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BACKGROUND: Human records describe pulmonary edema as a life-threatening complication of electric shock. Successful management requires prompt recognition and intensive care. However, in companion animals, electrocutions are rarely reported, even though domestic environments are full of electrical devices and there is always the possibility of accidental injury. Therefore, it is important for veterinarians to know more about this condition in order to achieve successful patient outcomes. CASE PRESENTATION: A 3-month-old male Labrador Retriever was presented with a history of transient loss of consciousness after chewing on a household electrical cord. On admission, the puppy showed an orthopneic position with moderate respiratory distress. Supplemental oxygen via nasal catheter was provided, but the patient showed marked worsening of respiratory status. Point-of-care ultrasound exams suggested neurogenic pulmonary edema due to electrical shock close to the central nervous system and increased B-lines without evidence of cardiac abnormalities. Mechanical ventilation of the patient was initiated using volume-controlled mode with a tidal volume of 9 to 15 ml/kg until reaching an end-tidal carbon dioxide ≤ 40 mm Hg, followed by a stepwise lung-recruitment maneuver in pressure-controlled mode with increases of the peak inspiratory pressure (15 to 20 cm H2O) and positive end-expiratory pressure (3 to 10 cm H2O) for 30 min, and return to volume-controlled mode with a tidal volume of 15 ml/kg until reaching a peripheral oxygen saturation ≥ 96%. Weaning from the ventilator was achieved in six hours, and the patient was discharged two days after admission without neurological or respiratory deficits. CONCLUSIONS: We present a rather unusual case of a neurogenic pulmonary edema subsequent to accidental electrocution in a dog. Timely diagnosis by ultrasound and mechanical ventilation settings are described. Our case highlights that pulmonary edema should be considered a potentially life-threatening complication of electrical shock in small animal emergency and critical care medicine.
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Doenças do Cão , Traumatismos por Eletricidade , Edema Pulmonar , Síndrome do Desconforto Respiratório , Animais , Cães , Masculino , Doenças do Cão/etiologia , Doenças do Cão/terapia , Traumatismos por Eletricidade/complicações , Traumatismos por Eletricidade/terapia , Traumatismos por Eletricidade/veterinária , Pulmão , Edema Pulmonar/etiologia , Edema Pulmonar/terapia , Edema Pulmonar/veterinária , Respiração Artificial/veterinária , Síndrome do Desconforto Respiratório/veterináriaRESUMO
Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), was declared a pandemic by the World Health Organization in March 2020. Since then, viral spread from humans to animals has occurred worldwide. Nonhuman primates (NHPs) have been found to be susceptible to reverse-zoonosis transmission of SARS-CoV-2, but initial research suggested that platyrrhine primates are less susceptible than catarrhine primates. Here we report the natural SARS-CoV-2 infection of a common woolly monkey (Lagothrix lagothricha) from a wildlife rehabilitation center in Ecuador. The course of the disease, the eventual death of the specimen, and the pathological findings are described. Our results show the susceptibility of a new platyrrhine species to SARS-CoV-2 and provide evidence for the first time of a COVID-19-associated death in a naturally infected NHP. The putative route of transmission from humans, and implications for captive NHPs management, are also discussed. Given that common woolly monkeys are at risk of extinction in Ecuador, further understanding of the potential threat of SARS-CoV-2 to their health should be a conservation priority. A One Health approach is the best way to protect NHPs from a new virus in the same way that we would protect the human population.
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Atelinae , COVID-19 , Doenças dos Macacos , SARS-CoV-2 , Animais , COVID-19/veterinária , COVID-19/mortalidade , COVID-19/transmissão , Atelinae/virologia , Equador/epidemiologia , Doenças dos Macacos/virologia , Evolução Fatal , Masculino , FemininoRESUMO
Livestock predation induces global human-wildlife conflict, triggering the retaliatory killing of large carnivores. Although domestic dogs (Canis familiaris) contribute to livestock depredation, blame primarily falls on wild predators. Dogs can also transmit pathogens between wildlife, domestic animals, and humans. Therefore, the presence of free-ranging dogs can have negative consequences for biodiversity conservation, smallholder economy, food supply, and public health, four of the United Nations' Sustainable Developed Goals (SDGs) for 2030. In Ecuador, where livestock sustains rural households, retaliatory poaching threatens Andean bear (Tremarctos ornatus), jaguar (Panthera onca), and puma (Puma concolor) populations. However, the role of dogs in these incidents remains underexplored. The present study evaluates the possibility of reliable molecular identification of predatory species from DNA traces in bite wounds. Our results revealed the presence of dog saliva on four out of six livestock carcasses presumably attacked by wild predators. These findings highlight the importance of rectifying misinformation about large carnivores in Ecuador and the need to control dog populations. We recommend that local administrations incorporate DNA analysis into livestock predation events to examine how common the problem is, and to use the analysis to develop conflict mitigation strategies which are essential for the conservation of large carnivores.
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BACKGROUND: Leptospirosis is the world's most common zoonotic disease. Mitigation and control rely on pathogen identification and understanding the roles of potential reservoirs in cycling and transmission. Underreporting and misdiagnosis obscure the magnitude of the problem and confound efforts to understand key epidemiological components. Difficulties in culturing hamper the use of serological diagnostics and delay the development of DNA detection methods. As a result, especially in complex ecosystems, we know very little about the importance of different mammalian host species in cycling and transmission to humans. METHODOLOGY/PRINCIPAL FINDINGS: We sampled dogs from five indigenous Kichwa communities living in the Yasuní National Park in the Ecuadorian Amazon basin. Blood and urine samples from domestic dogs were collected to assess the exposure of these animals to Leptospira and to identify the circulating species. Microscopic Agglutination Tests with a panel of 22 different serovars showed anti-leptospira antibodies in 36 sampled dogs (75%), and 7 serogroups were detected. Two DNA-based detection assays revealed pathogenic Leptospira DNA in 18 of 19 dog urine samples (94.7%). Amplicon sequencing and phylogenetic analysis of 16S rRNA and SecY genes from 15 urine samples revealed genetic diversity within two of three different Leptospira species: noguchii (n = 7), santarosai (n = 7), and interrogans (n = 1). CONCLUSIONS/SIGNIFICANCE: The high prevalence of antibodies and Leptospira DNA provides strong evidence for high rates of past and current infections. Such high prevalence has not been previously reported for dogs. These dogs live in the peridomestic environment in close contact with humans, yet they are free-ranging animals that interact with wildlife. This complex web of interactions may explain the diverse types of pathogenic Leptospira observed in this study. Our results suggest that domestic dogs are likely to play an important role in the cycling and transmission of Leptospira. Future studies in areas with complex ecoepidemiology will enable better parsing of the significance of genotypic, environmental, and host characteristics.
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Leptospira , Leptospirose , Animais , Cães , Humanos , Ecossistema , Filogenia , RNA Ribossômico 16S/genética , Leptospirose/epidemiologia , Leptospirose/veterinária , Animais Selvagens , DNA , MamíferosRESUMO
Human populations can be affected in unpredictable ways by the emergence and spread of zoonotic diseases. The COVID-19 (coronavirus disease of 2019) pandemic was a reminder of how devastating these events can be if left unchecked. However, once they have spread globally, the impact of these diseases when entering non-exposed wildlife populations is unknown. The current study reports the infection of brown-headed spider monkeys (Ateles fusciceps) at a wildlife rescue center in Ecuador. Four monkeys were hospitalized, and all tested positive for SARS-CoV-2 (Severe acute respiratory syndrome coronavirus 2) by RT-qPCR (Quantitative Reverse Transcription PCR). Fecal samples (n = 12) from monkeys at the rescue center also tested positive; three zookeepers responsible for feeding and deworming the monkeys also tested positive, suggesting human-animal transmission. Whole genome sequencing identified most samples' omicron clade 22B BA.5 lineage. These findings highlight the threat posed by an emerging zoonotic disease in wildlife species and the importance of preventing spillover and spillback events during epidemic or pandemic events.IMPORTANCEAlthough COVID-19 (coronavirus disease of 2019) has been primarily contained in humans through widespread vaccination, the impact and incidence of SARS-CoV-2 (Severe acute respiratory syndrome coronavirus) and its transmission and epidemiology in wildlife may need to be addressed. In some natural environments, the proximity of animals to humans is difficult to control, creating perfect scenarios where susceptible wildlife can acquire the virus from humans. In these places, it is essential to understand how transmission can occur and to develop protocols to prevent infection. This study reports the infection of brown-headed spider monkeys with SARS-CoV-2, a red-listed monkey species, at a wildlife recovery center in Ecuador. This study reports the infection of brown-headed spider monkeys with SARS-CoV-2, indicating the potential for transmission between humans and wildlife primates and the importance of preventing such events in the future.
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Atelinae , COVID-19 , Animais , Humanos , Animais Selvagens , COVID-19/epidemiologia , COVID-19/veterinária , Equador/epidemiologia , SARS-CoV-2/genética , Zoonoses/epidemiologia , América do Sul , PandemiasRESUMO
Introducción. En neonatos internados es frecuente sospechar sepsis neonatal, pero solo en el 25 % al 30 % se confirma con cultivos positivos. La selección del esquema antibiótico basándose en la epidemiología local favorece el uso racional y minimiza sus efectos colaterales. Objetivo primario. Describir la prevalencia de sepsis precoz y tardía con rescate microbiológico y sus características clínicas. Población y método. Estudio transversal retrospectivo, realizado del 1 de enero de 2013 al 31 de diciembre de 2017, en una maternidad pública de Argentina, que incluyó todos los recién nacidos internados en la unidad con diagnóstico de sepsis precoz y tardía con rescate microbiológico, y aquellos reingresados dentro del mes de vida. Resultados. Ingresaron 3322 recién nacidos, 1296 evaluados por sospecha de sepsis precoz, cultivos positivos en 25 (1,9 %; tasa: 0,86 ). El 52 % eran menores de 33 semanas de edad gestacional. Microorganismos: Escherichia coli 5, Listeria monocytogenes 4, Streptococcus agalactiae (SGB) 3, Streptococcus pneumoniae 3. Sepsis tardía (tasa 8,73 ), el 68 % ocurridas en menores de 33 semanas. Microorganismos intrahospitalarios: Staphylococcus coagulasa negativos 115, Staphylococcus aureus 47, Escherichia coli 30, Cándida spp. 16, Enterococcus faecalis 13, Klebsiella pneumoniae 11 y Streptococcus agalactiae 10. En los reingresos: E. coli 11, S. aureus 12, SGB 3 y Haemophilus influenzae 3. Conclusiones. Se observa en el período estudiado una frecuencia de sepsis precoz similar a los reportes internacionales, con predominio de E. coli y L. monocytogenes. La tasa de sepsis tardía presentó una tendencia descendente en los años analizados, con predominio de los cocos grampositivos
Introduction. Neonatal sepsis is often suspected in hospitalized newborn infants, but only in 2530% of cases it is confirmed via a positive culture. Selecting the antibiotics based on local epidemiology favors their rational use and minimizes their side effects. Primary objective. To describe the prevalence of early- and late-onset sepsis with microorganism isolation and their clinical characteristics. Population and method. Retrospective, cross-sectional study conducted between 01-01-2013 and 12-31-2017 in a public maternity center of Argentina in all hospitalized newborn infants with a diagnosis of early- and late-onset sepsis with microorganism isolation, and those re-admitted in their first month of life. Results. A total of 3322 newborn infants were admitted; 1296 were assessed for suspected early- onset sepsis; 25 had a positive culture (1.9%; rate: 0.86). Of these, 52% were born before 33 weeks of gestation. Microorganisms: Escherichia coli 5, Listeria monocytogenes 4, Streptococcus agalactiae (SGB) 3, Streptococcus pneumoniae 3. Also, 68% of late-onset sepsis cases (rate: 8.73) occurred in infants born before 33 weeks of gestation. Hospital-acquired microorganisms: coagulase-negative Staphylococcus 115, Staphylococcus aureus 47, Escherichia coli 30, Candida spp. 16, Enterococcus faecalis 13, Klebsiella pneumoniae 11, and Streptococcus agalactiae 10. In re-admissions: E. coli 11, S. aureus 12, SGB 3, and Haemophilus influenzae 3. Conclusions. During the study period, the frequency of early-onset sepsis was similar to international reports, with a predominance of E. coli and L. monocytogenes. The rate of late-onset sepsis showed a downward trend in the analyzed years, with a predominance of Gram-positive cocci.
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Humanos , Gravidez , Recém-Nascido , Sepse/microbiologia , Sepse Neonatal/tratamento farmacológico , Sepse Neonatal/epidemiologia , Staphylococcus aureus , Streptococcus agalactiae , Prevalência , Estudos Transversais , Escherichia coli , Antibacterianos/uso terapêuticoRESUMO
Desarrollar actividades en una institución de salud, expone a los enfermeros a múltiples agentes biológicos de potencial amenaza infecciosa como Hepatitis A, B, C, VIH/Sida, Tuberculosis, Varicela, Tuberculosis, Rubeola, Citomegalovirus, COVID-19, entre otras enfermedades trasmisibles, promoviendo un riesgo psicosocial al temor de contagiarse. Determinar los riesgos psicosociales ante la amenaza infecciosa en personal de enfermería de un hospital de Ecuador. Fue un estudio epidemiológico-descriptivo de cohorte transversal entre septiembre a diciembre de 2020, con una muestra de 74 enfermeros. Recolección de datos se aplicó una encuesta de 44 preguntas cerradas dicotómicas. Los datos se almacenaron en Microsoft Excel y se analizaron con Epidat. Como resultado 68,92% eran sexo femenino, con edades entre 31-35 (33,78%), 58,11% casados, 41,89% solteros y 60,81% tenían hijos. Los riesgos psicológicos característicos fueron 24,32% de ansiedad, 21,62% estrés, 18,92% depresión, 12,16% trastornos de sueño, 8,11% trastornos de conducta alimentaria y consumo de psicofármacos, 4,05% pensamientos suicidas y 2,70% consumen alcohol, el más resaltante de los riesgos sociales fue el distanciamiento familiar con 37,84%. Se concluye que el riesgo biológico es, sin duda, el más frecuente entre los riesgos laborales del personal de salud, aflorando distintos niveles de ansiedad, lo cual pone en juego incluso hasta la calidad de atención que se pueda otorgar a los pacientes.
Developing activities in a health institution, exposes nurses to multiple biological agents of potential infectious threat such as Hepatitis A, B, C, HIV / AIDS, Tuberculosis, Varicella, Tuberculosis, Rubella, Cytomegalovirus, COVID-19, among other communicable diseases , promoting a psychosocial risk to fear of being infected. To determine the psychosocial risks in the face of the infectious threat in nursing personnel of a hospital in Ecuador. It was an epidemiological-descriptive study of a cross-sectional cohort between September and December 2020, with a sample of 74 nurses. Data collection, a survey of 44 closed dichotomous questions was applied. The data were stored in Microsoft Excel and analyzed with Epidat. As a result, 68.92% were female, with ages between 31-35 (33.78%), 58.11% were married, 41.89% were single, and 60.81% had children. The characteristic psychological risks were 24.32% anxiety, 21.62% stress, 18.92% depression, 12.16% sleep disorders, 8.11% eating disorders and consumption of psychotropic drugs, 4.05% thoughts suicides and 2.70% consume alcohol, the most prominent of the social risks was family distancing with 37.84%. It is concluded that biological risk is, without a doubt, the most frequent among the occupational risks of health personnel, raising different levels of anxiety, which puts at stake even the quality of care that can be given to patients.
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An Andean fox was transferred to the Wildlife Hospital of the Universidad San Francisco de Quito for evaluation of injuries caused by a run over. Clinical signs of hypovolemic shock were detected. Radiographies showed multiple pelvic fractures and free fluid in retroperitoneal cavity. The presumptive diagnosis was hemorrhagic shock caused by blood loss secondary to a pelvis fracture. An emergency xenotransfusion using blood from a domestic dog was performed without acute transfusion reactions observed. This is the first report of successful xenotransfusion between a domestic dog and an Andean fox presenting a procedure that could be applied in emergency situations.(AU)
Uma raposa andina foi levada ao Hospital da Vida Selvagem da Universidad San Francisco de Quito para avaliar os ferimentos causados por um atropelamento. Sinais clínicos de choque hipovolêmico foram detectados. Radiografias mostraram múltiplas fraturas pélvicas e fluido livre na cavidade retroperitoneal. O diagnóstico presuntivo foi um choque hemorrágico causado por perda sanguínea secundária a uma fratura pélvica. Uma xenotransfusão de emergência foi realizada com o sangue de um cão doméstico sem reações agudas transfusionais. Este é o primeiro relato bem sucedido de xenotransfusão entre um cão doméstico e uma raposa andina, demonstrando que é um procedimento que poderá ser considerado em situações de emergência.(AU)
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Animais , Cães , Cães/sangue , Raposas/sangue , Choque , Transplante Heterólogo , Transfusão de Sangue/veterináriaRESUMO
Resumen Shigella spp. es el aislamiento microbiológico más frecuente en las diarreas bacterianas en Argentina. Clínicamente puede causar desde una diarrea acuosa hasta disentería. En forma infrecuente causa complicaciones extraintestinales, con una incidencia de bacteriemia desde 0,4 a 7,3%; asociado a factores de riesgo como niños menores de un año de edad e inmunodeficiencias, entre otros. Presentamos los casos clínicos de dos lactantes con bacteriemia por Shigella flexneri, que consultaron por fiebre y diarrea, uno de ellos con diagnóstico de inmunodeficiencia primaria.
Shigella spp. is the most frequent micro-biological isolation in bacterial diarrhea in Argentina. It causes a watery diarrhea or dysenteric disease. It rarely causes extraintestinal problems. It has an incidence of bacteremia of 0,4-7,3%, and its appearance compels us to look for associated risk factors, as children under one year of age and immunodeficiency, among others. We describe two children with Shigella flexneri bacteremia. They presented with fever and diarrhea. One of them had primary immune deficiency.
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Humanos , Masculino , Lactente , Shigella flexneri/isolamento & purificação , Bacteriemia/microbiologia , Disenteria Bacilar/microbiologia , Bacteriemia/diagnóstico , Disenteria Bacilar/diagnósticoRESUMO
SUMMARY As a potential beverage, coffee leaf tea may possess both qualities of brewed coffee and regular tea. Thus, making it an attractive beverage in years to come. One of the main qualities is the leaf's phenolic content, which is chiefly attributed with health benefits. However, the leaf's total phenolic content may be adversely affected by heat during the drying process. Coffee leaves were dried using a combined drying process, high-temperature short-time (HTST) and convective drying, to assess the optimal drying parameters for both total phenolic content preservation and drying time reduction. To reach conclusions, a central composite rotational design (CCRD) was employed. With both temperature and thickness as independent variables, a response surface using time as dependent variable was generated. The temperature ranged from 80°C to 110°C and the thickness from 1cm to 3cm. Results indicate that the HTST pretreatment significantly reduced the drying time without affecting the total phenolic content; that is, the CCRD analysis on the effect of the HTST pretreatment on the total phenolic content did not yield statistically significant results.
RESUMEN Como bebida potencial, el té de hojas de café posee cualidades, tanto de café preparado como de té regular, por lo tanto, será una bebida interesante en los próximos años. Una de las principales cualidades es el contenido fenólico de las hojas, a lo cual, se atribuyen beneficios sobre la salud; sin embargo, el contenido fenólico total (TPC), se puede ver afectado negativamente por el calor, durante el proceso de secado. Hojas de café fueron secadas usando un proceso de secado combinado, tiempo corto y alta temperatura (HTST) y secado convectivo, para establecer los parámetros óptimos de secado, tanto para la preservación del TPC como para la reducción del tiempo de secado. Para obtener conclusiones, un diseño de experimentos rotacional central compuesto (CCRD) fue aplicado. Usando como variables independientes la temperatura y el espesor, se generó una superficie de respuesta, empleando el tiempo, como variable dependiente. El rango de temperatura usado fue entre 80 y 110 y de espesor, entre 1 y 3cm. Los resultados indican que el pretratamiento de HTST redujo significativamente el tiempo de secado, sin afectar el TPC, es decir, el análisis del CCRD sobre el efecto del pretratamiento del HTST en el TPC no obtuvo resultados estadísticamente significativos.