Synovial fluid and radiographic evaluation of joints from dogs with visceral leishmaniasis.

BACKGROUND: Polyarthritis has been associated with canine visceral leishmaniasis (CanVL), and co-infection with Ehrlichia canis is common and may alter clinical manifestations. METHODS: A total of 89 dogs presenting CanVL were subdivided into two groups: (1) G1, consisting of 46 dogs seronegative to Ehrlichia spp., and (ii) G2, consisting of 43 dogs seropositive to Ehrlichia spp. Eight joints (carpal, tarsal, stifles and elbows) from each dog were evaluated by radiography and synovial fluid (SF) cytologic analysis. RESULTS: Overall, 74 of the 89 (83.1%) dogs presented joint abnormalities suggestive of osteoarthritis by radiography (G1: 40/46 [86.9%]; G2: 34/43 [79.0%]), with no statistically significant between-group difference. All dogs with abnormal joint X-ray images presented radiographic lesions bilaterally, independent of the characteristics of the lesion. Soft tissue swelling around the joint and joint space narrowing were more commonly observed in G1 than in G2 dogs. There was no significant between-group difference in terms of other radiographic abnormalities suggestive of osteoarthritis (evident trabecular pattern, subchondral bone sclerosis, osteolysis, osteolytic-proliferative lesions or bone proliferation). SF from 174/315 (55.2%) and 152/307 (49.5%) joints from G1 and G2 dogs, respectively, presented an inflammatory infiltrate, but there was no significant association between the presence of inflammatory infiltrate and group. There was also no statistical difference between groups in either of the evaluated joints in terms of the percentage of neutrophils or mononuclear cells. Leishmania spp. amastigotes were found in 69/315 (21.9%) joints from G1 dogs and in 100/307 (32.5%) joints from G2 dogs (Fisher's exact test, P = 0.002, odds ratio = 0.5, 95% confidence interval = 0.4-0.8). The neutrophilic infiltrate was significantly higher in joints with amastigote forms in both G1 (Mann-Whitney U-test, U(18) = 817, Z = -3.76, P = 0.0001) and G2 dogs (Mann-Whitney U-test, U(18) = 6543, Z = - 5.06, P < 0.0001). CONCLUSIONS: A high prevalence of arthritis in dogs with CanVL was found, and all dogs presented involvement in multiple joints. Although no difference was observed between groups in terms of the number of dogs with polyarthritis and the presence of an inflammatory infiltrate in SF, Leishmania spp. amastigotes were found more frequently in joints from G2 dogs. Further studies evaluating SF in dogs co-infected with L. infantum and E. canis should be performed to evaluate this finding.

Malformações em pequenos ruminantes no semiárido da Bahia: aspectos epidemiológicos, clínico-patológicos e radiológicos / Malformations in small ruminants in the semi-arid region of Bahia: epidemiological, clinical-pathological and radiological aspects

O objetivo do presente trabalho é descrever os principais aspectos epidemiológicos, clínico-patológicos e radiológicos de malformações em pequenos ruminantes no semiárido do estado da Bahia. Foram realizadas visitas técnicas em 41 propriedades rurais no município de Uauá, Bahia, e em cada uma delas foi aplicado um questionário epidemiológico. Adicionalmente, quando se observavam casos de malformações, os animais eram avaliados vivos ou mortos. Foram necropsiados oito animais (1, 2, 3, 4, 5, 6, 7 e 8), e dois (7 e 8) foram submetidos a exame radiográfico. Sobre a alimentação do rebanho, 40 (97,56%) produtores rurais relataram o livre acesso de seus animais à vegetação nativa. Em relação à presença de Mimosa tenuiflora, 5 (12,2%) informaram que os animais tinham acesso à planta, 15 (36,6 %) disseram que tinham pouco contato, enquanto que 21 (51,2 %) relataram que não havia nenhum contato com a planta, pois essa espécie não estava presente em número relevante na região. Vinte e cinco dos 41 proprietários (60,98%) relataram o consumo de Poincianella pyramidalis. Foi constatado ainda que na maioria das propriedades havia muitas áreas invadidas por P. pyramidalis (80-90% da vegetação). As principais anormalidades relatadas pelos entrevistados em 36 propriedades foram artrogripose (87,80%), agnatia [22 (53,66%)], desvio lateral da mandíbula [11 (26,82%)], escoliose [6 (14,63%)], micrognatia [6 (14,63%)], fenda palatina [4 (9,75%)], crânio aumentado de tamanho [4 (9,75%)], microftalmia [2 (4,88%)], braquignatismo [1 (2,43%)], exoftalmia [1 (2,43%)] e deformidades múltiplas no crânio [1 (2,43%)]. No exame clínico de 13 animais com malformações, as principais alterações foram artrogripose bilateral dos membros torácicos (6/13); queilosquise (2/13); micrognatia (1/13) e má oclusão dentária (1/13). Considerando que algumas dessas malformações foram reproduzidas experimentalmente em caprinos pode-se sugerir P. pyramidalis como mais uma planta teratogênica para ruminantes no Nordeste do Brasil.(AU)

The aim of this paper is to describe the epidemiological, clinical-pathological and radiological aspects of malformations in small ruminants in the semi-arid state of Bahia. Technical visits were carried out in 41 rural properties in the city of Uauá, Bahia, and in each of them, an epidemiological questionnaire was applied. In addition, when malformations were observed, the animals were evaluated alive or dead. Eight animals (1, 2, 3, 4, 5, 6, 7 and 8) were necropsied, and two (7 and 8) were submitted to radiographic examination. Regarding the feeding of the herd, 40 (97.56%) farmers reported the free access of their animals to the native vegetation. Regarding the presence of Mimosa tenuiflora, 5 (12.2%) said that the animals had access to the plant, 15 (36.6%) was informed they had little contact, while 21 (51.2%) reported that there was no contact with the plant, because this species were not present in a relevant number in the region. Twenty five out of 41 owners (60.98%) reported the consumption of Poincianella pyramidalis. It was also verified that in the majority of the properties there were many areas invaded by P. pyramidalis (80-90% of the vegetation). The main abnormalities reported by the interviewees on 36 properties were arthrogryposis (87.80%), agnatia [22 (53.66%)], lateral deviation of the mandible [11 (26.82%)], scoliosis [6 (14.63%)], micrognathia [6 (14.63%)], cleft palate [4 (9.75%)], skull enlarged in size [4 (9.75%)], microphthalmia [2 (4.88%)], braquignatism [1 (2.43%)], exophthalmia [1 (2.43%)] and, multiple deformities in the skull [1 (2.43%)]. In the clinical examination of 13 animals with malformations, the main alterations were bilateral arthrogryposis of the thoracic limbs (6/13); cleft lip (2/13); micrognathia (1/13) and dental malocclusion (1/13). Considering that some of these malformations were reproduced experimentally in goats, it is possible to suggest P. pyramidalis as another teratogenic plant for ruminants in Northeast Brazil.(AU)