and exclusion of different diagnoses were decisive for establishing the diagnosis. The treatment chosen was efficient, even though the case was severe, as the injury occurred in both hind limbs.
Assuntos
Animais , Feminino , Bovinos , Ruptura/veterinária , Músculo Esquelético/lesões , Claudicação Intermitente/veterinária , Traumatismos da Perna/veterináriaResumo
The use of endo-exo prosthesis is an alternative to improve the quality of life of amputees, allowing correct distribution of body weight, reducing skin problems and pain related to the implant, and reducing lameness. The aim of this paper is to report the use of a fixed bilateral endo-exo femur prostheses in a cat with amputation prior to treatment. The endoprostheses were made with titanium and the exoprostheses were made with 3D printing technology. A longitudinal craniolateral surgical approach was used and the skin incision was made over the knee-joint, then fascia lata incision, followed by biceps femoris and vastus lateralis muscles retraction, incision through the joint capsule to expose the tibiofemoral joint, disarticulation, and tibia and fibula removal. Afterwards, a femoral leveling osteotomy and insertion of the implant in the medullary canal were performed, being attached in the cis and trans cortical bone. The patient was evaluated in the immediate post-operative and periodically thereafter, showing satisfactory results, without macroscopic signs of rejection, wound dehiscence or infection, fracture, or injury of limbs, and presented adapted walking. Furthermore, it was observed the return to common behaviors for the species.
O uso de endoexoprótese é uma alternativa para melhoria na qualidade de vida de pacientes amputados, permitindo distribuição correta do peso corporal, redução de problemas de pele e dor ligadas ao implante e redução da claudicação. Este trabalho objetivou relatar a utilização de endoexoprótese bilateral fixa em fêmur em felino com amputação prévia ao atendimento. Foram modeladas endopróteses em titânio e exopróteses projetadas e impressas em 3D. O acesso cirúrgico, em ambos os membros, foi realizado por incisão craniolateral transarticular da pele, incisão da fáscia lata, rebatimento dos músculos bíceps femoral e vasto lateral, incisão da cápsula articular para exposição da articulação femorotibial, desarticulação e remoção cirúrgica da tibia e da fibula. Em seguida, realizou-se osteotomia niveladora femoral e inserção do implante no canal medular, sendo esse fixo nas corticais cis e trans. O paciente foi avaliado no pós-cirúrgico imediato e posteriormente de forma periódica, demonstrando resultados satisfatórios, sem sinais macroscópicos de rejeição, deiscência ou infecção da ferida cirúrgica, fratura ou lesão de membros, e apresentava deambulação adaptada. Além disso, foi observado o retorno de comportamentos comuns da espécie.
Assuntos
Animais , Gatos , Membros Artificiais/veterinária , Procedimentos Ortopédicos/veterinária , Fêmur/transplante , Impressão Tridimensional , CaminhadaResumo
Background: Primary pelvic tumors have a less favorable prognosis when compared to long bone tumors. Infiltrative lipomas are benign neoplasms of mesenchymal origin, but with an invasive nature, in which highly differentiated adipocytes infiltrate tissues such as muscles, connective tissues, bones, peripheral nerves and spinal cord. Reports of infiltrative lipoma causing bone and joint damage are rare, so the objective of this report is to present clinical-surgical aspects and particularities involved in the treatment of a bitch, with an extensive tumoral mass in the left pelvic limb and coxofemoral and femoro-tibio-patellar joint destruction. The treatment used in search of a cure for the patient is highlighted. Case: One bitch, 1 and a half years old, not neutered, Australian Cattle, 13 kg body weight, with a history of increased volume in the left pelvic limb for approximately 1 year, was admitted at the Veterinary Hospital. The radiographic examination showed loss of delimitation of the coxofemoral joint, irregularity, and the presence of a proliferative and lytic process in the femoro-tibio-patellar portion, in addition to an increase in volume in adjacent soft tissue. A thoracic radiographic study was also carried out to search for metastases and cytological examination by fine-needle aspiration in several points of the limb, including the popliteal lymph node. Aggressive surgical treatment was based on evidence of bone destruction and existing damage to the joints. A mid-to-caudal partial hemipelvectomy was chosen, accompanied by limb amputation. To perform the surgery, a tumor-free area was identified and osteotomy was performed at three points, in the body of the proximal ilium, ischium plate, and pubic body. Due to the removal of the limb and the tumor, there was no muscle to close the pelvic wall, requiring the use of polypropylene mesh to correct the defect. The patient was discharged from the hospital after 24 h. The histopathological analysis of the limb revealed that it was an infiltrative lipoma, which showed infiltration of superficial and deep muscle tissue and marked degenerative lesions in the hip and femoro-tibio-patellar joints. In the macroscopy, the extension of the neoplastic mass was evident and when cutting, the loss of bone architecture. Radiographic images were also compatible with invasion and destruction of the bone delimitation. The patient was evaluated 10, 30, and 120 days post-operatively, and the animal presented a quick recovery. However, 161 days after surgery it was necessary to remove the polypropylene mesh due to its contamination. Discussion: Invasion of infiltrative lipoma into bones has been reported in only 3 dogs. Furthermore, due to the difficult macroscopic differentiation between infiltrative lipoma and normal tissue, the reported recurrence rate after surgical resection varies between 36 and 50%. Hemipelvectomy is a radical surgical procedure indicated for the management of tumors and functional abnormalities involving the pelvis or adjacent soft tissue. In canine patients diagnosed with infiltrative lipoma, surgery is reported to increase life expectancy. In studies, median survival time of 4 patients was 940 days and 13 dogs treated with cobalt radiation 60, of which 10 also underwent cytoreductive surgery, survived from 6 to 94 months. The patient in the current report survived for 21 months after the postoperative period, which is in agreement with the researchs. A case of atypical infiltrative lipoma and consequent joint destruction was highlighted in this work. However, partial hemipelvectomy was effective in the treatment, curing the alteration, despite contamination of the mesh which led to the need for surgical intervention.
Assuntos
Animais , Feminino , Cães , Neoplasias Pélvicas/veterinária , Pelve/cirurgia , Polipropilenos , Lipoma/veterinária , Técnicas de Sutura/veterináriaResumo
Background: The evaluation of vertical kneecap position within the trochlear groove is essential for understanding the anatomical changes that may lead to canine patellar luxation. Unlike other important diagnostic imaging measurements (e.g. measures of pelvic limb alignment), no data on patellofemoral congruence parameters of canine stifles (congruence angle, linear axial patellar displacement, lateral patellofemoral angle, patellar tilt angle) are reported. The aim of this study was to present metric values of these parameters in healthy dogs from small breeds from both sexes in order to use them for identification of animals with increased risk for medial patellar luxation. Materials, Methods & Results: The study was performed on 44 stifle joints from 22 healthy dogs of both sexes from 4 small breeds (Pinscher, Pomeranian, Chihuahua and Yorkshire terrier). Inclusion criteria were negative patellar displacement and dancing patella tests after orthopaedic examination, lack of femoral and gluteal muscles asymmetry after palpation, lack of signs of long-term proprioceptive dysfunction, normal patellar and withdrawal reflexes after neurological examination. The translation of the patella in the axial plane was evaluated by means of congruence angle and axial linear patellar displacement. The rotation of the patella in the axial plane was evaluated through measurement of lateral patellofemoral angle and patellar tilt angle. Reference ranges of parameters were analysed in agreement with the guidelines of the American College of Veterinary Pathologists for the determination of reference intervals in veterinary species for sample sizes of 40-120 with non-Gaussian distribution - robust method, 95% confidence interval (CI) with 90 % CI for upper and lower reference limits. All measured patellofemoral congruence angles were negative. Their reference range was from -8.06o to -0.58o (median value -3o ). The axial patellar displacement was negligible, with values ranging from 0.1 to 0.8 mm. Lateral patellofemoral angles in all dogs were open to the lateral side (positive); the computed reference interval was from 21.61o to 41.80o (median 31.5o ). Patellar tilt angles ranged from 2o to 8o (median 5o ). A statistically significant difference between sexes was demonstrated for angles describing the rotation of the patella in the axial plane: the lateral patellofemoral angle (P = 0.0248) and the patellar tilt angle (P = 0.0004) were greater in stifles of male dogs. Discussion: This is the first study presenting reference values of parameters describing patellofemoral alignment in healthy dogs from small breeds on tangential radiographs. The values of one of most commonly measured parameters on tangential radiographs (the lateral patellofemoral angle) in stifles of small breed dogs were higher than values in humans, supposedly due to the specific joint anatomy. The patellar tilt angle is considered as more objective and not influenced by limb rotation. For the detection of patellar misalignment, the tilt angle was reported to be almost as specific as the congruence angle but more sensitive and more accurate. It is the most specific and sensitive parameter determining the direction of patellar luxation. In male dogs, the median lateral patellofemoral angle was greater than in females (P = 0.0248). Similar tendency was shown for patellar tilt angle that was also greater in male stifles (P = 0.0004). The reported statistically significant between-sex differences in lateral patellofemoral angle and patellar tilt angle with higher values of both angles in stifles of male dogs could be attributed to the better developed femoral muscles, in particular m. vastus medialis and m. sartorius, and to differences in trochlear groove and kneecap morphology. The presented reference intervals may be useful for early detection of subjects with increased risk to medial patellar luxation.
Assuntos
Animais , Cães , Caracteres Sexuais , Luxação Patelar/prevenção & controle , Articulação Patelofemoral/anatomia & histologia , Articulação Patelofemoral/diagnóstico por imagem , Luxação Patelar/veterináriaResumo
Background: A 10-year-old spayed bitch with hip dysplasia was referred for periarticular ultrasound evaluation. A poorly marginated structure of mixed echogenicity, predominantly hypoechoic, with heterogeneous echotexture, was identified in the vastus lateralis muscle of the right pelvic limb with increased stiffness, assessed using acoustic radiation force impulse (ARFI) elastography, compared to that of the adjacent muscle tissues, and intense vascularization by pulsed Doppler and contrast-enhanced ultrasound (CEUS). Guided biopsy was performed to confirm the diagnosis of hemangiosarcoma. The objective of this study was to describe B-mode ultrasound, CEUS, and ARFI findings of hemangiosarcoma in the vastus lateralis musculature of a bitch. Case: A 10-year-old spayed bitch Golden Retriever weighing 36 kg was evaluated for pelvic limb lameness. The patient presented with bilateral pain during hip extension. The primary diagnostic suspicion was degenerative joint disease and secondary hip dysplasia. The patient was referred for imaging evaluation of the hip joints (radiography and ultrasound) under anesthesia. Right lateral and ventrodorsal projections with the pelvic limbs extended were obtained to confirm the diagnosis. In the right pelvic limb, an amorphous hypoechoic structure with irregular contours and heterogeneous echotexture was observed in the vastus lateralis muscle. In ARFI elastography, it was possible to identify differences in tissue stiffness between healthy and compromised portions. Pulsed-wave Doppler evaluation demonstrated an arterial waveform pattern with a peak systolic velocity of 38.8 cm/s, end-diastolic velocity of 6.9 cm/s, pulsatility index of 1.76, and resistive index of 0.82. CEUS study identified a mean peak of 27.26 %, mean time to peak of 39.95 s, and mean transmission time of 49.96 s. The popliteal lymph node was hyperechoic and heterogeneous in B-mode. In ARFI elastography, the average stiffness was 2.52 m/s, and the CEUS obtained an average peak of 19.98%, average time to peak of 17.52 s, and mean transit time of 22.83 s. Doppler assessment revealed no clear vascularization in the lymph node. Thoracic radiography in 3 projections and abdominal ultrasonography were performed. Radiographic evidence of pulmonary nodules was not observed. On abdominal ultrasound evaluation, it was possible to identify changes in the spleen, which presented with splenomegaly, mixed echogenicity, and heterogeneous echotexture. The animal underwent ultrasound-guided muscle biopsy, which confirmed the presence of hemangiosarcoma in the muscle. The bitch was referred for splenectomy and lymphadenectomy of the right popliteal, which confirmed neoplastic involvement of the same neoplasm. Discussion: On B-mode ultrasound, the observed changes were similar to those in a report of hemangiosarcoma in the muscles of the chest wall in dogs, which contributed to the diagnosis. Although it was only one patient, ARFI elastography results suggest that muscle hemangiosarcoma tends to follow the same elastographic characteristics as malignant lesions in other tissues. Additionally, the popliteal lymph node had a stiffness suggestive of malignancy (mean 2.52 m/s) because it presented a similar result and greater elasticity of metastatic axillary lymph nodes in bitches (>2.5 m/s) and women (> 1.44 m/s) with breast tumor. With CEUS, it was possible to identify vascularization in the sentinel lymph node that was not visible by pulsed Doppler, and in muscle mass. The findings of this report provided relevant results on muscle hemangiosarcoma in a bitch and demonstrated that the information obtained with the association of imaging methods supported the malignancy criteria described in other studies.
Assuntos
Animais , Feminino , Cães , Neoplasias Pélvicas/veterinária , Pelve/diagnóstico por imagem , Hemangiossarcoma/diagnóstico por imagem , Ultrassonografia/veterinária , Ultrassonografia Doppler de Pulso/veterinária , Técnicas de Imagem por Elasticidade/veterináriaResumo
Background: Pelvic limb claudication is a common problem in dogs. However, determining the location of the lesion can be challenging. Diagnostic imaging is essential for identifying and evaluating muscle injuries. Ultrasonographic evaluation is frequently performed to identify muscle injuries. Although some muscle changes have already been described as ultrasonography findings in veterinary studies, little is known about the standardization of these muscle structures, especially in hip muscles. The objective of this study was to describe the normal ultrasound anatomy of the lateral and medial muscles of the pelvic limb and establish an unprecedented protocol for the evaluation of these structures. Materials, Methods & Results: A total of 4 lateral and 4 medial musculatures of the pelvic limb of dogs were evaluated using ultrasound. An initial ex vivo study (1st phase) was performed to delineate anatomical and ultrasonographic assessments. The 2nd experimental phase proceeded with the application of in vivo scanning. The same operator performed all anatomical and ultrasonographic assessments. The gluteus medius, vastus lateralis, tensor fasciae latae, sartorius, pectineus, gracilis, adductor, and rectus femoris muscles were evaluated in longitudinal and transverse planes. Ten paired hips from 5 cadavers consisting of 3 females (60%) and 2 males (40%) were evaluated during the exvivo phase. The average age and weight of the dogs were 3.6 ± 0.87 years and 21.9 ± 5.2 kg, respectively. The invivo study included 4 females (40%) and 6 males (60%), for a total of 10 healthy animals consisting of 20 hips; the mean weight was 30.11 ± 7.45 kg and the average age was 4.5 ± 2.75 years. All muscles maintained the same ultrasound pattern when compared with each other and between different groups in the invivo study. The longitudinal section presented a hypoechoic structure permeated by thin hyperechoic longitudinal striations. The hypoechoic aspect was maintained, with striae identified as hyperechogenic points in the cross-sectional view. Discussion: B-mode ultrasonographic evaluation with a high-frequency transducer has facilitated the identification of the lateral and medial muscles of the pelvic limbs of medium and large dogs exvivo and invivo. This approach is an effective and safe way to access these muscles, and aids in the establishment of an unprecedented protocol for ultrasound evaluation of this region. Understanding the normal ultrasonographic anatomy is essential to identify muscle injuries such as contractures, tumors, ruptures, and stretch, which can lead to loss of muscle echogenicity and echotexture. Furthermore, ultrasound standardization reduces inter-observer error, facilitates technique reproducibility, assists in a more assertive assessment, and directs the patient's most appropriate therapy. In addition, anatomical dissection with the aid of acoustic gel injection into the evaluated musculature is essential to guide the examination because it allows the confirmation of the structures. In this study, the ultrasound scans of 6 fundamental muscles (gluteus medius, tensor fasciae latae, gracilis, adductor, pectineus, and rectus femoris) for hip mobility and 2 knee muscles (sartorius and vastus lateralis) were standardized. Exvivo evaluations facilitated the application of invivo techniques, and no difficulties were found during these evaluations.
Assuntos
Animais , Cães , Pelve/patologia , Pelve/diagnóstico por imagem , Músculos/anatomia & histologia , Neoplasias Pélvicas/veterinária , Ultrassonografia/métodos , Ultrassonografia/veterináriaResumo
Background: Hemangiosarcoma is a malignant neoplasm of endothelial cells with an infiltrative growth pattern. Hemangiosarcomas are frequently reported in canines and rare in felines, sheep, goats, swine, horses and cattle. Few cases of hemangiosarcoma were reported in cattle. In the present report, we describe the clinicopathological findings of a bovine muscle hemangiosarcoma. Case: A 6-year-old, Girolando cow from the Dairy Cattle Sector of the Federal Rural University of Rio de Janeiro (UFRRJ), Seropédica, presented sternal decubitus. Clinical signs were markedly pale mucous membranes, moderate dehydration, respiratory distress, and increased heart rate. The hematological examination revealed intense regenerative anemia. Due to the worsening of the clinical condition, the cow was submitted to euthanasia. The necropsy and collection of various fragments of organs were performed, which were sent to the "Setor de Anatomia Patológica" (SAP-UFRRJ). Tissues were fixed in 10 % buffered formalin, routinely processed for histology and stained with Hematoxylin and Eosin (HE). The external mucous membranes were markedly pale. Multifocal areas of 1.5 x 1.0 cm, irregular and dark red were observed dissecting the quadratus lumborum muscle (hemangiosarcoma) fibers. These neoplasms were associated with an extensive cruoric clot adhered to the muscle fibers. The extensive, red, friable mass measured approximately 76 x 55 x 20 cm on the serous surfaces of the organs of the peritoneal cavity (hemoperitoneum). The spleen was moderately reduced. The bone marrow was markedly pale. Histologically, it was observed that there was an extensive proliferation of endothelial cells in the quadratus lumbar muscle mass dissecting the epimysium and perimysium. Endothelial cells had moderate pleomorphism, organized in vascular channels and forming multifocally solid areas with a significant amount of eosinophilic fibrillar material (fibrin). Sections of muscle neoplasm were subjected to immunohistochemistry with anti-von Willebrand factor primary antibody, which showed a multifocal moderate cytoplasmic immunolabeling of neoplastic endothelial cells. Discussion: There are few reports of striated muscle hemangiosarcoma in cattle. Muscular hemangiosarcomas were reported in a 4-month-old calf in the left cervical trapezius muscle and a 6-year-old Holstein cow with left pelvic limb mass lateral and distal to the knee. Some reports presented hemangiosarcoma in the iliopsoas muscle, left cervical trapezius muscle, pelvic limb muscles and right cervical muscle of the bovine. In the presented report, hemoperitoneum occurred as a result of hemorrhages from muscle hemangiosarcoma. Other studies have demonstrated cavity hemorrhages in joint, pelvic, pleural and cranial cavities associated with hemangiosarcoma. Hemangiosarcoma with regenerative anemia must be distinguished from other diseases that cause anemia. The main differential diagnoses of bovine with anemia are vena cava syndrome, coumarin derivatives poisoning, acute poisoning by Pteridium spp., tick fever, anaplasmosis, babesiosis and trypanosomiasis. Hemangiosarcoma should be differentiated from other lesions as hemangioma, vascular tumor of lymphatic endothelium and perivascular wall tumors. Cases with poorly differentiated morphology should be submitted for immunohistochemistry. In the present hemangiosarcoma case, we have used the von Willebrand factor for immunohistochemistry diagnosis. Expression of angiogenic growth factors such as CD31, vascular endothelial growth factor (VEGF), basic fibroblast growth factor (bFGF) and angiopoietin-1 (Ang-1) have also been used in the diagnosis of vascular proliferation lesions. Hemangiosarcoma in cattle should be included mainly in the differential diagnosis of diseases that cause acute anemia in cattle.
Assuntos
Animais , Feminino , Bovinos , Neoplasias Musculares/veterinária , Hemoperitônio/veterinária , Anemia/veterinária , Hemangiossarcoma/veterinária , Região Lombossacral/patologia , Neoplasias Pélvicas/veterináriaResumo
Clostridial myonecrosis is a highly fatal infectious disease of the muscle that is caused by pathogenic clostridia. When it occurs in equine muscle, the infection can cause a variety of clinical signs. The present report described a case of acute myonecrosis caused by Clostridium septicum in a horse, which had a favorable clinical evolution. A 6-year-old mare was admitted to a veterinary hospital due to increased volume and lameness in the left pelvic limb after an intramuscular injection of an anti-inflammatory drug. The diagnosis of myonecrosis caused by C. septicum was based on clinical and laboratory findings. The animal showed significant improvement after 5 months of treatment and was discharged from the hospital. There is very limited information regarding myonecrosis caused by C. septicum in horses in Brazil; our study showed that early diagnosis and prompt appropriate treatment can ensure significant improvement and recovery of affected animals.
Mionecroses clostridiais são doenças altamente fatais, causadas por uma ou mais espécies de Clostridium sp. patogênicos. Entretanto, no músculo equino, a infecção pode produzir uma variedade de lesões e sinais clínicos. O presente relato descreve um caso de mionecrose aguda em um cavalo causada por Clostridium septicum, que apresentou uma evolução clínica favorável. Uma égua de seis anos foi internada em um hospital veterinário devido a um aumento de volume e claudicação no membro pélvico esquerdo, observado após injeção intramuscular de anti-inflamatório. O diagnóstico de mionecrose por C. septicum foi baseado nos achados clínicos e laboratoriais. Houve uma melhora significativa do animal após cinco meses de tratamento, permitindo que o mesmo fosse liberado do hospital veterinário. Considerando que as informações sobre C. septicum causadores de mionecroses em cavalos no Brasil são muito limitadas, este relato demonstra que o diagnóstico precoce e a implementação adequada do tratamento podem garantir uma melhora significativa e a recuperação dos animais afetados.
Assuntos
Animais , Feminino , Clostridium septicum/isolamento & purificação , Cavalos/microbiologia , Injeções Intramusculares/veterinária , Doenças Musculares/veterinária , Necrose/veterináriaResumo
Background: Expanding chronic hematoma is a relatively common postoperative complication in humans, not in dogs, nevertheless, is important understand this condition because it may affect the animal's health. A hematoma could be formed within hours and usually stabilizes spontaneously with the reabsorption of its content. However, occasionally the hematoma slowly expands, becomes encapsulated and forms a mass, causing a chronic expanding hematoma. Possibly skin and adipose tissue are displaced secondary to trauma, causing the formation of blood-filled cysts surrounded by a fibrous capsule. The aim of this document is to present the first report of a postsurgical chronic expanding hematoma in dog. Case: A case of chronic expanding hematoma secondary to excision of recurrent myxoma in a bitch was described. Physical examination showed a hard, firm, non-mobile mass enclosed within the deep muscular layers. This mass was between the sternum and the cranial abdomen, similar to previous lesions excised by another veterinarian. Fine needle aspiration indicated the presence of blood. Radiology demonstrated that the bone-cartilage tissue was not involved. Due to the size of the mass, a skin stretching pre-suturing technique using self-adhesive tape was applied around the mass 48 h before surgery. The mass was removed with wide excision margins and portions of the affected muscles, but a large wound with great tension was created; consequently, a parallel to the wound incision and the thoraco-lumbar vertebrae was made. Six months after surgery, the animal presented recurrence of the same lesion, which was also removed. The bleeding times were within the normal range, but the animal was diagnosed with hyperadrenocorticism. After both surgeries histopathological exam revealed a hematoma, that had thrombosis and granulation tissue with fibrosis and severe panniculitis, in addition of multifocal, chronic, moderate lymphohistiocytic myositis; all these changes were compatible with a chronic expanding hematoma. Discussion: Chronic expanding hematoma is a mass that grows slowly secondary to hemorrhage and does not exhibit elements of malignancy. However, it can occasionally be confused for a soft-tissue neoplasm. It has been reported frequently in humans but not in small animals. The first case was reported in 2002: 5 puppies with a cervical hematoma classified as a chronic expanding hematoma was described. In addition, 3 cases were reported: 1 cat with perirenal chronic expanding hematoma; 1 bitch with intra-abdominal presentation, and 1 cat with this pathology on the right pelvic limb after an intramuscular injection. The etiology of chronic expansive hematoma is unidentified in dogs, nevertheless, it is stipulated that is not an inflammatory process as previously assumed, but rather a neoplastic process. As in other cases, it was difficult to determine the origin of the chronic expanding hematoma. The coagulation times and platelets count were within ranges. Similarly, it is very complicated to relate hyperadrenocorticism with chronic expanding hematoma because dogs with Cushing's disease generally present hypercoagulopathies. Myxomas are associated with endocrinopathies in humans and dogs, therefore, hyperadrenocorticism is possibly related with this neoplasia. Myxomas have an expansive growth pattern, contrasting with myxosarcomas, which are infiltrating; Although in the present case the skin mass appeared to be invasive, both macroscopical and histopathological appearance of it corresponded to a well-shaped capsule compatible with chronic expanding hematoma. In summary, to the best of our knowledge, this is the first report of a post-surgical chronic expanding hematoma in a dog.
Assuntos
Animais , Feminino , Cães , Hiperfunção Adrenocortical/veterinária , Hemorragia Pós-Operatória/complicações , Hematoma/veterinária , Mixoma/cirurgia , Mixoma/veterináriaResumo
The surgical clinic of wild animals has increased in routine veterinary, where fractures by traumas are of frequent occurrence. This study determined the surgical accesses for osteosynthesis of the diaphyses of the humerus, radius and ulna of common sloth (Bradypus variegatus). Seven cadavers of B. variegatus were used for determination of the muscles of the thoracic limb, as well as the most important vessels and nerves, and better bone area for fixation of internal implants. The structural conformation of the radius and ulna in Bradypus variegatus were like those described in the literature for domestic animals but the humerus presented differences in the distal extremity because it was flattened. The musculature of Bradypus variegatus showed similarities with domestic animals. Due the different conformation of the humerus the surgical access to this bone can be performed by lateral approach, from the incision of M. triceps brachii lateral head, for fixation of the implant on the lateral side of the bone. Surgical access to the radius shaft can be performed by craniolateral approach, by incising the muscular fascia and separation of the cranially M. common digital extensor, and lateral digital extensor caudally. In ulna, a caudal access to the bone can be performed followed by release of the insertion m. flexor carpoulnar for placement of the internal implant on the lateral bone face.
A clínica cirúrgica de animais silvestres tem se intensificado na rotina veterinária, onde fraturas por traumas são frequentes. O objetivo deste estudo foi a determinação de acessos cirúrgicos para osteossíntese das diáfises do úmero, rádio e ulna de preguiça-comum (Bradypus variegatus). Sete cadáveres de B. variegatus foram utilizados para determinação dos músculos do membro torácico, bem como dos vasos e nervos mais importantes, e melhor área óssea para fixação de implantes internos. A conformação estrutural do rádio e da ulna em B. variegatus eram similares às descritas na literatura para animais domésticos, o úmero apresentou diferenças na extremidade distal pois apresentou-se achatado. A musculatura de B. variegatus mostrou semelhanças com os animais domésticos. Devido à diferente conformação do úmero o acesso cirúrgico a este osso pode ser realizado por abordagem lateral, a partir da incisão do M. tríceps braquial cabeça lateral, para fixação do implante na face lateral do osso. O acesso cirúrgico à diáfise do rádio pode ser realizado por abordagem craniolateral, por incisão da fáscia muscular e separação cranialmente do M. extensor digital comum e extensor digital lateral caudalmente. Na ulna, pode-se realizar um acesso caudal ao osso seguido de liberação da inserção do M. flexor carpoulnar para colocação do implante interno na face lateral do osso.
Assuntos
Animais , Fraturas do Rádio/veterinária , Bichos-Preguiça/anatomia & histologia , Fraturas da Ulna/veterinária , Fixação Interna de Fraturas/veterinária , Fraturas do Úmero/veterináriaResumo
The giant anteater is one of the species classified as vulnerable to extinction. Burning and being run over are among important causes in the decrease of individuals of this species and a better knowledge of the anatomy of these animals can contribute to the treatment of injured animals and their restoration to the environment. Thus, the objective of this work was to describe aspects of the anatomy of the muscles of the forearm of M. tridactyla. For this purpose, six adult specimens were used, three females and three males. The corpses were fixed with a 10% formaldehyde solution and preserved in vats containing the same solution. The thoracic limbs were dissected by routine dissection techniques. The forearm muscles of M. tridactyla were: brachioradialis; radial carpal extensor; common finger extensor; lateral finger extensor, ulnar carpal extensor; finger extensor I and II; long abductor of finger I; supinator, radial carpal flexor; ulnar flexor of the carpus, superficial flexor of the fingers, deep flexor of the fingers, pronator teres and square pronator, which were innervated by the radial, ulnar and median nerves. These muscles give a large volume to the forearm, are robust and have highly developed tendons, especially those involved with the flexion of the carpus, digits and elbow, actions that are fundamental to your defense habits and search for food.
O tamanduá-bandeira é uma das espécies classificadas em condição vulnerável à extinção. Queimadas e atropela-mentos estão entre causas importantes na diminuição de indivíduos desta espécie e um melhor conhecimento da anatomia des-tes animais pode contribuir para o tratamento de animais feridos e seu reestabelecimento ao meio ambiente. Assim, oobjetivo deste estudo foi descrever os aspectos da anatomia do antebraço do M. tridactyla. Para tanto, foram utilizados seis exemplares adultos, sendo três fêmeas e três machos. Os cadáveres foram fixados com solução aquosa de aldeído fórmico 10% e preser-vados em cubas contendo a mesma solução. Os membros torácicos foram dissecados pelas técnicas rotineiras de dissecação para evidenciação dos músculos, vasos e nervos da região. Os músculos do antebraço do M. tridactyla foram: braquiorradial; extensor radial do carpo; extensor comum dos dedos; extensor lateral dos dedos, extensor ulnar do carpo; extensor dos dedos I e II; abdutor longo do dedo I; supinador, flexor radial do carpo; flexor ulnar do carpo, flexor superficial dos dedos, flexor profundo dos dedos, pronador redondo e pronador quadrado. Estes músculos foram inervados pelos nervos ulnar e mediano. Juntos estes músculos conferem um grande volume ao antebraço, e suas características apontam para uma poderosa capaci-dade de exercer a flexão do carpo e dos dígitos, e ainda contribuir com os músculos do braço para a flexão do cotovelo, ações estas fundamentais aos seus hábitos de defesa e busca por alimento.
Assuntos
Animais , Antebraço/anatomia & histologia , Pontos de Referência Anatômicos/anatomia & histologia , Xenarthra/anatomia & histologiaResumo
This paper describes a spontaneous outbreak of toxic myopathy in finishing pigs due to the ingestion of feed with salinomycin associated with tiamulin and addresses the control methods performed during the outbreak to minimize economic losses resulting from the intoxication. A lot of 940 pigs fed feed containing 30 ppm salinomycin received 100 ppm tiamulin (via water) to control recurrent respiratory diseases on the farm. After ingesting tiamulin, some animals manifested clinical signs of motor incoordination, stiff gait, reluctance to move, muscle weakness and tremors, dyspnea, depression, and decubitus, remaining in "sitting-dog position" or with the abduction of the pelvic limbs, and rested on tip-toes when in a standing position. Two animals were euthanized for macro-and microscopic evaluation. The other sick animals received supportive anti-inflammatory treatment. The most relevant macroscopic finding observed during necropsy was the slight pallor of the pelvic limb muscles. The main histopathological findings consisted of multifocal areas of hyaline degeneration and marked necrosis of skeletal myofibers, with macrophage infiltrate associated with cell regeneration and skeletal fiber phagocytosis. These lesions were more intense in the longissimus dorsi, diaphragm, and masseter muscles. The definitive diagnosis was based on epidemiological aspects and clinical lesional conditions compatible with toxic myopathy secondary to ionophore intoxication.(AU)
Este trabalho descreve um surto espontâneo de miopatia tóxica em suínos na fase de terminação, decorrente da ingestão de ração contendo salinomicina associada a tiamulina e aborda os métodos de controle realizados durante o surto, para minimizar os prejuízos econômicos decorrentes da intoxicação. Um lote de 940 suínos alimentados com ração contendo 30 ppm de salinomicina recebeu tiamulina na dose de 100 ppm (via água) para controle de doenças respiratórias recorrentes na granja. Após a ingestão da tiamulina, alguns animais manifestaram sinais clínicos de incoordenação motora, andar rígido, relutância ao movimento, fraqueza e tremores musculares, dispneia, depressão e decúbito, permanecendo em "posição de cão sentado" ou com abdução dos membros pélvicos, e quando em estação, apoiavam-se nas pinças dos cascos. Dois animais foram eutanasiados para avaliação macro e microscópica. Os demais animais doentes receberam tratamento suporte com anti-inflamatório. O achado macroscópico mais relevante observado durante a necropsia foi palidez leve dos músculos dos membros pélvicos. Os principais achados histopatológicos foram áreas multifocais de degeneração hialina e necrose acentuada de miofibras esqueléticas, com infiltrado de macrófagos associado às figuras de regeneração celular e à fagocitose de fibras esqueléticas. Essas lesões foram mais intensas nos músculos longissimus dorsi, diafragma e masseter. O diagnóstico definitivo baseou-se nos aspectos epidemiológicos e no quadro clínico-lesional compatíveis com miopatia tóxica secundária a intoxicação por ionóforo.(AU)
Assuntos
Animais , Fagocitose , Suínos , Miotoxicidade , IonóforosResumo
Background: Hip dysplasia (HD) is the most common non-traumatic orthopedic disease in large breed dogs. Treatment is chosen according to the severity of the condition, the age of the dog and the involvement of osteoarthritis (OA). For puppies up to 20-weeks-old, surgical treatment by the juvenile pubic symphysiodesis (JPS) technique can be performed. This procedure promotes the ventrolateral rotation of the acetabulum over the femoral head, which improves hip joint congruence and stability. The objective of this study is to report the case of a young dog with HD treated with JPS and pectineus myectomy. Clinical and radiographic outcomes were assessed for up to one year after surgery. Case: A 17-week-old Saint Bernard puppy was attended at the University Veterinary Hospital showing abnormal weight bearing and lameness in pelvic limbs, without history of previous trauma. On orthopedic examination, there was a marked hypotrophy of the pelvic limb muscles, severe pain and laxity in the hip joints, and positive feature in the Ortolani test. The hip joint subluxation angle (SA) and reduction angle (RA) were measured. A radiographic study was carried out to evaluate the hip joints and measure the Norberg angle (NA), distraction index (DI), acetabular angle (AA) and dorsal acetabular rim angle (DARA). The 20-week-old dog underwent surgical treatment by JPS technique. A ventral surgical approach to the pubis was performed and the pubic symphysis was cauterized with electrocautery. Partial pectineus myectomy technique was also performed. Drug therapy and restriction of physical activities were indicated in the early postoperative. The dog was evaluated by clinical and radiographic examinations at 4 months and 1 year after the surgical procedure. In the reassessment after 4 months of surgical treatment, the patient showed improvement in clinical signs, with mild lameness and absence of painful sensitivity in the movement of the hip joints. Radiographically, hip joint incongruity was observed, but with progressive improvement in the values of the measured variables. In the clinical examination 1 year after the procedure, the dog showed satisfactory weight bearing with slight lameness in pelvic limbs in the running gait. There was improvement in the thigh muscles and no painful signs were observed in the hip joints, but a positive result was detected in the Ortolani test. In the radiographic examination, bilateral articular incongruity was still observed, however, there was a mild improvement in the coverage of the acetabulum over the femoral head. The measured angles and indices showed favorable results regarding the recovery of hip joint stability and proper development. Discussion: Studies evaluating the JPS technique for the treatment of HD have shown to be a relatively simple and effective procedure, which allows altering the acetabular coverage, reducing the development of HD and the progression of OA. The need for an early diagnosis of this condition is essential, so that the JPS technique can be used in young dogs and offer effective results. In the present report, in the late postoperative period, the dog showed improvement in clinical signs, with favorable weight bearing and ambulation in pelvic limbs, recovery of limb muscles, absence of pain in the hip joints and decrease in RA and SA. Radiographically, the reduction in joint subluxation, improvement in acetabular coverage over femoral heads, increase in NA and AA, reduction in DI and DARA are evidence of the favorable outcome of ventrolateral rotation of the acetabulum after surgical treatment. The surgical technique used was effective, which enabled the dog to recover the functional use of the pelvic limbs and improve the quality of life.
Assuntos
Animais , Cães , Sínfise Pubiana/cirurgia , Osteoartrite do Quadril/veterinária , Displasia Pélvica Canina/cirurgia , Mioma/cirurgia , Procedimentos Cirúrgicos Operatórios/veterináriaResumo
Background: The treatment for urethral obstruction in cats consists of catheterization, and for this, the cat must be sedated or anesthetized. Sacococcygeal epidural block has the advantage of being close to receptors related to nociception located in the spinal cord and it is safer because it represents lower risk of spinal cord injury or inadvertent application in the subarachnoid space, when compared to the lumbosacral epidural. Nerve stimulation through the neurolocator to identify the epidural space increases the accuracy of this technique. Thus, the objective is to report a case of epidural anesthesia with a sacrococcygeal approach guided by neurostimulation in a cat with urethral obstruction. Case: A 4-year-old male Siamese cat, weighing 4 kg, was referred to the veterinary care with a history of apathy and anorexia for 2 days. From the physical exam, the clinical diagnosis of urethral obstruction was made, and to desobstruction, we chose to perform sacrococcygeal epidural block. Initially, the patient was anesthetized with propofol (4 mg/kg) and midazolam (0.3 mg/kg). To perform the anesthetic block, the cat was placed in sternal decubitus with the hind limbs extended cranially to perform sacrococcygeal epidural block. The positive pole (cathode) was connected to the skin of the right inguinal region at the caudal aspect of the thigh and the neurostimulator was turned on and adjusted to 0.7 mA of stimulating current intensity, 0.1 ms duration and 1 Hz frequency. The needle for electrical neurolocation was introduced in the dorsal midline, perpendicular to the skin surface, between the spinous processes of S3-Cd1 in the skin. The exact injection point was obtained observed by the muscular response of the middle and distal third of the animal's tail with the neurostimulator adjusted to 0.3 mA of intensity, in the same duration and frequency as before. The total volume of 0.9 mL (0.22 mL/kg) of solution containing the combination of 0.6 mL of 0.75% levobupivacaine and 0.3 mL of 2% lidocaine was injected. The success of the block was confirmed by the loss of reflexes of the pelvic limbs and anal sphincter 10 min after the administration of the anesthetic solution. Discussion: In this case, the use of the neurolocator helped to perform an effective sacrococcygeal block, allowing urethral catheterization without the addition of other analgesic agents. This technique desensitizes and relaxes muscles in the regions of the perineum, anus, distal colon and penis, being useful for performing urethral catheterization. The use of smaller anaesthetic volumes to perform sacrococcygeal block makes it possible to achieve a more localized anesthesia, without affecting the motor function of the pelvic limbs. However, in our report, using a combination of levobupivacaine and lidocaine, the pelvic limb block was also verified despite the low volume applied. A hypothesis that could justify the different responses in relation to the pelvic limb block compared to other studies would be due to the different physicalchemical properties of the drugs used. Lidocaine is known to be less fat-soluble than bupivacaine, so it tends to spread more through the epidural space, in order to result in more extensive blocks. The use of a neurostimulator using a fixed electric current of 0.7 mA, pulse 0.1 ms and a frequency of 1 Hz allowed the correct identification of the needle position for the application of the anesthetic.
Assuntos
Animais , Masculino , Gatos , Obstrução Uretral/cirurgia , Obstrução Uretral/veterinária , Estimulação Elétrica Nervosa Transcutânea/veterinária , Anestesia Epidural/veterinária , Região Sacrococcígea , Levobupivacaína/administração & dosagem , Lidocaína/administração & dosagemResumo
Background: Toxoplasmosis is caused by Toxoplasma gondii, an obligate intracellular protozoan that belongs to the Apicomplexa phylum, coccidian subclass, and affects all warm-blooded animals. The role of opossums in the epidemiology of toxoplasmosis in Brazil is not fully understood, and there are very few descriptions of toxoplasmosis lesions in these animals. This report describes the anatomopathological, molecular and immunohistochemical findings of a case of encephalic toxoplasmosis in free-living white-eared possum (Didelphis albiventris). Case: A young male opossum (D. albiventris), was treated at the Veterinary Hospital of Wild Animals of the University of Brasília, Federal District. The animal was apathetic, uncoordinated, reluctant to move, and had an exposed proximal fracture in the left radius and ulna with laceration of muscles and adjacent tendinous structures. Amputation on the left thoracic limb was performed followed by analgesia and antibiotic therapy. The environment is frequented by other wild animals, and stray cats have access to the patio of the building. Twenty-five days after arriving at the hospital, the animal was found dead in its cage. After death, a necropsy was performed. Organ fragments from the abdominal cavity, thoracic and central nervous system were collected, processed routinely for histology and stained with hematoxylin and eosin. Macroscopic lesions in the central nervous system were not observed. On microscopy, the brain showed moderate random glial nodules throughout the neuropil associated with the presence of spherical to elongated parasitic cysts of about 20 µm, with a thin wall and with its interior full of bradyzoites, consistent with Toxoplasma gondii. There was also moderate fibrinoid necrosis and moderate multifocal lymphoplasmacytic infiltrate surrounding the blood vessels (perivascular cuffs) To investigate the etiology of the brain injury, brain sections were subjected to immunohistochemistry (IHC) and real-time polymerase chain reaction (qPCR) technique for detection of T. gondii and Neospora caninum. Immunostaining for T. gondii in the cyst wall and in bradyzoites and negative immunostaining for N. caninum. qPCR was positive for T. gondii and negative for N. caninum. Discussion: Diagnosis of encephalic toxoplasmosis in a Didelphis albiventris was possible based on histopathological, immunohistochemical and molecular findings. The morphological classification of the brain lesion was important for the diagnosis. Brain toxoplasmosis in opossums usually results in focal areas of malacia on macroscopy and focally extensive necrosis on microscopy, neutrophil infiltrate, calcified necrotic material, and perivascular cuffs of lymphocytes and plasma cells. In the present case, similar histopathological lesions were noted, but no significant macroscopic changes were observed. The etiology here was defined by immunohistochemistry and qPCR, techniques proven to be useful and with good specificity for diagnosing toxoplasmosis in mammals. It is believed that the positive immunohistochemical and molecular result for Toxoplasma gondii together with the negative result for Neospora caninum were conclusive for the diagnosis. Thus, we demonstrate here a post mortem diagnosis of toxoplasmosis in a free-living synanthropic opossum and the use of anatomopathology, immunohistochemistry and real-time polymerase chain reaction as a diagnostic option for this disease in opossums.
Assuntos
Animais , Masculino , Encéfalo/patologia , Toxoplasmose Animal , Toxoplasmose Cerebral/veterinária , Didelphis/parasitologia , Imuno-Histoquímica/veterinária , Reação em Cadeia da Polimerase em Tempo Real/veterináriaResumo
O tétano é uma doença infecciosa não contagiosa, desencadeada pela ação de neurotoxinas produzidas pela bactéria Clostridium tetani. Dentre as espécies mais suscetíveis e de maior ocorrência em estudos epidemiológicos, destacam-se os equinos. Neste estudo de caso, foi atendido no Hospital Veterinário do IFPB campus Sousa, uma fêmea equina, SRD, 8 anos de idade, no 6º mês de gestação. O animal apresentava taquipneia, taquicardia, espasticidade dos membros, protrusão da terceira pálpebra, hiperestesia, cauda em bandeira, rigidez da musculatura do abdome e discreta rigidez da musculatura cervical. Com a intervenção medicamentosa baseada no uso de soro antitetânico, antibioticoterapia com benzilpenicilina benzatina, acepromazina e fluidoterapia à base de solução de ringer com lactato, associado ao repouso em ambiente silencioso e termicamente agradável, obteve-se resultados satisfatórios nos primeiros dias do inicio do tratamento e recuperação total após o 15º dia. Além disso, ao 15°dia pós-internamento e antecedendo a alta do animal foi realizada a avaliação ultrassonográfica transretal, confirmando a viabilidade fetal.
Tetanus is a non-contagious infectious disease triggered by neurotoxins produced by the bacterium Clostridium tetani. Horses are among the most susceptible species and also are frequent targets in epidemiological studies. In this case study, a mare, crossbred, 8 years old, in the sixth month of gestation, was assisted at the Veterinary Hospital at IFPB Sousa campus. The animal was presenting some clinical signs, such as tachypnea, tachycardia, limb spasticity, protrusion of the third eyelid, hyperesthesia, elevated tail, stiffness of the abdomen muscles and slight stiffness of the cervical muscles. Medicines treatment was based on the use of tetanus antitoxin, benzathine penicillin antibiotic therapy, acepromazine and lactate ringer's solution therapy, combined with a calm and thermally pleasant environment. Satisfactory results were obtained from the first days of treatment and full recovery of the animal after the 15th day of hospitalization. In addition, on the 15thday after admission at the hospital and before discharge, a transrectal ultrasound evaluation was performed, confirming fetal viability.
El tétano es uma enfermedad infecciosa desencadenada por la acción de las neurotoxinas producidas por la bacteria Clostridium tetani. Entre las especies más susceptibles y más frecuentes en estudios epidemiológicos, destacan los caballos. En este estudio de caso, fue vista en el Hospital Veterinario Campus Sousa de IFPB, una yegua preñada, SRD, de 8 años de edad, en el sexto mes degestación. El animal presentaba taquipnea, taquicardia, espasticidad, posición del caballete, protrusión del tercer párpado, hiperestesia, colade bandera, rigidez de los músculos del abdomen y leve rigidez de los músculos cervicales. Con la intervención farmacológica basada en el uso del suero antitetánico, la terapia con antibióticos benzatínicos y bencilpenicilinas, la acepromacina y la fluidoterapia basada en la solución de Ringer lactato, asociada con un descanso tranquilo y placentero térmicamente, se obtuvieron resultados satisfactorios en los primeros días de inicio del tratamiento. y recuperación completa después del día 15. Además, el día 15 después del ingreso y antes del alta del animal, se realizó una evaluación ecográfica transrectal, confirmando la viabilidad fetal.
Assuntos
Feminino , Animais , Gravidez , Cavalos , Clostridium tetani/isolamento & purificação , Tétano/terapia , Tétano/veterinária , Acepromazina , Hiperestesia/veterinária , Lactato de Ringer , Penicilina G , Penicilina G BenzatinaResumo
Background: Femoral capital physeal fractures occur in young animals and are generally associated with trauma. They have apoor prognosis and surgical therapy is the most indicated. There are few studies describing surgical treatment and postoperative results, so the objective of the present report was to present the first case in Brazil of a colocefalectomy for the treatmentof femoral capital physeal fracture in a young pony, the post-surgical and the results obtained with the technique employed.Case: An 18-month-old pony, male, not castrated, , weighing 136 kg was referred to the Veterinary Hospital of the FederalUniversity of Paraná (HV-UFPR) with a history of trauma for 4 days. On physical examination, the animal presented lamenessgrade 5 of the right pelvic limb, shortening and lateral deviation of the limb, crackling and painful sensation on abduction, andslight atrophy of the gluteal muscles on the affected side. In the radiographic examination, a femoral capital physeal fracturewas found in the oblique ventro-dorsal projection. Once the diagnosis was performed, a colocefalectomy was realized, as thepatient is a light and short horse. The patient underwent general anesthesia and was placed in the left lateral position. The accessto the coxofemoral joint was made through the lateral face of the right hindlimb. The muscles of the region were incised anddeviated, so a partial myotomy was performed in the deep gluteal and vastus lateralis. This procedure allowed to visualize thefracture, where the head of the femur remained congruent to the acetabulum. A hammer and a curved osteotome were usedto section the round ligament, allowing the dislocation of the femoral head and with the aid of an oscillating orthopedic sawwas performed the femoral neck ostectomy. Previously to the synthesis of the muscular planes and the skin, a passive tubular...